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引用次数: 0
摘要
背景和目标： ：老年性听力损失（ARHL）是一种感音神经性疾病，与多种因素有关。除年龄外，性别、环境、生活方式和合并症都与 ARHL 有关。通过控制导致 ARHL 的可调节因素，可以降低 ARHL 的发病率。维生素 D 水平与钙代谢密切相关，而钙代谢会影响 ARHL。本研究旨在调查维生素 D 与 ARHL 之间的关系：从 2010-2012 年进行的第五次韩国国民健康与营养调查中选取了 1,104 名年龄大于 65 岁的受试者。每位受试者都接受了听力评估和营养调查。我们使用逻辑回归分析法分析了急性听力障碍与血清维生素 D 浓度之间的关系，并对饮酒、吸烟状况、活动能力和骨矿物质密度等混杂因素进行了调整：我们的多变量分析表明，血清维生素 D 水平较低（< 20 ng/mL）的男性患 ARHL 的几率更高（几率比 1.638，95% 置信区间 1.058-2.538，P=0.027）：这一发现表明，在老年男性人群中，血清维生素 D 水平较低与 ARHL 有关。
The Relationship Between Lower Vitamin D Levels and Hearing Loss in Older Adults.
Background and objectives: Age-related hearing loss (ARHL) is a sensorineural disease that is associated with a number of factors. In addition to age, sex, environment, lifestyle, and comorbidities are all known to be related to ARHL as well. The prevalence of ARHL can be reduced by controlling the adjustable factors that cause it. Vitamin D levels are strongly related to calcium metabolism, which can affect ARHL. This study aimed to investigate the association between vitamin D and ARHL.
Subjects and methods: A total of 1,104 subjects aged >65 years were enrolled from the fifth Korean National Health and Nutrition Examination Survey, which was conducted from 2010-2012. Every participant received both an audiological assessment and a nutritional survey. The association between ARHL and serum vitamin D concentration was analyzed using logistic regression analyses with complex sampling adjusted for confounding factors such as alcohol consumption, smoking status, mobility, and bone mineral density.
Results: Our multivariable analysis revealed that males in the group with lower serum levels of vitamin D (< 20 ng/mL) had a higher prevalence of ARHL (odds ratio, 1.638, 95% confidence interval, 1.058-2.538, p=0.027).
Conclusions: This finding suggests that lower serum levels of vitamin D are associated with ARHL in the older male population.
期刊介绍：
Journal of Audiology and Otology (JAO) (formerly known as Korean Journal of Audiology) aims to publish the most advanced findings for all aspects of the auditory and vestibular system and diseases of the ear using state-of-the-art techniques and analyses. The journal covers recent trends related to the topics of audiology, otology, and neurotology conducted by professionals, with the goal of providing better possible treatment to people of all ages, from infants to the elderly, who suffer from auditory and/or vestibular disorders and thus, improving their quality of life. This journal encourages the submission of review papers about current professional issues, research papers presenting a scientific base and clinical application, and case papers with unique reports or clinical trials. We also invite letters to the editor and papers related to the manufacture and distribution of medical devices. This journal provides integrated views from otologists, audiologists, and other healthcare practitioners, offering readers high quality scientific and clinical information. This peer-reviewed and open access journal has been the official journal of the Korean Audiological Society since 1997 and of both the Korean Audiological Society and the Korean Otological Society since 2017. It is published in English four times a year in January, April, July, and October.
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