Koo Jong-Seop, Kim So Young
CHA University College of Medicine, Seongnam 13496, Korea.
Department of Otorhinolaryngology-Head & Neck Surgery, Bundang CHA Medical Center, CHA University, Seongnam 13496, Korea.
J Pers Med. 2022 May 13;12(5):786. doi: 10.3390/jpm12050786.
This study aimed to explore the relationship between body mass index (BMI) and hearing loss. We analyzed data from the Korean National Health Insurance Service Health Screening Cohort 2009−2019 (291,471 patients with hearing loss and 6,088,979 control participants). Both patient groups were subsequently divided into four groups according to BMI: <18.5 (underweight), 18.5−24.9 (normal), 25−29.9 (obese I), and ≥30 (obese II). To evaluate the relationship between BMI and hearing loss, multivariate logistic regression analysis was used, adjusting for age, sex, smoking, alcohol consumption, blood pressure, triglycerides, total cholesterol, low-density lipoprotein, proteinuria, serum creatinine, aspartate aminotransferase, alanine aminotransferase, and fasting glucose levels. The adjusted odds ratio (OR) of the underweight group for hearing loss was 1.21 (95% CI = 1.19−1.24) compared to the normal BMI group, whereas the adjusted ORs of obese I and obese II groups for hearing loss were 0.95 and 0.87, respectively. Being underweight was generally associated with an increased prevalence of hearing loss in the Korean adult population.
本研究旨在探讨体重指数（BMI）与听力损失之间的关系。我们分析了韩国国民健康保险服务健康筛查队列2009 - 2019年的数据（291471例听力损失患者和6088979例对照参与者）。随后，根据BMI将两组患者分为四组：<18.5（体重过轻）、18.5 - 24.9（正常）、25 - 29.9（肥胖I级）和≥30（肥胖II级）。为了评估BMI与听力损失之间的关系，我们使用了多因素逻辑回归分析，并对年龄、性别、吸烟、饮酒、血压、甘油三酯、总胆固醇、低密度脂蛋白、蛋白尿、血清肌酐、天冬氨酸转氨酶、丙氨酸转氨酶和空腹血糖水平进行了校正。与正常BMI组相比，体重过轻组听力损失的校正比值比（OR）为1.21（95%CI = 1.19 - 1.24），而肥胖I级和肥胖II级组听力损失的校正OR分别为0.95和0.87。在韩国成年人群中，体重过轻通常与听力损失患病率增加有关。
