Risk factors associated with idiopathic sudden sensorineural hearing loss in pregnant South Korean women: a nationwide population-based study

Kim, Hee-Sun; Lee, Kyu-Min; Han, Sung Won; Cho, Geum Joon; Hwang, Han Sung

doi:10.1080/14767058.2021.1949443

The Journal of Maternal-Fetal & Neonatal Medicine

2021

DOI: 10.1080/14767058.2021.1949443

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Risk factors associated with idiopathic sudden sensorineural hearing loss in pregnant South Korean women: a nationwide population-based study

Hee-Sun Kim

Kyu-Min Lee

Sung Won Han

et al.

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Cited by 3 publications

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“…Obesity‐related vascular dysfunction may be one of the underlying mechanisms inducing insufficiency of blood supply to the cochlea from the labyrinthine artery reducing oxygen tension in the cochlear lymph and ultimately resulting in SNHL 3 . Obesity has been reported to have different effects on SNHL in different age and sex groups, 4 with a higher prevalence of SNHL in obese adolescents, 5,6 pregnant women 7 and conscripted men 8 ; however, it is not reported to be significantly associated with the prognosis of SNHL 9 . However, most of these studies considered only a single measurement of body composition, including body mass index (BMI), waist circumference 9 and visceral fat thickness 6 .…”

mentioning

confidence: 99%

Associations Between Body Composition and Sensorineural Hearing Loss Among Adults Based on the UK Biobank

Pang¹,

Li²,

Qiu³

et al. 2023

Otolaryngol.--head neck surg.

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ObjectiveTo explore the association between body composition and sensorineural hearing loss (SNHL).Study DesignCross‐sectional study, prospective study and Mendelian randomization (MR) analyses.SettingUK Biobank.MethodsThis cross‐sectional study included 147,296 adult participants with complete data on body composition and the speech‐reception‐threshold (SRT) test. We further conducted a prospective study with 129,905 participants without SNHL at baseline and followed up to 15 years to explore the association between body composition and new‐onset SNHL. Multivariable logistic regression and Cox regression models were used. Subgroup analyses stratified by age and sex were performed. We further assessed the causal association between body composition and SNHL using two‐sample MR analyses.ResultsOur cross‐sectional study revealed that fat percentage, especially leg (odds ratio [OR] 1.46, p = .029) and arm (OR 1.43, p = .004), were significant risk factors for SNHL. However, fat‐free mass, especially in the arm (OR 0.27, p < .001) and leg (OR 0.58, p < .001) showed significant protective effects against SNHL, which was substantially consistent with the results of the prospective study. In addition, we found that young women with SNHL were more susceptible to body composition indicators. However, MR analyses revealed no evidence of significant causal association.ConclusionFat percentage, especially in the leg and arm, was a significant risk factor for SNHL, whereas fat‐free mass, especially in the leg and arm, had significant protective effects against SNHL, however, these associations may not be causal.

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mentioning

confidence: 99%

Associations Between Body Composition and Sensorineural Hearing Loss Among Adults Based on the UK Biobank

Pang¹,

Li²,

Qiu³

et al. 2023

Otolaryngol.--head neck surg.

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Clinical characteristics of sudden hearing loss during pregnancy

Wu,

Wang,

Zhang

et al. 2023

World j. otorhinolaryngol.-head neck surg.

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ObjectiveThe objective of this study was to explore the clinical characteristics and management of sudden hearing loss (HL) during pregnancy, thus better guiding the clinical practice.MethodsThe clinical and follow‐up data of 17 patients (17 ears) with sudden HL during pregnancy were analyzed retrospectively (the observe group). Twelve nonpregnant female patients (12 ears) with sudden HL of similar clinical characteristics were selected as the control group. The prognosis of the two groups was compared. All the patients were followed up after delivery, and two of them were readmitted to the hospital 1–2 months after delivery.ResultsThe observe group had better improvement in hearing and a higher response rate compared to the control group. The pure tone hearing and speech recognition rate of patients could still be improved after the readmitted treatment, and the hearing could partially recover spontaneously during follow‐up. The laboratory indicators that affect the inflammatory response and coagulation pathway were significantly different between the two groups.ConclusionsThe hearing condition of sudden HL during pregnancy is severe, and the prognosis of these patients is better than nonpregnant patients of similar clinical characteristics. Postpartum treatment is still effective, and some patients showed self‐healing with time during follow‐up. The inflammatory response and coagulation function may affect the hearing of patients through a metabolic pathway.

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Establishing multifactorial risk factors for adult-onset hearing loss: A systematic review with topic modelling and synthesis of epidemiological evidence

Tran,

Tang,

et al. 2024

Preventive Medicine

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Risk factors associated with idiopathic sudden sensorineural hearing loss in pregnant South Korean women: a nationwide population-based study

Cited by 3 publications

References 23 publications

Associations Between Body Composition and Sensorineural Hearing Loss Among Adults Based on the UK Biobank

Associations Between Body Composition and Sensorineural Hearing Loss Among Adults Based on the UK Biobank

Clinical characteristics of sudden hearing loss during pregnancy

Establishing multifactorial risk factors for adult-onset hearing loss: A systematic review with topic modelling and synthesis of epidemiological evidence

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