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遗传和环境因素对老年女性听力的影响。

Genetic and environmental influences on hearing in older women.

作者信息

Viljanen Anne, Era Pertti, Kaprio Jaakko, Pyykkö Ilmari, Koskenvuo Markku, Rantanen Taina

机构信息

Finnish Centre for Interdisciplinary Gerontology, Department of Health Sciences, University of Jyväskylä, Finland.

出版信息

J Gerontol A Biol Sci Med Sci. 2007 Apr;62(4):447-52. doi: 10.1093/gerona/62.4.447.

Abstract

BACKGROUND

This study examined the relative contribution of genetic and environmental effects on the air-conducted hearing threshold level (0.5-4 kHz) and speech recognition threshold level of the better ear as well as self-reported hearing in older women.

METHODS

Hearing was measured as a part of the Finnish Twin Study on Aging in 103 monozygotic (MZ) and 114 dizygotic (DZ) female twin pairs aged 63-76 years. Audiometric measured hearing was tested using standardized methods in soundproof conditions. Self-reported hearing was assessed by a structured question. Quantitative genetic modeling was used for data analyses.

RESULTS

No significant differences in age, exposure to noise, hearing-aid use, auditory diseases or accidents, or number of self-reported chronic conditions or prescription medicines were observed between the MZ and DZ twins. A genetic component in common accounted for 75% (95% confidence interval [CI], 67%-81%) of the variance in the better ear's hearing threshold level and 54% (95% CI, 43%-64%) in the better ear's speech recognition threshold level, according to a bivariate genetic analysis. In addition, 10% (95% CI, 4%-15%) of the variance in the better ear's speech recognition threshold level was explained by its specific genetic component.

CONCLUSION

Individual differences in audiometrically measured air-conducted hearing threshold level (0.5-4 kHz) and speech recognition threshold level in the better ear were largely accounted for by genetic differences between individuals. In contrast, self-reported hearing appears to be accounted for solely by environmental factors.

摘要

背景

本研究调查了遗传和环境因素对老年女性较好耳的气导听阈水平(0.5 - 4kHz)、言语识别阈水平以及自我报告听力的相对贡献。

方法

作为芬兰老年双胞胎研究的一部分,对103对年龄在63 - 76岁的单卵(MZ)女性双胞胎和114对双卵(DZ)女性双胞胎进行了听力测量。在隔音条件下使用标准化方法进行听力测定。通过结构化问题评估自我报告听力。采用定量遗传模型进行数据分析。

结果

MZ和DZ双胞胎在年龄、噪声暴露、助听器使用、听觉疾病或事故、自我报告的慢性病或处方药数量方面未观察到显著差异。根据双变量遗传分析,共同的遗传成分占较好耳听阈水平方差的75%(95%置信区间[CI],67% - 81%),占较好耳言语识别阈水平方差的54%(95%CI,43% - 64%)。此外,较好耳言语识别阈水平方差的10%(95%CI,4% - 15%)由其特定遗传成分解释。

结论

较好耳的气导听阈水平(0.5 - 4kHz)和言语识别阈水平的个体差异在很大程度上由个体间的遗传差异所致。相比之下,自我报告听力似乎仅由环境因素所致。

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