[工人听力损失参数评估及其与空腹血糖水平的关系]

[Evaluation of hearing loss parameters in workers and its relationship with fasting blood glucose levels].

作者信息

Vicente-Herrero M Teofila, Lladosa Marco Silvia, Ramírez-Iñiguez de La Torre M Victoria, Terradillos-García M Jesús, López-González Ángel Arturo

机构信息

Grupo de Investigación Medicina del Trabajo (GIMT), Valencia, España.

出版信息

Endocrinol Nutr. 2014 May;61(5):255-63. doi: 10.1016/j.endonu.2014.01.004. Epub 2014 Feb 23.

DOI:10.1016/j.endonu.2014.01.004

PMID:24569296

Abstract

INTRODUCTION

Hearing loss due to noise is considered within the prevention plans of the most common occupational diseases. In addition to evaluation of working conditions, other personal factors increasing the risk of hypoacusis, such as diabetes, should be taken into account.

OBJECTIVES

To explore hearing loss in the workplace and its relationship to impaired fasting baseline blood glucose levels.

METHODS

An observational, cross-sectional study enrolling 1636 workers from service companies was conducted. Full audiometric evaluation was performed at different frequencies: high frequency (HF), early loss index (ELI), speech average loss (SAL), and monaural and binaural loss. Results were categorized by baseline blood glucose levels: G1 (<100mg/dl), G2 (100-125mg/dl), and G3 (>125mg/dl).

RESULTS

Based on both HF and ELI, 11% of workers had clear indication of deafness. Women with G3 levels showed significant differences in the results of HF and ELI indexes as compared to the G1 group (P=.038 and .046, respectively). A positive association was found between hearing loss and G3 blood glucose levels in HF (OR: .338; p=.002), ELI (OR: .407; p=.007), and the monaural test in the left ear (OR: 4.77×10-5; p=.006).

CONCLUSIONS

Despite the methodological limitations of this study, there is evidence for an increased risk of high frequency hearing loss in workers with high baseline blood glucose levels.

摘要

引言

噪声所致听力损失被纳入最常见职业病的预防计划之中。除了对工作环境进行评估外，还应考虑其他增加听力减退风险的个人因素，如糖尿病。

目的

探讨工作场所的听力损失及其与空腹血糖基线水平受损之间的关系。

方法

对来自服务公司的1636名工人进行了一项观察性横断面研究。在不同频率下进行了全面的听力评估：高频（HF）、早期损失指数（ELI）、言语平均损失（SAL）以及单耳和双耳损失。结果根据空腹血糖基线水平进行分类：G1（<100mg/dl）、G2（100 - 125mg/dl）和G3（>125mg/dl）。

结果

基于高频和早期损失指数，11%的工人有明显的耳聋迹象。与G1组相比，G3水平的女性在高频和早期损失指数结果上存在显著差异（分别为P = 0.038和0.046）。在高频（优势比：0.338；P = 0.002）、早期损失指数（优势比：0.407；P = 0.007）以及左耳单耳测试（优势比：4.77×10⁻⁵；P = 0.006）中，发现听力损失与G3血糖水平之间存在正相关。