A population‐based study of the association between dysglycaemia and hearing loss in middle age

Aims To investigate the independent associations between hearing loss and dysglycaemia in a sample of middle‐aged adults, including separate analysis of those aged < 60 years. Methods The first 2023 participants in the cross‐sectional Busselton Health Ageing Survey were assessed for hearing loss...

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Veröffentlicht in:Diabetic medicine 2017-05, Vol.34 (5), p.683-690
Hauptverfasser: Sommer, J., Brenann‐Jones, C. G., Eikelboom, R. H., Hunter, M., Davis, W. A., Atlas, M. D., Davis, T. M. E.
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container_end_page 690
container_issue 5
container_start_page 683
container_title Diabetic medicine
container_volume 34
creator Sommer, J.
Brenann‐Jones, C. G.
Eikelboom, R. H.
Hunter, M.
Davis, W. A.
Atlas, M. D.
Davis, T. M. E.
description Aims To investigate the independent associations between hearing loss and dysglycaemia in a sample of middle‐aged adults, including separate analysis of those aged < 60 years. Methods The first 2023 participants in the cross‐sectional Busselton Health Ageing Survey were assessed for hearing loss ≥ 26 dB (better ear) for four‐frequency average (4FA) of pure‐tone thresholds at 500, 1000, 2000 and 4000 Hz, and high‐frequency average (HFA) of pure‐tone thresholds at 4000 and 8000 Hz. Results Valid data from 1864 participants in the Busselton Health Ageing Survey [92.1%; mean ± sd age 56.2 ± 5.5 years, 46.0% men, 120 (7.0%) with diabetes, 274 (14.7%) with prediabetes] were analysed, of whom 103 (5.5%) had four‐frequency average hearing loss and 561 (30.1%) had high‐frequency average hearing loss. In multivariable analyses, glycaemic status was not independently associated with four‐frequency or high‐frequency average hearing loss. In the 1286 participants aged < 60 years, there was no relationship between dysglycaemia and high‐frequency average hearing loss, but the prevalence of four‐frequency average hearing loss increased from 2.3% (95% CI 1.5–3.4) in participants with normoglycaemia to 5.7% (95% CI 3.0–10.6) in those with prediabetes and 10.2% (4.2–21.5) in those with diabetes (trend P = 0.003). In multivariable analysis with normoglycaemia as reference, the odds ratios for four‐frequency average hearing loss were 2.84 (95% CI 1.29–6.27) for prediabetes and 5.93 (95% CI 1.67–21.05) for diabetes (P ≤ 0.01) in the < 60 year age group. Conclusions There was progressively increasing mid‐range hearing loss with worsening glucose tolerance in younger individuals, suggesting dysglycaemia‐associated early‐onset presbycusis. What's new? There have been few population‐based studies of hearing loss in diabetes in well characterized participants, and none in prediabetes. In participants in the Busselton Health Ageing Survey aged < 60 years, increasing dysglycaemia was associated with increasing mid‐range hearing loss after adjustment for other recognized risk factors for hearing impairment There was no relationship between dysglycaemia and hearing loss in participants aged ≥ 60 years. Abnormal glucose tolerance may independently accelerate the onset of presbycusis in younger people with diabetes.
