Associations between hearing handicap, metabolic control and other otoneurological disturbances in individuals with type 1 diabetes mellitus

Fernandes, Luciene Chaves; Andrade, Caio Leônidas Oliveira de; Adan, Luís; Cruz, Marcelo Leandro; Araújo, Maria do Céu C.; Casais-e-Silva, Luciana Lyra; Ladeia, Ana Marice

doi:10.1007/s13410-014-0221-z

Cited by 4 publications

(5 citation statements)

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“…The cerebellum plays a crucial role in the synchronization of saccades with planning and learning in the temporal cortex, as was proved, among others, in investigations with the use of functional nuclear magnetic resonance. So it may be assumed that even small disturbances provoked by diabetes, not detectable in a routine neurological examination, may handicap equilibrium and complex relations present in the vestibular organ [14].…”

Section: Discussionmentioning

confidence: 99%

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The effects of diabetes mellitus type 1 on children’s audiovestibular system: a randomized case control study

Shafei

Guindi

Refaie

et al. 2021

Egypt J Otolaryngol

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Background Children with diabetes mellitus type 1 have many deficits, including neuropathy, retinopathy, and nephropathy, all of which compromise their activity and daily functional status. Vestibular dysfunction is another possible complication of diabetes and may increase the risk of falls. Despite diabetes mellitus prevalence, few studies evaluated its effect on hearing, and even fewer examined the effect on the audiovestibular system. A randomized case control pilot study design was implemented to evaluate the effect of type 1 diabetes mellitus on the audiovestibular system of children. Results The study included 50 children divided into 2 groups; the study group included 25 children suffering from type 1 diabetes mellitus, and the control group included 25 patients who were known to be nondiabetics. Both groups underwent basic audiological and vestibular test battery. Only 16% showed different degrees of hearing loss. Regarding vestibular assessment, saccadic eye tracking showed the highest degree of abnormal results within the study group (80%). Correlation between saccade findings among cases and the risk factors of diabetes like duration, glycated hemoglobin level, diabetic ketoacidosis, and hypoglycemic coma attacks indicated statistically significant positive correlation between saccade latency and glycated hemoglobin level. Conclusion This study proposed that type 1 diabetes mellitus can affect the audiovestibular system of children even in the absence of symptoms. Accordingly, appropriate early rehabilitative management should be planned in an attempt to avoid further complications.

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Section: Discussionmentioning

confidence: 99%

“…Metabolic disturbances of type 1 diabetes mellitus can also have an effect on different parts of the vestibular organ, but principally the central part. This effect is related to the number and type of hypoglycemic episodes and the duration and control of the disease [14].…”

Section: Discussionmentioning

confidence: 99%

The effects of diabetes mellitus type 1 on children’s audiovestibular system: a randomized case control study

Shafei

Guindi

Refaie

et al. 2021

Egypt J Otolaryngol

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“…The researchers observed similar findings in a group of normal hearing individuals with type 1 diabetes mellitus (DM1) ( Fernandes et al, 2014 ). Although the pathogenesis between DM1 and CH is completely different, these data corroborate with the discussion about the deleterious effects on the auditory system in the presence of a childhood metabolic disease, which indicated the need for further investigation in this area.…”

Section: Discussionmentioning

confidence: 58%

“…Therefore, the researchers used the instrument (Portuguese version) to evaluate self-reported participation restrictions, adapted for normal hearing individuals ( Fernandes et al, 2014 ), from the HHIE questionnaire, Hearing Handicap Inventory for the Elderly.…”

