Amiri Hassan, Bahrami-Ahmadi Amir, Nassiri-Kashani Mohammad Hassan, Aghilinejad Mashallah, Kabir Mokamelkhah Elaheh, Mohammadi Faezeh
Emergency Medicine Management Research Center, Department of Emergency Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Occupational Medicine Research Center, Iran University of Medical Sciences, Tehran, Iran.
Med J Islam Repub Iran. 2023 Aug 15;37:88. doi: 10.47176/mjiri.37.88. eCollection 2023.
Noise induced hearing loss (NIHL) is an irreversible occupational disease among industrial workers. Recent studies have reported that changes in some metabolic factors such as the serum level of sugar and lipids might have a role in suffering from NIHL among workers exposed to noise. We designed this study to assess the association between lipid profile changes and NIHL occurrence among noise-exposed workers.
This case-control study has been conducted according to noise-exposed workers registry data in one of the Iranian automobile factories between 2007 and 2017. We classified study workers into the NIHL and control groups. We assessed the impact of lipid profile parameters across the study groups using the independent samples t-test, chi-square, and regression.
The mean serum level of cholesterol was significantly higher in the NIHL group than in workers of the control group (215.27 ± 60.30 vs 204.49 ± 63.69 mg/dL; = 0.041). Moreover, the serum level of HDL was significantly lower in workers in the NIHL group compared with the control group (35.21 ± 6.87 vs 37.43 ± 7.28 mg/dL; < 0.001). Although other lipid profile parameters (LDL, TG, LDL/HDL ratio) were higher among workers of the NIHL group, their differences were not significant.
A cholesterol level lower than 200 mg/dL is known as a protective factor and an HDL level lower than 40 mg/dL is an NIHL risk factor. More attention should be paid to controlling serum levels of cholesterol and HDL.
噪声性听力损失(NIHL)是产业工人中一种不可逆的职业病。最近的研究报告称,一些代谢因素的变化,如血糖和血脂水平,可能在接触噪声的工人患NIHL中起作用。我们设计了本研究以评估血脂谱变化与噪声暴露工人中NIHL发生之间的关联。
本病例对照研究根据2007年至2017年期间伊朗一家汽车工厂的噪声暴露工人登记数据进行。我们将研究对象分为NIHL组和对照组。我们使用独立样本t检验、卡方检验和回归分析评估了各研究组中血脂谱参数的影响。
NIHL组的平均血清胆固醇水平显著高于对照组工人(215.27±60.30 vs 204.49±63.69 mg/dL;P = 0.041)。此外,NIHL组工人的血清高密度脂蛋白(HDL)水平显著低于对照组(35.21±6.87 vs 37.43±7.28 mg/dL;P < 0.001)。尽管NIHL组工人的其他血脂谱参数(低密度脂蛋白、甘油三酯、低密度脂蛋白/高密度脂蛋白比值)较高,但差异不显著。
胆固醇水平低于200 mg/dL被认为是一个保护因素,高密度脂蛋白水平低于40 mg/dL是NIHL的一个危险因素。应更加重视控制血清胆固醇和高密度脂蛋白水平。