doi_str_mv 10.1111/dme.13320
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G. ; Eikelboom, R. H. ; Hunter, M. ; Davis, W. A. ; Atlas, M. D. ; Davis, T. M. E.</creator><creatorcontrib>Sommer, J. ; Brenann‐Jones, C. G. ; Eikelboom, R. H. ; Hunter, M. ; Davis, W. A. ; Atlas, M. D. ; Davis, T. M. E.</creatorcontrib><description>Aims To investigate the independent associations between hearing loss and dysglycaemia in a sample of middle‐aged adults, including separate analysis of those aged &lt; 60 years. Methods The first 2023 participants in the cross‐sectional Busselton Health Ageing Survey were assessed for hearing loss ≥ 26 dB (better ear) for four‐frequency average (4FA) of pure‐tone thresholds at 500, 1000, 2000 and 4000 Hz, and high‐frequency average (HFA) of pure‐tone thresholds at 4000 and 8000 Hz. Results Valid data from 1864 participants in the Busselton Health Ageing Survey [92.1%; mean ± sd age 56.2 ± 5.5 years, 46.0% men, 120 (7.0%) with diabetes, 274 (14.7%) with prediabetes] were analysed, of whom 103 (5.5%) had four‐frequency average hearing loss and 561 (30.1%) had high‐frequency average hearing loss. In multivariable analyses, glycaemic status was not independently associated with four‐frequency or high‐frequency average hearing loss. In the 1286 participants aged &lt; 60 years, there was no relationship between dysglycaemia and high‐frequency average hearing loss, but the prevalence of four‐frequency average hearing loss increased from 2.3% (95% CI 1.5–3.4) in participants with normoglycaemia to 5.7% (95% CI 3.0–10.6) in those with prediabetes and 10.2% (4.2–21.5) in those with diabetes (trend P = 0.003). In multivariable analysis with normoglycaemia as reference, the odds ratios for four‐frequency average hearing loss were 2.84 (95% CI 1.29–6.27) for prediabetes and 5.93 (95% CI 1.67–21.05) for diabetes (P ≤ 0.01) in the &lt; 60 year age group. Conclusions There was progressively increasing mid‐range hearing loss with worsening glucose tolerance in younger individuals, suggesting dysglycaemia‐associated early‐onset presbycusis. What's new? There have been few population‐based studies of hearing loss in diabetes in well characterized participants, and none in prediabetes. In participants in the Busselton Health Ageing Survey aged &lt; 60 years, increasing dysglycaemia was associated with increasing mid‐range hearing loss after adjustment for other recognized risk factors for hearing impairment There was no relationship between dysglycaemia and hearing loss in participants aged ≥ 60 years. Abnormal glucose tolerance may independently accelerate the onset of presbycusis in younger people with diabetes.</description><identifier>ISSN: 0742-3071</identifier><identifier>EISSN: 1464-5491</identifier><identifier>DOI: 10.1111/dme.13320</identifier><identifier>PMID: 28135010</identifier><identifier>CODEN: DIMEEV</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Age of Onset ; Aging ; Aging - blood ; Aging - physiology ; Blood Glucose - metabolism ; Cross-Sectional Studies ; Diabetes ; Diabetes Mellitus, Type 2 - blood ; Diabetes Mellitus, Type 2 - complications ; Diabetes Mellitus, Type 2 - epidemiology ; Female ; Glucose Metabolism Disorders - blood ; Glucose Metabolism Disorders - complications ; Glucose Metabolism Disorders - epidemiology ; Hearing loss ; Hearing Loss - blood ; Hearing Loss - epidemiology ; Hearing Loss - etiology ; Hearing protection ; Humans ; Male ; Middle Aged ; Prediabetic State - blood ; Prediabetic State - complications ; Prediabetic State - epidemiology ; Presbycusis - blood ; Presbycusis - epidemiology ; Prevalence</subject><ispartof>Diabetic medicine, 2017-05, Vol.34 (5), p.683-690</ispartof><rights>2017 Diabetes UK</rights><rights>2017 Diabetes UK.</rights><rights>Diabetic Medicine © 2017 Diabetes UK</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3860-cfe197d1a0cd4324a0134fe9c0dd67248e9373d7b49d4120684f25c1b6fb6e03</citedby><cites>FETCH-LOGICAL-c3860-cfe197d1a0cd4324a0134fe9c0dd67248e9373d7b49d4120684f25c1b6fb6e03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fdme.13320$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fdme.13320$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28135010$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sommer, J.</creatorcontrib><creatorcontrib>Brenann‐Jones, C. G.</creatorcontrib><creatorcontrib>Eikelboom, R. H.</creatorcontrib><creatorcontrib>Hunter, M.</creatorcontrib><creatorcontrib>Davis, W. A.