Age-related hearing loss is attributed to age-related degeneration of the cochlea as well as other physiologic, environmental, and pathological processes that occur during the lifespan (1). It initially affects hearing sensitivity in the highfrequencies, affecting communication in noisy situations. Once the loss extends to the lower frequencies (2-4 kHz range), important for understanding the voiceless consonants, speech understanding in any situation is affected (1). Age-related hearing loss is a common chronic condition, affecting 30-35% of the people aged 65-75 years and 40-50% of the people over 75 years (2).The relationship between hearing loss and nutritional status is a relatively new area of investigation (2). The hypothesis that nutrition may play a role in age-related hearing loss is based on evidence from two converging research areas: research showing that hearing loss is related to vascular disease (3-6), and research showing that vascular systems rely on certain nutrients for optimal structure and function (2). Very long-chain n-3 polyunsaturated fatty acids (n-3 PUFA), as present in fish and fish oil, are suggested to protect against vascular diseases (7). Since the cochlea is highly vascularised, it has been suggested that age-related hearing loss may be caused by a decrease in the blood supply to the cochlea (5).Very little scientific attention has been given to the potential role of fatty acids in age-related hearing loss. A study in two psychiatric hospitals in Finland showed that adults who consumed a low fat diet for a period of five years had better hearing levels throughout the entire audiometric range than adults who consumed a diet high in saturated fatty acids (8). However, there are currently no published studies that have investigated the relationship between very long-chain n-3 PUFAs and age-related hearing loss. Therefore, the present study assesses whether plasma very long-chain n-3 PUFAs are associated with age-related hearing loss over a period of three years in a population of Dutch older adults.
Subjects and methods
SubjectsWe used data from participants of the FACIT study, a randomized controlled trial investigating the effect of folic acid supplementation on hearing, carotid intima-media thickness and cognitive performance (9). In this study, 819 men and postmenopausal women aged 50-70 years were randomly assigned to either folic acid (n=406) or placebo (n=413) treatment for a period of 3 years. Participants were recruited by using municipal and local blood bank registries from the Gelderland province in the Netherlands. Major exclusion criteria were plasma total homocysteine levels <13 µmol/L and >26 µmol/L, serum vitamin B12 levels <200pmol/L, renal or thyroid diseases, and current use of B-vitamin supplements. The baseline measurements, which included measurements of
PLASMA VERY LONG-CHAIN N-3 POLYUNSATURATED FATTY ACIDS AND AGE-RELATED HEARING LOSS IN OLDER ADULTS
Abstract:Objectives: Age-related hearing loss is a common social and health problem in the older adult popul...