Skip to main content
Log in

Metabolic syndrome is not an independent risk factor for hearing impairment

  • Published:
The journal of nutrition, health & aging

Abstract

Objective

We aimed to investigate the association between metabolic syndrome (MS) and hearing impairment (HI) using nationally representative data from Korean adults.

Design, setting and participants

A total of 16,799 subjects (≥19 years old; 7,170 men and 9,629 women) who underwent pure tone audiometry testing were included in the analysis. Data were obtained from the fifth Korea National Health and Nutrition Examination Survey (2010–2012). Subjects were divided into two groups according to the presence of MS.

Results

Among the subjects with MS, 47% had HI. Logistic regression analysis revealed that MS was not an independent risk factor for HI, although increased fasting plasma glucose (OR 1·4, 95% CI: 1·1–1·8) was independently associated with HI. In addition, older age, male sex, very low body mass index (≤17·5 kg/m2), lower education level, smoking history, and occupational noise exposure were independently associated with HI. For low-frequency HI, independent risk factors included older age, lower educational level, lower economic status, and very low BMI (≤17·5 kg/m2). For high-frequency HI, independent risk factors included older age, male sex, lower educational level, lower economic status, increased blood pressure, lower high-density lipoprotein cholesterol, and smoking history.

Conclusions

MS itself was not an independent risk factor for HI, and, among the individual metabolic components, only increased fasting plasma glucose was independently associated with HI.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Table 1
Figure 1
Figure 2
Table 2
Table 3
Table 4
Table 5

Similar content being viewed by others

References

  1. Grundy SM, Cleeman JI, Daniels SR, Donato KA, Eckel RH, Franklin BA et al. Diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement. Circulation 2005;112(17): 2735–2752.

    Article  PubMed  Google Scholar 

  2. Beltrán-Sánchez H, Harhay MO, Harhay MM, McElligott S. Prevalence and trends of metabolic syndrome in the adult U.S. population, 1999-2010. J Am Coll Cardiol. 2013;62(8): 697–703.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Lim S, Shin H, Song JH, Kwak SH, Kang SM, Won Yoon J et al. Increasing prevalence of metabolic syndrome in Korea: the Korean National Health and Nutrition Examination Survey for 1998-2007. Diabetes Care 2011;34(6); 1323–1328.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Kaur J. A comprehensive review on metabolic syndrome. Cardiol Res Pract 2014;943162. doi: 10.1155/2014/943162.

    Google Scholar 

  5. Walling AD, Dickson GM. Hearing loss in older adults. Am Fam Physician 2012;85(12):1150–1156.

    PubMed  Google Scholar 

  6. Yamasoba T, Lin FR, Someya S, Kashio A, Sakamoto T, Kondo K. Current concepts in age-related hearing loss: epidemiology and mechanistic pathways. Hear Res 2013;303:30–38.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Du W, Guo Y, Wang C, Liu X. A systematic review and meta-analysis of common mutations of SLC26A4 gene in Asian populations. Int J Pediatr Otorhinolaryngol 2013;77(10): 1670–1676.

    Article  PubMed  Google Scholar 

  8. Alves C, Oliveira CS. Hearing loss among patients with Turner’s syndrome: literature review. Braz J Otorhinolaryngol 2014;80(3): 257–263.

    Article  PubMed  Google Scholar 

  9. Zimmerman E, Lahav A. Ototoxicity in preterm infants: effects of genetics, aminoglycosides, and loud environmental noise. J Perinatol 2013(1); 33:3–8.

    Article  Google Scholar 

  10. Sliwinska-Kowalska M, Davis A. Noise-induced hearing loss. Noise Health 2012;14(61): 274–280.

    Article  PubMed  Google Scholar 

  11. Mijovic T, Zeitouni A, Colmegna I. Autoimmune sensorineural hearing loss: the otology-rheumatology interface. Rheumatology (Oxford) 2013;52(5): 780–789.

    Article  CAS  Google Scholar 

  12. Bainbridge KE, Hoffman HJ, Cowie CC. Diabetes and hearing impairment in the United States: audiometric evidence from the National Health and Nutrition Examination Survey, 1999 to 2004. Ann Intern Med 2008;149(1): 1–10.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Agrawal Y, Platz EA, Niparko JK. Risk factors for hearing loss in US adults: data from the National Health and Nutrition Examination Survey, 1999 to 2002. Otol Neurotol 2009;30(2): 139–145.

    Article  PubMed  Google Scholar 

  14. Axelsson A, Lindgren F. Is there a relationship between hypercholesterolaemia and noise-induced hearing loss? Acta Otolaryngol 1985;100(5-6): 379–386.

    Article  CAS  PubMed  Google Scholar 

  15. Fransen E, Topsakal V, Hendrickx JJ, Van Laer L, Huyghe JR, Van Eyken E et al. Occupational noise, smoking, and a high body mass index are risk factors for age-related hearing impairment and moderate alcohol consumption is protective: a European population-based multicenter study. J Assoc Res Otolaryngol 2008;9(3): 264–276.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Grundy SM, Brewer HB Jr, Cleeman JI, Smith SC Jr, Lenfant C et al. Definition of metabolic syndrome: Report of the National Heart, Lung, and Blood Institute/ American Heart Association conference on scientific issues related to definition. Circulation 2004;109(3): 433–438.

