Department of Otorhinolaryngology, Sichuan University Hospital of Sichuan University, Chengdu, Sichuan, China.
Department of Otorhinolaryngology Head and Neck Surgery, West China Hospital of Sichuan University, No. 37 Guo-Xue-Xiang, Chengdu, 610041, Sichuan, China.
BMC Public Health. 2023 Nov 21;23(1):2305. doi: 10.1186/s12889-023-17204-3.
Obstructive sleep apnea (OSA) is linked to hearing loss (HL). Another sleep characteristics, sleep duration might also be associated with HL, but prior evidence is limited. This study is aimed to investigate the association between sleep duration and hearing level in the adult US population.
In total, a sample of 2777 individuals aged 20-69 years from the 2015-2016 National Health and Nutrition Examination Survey cycle (NHANES, 2015-2016) were investigated in this study. Self-reported sleep duration data was classified into the short-sleep (< 7 h), normal-sleep (7-9 h), and long-sleep (> 9 h) group. Multivariable linear regression models between sleep duration and hearing threshold shifts were estimated. Interactions between sleep duration and age, gender, race, OSA were also considered, and the study population was stratified by age, gender, race, and OSA to analyze the potential disparities among adults in different subgroups.
Long-sleep duration was positively associated with speech- and high-frequency pure-tone average (PTA) thresholds with statistical significance (β = 1.31, 95%CI: 0.10, 2.53, P = 0.0347, and β = 2.71, 95%CI: 0.69, 4.74, P = 0.0087, respectively). When stratified by age, short sleep duration was positively associated with low-, and speech-frequency PTAs (P = 0.0140 and 0.0225, respectively) for adults aged 40-59 years, and long-sleep duration was positively associated with low-, and speech-frequency PTAs (P = 0.0495 and 0.0142, respectively) for adults aged 60-69 years with statistical significance. There was statistically significant interaction between OSA and sleep duration on speech-frequency PTA, but no significant interaction between either gender or race with sleep duration on hearing thresholds among US adults.
Short/long sleep durations are associated with worse hearing level comparing to sleep 7-9 h in the American adults. Nonoptimal sleep duration may be a potential risk factor for HL.
阻塞性睡眠呼吸暂停（OSA）与听力损失（HL）有关。另一个睡眠特征，睡眠时间也可能与 HL 有关，但先前的证据有限。本研究旨在调查美国成年人睡眠时间与听力水平之间的关系。
本研究共调查了 2015-2016 年全国健康与营养调查周期（NHANES，2015-2016）中 2777 名 20-69 岁的个体。自我报告的睡眠时间数据分为短睡眠（<7 小时）、正常睡眠（7-9 小时）和长睡眠（>9 小时）组。使用多变量线性回归模型估计睡眠时间与听力阈移之间的关系。还考虑了睡眠时间与年龄、性别、种族、OSA 之间的相互作用，并按年龄、性别、种族和 OSA 对研究人群进行分层，以分析不同亚组中成年人之间的潜在差异。
长睡眠时间与言语和高频纯音平均阈值呈正相关（β=1.31，95%CI：0.10，2.53，P=0.0347，β=2.71，95%CI：0.69，4.74，P=0.0087）。按年龄分层后，40-59 岁的成年人中，短睡眠时间与低频和言语频率 PTA 呈正相关（P=0.0140 和 0.0225），60-69 岁的成年人中，长睡眠时间与低频和言语频率 PTA 呈正相关（P=0.0495 和 0.0142），差异具有统计学意义。OSA 与睡眠时间之间在言语频率 PTA 上存在统计学显著的相互作用，但在美国成年人中，性别或种族与睡眠时间之间在听力阈值上没有显著的相互作用。
与 7-9 小时睡眠相比，美国成年人中短/长睡眠时间与听力水平较差有关。非最佳睡眠时间可能是 HL 的潜在危险因素。
