Department of Otorhinolaryngology-Head and Neck Surgery, Myongji Hospital, Hanyang University, College of Medicine, Goyang 10475, Korea.
Department of Otorhinolaryngology-Head & Neck Surgery, School of Medicine, Kyung Hee University, Seoul 02447, Korea.
Nutrients. 2019 Feb 1;11(2):307. doi: 10.3390/nu11020307.
Hearing loss (HL) is a major public health problem. Nutritional factors can affect a variety of diseases, such as HL, in humans. Thus far, several studies have evaluated the association between nutrition and hearing. These studies found that the incidence of HL was increased with the lack of single micro-nutrients such as vitamins A, B, C, D and E, and zinc, magnesium, selenium, iron and iodine. Higher carbohydrate, fat, and cholesterol intake, or lower protein intake, by individuals corresponded to poorer hearing status. However, higher consumption of polyunsaturated fatty acids corresponded to better hearing status of studied subjects. In addition to malnutrition, obesity was reported as a risk factor for HL. In studies of the relationship between middle ear infection and nutrition in children, it was reported that lack of vitamins A, C and E, and zinc and iron, resulted in poorer healing status due to vulnerability to infection. These studies indicate that various nutritional factors can affect hearing. Therefore, considering that multifactorial nutritional causes are responsible, in part, for HL, provision of proper guidelines for maintaining a proper nutritional status is expected to prevent some of the causes and burden of HL.
听力损失（HL）是一个主要的公共卫生问题。营养因素可能会影响人类的多种疾病，如 HL。迄今为止，已有多项研究评估了营养与听力之间的关系。这些研究发现，缺乏单一的微量营养素，如维生素 A、B、C、D 和 E，以及锌、镁、硒、铁和碘，会增加 HL 的发病率。个体摄入较高的碳水化合物、脂肪和胆固醇，或摄入较低的蛋白质，与较差的听力状况相对应。然而，较高的多不饱和脂肪酸的摄入与研究对象的更好的听力状况相对应。除了营养不良外，肥胖也被报道为 HL 的一个危险因素。在儿童中耳感染与营养关系的研究中，据报道，由于易受感染，缺乏维生素 A、C 和 E 以及锌和铁会导致较差的愈合状态。这些研究表明，各种营养因素会影响听力。因此，考虑到多因素营养原因部分导致 HL，提供适当的维持适当营养状态的指导方针有望预防一些 HL 的原因和负担。
