肥胖与青少年听力障碍的关联。
Association of Obesity with Hearing Impairment in Adolescents.
机构信息
Division for Toxicology and Human Health Services, Agency for Toxic Substances and Disease Registry, Atlanta, USA.
Office of Science, National Center for Environment Health, Centers for Disease Control and Prevention, Atlanta, USA.
出版信息
Sci Rep. 2019 Feb 12;9(1):1877. doi: 10.1038/s41598-018-37739-5.
Hearing loss (HL) is the third most common chronic physical condition in the United States. Obesity has become an increasingly important public health concern, as the prevalence in children, adolescents and adults has increased over the past few decades. The objectives of this study is to investigate whether obesity is associated with audiometric notches indicative of noise-induced hearing loss (NIHL), speech frequency hearing loss (SFHL), and high frequency hearing loss (HFHL) in adolescent participants of the National Health and Nutrition Examination Survey 2007-2010. The prevalence of overall audiometric notches in the adolescent population was 16.0% with higher prevalence in females than males. The prevalence of SFHL and HFHL were higher in males than females (SFHL, 7.3% vs. 5.4%, respectively; and HFHL 14.3% vs. 8.1%, respectively). Obese adolescents had a higher adjusted OR to have audiometric notches (OR = 1.93; 95% CI: 1.33-2.81) and HFHL (OR = 1.95; 95% CI: 1.19-3.21). Continued preventative efforts towards reducing obesity might also help to reduce the risk for HL and NIHL.
听力损失（HL）是美国第三大常见的慢性身体状况。肥胖已成为一个日益重要的公共卫生关注点，因为在过去几十年中，儿童、青少年和成年人的肥胖患病率有所增加。本研究的目的是调查肥胖是否与青少年人群中提示噪声性听力损失（NIHL）、言语频率听力损失（SFHL）和高频听力损失（HFHL）的听力图切迹有关。在 2007-2010 年全国健康和营养调查的青少年参与者中，总体听力图切迹的患病率为 16.0%，女性的患病率高于男性。男性的 SFHL 和 HFHL 患病率高于女性（SFHL，分别为 7.3%和 5.4%；HFHL，分别为 14.3%和 8.1%）。肥胖青少年发生听力图切迹（OR=1.93；95%CI：1.33-2.81）和高频听力损失（OR=1.95；95%CI：1.19-3.21）的校正比值比（OR）更高。继续采取预防肥胖的措施可能有助于降低 HL 和 NIHL 的风险。
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