</creatorcontrib><creatorcontrib>Atlas, M. D.</creatorcontrib><creatorcontrib>Davis, T. M. E.</creatorcontrib><title>A population‐based study of the association between dysglycaemia and hearing loss in middle age</title><title>Diabetic medicine</title><addtitle>Diabet Med</addtitle><description>Aims To investigate the independent associations between hearing loss and dysglycaemia in a sample of middle‐aged adults, including separate analysis of those aged &lt; 60 years. Methods The first 2023 participants in the cross‐sectional Busselton Health Ageing Survey were assessed for hearing loss ≥ 26 dB (better ear) for four‐frequency average (4FA) of pure‐tone thresholds at 500, 1000, 2000 and 4000 Hz, and high‐frequency average (HFA) of pure‐tone thresholds at 4000 and 8000 Hz. Results Valid data from 1864 participants in the Busselton Health Ageing Survey [92.1%; mean ± sd age 56.2 ± 5.5 years, 46.0% men, 120 (7.0%) with diabetes, 274 (14.7%) with prediabetes] were analysed, of whom 103 (5.5%) had four‐frequency average hearing loss and 561 (30.1%) had high‐frequency average hearing loss. In multivariable analyses, glycaemic status was not independently associated with four‐frequency or high‐frequency average hearing loss. In the 1286 participants aged &lt; 60 years, there was no relationship between dysglycaemia and high‐frequency average hearing loss, but the prevalence of four‐frequency average hearing loss increased from 2.3% (95% CI 1.5–3.4) in participants with normoglycaemia to 5.7% (95% CI 3.0–10.6) in those with prediabetes and 10.2% (4.2–21.5) in those with diabetes (trend P = 0.003). In multivariable analysis with normoglycaemia as reference, the odds ratios for four‐frequency average hearing loss were 2.84 (95% CI 1.29–6.27) for prediabetes and 5.93 (95% CI 1.67–21.05) for diabetes (P ≤ 0.01) in the &lt; 60 year age group. Conclusions There was progressively increasing mid‐range hearing loss with worsening glucose tolerance in younger individuals, suggesting dysglycaemia‐associated early‐onset presbycusis. What's new? There have been few population‐based studies of hearing loss in diabetes in well characterized participants, and none in prediabetes. In participants in the Busselton Health Ageing Survey aged &lt; 60 years, increasing dysglycaemia was associated with increasing mid‐range hearing loss after adjustment for other recognized risk factors for hearing impairment There was no relationship between dysglycaemia and hearing loss in participants aged ≥ 60 years. Abnormal glucose tolerance may independently accelerate the onset of presbycusis in younger people with diabetes.</description><subject>Age of Onset</subject><subject>Aging</subject><subject>Aging - blood</subject><subject>Aging - physiology</subject><subject>Blood Glucose - metabolism</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes</subject><subject>Diabetes Mellitus, Type 2 - blood</subject><subject>Diabetes Mellitus, Type 2 - complications</subject><subject>Diabetes Mellitus, Type 2 - epidemiology</subject><subject>Female</subject><subject>Glucose Metabolism Disorders - blood</subject><subject>Glucose Metabolism Disorders - complications</subject><subject>Glucose Metabolism Disorders - epidemiology</subject><subject>Hearing loss</subject><subject>Hearing Loss - blood</subject><subject>Hearing Loss - epidemiology</subject><subject>Hearing Loss - etiology</subject><subject>Hearing protection</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prediabetic State - blood</subject><subject>Prediabetic State - complications</subject><subject>Prediabetic State - epidemiology</subject><subject>Presbycusis - blood</subject><subject>Presbycusis - epidemiology</subject><subject>Prevalence</subject><issn>0742-3071</issn><issn>1464-5491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqN0ctKxDAUBuAgio6jC19AAm50UScnybTJUryD4sZ9SZPTMdLL2LRIdz6Cz-iTGB11IQieTTZffjjnJ2QP2DHEmbkaj0EIztbIBGQqk7nUsE4mLJM8ESyDLbIdwiNjwLXQm2SLKxBzBmxCzAldtsuhMr1vm7eX18IEdDT0gxtpW9L-AakJobX-E9AC-2fEhroxLKrRGqy9oaZx9AFN55sFrdoQqG9o7Z2r4t8F7pCN0lQBd7_eKbm_OL8_vUpu7i6vT09uEitUyhJbIujMgWHWScGlYSBkidoy59KMS4VaZMJlhdROAmepkiWfWyjSskiRiSk5XMUuu_ZpwNDntQ8Wq8o02A4hB6VBKcGB_4Om8U6Z0lmkB7_oYzt0TdwjKqU0E2oOUR2tlO3i-h2W-bLztenGHFj-0VAeG8o_G4p2_ytxKGp0P_K7kghmK_DsKxz_TsrPbs9Xke82P5nf</recordid><startdate>201705</startdate><enddate>201705</enddate><creator>Sommer, J.</creator><creator>Brenann‐Jones, C. G.</creator><creator>Eikelboom, R. H.</creator><creator>Hunter, M.