Section: Methodsmentioning

confidence: 99%

Self-reported participation restrictions in normal hearing individuals in thyroid ontogeny: Evidence of subclinical changes

et al. 2019

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PurposeTo verify evidence of subclinical alterations through self-reported participation restrictions in normal hearing individuals and congenital hypothyroidism patients.MethodsAn analytical, quantitative, cross-sectional exploratory study with a 1:1 ratio, consisting of a convenience sample of 86 normal hearing individuals with (n = 42) and without (n = 44) congenital hypothyroidism diagnosis. All participants underwent tonal and speech audiometry, immitance and distortion product otoacoustic emissions. The researchers excluded people with hearing loss, genetic syndromes and metabolic diseases. The instrument used for evaluate of self-reported participation restrictions was the HHIE-adapted questionnaire, composed of 25 questions, 12 of which were social domain and 13 emotional domain. Student's t-test and chi-square test were used for statistical analysis at a significance level of 5%.ResultsThere was a significant (p < 0.001) self-reported participation restrictions in CH (61.9%), with a greater relevance for the social domain (p = 0.002). There was a greater frequency of mild/moderate (40.5%) and higher prevalence of association with clinical factors and adherence to treatment.ConclusionThe findings indicate that self-reported participation restrictions in normal hearing individuals with congenital hypothyroidism was more significant than in the non-exposed group, suggesting evidence of subclinical auditory abnormalities in this population.

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“…Por não existir estudos de TPA em indivíduos com hipotireoidismo congênito, seria possível realizar indagações de semelhança entre o comportamento dos indivíduos com HC e outro distúrbio endócrino metabólico, a exemplo dos efeitos da hipoglicemia decorrente da diabetes melito do tipo 1, que segundo estudos, pode interromper em curto prazo o armazenamento auditivo e lentificar a velocidade que o cérebro é capaz de processar informações obtidas. (MCCRIMMON et al, 1997;STRA-CHAN et al, 2003;FERNANDES et al, 2014).…”

Section: Discussionunclassified

Resultados da anamnese para rastreio de transtornos do processamento auditivo em crianças com hipotireoidismo congênito

Andrade¹,

Braga²,

Fernandes³

et al. 2016

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Introdução: os hormônios tireoidianos (HT) são fundamentais para a adequada maturação neurológica do sistema nervoso auditivo e sabe-se que esta é uma condição necessária para o desenvolvimento das habilidades auditivas. Objetivo: analisar sintomas de transtornos do processamento auditivo (TPA) em crianças com hipotireoidismo congênito (HC),coletados durante anamnese. Material e Métodos: Foram avaliadas as informações clínicas e laboratoriais dos prontuários e da anamnese audiológica de 44 crianças com HC, de ambos os sexos, com idade entre 5 e 20 anos, atendidos no Serviço de Referência de Triagem Neonatal da APAE-Salvador. Os aspectos observados na anamnese foram: dificuldades comportamentais, discriminação e cognição,dificuldades na leitura, fala e escrita, dosagem da levotiroxina sódica e tempo de tratamento da doença. Resultados: observou-se correlação estatisticamente significante entre as queixas relacionadas à competência auditiva de escuta em ambientes com ruído competitivo de fundo e dosagens de levotiroxina sódica durante o tratamento do HC (p= 0,015).O tempo da doença/tratamento (p=0,008), nível sérico do TSH no exame confirmatório de HC (p=0,027) e a dosagem da levotiroxina sódica (p=0,028) apresentaram correlação significante com os sintomas de alteração comportamental e dificuldades na aquisição da linguagem oral.Conclusão: crianças com HC apresentam sintomas de transtorno do processamento auditivo e o tratamento de reposição hormonal quando não precoce, tende a se configurar como risco para os distúrbios auditivos. A fim de prevenir tais transtornos, faz-se necessário desenvolver estudos com avaliações das habilidades auditivas em crianças com HC.

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Associations between hearing handicap, metabolic control and other otoneurological disturbances in individuals with type 1 diabetes mellitus

Cited by 4 publications

References 31 publications

The effects of diabetes mellitus type 1 on children’s audiovestibular system: a randomized case control study

The effects of diabetes mellitus type 1 on children’s audiovestibular system: a randomized case control study

Self-reported participation restrictions in normal hearing individuals in thyroid ontogeny: Evidence of subclinical changes

Resultados da anamnese para rastreio de transtornos do processamento auditivo em crianças com hipotireoidismo congênito

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