Auditory Changes in Occupational Health Associated With Metabolic Diseases in Adult Workers

IF 1.5 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH American Journal of Lifestyle Medicine Pub Date : 2024-04-03 DOI:10.1177/15598276241243277
Francine Varlete Leopoldina Barcelos, Karina Mary de Paiva, Marco José Machado, Patrícia Haas
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Abstract

Introduction: The most common hearing losses in the population are associated with genetic conditions, use of ototoxic substances or medications, infectious diseases, metabolic diseases and chronic ear diseases and the association of exposure to occupational risks or the natural aging process.Objective: Verify the association between hearing loss in workers and metabolic diseases.Method: Retrospective cross-sectional study with analysis of secondary data of subjects exposed to occupational noise and undergoing drug treatment for metabolic disease, attended in two occupational health clinics (C1 and C2) from January 2020 to December 2022, considering the data of reference examinations from the year 2005.Results: Of the n = 97 subjects evaluated, 73.20% were male, exposed to occupational noise (64.90%), with medication use for treating cardiovascular diseases (89.70%). The most recurrent auditory complaint was tinnitus (28.90%), n = 53 subjects presented sensorineural hearing loss with a statistical association between the decline of hearing loss and medications used for metabolic and hormonal regulation.Conclusion: Here was a higher frequency in the use of medications for treating cardiovascular diseases with a risk of triggering or worsening hearing loss in these subjects and greater impairment and decline of hearing thresholds were observed in the results of C2.
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与成年工人代谢疾病相关的职业健康听觉变化
导言:人群中最常见的听力损失与遗传条件、使用耳毒性物质或药物、传染病、代谢性疾病和慢性耳病有关,也与暴露于职业风险或自然老化过程有关:验证工人听力损失与代谢性疾病之间的关联:方法:回顾性横断面研究,分析2020年1月至2022年12月期间在两家职业健康诊所(C1和C2)就诊的暴露于职业噪声并因代谢性疾病接受药物治疗的受试者的二手数据,并考虑2005年的参考检查数据:在接受评估的97名受试者中,73.20%为男性,64.90%接触过职业噪声,89.70%服用过治疗心血管疾病的药物。最常见的听觉症状是耳鸣(28.90%),53 名受试者出现感音神经性听力损失,听力损失的下降与代谢和激素调节药物之间存在统计学关联:结论:使用治疗心血管疾病药物的频率较高,有可能引发或加重这些受试者的听力损失,而且在 C2 的结果中观察到听力阈值受损和下降的程度更大。
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来源期刊
American Journal of Lifestyle Medicine
American Journal of Lifestyle Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.10
自引率
15.80%
发文量
119
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