</creator><creator>Davis, W. A.</creator><creator>Atlas, M. D.</creator><creator>Davis, T. M. E.</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope></search><sort><creationdate>201705</creationdate><title>A population‐based study of the association between dysglycaemia and hearing loss in middle age</title><author>Sommer, J. ; Brenann‐Jones, C. G. ; Eikelboom, R. H. ; Hunter, M. ; Davis, W. A. ; Atlas, M. D. ; Davis, T. M. 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E.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Diabetic medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sommer, J.</au><au>Brenann‐Jones, C. G.</au><au>Eikelboom, R. H.</au><au>Hunter, M.</au><au>Davis, W. A.</au><au>Atlas, M. D.</au><au>Davis, T. M. E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A population‐based study of the association between dysglycaemia and hearing loss in middle age</atitle><jtitle>Diabetic medicine</jtitle><addtitle>Diabet Med</addtitle><date>2017-05</date><risdate>2017</risdate><volume>34</volume><issue>5</issue><spage>683</spage><epage>690</epage><pages>683-690</pages><issn>0742-3071</issn><eissn>1464-5491</eissn><coden>DIMEEV</coden><abstract>Aims To investigate the independent associations between hearing loss and dysglycaemia in a sample of middle‐aged adults, including separate analysis of those aged &lt; 60 years. Methods The first 2023 participants in the cross‐sectional Busselton Health Ageing Survey were assessed for hearing loss ≥ 26 dB (better ear) for four‐frequency average (4FA) of pure‐tone thresholds at 500, 1000, 2000 and 4000 Hz, and high‐frequency average (HFA) of pure‐tone thresholds at 4000 and 8000 Hz. Results Valid data from 1864 participants in the Busselton Health Ageing Survey [92.1%; mean ± sd age 56.2 ± 5.5 years, 46.0% men, 120 (7.0%) with diabetes, 274 (14.7%) with prediabetes] were analysed, of whom 103 (5.5%) had four‐frequency average hearing loss and 561 (30.1%) had high‐frequency average hearing loss. In multivariable analyses, glycaemic status was not independently associated with four‐frequency or high‐frequency average hearing loss. In the 1286 participants aged &lt; 60 years, there was no relationship between dysglycaemia and high‐frequency average hearing loss, but the prevalence of four‐frequency average hearing loss increased from 2.3% (95% CI 1.5–3.4) in participants with normoglycaemia to 5.7% (95% CI 3.0–10.6) in those with prediabetes and 10.2% (4.2–21.5) in those with diabetes (trend P = 0.003). In multivariable analysis with normoglycaemia as reference, the odds ratios for four‐frequency average hearing loss were 2.84 (95% CI 1.29–6.27) for prediabetes and 5.93 (95% CI 1.67–21.05) for diabetes (P ≤ 0.01) in the &lt; 60 year age group. Conclusions There was progressively increasing mid‐range hearing loss with worsening glucose tolerance in younger individuals, suggesting dysglycaemia‐associated early‐onset presbycusis. What's new? There have been few population‐based studies of hearing loss in diabetes in well characterized participants, and none in prediabetes. In participants in the Busselton Health Ageing Survey aged &lt; 60 years, increasing dysglycaemia was associated with increasing mid‐range hearing loss after adjustment for other recognized risk factors for hearing impairment There was no relationship between dysglycaemia and hearing loss in participants aged ≥ 60 years. Abnormal glucose tolerance may independently accelerate the onset of presbycusis in younger people with diabetes.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>28135010</pmid><doi>10.1111/dme.13320</doi><tpages>8</tpages></addata></record>
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subjects Age of Onset
Aging
Aging - blood
Aging - physiology
Blood Glucose - metabolism
Cross-Sectional Studies
Diabetes
Diabetes Mellitus, Type 2 - blood
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - epidemiology
Female
Glucose Metabolism Disorders - blood
Glucose Metabolism Disorders - complications
Glucose Metabolism Disorders - epidemiology
Hearing loss
Hearing Loss - blood
Hearing Loss - epidemiology
Hearing Loss - etiology
Hearing protection
Humans
Male
Middle Aged
Prediabetic State - blood
Prediabetic State - complications
Prediabetic State - epidemiology
Presbycusis - blood
Presbycusis - epidemiology
Prevalence
title A population‐based study of the association between dysglycaemia and hearing loss in middle age
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