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Sensory-neural hearing loss during combined noise and vibration exposure

An analysis of risk factors

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Summary

A detailed analysis of risk factors for the development of sensory-neural hearing loss (SNHL) was carried out on 122 forest workers. These forest workers were selected from a larger group (n = 217) by restricting the age range to 30–55 years. The hearing threshold of the left ear at 4000 Hz was measured and the effect of age, exposure, systolic and diastolic blood pressure (DBP), presence of vibration-induced white finger (VWF), tobacco smoking and use of earmuffs were evaluated in multiple linear regression analysis. Robinson's nonlinear model was used to evaluate the rate of hearing loss. Aging was the major risk factor and it explained 15.4% of the variance of the SNHL. The presence of VWF was the second most important single risk factor and explained a further 5.2% of the SNHL. Elevation of DBP correlated significantly with SNHL and explained an additional 4.1% of the SNHL. These main factors were able to explain about 26% of the spread of SNHL. Additional factors in the analysis, e.g. smoking, systolic blood pressure, did not significantly contribute to the genesis of SNHL. When Robinson's model was applied to the SNHL data, on a group basis, we did not observe any exaggerated risk of hearing loss due to combination of noise and vibration. In combined exposure subjects with VWF as well as subjects with enhanced DBP will run a higher risk for SNHL.

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References

  • Abrahamsson DI (1967) Circulation in the extremities. Academic Press Inc, New York, p 557

    Google Scholar 

  • Alberti PW (1982) Personal hearing protection in industry. Raven Press, New York, 605 pp

    Google Scholar 

  • Andrén L, Hansson L, Björkman M, Jonsson A (1980) Noise as a contributory factor in the development of elevated arterial pressure. Acta Med Scand 207:493–498

    Google Scholar 

  • Axelsson A, Lindgren F (1978) Temporary threshold shift after exposure to pop music. Scand Audiol 7:127–135

    Google Scholar 

  • Borg E (1982) Noise-induced hearing loss in normotensive and spontaneously hypertensive rats. Hearing Res 8:117

    Google Scholar 

  • Burns W, Robinson DW (1970) Hearing and noise in industry. H.M.S.O., London

    Google Scholar 

  • Chung DY, Willson GN, Gannon RP, Mason K (1982) Individual susceptibility to noise. In: Hamernik RP, Henderson D, Salvi R (eds) New perspectives on noise-induced hearing loss. Raven Press, New York, pp 511–519

    Google Scholar 

  • Drettner B, Hedstrand H, Klockhoff I, Svedberg A (1975) Cardiovascular risk factors and hearing loss. Acta Otolaryngol (Stockh) 79:366–371

    Google Scholar 

  • Erdreich J, Erdreich LS (1982) Epidemiologic strategies to understanding noise-induced hearing loss. In: Hamernik RP, Henderson D, Salvi R (eds) New perspectives on noise-induced hearing loss. Raven Press, New York, pp 439–460

    Google Scholar 

  • Friedman GD, Siegelanb AB, Seltzer CC (1969) Cigarette smoking and exposure to occupational hazards. Am J Epidemiol 98:175–183

    Google Scholar 

  • Guignard JC, Coles RRA (1965) Effects of infrasonic vibration on the hearing. Fifth Int Congr of Acoustics, Liège

  • Hamemik RP, Henderson D, Coling D, Slepecky N (1980) The interaction of whole body vibration and impulse noise. J Acoust Soc Am 67:928–934

    Google Scholar 

  • Hamernik RP, Henderson D, Coling D, Salvi R (1981) Influence of vibration on asymptomatic threshold shift produced by impulse noise. Audiol 20:259–269

    Google Scholar 

  • Hawkins JE (1973) Comparative otopathology: aging, noise and ototoxic drugs. Adv Otorhinolaryngol 20:125–141

    Google Scholar 

  • Hempstock TJ, O'Connor DE (1975) The measurement of hand-arm vibration. In: Taylor W, Pelmear PL (eds) Vibration white finger in industry. Academic Press, New York, pp 111–112

    Google Scholar 

  • Hinchcliffe R (1973) Epidemiology of sensori-neural hearing loss. Audiol 12:446–452

