TY - JOUR
T1 - Diet quality and hearing loss among middle-older aged adults in the USA
T2 - Findings from National Health and Nutrition Examination Survey
AU - Huang, Qiushi
AU - Jin, Yichen
AU - Reed, Nicholas S.
AU - Ma, Yan
AU - Power, Melinda C.
AU - Talegawkar, Sameera A.
N1 - Publisher Copyright:
© 2019 The Authors.
PY - 2020/4/1
Y1 - 2020/4/1
N2 - Objective: To examine the associations between overall diet quality and hearing function among middle-older aged adults in the USA.Design: Cross-sectional analysis. Diet quality was examined using the Mediterranean Diet Score (MDS), using data from a single 24 h dietary recall. Hearing function was objectively measured by audiometry assessments and hearing loss, including high- and low-frequency hearing loss, was defined as pure-tone averages at specific ranges of hearing frequencies >25 dB. Weighted logistic regression analyses were performed to examine the associations of MDS (scored 0-9, categorized at the median as ≤3 or >3) with hearing loss and high- and low-frequency hearing loss.Setting: National Health and Nutrition Examination Surveys 2000-2006 and 2009-2012.Participants: Adults aged ≥50 years (n 1639) with valid dietary and audiometry assessments.Results: After adjusting for potential confounders, a non-significant trend for a protective association of higher MDS was observed for hearing loss (OR = 0·78; 95 % CI 0·49, 1·23). A significant inverse association was observed for high-frequency hearing loss (OR = 0·64; 95 % CI 0·43, 0·95). No association was found for low-frequency hearing loss among women; however, higher MDS was significantly associated with higher odds of low-frequency hearing loss among men (OR = 2·63; 95 % CI 1·39, 4·95).Conclusions: Among middle-older aged adults, adherence to a Mediterranean-style diet was inversely associated with hearing loss, including those at high hearing frequencies, among older adults. However, a detrimental association was observed at low hearing frequencies among men. Future investigations with a longitudinal design are needed to clarify the associations between diet quality and hearing loss.
AB - Objective: To examine the associations between overall diet quality and hearing function among middle-older aged adults in the USA.Design: Cross-sectional analysis. Diet quality was examined using the Mediterranean Diet Score (MDS), using data from a single 24 h dietary recall. Hearing function was objectively measured by audiometry assessments and hearing loss, including high- and low-frequency hearing loss, was defined as pure-tone averages at specific ranges of hearing frequencies >25 dB. Weighted logistic regression analyses were performed to examine the associations of MDS (scored 0-9, categorized at the median as ≤3 or >3) with hearing loss and high- and low-frequency hearing loss.Setting: National Health and Nutrition Examination Surveys 2000-2006 and 2009-2012.Participants: Adults aged ≥50 years (n 1639) with valid dietary and audiometry assessments.Results: After adjusting for potential confounders, a non-significant trend for a protective association of higher MDS was observed for hearing loss (OR = 0·78; 95 % CI 0·49, 1·23). A significant inverse association was observed for high-frequency hearing loss (OR = 0·64; 95 % CI 0·43, 0·95). No association was found for low-frequency hearing loss among women; however, higher MDS was significantly associated with higher odds of low-frequency hearing loss among men (OR = 2·63; 95 % CI 1·39, 4·95).Conclusions: Among middle-older aged adults, adherence to a Mediterranean-style diet was inversely associated with hearing loss, including those at high hearing frequencies, among older adults. However, a detrimental association was observed at low hearing frequencies among men. Future investigations with a longitudinal design are needed to clarify the associations between diet quality and hearing loss.
KW - Diet quality
KW - Hearing loss
KW - Mediterranean diet
KW - National Health and Nutrition Examination Survey
KW - Older adults
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U2 - 10.1017/S1368980019002970
DO - 10.1017/S1368980019002970
M3 - Article
C2 - 31666145
AN - SCOPUS:85082016547
SN - 1368-9800
VL - 23
SP - 812
EP - 820
JO - Public health nutrition
JF - Public health nutrition
IS - 5
ER -