    Article  PubMed  Google Scholar 

  17. Lee SY, Park HS, Kim DJ, Han JH, Kim SM, Cho GJ et al. Appropriate waist circumference cutoff points for central obesity in Korean adults. Diabetes Res Clin Pract 2007;75(1): 72–80.

    Article  PubMed  Google Scholar 

  18. Kang JW, Choi HS, Kim K, Choi JY. Dietary vitamin intake correlates with hearing thresholds in the older population: the Korean National Health and Nutrition Examination Survey. Am J Clin Nutr 2014;99(6): 1407–1413.

    Article  CAS  PubMed  Google Scholar 

  19. Chang NC, Chien CY, Hsieh MH, Lin WY, Ho KY. The association of insulin resistance and metabolic syndrome with age-related hearing loss. J Diabetes Metab 2014; doi: 10.4172/2155-6156.1000440.

    Google Scholar 

  20. Horikawa C, Kodama S, Tanaka S, Fujihara K, Hirasawa R, Yachi Y et al. Diabetes and risk of hearing impairment in adults: a meta-analysis. J Clin Endocrinol Metab 2013;98(1): 51–58.

    Article  CAS  PubMed  Google Scholar 

  21. Lerman-Garber I, Cuevas-Ramos D, Valdés S, Enríquez L, Lobato M, Osornio M et al. Sensorineural hearing loss—a common finding in early-onset type 2 diabetes mellitus. Endocr Pract 2012;18(4): 549–557.

    Article  PubMed  Google Scholar 

  22. Kakarlapudi V, Sawyer R, Staecker H. The effect of diabetes on sensorineural hearing loss. Otol Neurotol 2003;24(3): 382–386.

    Article  PubMed  Google Scholar 

  23. Fukushima H, Cureoglu S, Schachern PA, Paparella MM, Harada T, Oktay MF. Effects of type 2 diabetes mellitus on cochlear structure in humans. Arch Otolaryngol Head Neck Surg 2006;132(9): 934–938.

    Article  PubMed  Google Scholar 

  24. Bainbridge KE, Hoffman HJ, Cowie CC. Risk factors for hearing impairment among U.S. adults with diabetes: National Health and Nutrition Examination Survey 1999–2004. Diabetes Care 2011;34(7): 1540–1545.

    Article  PubMed  PubMed Central  Google Scholar 

  25. de Moraes Marchiori LL, de Almeida Rego Filho E, Matsuo T. Hypertension as a factor associated with hearing loss. Braz J Otorhinolaryngol 2006;72(4): 533–540.

    Article  PubMed  Google Scholar 

  26. Rosenhall U, Sundh V. Age-related hearing loss and blood pressure. Noise Health 2006;8(31): 88–94.

    Article  PubMed  Google Scholar 

  27. Tran-Dinh A, Diallo D, Delbosc S, Varela-Perez LM, Dang QB, Lapergue B et al. HDL and endothelial protection. Br J Pharmacol 2013;169(3): 493–511.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Ciccone MM, Cortese F, Pinto M, Di Teo C, Fornarelli F, Gesualdo M et al. Endothelial function and cardiovascular risk in patients with idiopathic sudden sensorineural hearing loss. Atherosclerosis 2012;225(2): 511–516.

    Article  CAS  PubMed  Google Scholar 

  29. Nguyen TV, Brownell WE. Contribution of membrane cholesterol to outer hair cell lateral wall stiffness. Otolaryngol Head Neck Surg 1998;119(1): 14–20.

    Article  CAS  PubMed  Google Scholar 

  30. Simpson AN, Matthews LJ, Dubno JR. Lipid and C-reactive protein levels as risk factors for hearing loss in older adults. Otolaryngol Head Neck Surg 2013;148(4): 664–670.

    Article  PubMed  Google Scholar 

  31. Hwang JH, Chen JC, Yang WS, Liu TC. Waist circumference is associated with pitch pattern sequence score in older male adults. Int J Audiol 2012;51(12): 920–925.

    Article  PubMed  Google Scholar 

  32. Kim TS, Park SW, Kim do Y, Kim EB, Chung JW, So HS. Visceral adipose tissue is significantly associated with hearing thresholds in adult women. Clin Endocrinol (Oxf) 2014;80(3): 368–375.

    Article  Google Scholar 

  33. Zheng W, McLerran DF, Rolland B, Zhang X, Inoue M, Matsuo K et al. Association between body-mass index and risk of death in more than 1 million Asians. N Engl J Med 2011;364(8): 719–729.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  34. Frederiksen TW, Ramlau-Hansen CH, Stokholm ZA, Brødsgaard Grynderup M, Hansen ÅM, Lund SP et al. Atherogenic risk factors and hearing thresholds. Audiol Neurootol 2014;19(5): 310–318.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ho Yun Lee.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lee, H.Y., Choi, Y.J., Choi, H.J. et al. Metabolic syndrome is not an independent risk factor for hearing impairment. J Nutr Health Aging 20, 816–824 (2016). https://doi.org/10.1007/s12603-015-0647-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12603-015-0647-0

Key words

Navigation