    Google Scholar 

  • Hinchcliffe R, Littler TS (1958) Methodology of air conduction audiometry for hearing surveys. Ann Occup Hyg 1:114–128

    Google Scholar 

  • Hultcrantz E (1979) The effect of noise on cochlear blood flow in the conscious rabbit. Acta Physiol Scand 106:29–37

    Google Scholar 

  • Iki M, Kurumatani N, Hirata K, Moriyama T, Itoh J, Arai T (1986) An association between vibration-induced white fingers and hearing loss in forestry workers. Scand J Work Environ Health 12:365–370

    Google Scholar 

  • ISO/DIS 1999.2 (1985) Draft international standard. Acoustics-determination of occupational noise exposure and estimation of noise-induced hearing impairment. International Organization for Standardization, p 9

  • ISO 5349 (1986) International standard. Guidelines for the measurement and the assessment of human exposure to hand-transmitted vibration. International Organization for Standardization, p 13

  • Johnsson A, Hansson L (1977) Prolonged exposure to a stressful stimulus (noise) as a cause of raised blood pressure in man. Lancet I:86–87

    Google Scholar 

  • Kaimio M, Jauhiainen T, Kohonen A, Tarkkanen J (1970) Whole body infrasonic vibration effects on the cochlea. Environ Res 3:425–429

    Google Scholar 

  • Keeler JS (1976) Models for noise-induced hearing loss. In: Henderson D, Hamernik RP, Dosanjh DS, Mills JH (eds) Effects of noise on hearing. Raven Press, New York, pp 361–381

    Google Scholar 

  • Lawrence M (1980) Control mechanisms of inner ear microcirculation. Am J Otolaryngol 1:324–333

    Google Scholar 

  • McCormic JG, Harris DT, Hartley CB, Lassiter RBH (1982) Spontaneous genetic hypertension in the rat and its relationship to reduce cochlear potentials: implications for preservation of human hearing. Proc Natl Acad Sci (USA) 79:2668

    Google Scholar 

  • Okada A, Miyake H, Yamamura K, Minami M (1972) Temporary hearing loss induced by noise and vibration. J Acoustic Soc Am 51:1240–1248

    Google Scholar 

  • Pinter I (1973) Hearing loss of forest workers and of tractor operators (interaction of noise with vibration). Proc Int Congr on noise as a public health problem. Arlington, Virginia 18 May 1973. The USA Environmental Protection Agency, Office of Noise Abatement and Control, Washington, pp 315–327

    Google Scholar 

  • Pyykkö I, Färkkilä M, Toivanen J, Korhonen O, Hyvärinen J (1976) Transmission of vibration in the hand-arm system with special reference to changes in compression force and acceleration. Scand J Work Environ Health 2:87–95

    Google Scholar 

  • Pyykkö I, Hyvärinen J, Färkkilä M (1982a) Studies on the etiological mechanism of the vasospastic component of the vibration syndrome. In: Brammer AJ, Taylor W (eds) Vibration effects on the hand and arm in industry. John Wiley and Sons, New York, pp 13–24

    Google Scholar 

  • Pyykkö I, Hyvärinen J (1973) The physiological basis of the traumatic vasospastic disease: a sympathetic vasoconstrictor reflex triggered by high frequency vibration. Work Environ Health 10:36–47

    Google Scholar 

  • Pyykkö I, Korhonen OS, Färkkilä MA, Starck JP, Aatola SA (1982b) A longitudinal study of the vibration syndrome in Finnish forestry workers. In: Brammer AJ, Taylor W (eds) Vibration effects on the hand and arm in industry. John Wiley and Sons, New York, pp 157–167

    Google Scholar 

  • Pyykkö I, Sairanen E, Korhonen O, Färkkilä O, Hyvärinen J (1978) A decreased hand-grip force in the prevalence and severity of vibration-induced white fingers among lumberjacks in Finland. Scand J Work Environ Health 4:246–254

    Google Scholar 

  • Pyykkö I, Starck J (1982) Vibration syndrome in the etiology of occupational hearing loss. Acta Otolaryngol (Stockh) [Suppl] 386:296–300

