Student of the Master's and Doctor's Degree in Rehabilitation Sciences UEL-UNOPAR.
Interdisciplinary Laboratory for intervention in Health Promotion LIIPS/UNICESUMAR-Maringá, Paraná, Brazil.
Noise Health. 2024;26(120):44-50. doi: 10.4103/nah.nah_4_23. Epub 2024 Mar 23.
The aim of this study was to verify the association between the auditory handicap found in the Hearing Handicap Inventory for the Elderly-Screening Version (HHIE-S) questionnaire and hearing loss and the plasma levels of inflammatory biomarkers.
Cross-sectional study with 76 participants, 67 (88%) females and 9 (12%) males, with a mean age of 70 years. Tonal threshold audiometry and self-assessment with HHIE-S questionnaire were performed to measure the plasma levels of interleukin-2 (IL-2), IL-4, IL-6, and IL-10; tumor necrosis factor alpha; and interferon gamma (IFN-γ) flow cytometry method. For all data analyzed, the significance level adopted was P < 0.05 and 95% confidence interval.
An inverse correlation was observed between the increase in plasma levels of IFN-γ and normal auditory handicap (P = 0.015; rs = -0.280). The severe handicap group showed an increase in the averages I (P = 0.005; rs = 0.350) and II (P = 0.016; rs = 0.368) in the right ear and the light/moderate handicap group increased the means I (P = 0.027; rs = 0.350) and II (P = 0.046; rs = 0.310) of the left ear. A statistically significant association was found between the speech recognition threshold (SRT) test results of the right ear and the severe handicap group (P = 0.002; rs = 0.271).
There was an association between the increase in plasma levels of IFN-γ and normal auditory handicap. Additionally, statistically significant associations were observed between the mild/moderate and severe handicap groups with the increase in hearing means and an increase in SRT associated with the severe handicap group.
本研究旨在验证老年人听力障碍筛查版(HHIE-S)问卷中的听力障碍与听力损失以及炎症生物标志物的血浆水平之间的关联。
本研究为一项横断面研究,共纳入 76 名参与者,其中 67 名(88%)为女性,9 名(12%)为男性,平均年龄为 70 岁。进行了纯音听力测试和 HHIE-S 问卷自我评估,以测量血浆中白细胞介素 2(IL-2)、IL-4、IL-6 和 IL-10、肿瘤坏死因子-α和干扰素γ(IFN-γ)的水平。采用流式细胞术方法进行所有数据的分析,采用 P<0.05 和 95%置信区间作为统计学意义的标准。
我们观察到,血浆 IFN-γ水平的升高与正常听力障碍呈负相关(P=0.015;rs=-0.280)。重度障碍组右耳 I 平均值(P=0.005;rs=0.350)和 II 平均值(P=0.016;rs=0.368)升高,轻度/中度障碍组左耳 I 平均值(P=0.027;rs=0.350)和 II 平均值(P=0.046;rs=0.310)升高。右耳言语识别阈值(SRT)测试结果与重度障碍组之间存在统计学显著关联(P=0.002;rs=0.271)。
血浆 IFN-γ水平的升高与正常听力障碍之间存在关联。此外,在轻度/中度和重度障碍组之间,听力均值的增加和与重度障碍组相关的 SRT 的增加之间存在统计学显著关联。