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膳食营养素对听力损失的保护作用:系统评价与荟萃分析。

Protective effects of dietary nutrients on hearing loss: a systematic review and meta-analysis.

作者信息

Lu Wang, Tang Rui, Jiahui Xiong, Shipeng Zhang, Tao Guo, Hanyua Wang, Feng Xiong, Hui Xie

机构信息

Clinical Medical College, Chengdu University of Traditional Chinese Medicine, Chengdu, China.

Chengdu Institute of Biology, Chinese Academy of Sciences, Chengdu, China.

出版信息

Front Nutr. 2025 May 9;12:1528771. doi: 10.3389/fnut.2025.1528771. eCollection 2025.

DOI:10.3389/fnut.2025.1528771
PMID:40416381
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12100664/
Abstract

BACKGROUND

Hearing loss ranks as the third most prevalent disability globally, significantly impacting individuals and society, and imposing a substantial healthcare burden. The World Health Organization reports that over 1.5 billion people worldwide experience hearing loss, with one-third of these cases attributed to preventable factors. Recently, the influence of diet and nutrition on auditory health has garnered increasing attention.

OBJECTIVE

This study systematically reviews and meta-analyzes the protective effects of dietary nutrients on hearing, examining specific nutrients' impact on hearing loss and their potential biological mechanisms.

METHODS

A comprehensive search of PubMed, Embase, Web of Science, and the Cochrane Library was conducted for relevant studies up to August 2024. Following PRISMA guidelines, the systematic review was registered in PROSPERO. Included were observational studies assessing the relationship between dietary intake and hearing loss.

RESULTS

Thirty-three studies met inclusion criteria: 21 cross-sectional, 10 cohort, and 2 case-control studies. Meta-analysis revealed significant inverse associations between the intake of vitamin B2, β-carotene, carotenoids, β-cryptoxanthin, fat, protein, fiber, and fish, and the risk of hearing loss.

CONCLUSION

Certain dietary nutrients may protect hearing health. Increasing intake of antioxidants, fiber, protein, and fish rich in unsaturated fatty acids may help preserve auditory function.Keywords: Hearing loss, dietary nutrients, systematic review, meta-analysis, antioxidants.

SYSTEMATIC REVIEW REGISTRATION

https://www.crd.york.ac.uk/PROSPERO/view/CRD42024572118, identifier: CRD42024572118.

摘要

背景

听力损失是全球第三大常见残疾,对个人和社会有重大影响,并带来沉重的医疗负担。世界卫生组织报告称,全球超过15亿人患有听力损失,其中三分之一的病例归因于可预防因素。最近,饮食和营养对听觉健康的影响日益受到关注。

目的

本研究系统评价并荟萃分析膳食营养素对听力的保护作用,考察特定营养素对听力损失的影响及其潜在生物学机制。

方法

对截至2024年8月的相关研究在PubMed、Embase、Web of Science和Cochrane图书馆进行全面检索。按照PRISMA指南,该系统评价在PROSPERO中进行了注册。纳入的是评估饮食摄入与听力损失之间关系的观察性研究。

结果

33项研究符合纳入标准:21项横断面研究、10项队列研究和2项病例对照研究。荟萃分析显示,维生素B2、β-胡萝卜素、类胡萝卜素、β-隐黄质、脂肪、蛋白质、纤维和鱼类摄入量与听力损失风险之间存在显著负相关。

结论

某些膳食营养素可能保护听力健康。增加抗氧化剂、纤维、蛋白质和富含不饱和脂肪酸的鱼类的摄入量可能有助于维持听觉功能。关键词:听力损失、膳食营养素、系统评价、荟萃分析、抗氧化剂。

系统评价注册

https://www.crd.york.ac.uk/PROSPERO/view/CRD42024572118,标识符:CRD42024572118。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ff7/12100664/a1f118c9d9f8/fnut-12-1528771-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ff7/12100664/3f768230a3f2/fnut-12-1528771-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ff7/12100664/a1f118c9d9f8/fnut-12-1528771-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ff7/12100664/3f768230a3f2/fnut-12-1528771-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ff7/12100664/a1f118c9d9f8/fnut-12-1528771-g0002.jpg

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Role of Oxidative Stress in Sensorineural Hearing Loss.氧化应激在感音神经性听力损失中的作用。
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Short-chain fatty acids: linking diet, the microbiome and immunity.短链脂肪酸:连接饮食、微生物组和免疫。
Nat Rev Immunol. 2024 Aug;24(8):577-595. doi: 10.1038/s41577-024-01014-8. Epub 2024 Apr 2.
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Association between dietary sugar intake and depression in US adults: a cross-sectional study using data from the National Health and Nutrition Examination Survey 2011-2018.
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Dietary insulin index, dietary insulin load and dietary patterns and the risk of metabolic syndrome in Hoveyzeh Cohort Study.膳食胰岛素指数、膳食胰岛素负荷与膳食模式和代谢综合征在荷泽队列研究中的关系。
Sci Rep. 2024 Jan 23;14(1):1968. doi: 10.1038/s41598-024-52263-5.
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Priorities for hearing loss prevention and estimates of global cause-specific burdens of hearing loss: a systematic rapid review.预防听力损失的重点和全球特定原因性听力损失负担的估计:系统快速综述。
Lancet Glob Health. 2024 Feb;12(2):e217-e225. doi: 10.1016/S2214-109X(23)00514-4.
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Exposomic Signatures of Tinnitus and/or Hearing Loss.耳鸣和/或听力损失的暴露组特征
Mil Med. 2023 Nov 8;188(Suppl 6):102-109. doi: 10.1093/milmed/usad046.
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Balancing risks and benefits of cannabis use: umbrella review of meta-analyses of randomised controlled trials and observational studies.权衡使用大麻的风险和益处:对随机对照试验和观察性研究的荟萃分析进行伞式综述。
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