    Google Scholar 

  • Pyykkö I, Starck J, Färkkilä M, Hoikkala M, Korhonen O, Nurminen M (1981) Hand-arm vibration in the aetiology of hearing loss in lumberjacks. Br J Ind Med 38:281–289

    Google Scholar 

  • Pyykkö I, Starck J, Pekkarinen J (1986) Further evidence of a relation between noise-induced permanent threshold shift and vibration-induced digital vasospasms. Am J Otolaryngol 4:391–398

    Google Scholar 

  • Robinson DW (1971) Estimating the risk of hearing loss due to continuous noise. In: Robinson DW (ed) Occupational hearing loss. Academic Press, London, pp 43–62

    Google Scholar 

  • Rosen S, Olin P (1965) Hearing loss and coronary heart disease. Arch Otolaryngol 82:236–243

    Google Scholar 

  • Rosen S, Plester D, El-Mofty A, Rosen HV (1964) Relation of hearing loss to cardiovascular disease. Trans Am Acad Ophthalmol Otolaryngol 68:433–444

    Google Scholar 

  • Spencer JT (1975) Hyperlipoproteinemia and inner ear disease. Otolaryngol Clin North Am 8:483–492

    Google Scholar 

  • Starck J (1984) High impulse acceleration levels in hand-held vibratory levels. An additional factor in the hazards associated with the hand arm vibration syndrome. Scand J Work Environ Health 10:171–178

    Google Scholar 

  • Starck JP, Aatola SA, Hoikkala MJ (1982) Chain saw vibration: effect of age of the saw and repeatability of measurements. In: Brammer AI, Taylor W (eds) Vibration effects on the hand and arm in industry. John Wiley and Sons, New York, pp 197–202

    Google Scholar 

  • Starck J, Godenhielm B, Perkio R (1979) Effect of helmet liner on the attenuation of ear-muffs. Proc Inter-Noise 79 Warzova-Poland. September 11–13, pp 877–880

  • Starck J, Färkkilä M, Aatola S, Pyykkö I, Korhonen O (1983) Vibration syndrome and vibration in pedestal grinding. Br J Ind Med 40:426–433

    Google Scholar 

  • Stewart RO (1976) The effect of carbon monoxide on humans. J Occup Med 18:304–309

    Google Scholar 

  • Tachibana M, Yamamichi I, Nakae S, Hirasugi Y, Machino M, Mizukoshi O (1984) The site of involvement of hypertension within the cochlea. Acta Otolaryngol (Stockh) 97:257–265

    Google Scholar 

  • Taniewski M, Banaszkiewicz T (1973) Hearing in persons exposed to vibration. Biul Inst Med Morskiej w Gdansku 24, 35. In: Sulkowski W (ed) Noise induced permanent threshold shifts: occupational deafness. Estratto dagh atti del congresso internationale l'uomo ed il rumore. Torino 7–10 guigno 1975, pp 121–128

  • Weston TET (1964) Presbycusis: a clinical study. J Laryngol 78:273–285

    Google Scholar 

  • Wright MI (1971) Pathology of deafness. Manchester University Press, Manchester

    Google Scholar 

  • Yokoyama T, Osako S, Yamomoto K (1974) Temporary threshold shifts produced by exposure to vibration, noise and vibration-plus-noise. Acta Otolaryngol (Stockh) 78:207–212

    Google Scholar 

  • Zelman S (1973) Correlation of smoking history with hearing loss. J Am Med Assoc 223:920

    Google Scholar 

Download references

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Author notes

  1. I. Pyykkö

    Present address: Department of Otolaryngology, University Hospital of Helsinki, Haartmanninkatu 2-4 E, SF-00290, Helsinki

Authors and Affiliations

  1. Institute of Occupational Health, Topeliuksenkatu 41 a A, SF-00250, Helsinki, Finland

    I. Pyykkö, J. Pekkarinen & J. Starck

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  1. I. Pyykkö
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  2. J. Pekkarinen
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  3. J. Starck
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Pyykkö, I., Pekkarinen, J. & Starck, J. Sensory-neural hearing loss during combined noise and vibration exposure. Int Arch Occup Environ Heath 59, 439–454 (1987). https://doi.org/10.1007/BF00377838

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  • DOI: https://doi.org/10.1007/BF00377838

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