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Osteoporosis and hearing loss: findings from the Korea National Health and Nutrition Examination Survey 2009-2011 / Osteoporose e perda auditiva: resultados da Pesquisa Nacional do Exame de Saúde e Nutrição da Coreia de 2009 a 2011
Yoo, Jun-Il; Park, Ki Soo; Seo, Sung-Hyo; Park, Hyun Woo.
  • Yoo, Jun-Il; Gyeongsang National University Hospital. Department of Orthopaedic Surgery. Jinju. KR
  • Park, Ki Soo; Gyeongsang National University. Institute of Health Sciences. Jinju. KR
  • Seo, Sung-Hyo; Gyeongsang National University School of Medicine. Department of Preventive medicine. Jinju. KR
  • Park, Hyun Woo; Gyeongsang National University Hospital. Department of Otorhinolaryngology-Head and Neck Surgery. Jinju. KR
Braz. j. otorhinolaryngol. (Impr.) ; 86(3): 332-338, May-June 2020. tab, graf
Article in English | LILACS | ID: biblio-1132603
ABSTRACT
Abstract

Introduction:

Age-related hearing impairment is the most common sensory dysfunction in older adults. In osteoporosis, the mass of the ossicles will be decreased, affecting the bone density of the cochlea, and interfering with the sound transmission to the cochlea. Age related hearing loss might be closely related to osteoporosis.

Objective:

To determine the relationship between age-related hearing impairment and osteoporosis by investigating the relationship between hearing loss and cortical bone density evaluated from femur neck bone mineral density.

Methods:

We used data from the Korea National Health and Nutrition Examination Survey to examine the associations between osteoporosis and age-related hearing impairment from 2009 to 2011. Total number of participants was 4861 including 2273 men and 2588 women aged 50 years or older. Osteoporosis was defined as a bone mineral density 2.5 standard deviations below according to the World Health Organization diagnostic classification. Age-related hearing impairment was defined as the pure-tone averages of test frequencies 0.5, 1, 2, and 4 kHz at a threshold of 40 dB or higher on the more impaired hearing side.

Results:

Total femur T-score (p < 0.001), lumbar-spine T-score (p < 0.001) and, femur neck T-score (p < 0.001) were significantly lower in the osteoporosis group compared to the normal group. Thresholds of pure-tone averages were significantly different in normal compared to osteopenia, and osteoporosis groups. In addition, there were significantly higher pure-tone averages thresholds in the osteoporosis group compared to other groups (p < 0.001). After adjusting for all covariates, the odds ratio for hearing loss was significantly increased by 1.7 fold with reduced femur neck bone mineral density (p < 0.01). However, lumbar spine bone mineral density was not statistically associated with hearing loss (p = 0.22).

Conclusion:

Our results suggest that osteoporosis is significantly associated with a risk of hearing loss. In addition, femur neck bone mineral density was significantly correlated with hearing loss, but lumbar spine bone mineral density was not.
RESUMO
Resumo

Introdução:

A perda auditiva associada ao envelhecimento é a disfunção sensorial mais comum em idosos. Na osteoporose, a massa dos ossículos diminui e afeta a densidade óssea da cóclea, o que irá interferir na transmissão do som para a mesma. A perda auditiva associada à idade pode estar intimamente relacionada à osteoporose.

Objetivo:

Determinar a relação entre deficiência auditiva relacionada à idade e osteoporose, investigar a relação entre perda auditiva e densidade óssea cortical avaliada a partir da densidade mineral óssea do colo do fêmur.

Método:

Utilizamos dados da Korea National Health and Nutrition Examination Survey para examinar as associações entre osteoporose e perda auditiva associada ao envelhecimento de 2009 a 2011. O número total de participantes foi de 4.861, incluiu 2.273 homens e 2.588 mulheres com 50 anos ou mais. A osteoporose foi definida como densidade mineral óssea com 2,5 desvios-padrão abaixo da média, de acordo com a classificação diagnóstica da Organização Mundial da Saúde. A perda auditiva associada ao envelhecimento foi definida como as médias de tom puro das frequências de teste de 0,5, 1, 2 e 4 kHz a um limiar de 40 dB ou superior no lado da audição mais afetado.

Resultados:

O T-score total do fêmur (p < 0,001), o T-score da coluna lombar (p < 0,001) e o T-score do colo do fêmur (p < 0,001) foram significantemente menores no grupo com osteoporose em comparação ao grupo normal. Os limiares de médias de tom puro foram significantemente diferentes nos grupos normais em comparação com aqueles com osteopenia e osteoporose. Além disso, houve limiares significantemente maiores de médias de tom puro no grupo com osteoporose em comparação com os outros grupos (p < 0,001). Após o ajuste para todas as covariáveis, a odds ratio da perda auditiva mostrou estar significantemente aumentada em 1,7 vez com densidade mineral óssea reduzida no colo do fêmur (p < 0,01). No entanto, a densidade mineral óssea da coluna L não se associou estatisticamente à perda auditiva (p = 0,22).

Conclusão:

Nossos resultados sugerem que a osteoporose está significantemente associada ao risco de perda auditiva. Além disso, a densidade mineral óssea da coluna lombar não se correlacionou com a perda auditiva, apenas a densidade mineral óssea do colo do fêmur foi significantemente correlacionada.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Osteoporosis / Presbycusis / Aging / Bone Density Type of study: Diagnostic study / Etiology study / Observational study / Prevalence study / Risk factors Limits: Aged / Female / Humans / Male Country/Region as subject: Asia Language: English Journal: Braz. j. otorhinolaryngol. (Impr.) Journal subject: Otolaryngology Year: 2020 Type: Article Affiliation country: South Korea Institution/Affiliation country: Gyeongsang National University Hospital/KR / Gyeongsang National University School of Medicine/KR / Gyeongsang National University/KR

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Full text: Available Index: LILACS (Americas) Main subject: Osteoporosis / Presbycusis / Aging / Bone Density Type of study: Diagnostic study / Etiology study / Observational study / Prevalence study / Risk factors Limits: Aged / Female / Humans / Male Country/Region as subject: Asia Language: English Journal: Braz. j. otorhinolaryngol. (Impr.) Journal subject: Otolaryngology Year: 2020 Type: Article Affiliation country: South Korea Institution/Affiliation country: Gyeongsang National University Hospital/KR / Gyeongsang National University School of Medicine/KR / Gyeongsang National University/KR