Effect of diabetes mellitus on voice: a systematic review

Ravi, Rohit; Gunjawate, Dhanshree R.

doi:10.1002/pdi.2240

Cited by 10 publications

(4 citation statements)

References 16 publications

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“…Since obese people often have metabolic disorders of glucose, hyperglycemia may influence changes in the elastic properties of the biological tissues that build the larynx and the cords (Wang et al 2015). Other diabetic complications affecting quality of voice, such as neuropathy (laryngeal sensory neuropathy is more common in patients with type 2 diabetes mellitus than in controls; Hamdan et al 2014;Ravi and Gunjawate 2019) and gastro-oesophageal reflux disorder (Lechein et al 2017) also cannot be discarded. Since there are such large differences in voice quality of obese people, "Judges" should be able to identify people with normal body weight and obese people solely on the basis of their voices, and our study shows that.…”

Section: Discussionmentioning

confidence: 99%

Assessment of the obesity based on voice perception

Pawelec

Kierczak

Lipowicz

2023

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Human voice is an extremely important biological signal which contains information about sex, age, emotional state, health and physical features of a speaker. Estimating a physical appearance from a vocal cue can be an important asset for sciences including forensics and dietetics. Although there have been several studies focused on the relationships between vocal parameters and ratings of height, weight, age and musculature of a speaker, to our knowledge, there has not been a study examining the assessment of one’s BMI based on voice alone. The purpose of the current study was to determine the ability of female “Judges” to evaluate speakers’ (men and women) obesity and body fat distribution from their vocal cues. It has also been checked which voice parameters are key vocal cues in this assessment. The study material consisted of 12 adult speakers’ (6 women) voice recordings assessed by 87 “Judges” based on a 5-point graphic scale presenting body fat level and distribution (separately for men and women). For each speaker body height, weight, BMI, Visceral Fat Level (VFL, InBody 270) and acoustic parameters were measured. In addition, the accuracy of BMI category was verified. This study also aimed to determine which vocal parameters were cues for the assessment for men and women. To achieve it, two independent experiments were conducted: I: “Judges” had to choose one (obese) speaker from 3 voices (in 4 series); II: they were asked to rate body fat level of the same 12 speakers based on 5-point graphic scale. Obese speakers (i.e., BMI above 30) were selected correctly with the accuracy greater than predicted by chance (experiment I). By using a graphic scale, our study found that speakers exhibiting higher BMI were rated as fatter (experiment II). For male speakers the most important vocal predictors of the BMI were harmonics-to-noise ratio (HNR) and formant dispersion (Df); for women: formant spacing (Pf) and intensity (loudness). Human voice contains information about one’s increased BMI level which are hidden in some vocal cues.

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Section: Discussionmentioning

confidence: 99%

Assessment of the obesity based on voice perception

Pawelec

Kierczak

Lipowicz

2023

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“…The result is an absolute lack of insulin [39]. In the course of autoimmune, insulin-dependent diabetes mellitus, it can be noted in the study by Dr. Rohit Ravi et al [15] that 33.3% of the surveyed patients with diabetes reported hoarseness, and 21% tension in the voice. It is also important that people with neuropathy also complained of vocal tension, silence, and hoarseness much more often than people without neuropathy.…”

Section: Systemic Lupus Erythematosus (Sle)mentioning

confidence: 99%

Influence of selected autoimmunological diseases on phonation devices, diagnostics and treatment

Markowska¹,

Jurkiewicz²

2023

J Pre Clin Clin Res.

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Introduction and Objective. Many autoimmune diseases correlate with phonatory disorders which significantly reduce the well-being and quality of life of patients due to difficulties in verbal communication. The aim of the review is to present the current medical knowledge on ENT complications in patients suffering from selected autoimmune diseases. The text is partially supplemented with the possibilities of diagnosis and treatment of these disorders. Review Methods. PubMed, PubMed Central, and printed literature were searched using key words related to phoniatrix, larynx, immunology, voice, thyroid and dysphonia. Articles in Polish, German and English were searched. Bibliographies with outdated data and those that did not have the latest update or did not meet the selected criteria were excluded. Exclusions were most often due to an incomplete topic as well as results reported by an unrepresentative group of patients. The review was supported by an additional case study included as relevant to add significant clinical and imaging value to the work. Brief description of the state of knowledge. Autoimmune diseases are manifested in various body systems, including the phonational system. Both patients and doctors often do not expect that symptoms such as hoarseness, dysphonia, low voice or sore throat may be caused by an underlying disease. The list of ailments, diagnostic options and treatment is intended to present this problem and to increase medical awareness. Summary. Tthe presented diseases have been shown primarily from the side of disorders in phonation which accompany them. Despite the apparent unrelatedness of the disease with the production of sound, the clinical picture often shows ENT symptoms that are significant for the patient.

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“…A recently literature survey on the topic of T2D and voice 10 left the reader without any conclusive evidence concerning the problem of the description and analysis of acoustic changes attributable to DM, whereby stating "Hamdan et al reported no significant differences on acoustic and perceptual measures between people with DM and controls". We have expanded the inclusion criteria from this study with conference proceedings (which traditionally have been the publication venues for important technological breakthroughs in speech technology and computer science) and with the time span after the publication of this survey.…”

Section: Literature Survey On the Dm Detection From Voicementioning

confidence: 99%

“…During the search process, we found three primary research articles that describe the static changes in voice attributable to diabetes complications, and/or investigate the possibilities of diabetes detection from voice [3][4][5] via an acoustic or perceptual analysis and a literature survey on the effect of DM on voice 10 .…”

Section: Literature Survey On the Dm Detection From Voicementioning

confidence: 99%