Cargando…

Early Indication of Noise-induced Hearing Loss from PMP Use in Adolescents: A Cross-Sectional Analysis

CONTEXT: Distortion product otoacoustic emissions (DPOAEs) may indicate preclinical noise-induced hearing loss (NIHL) in adolescents from unsafe personal music player (PMP) use. AIMS: The objective, therefore, was to observe preclinical signs of NIHL in 9(th) grade adolescents with clinically normal...

Descripción completa

Detalles Bibliográficos
Autores principales: Colon, Diana C., Verdugo-Raab, Ulla, Alvarez, Carmelo P., Steffens, Thomas, Marcrum, Steven C., Kolb, Stefanie, Herr, Caroline, Twardella, Dorothee
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5227008/
https://www.ncbi.nlm.nih.gov/pubmed/27991459
http://dx.doi.org/10.4103/1463-1741.195798
_version_ 1782493747519422464
author Colon, Diana C.
Verdugo-Raab, Ulla
Alvarez, Carmelo P.
Steffens, Thomas
Marcrum, Steven C.
Kolb, Stefanie
Herr, Caroline
Twardella, Dorothee
author_facet Colon, Diana C.
Verdugo-Raab, Ulla
Alvarez, Carmelo P.
Steffens, Thomas
Marcrum, Steven C.
Kolb, Stefanie
Herr, Caroline
Twardella, Dorothee
author_sort Colon, Diana C.
collection PubMed
description CONTEXT: Distortion product otoacoustic emissions (DPOAEs) may indicate preclinical noise-induced hearing loss (NIHL) in adolescents from unsafe personal music player (PMP) use. AIMS: The objective, therefore, was to observe preclinical signs of NIHL in 9(th) grade adolescents with clinically normal hearing by comparing DPOAE signals between different levels of A-weighted equivalent PMP exposure. SETTINGS AND DESIGN: Subjects were recruited from all secondary-level schools located in the city of Regensburg, Germany during two academic years 2009/2010 and 2010/2011. SUBJECTS AND METHODS: A-weighted equivalent sound pressure levels (SPLs) for a 40-hour work week (L(Aeq,40h)) were estimated from questionnaire responses on output and duration of PMP use of the previous week. Subjects were then categorized into four levels of exposure: <80, 80–85, >85 to <90, and ≥90 A-weighted Decibel [dB(A)]. DPOAE signals were collected by trained audiological staff, applying a standard optimized protocol, at the Department of Otorhinolaryngology of the University Hospital Regensburg. STATISTICAL ANALYSIS USED: Mean DPOAE signals were compared between levels by unpaired t test. Novel linear regression models adjusting for other leisure noise exposures and with outcome variables DPoutcome and 4 kilo Hertz (kHz) DPOAEs estimated effects between levels. RESULTS: A total of 1468 subjects (56% female, mostly aged 15 or 16 years) were available for analysis. Comparison of DPOAE means by PMP exposure typically showed no greater than 1 dB difference between groups. In fact, comparisons between ≥90 dB(A) and <80 dB(A) presented the least differences in magnitude. Both DPoutcome and 4 kHz linear regression models presented a weak association with the 4-level PMP exposure variable. An expected dose-response to PMP exposure was not observed in any analyses. CONCLUSIONS: DPOAE signal strength alone cannot indicate preclinical NIHL in adolescents.
format Online
Article
Text
id pubmed-5227008
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Medknow Publications & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-52270082017-02-03 Early Indication of Noise-induced Hearing Loss from PMP Use in Adolescents: A Cross-Sectional Analysis Colon, Diana C. Verdugo-Raab, Ulla Alvarez, Carmelo P. Steffens, Thomas Marcrum, Steven C. Kolb, Stefanie Herr, Caroline Twardella, Dorothee Noise Health Original Article CONTEXT: Distortion product otoacoustic emissions (DPOAEs) may indicate preclinical noise-induced hearing loss (NIHL) in adolescents from unsafe personal music player (PMP) use. AIMS: The objective, therefore, was to observe preclinical signs of NIHL in 9(th) grade adolescents with clinically normal hearing by comparing DPOAE signals between different levels of A-weighted equivalent PMP exposure. SETTINGS AND DESIGN: Subjects were recruited from all secondary-level schools located in the city of Regensburg, Germany during two academic years 2009/2010 and 2010/2011. SUBJECTS AND METHODS: A-weighted equivalent sound pressure levels (SPLs) for a 40-hour work week (L(Aeq,40h)) were estimated from questionnaire responses on output and duration of PMP use of the previous week. Subjects were then categorized into four levels of exposure: <80, 80–85, >85 to <90, and ≥90 A-weighted Decibel [dB(A)]. DPOAE signals were collected by trained audiological staff, applying a standard optimized protocol, at the Department of Otorhinolaryngology of the University Hospital Regensburg. STATISTICAL ANALYSIS USED: Mean DPOAE signals were compared between levels by unpaired t test. Novel linear regression models adjusting for other leisure noise exposures and with outcome variables DPoutcome and 4 kilo Hertz (kHz) DPOAEs estimated effects between levels. RESULTS: A total of 1468 subjects (56% female, mostly aged 15 or 16 years) were available for analysis. Comparison of DPOAE means by PMP exposure typically showed no greater than 1 dB difference between groups. In fact, comparisons between ≥90 dB(A) and <80 dB(A) presented the least differences in magnitude. Both DPoutcome and 4 kHz linear regression models presented a weak association with the 4-level PMP exposure variable. An expected dose-response to PMP exposure was not observed in any analyses. CONCLUSIONS: DPOAE signal strength alone cannot indicate preclinical NIHL in adolescents. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC5227008/ /pubmed/27991459 http://dx.doi.org/10.4103/1463-1741.195798 Text en Copyright: © 2016 Noise & Health http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Colon, Diana C.
Verdugo-Raab, Ulla
Alvarez, Carmelo P.
Steffens, Thomas
Marcrum, Steven C.
Kolb, Stefanie
Herr, Caroline
Twardella, Dorothee
Early Indication of Noise-induced Hearing Loss from PMP Use in Adolescents: A Cross-Sectional Analysis
title Early Indication of Noise-induced Hearing Loss from PMP Use in Adolescents: A Cross-Sectional Analysis
title_full Early Indication of Noise-induced Hearing Loss from PMP Use in Adolescents: A Cross-Sectional Analysis
title_fullStr Early Indication of Noise-induced Hearing Loss from PMP Use in Adolescents: A Cross-Sectional Analysis
title_full_unstemmed Early Indication of Noise-induced Hearing Loss from PMP Use in Adolescents: A Cross-Sectional Analysis
title_short Early Indication of Noise-induced Hearing Loss from PMP Use in Adolescents: A Cross-Sectional Analysis
title_sort early indication of noise-induced hearing loss from pmp use in adolescents: a cross-sectional analysis
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5227008/
https://www.ncbi.nlm.nih.gov/pubmed/27991459
http://dx.doi.org/10.4103/1463-1741.195798
work_keys_str_mv AT colondianac earlyindicationofnoiseinducedhearinglossfrompmpuseinadolescentsacrosssectionalanalysis
AT verdugoraabulla earlyindicationofnoiseinducedhearinglossfrompmpuseinadolescentsacrosssectionalanalysis
AT alvarezcarmelop earlyindicationofnoiseinducedhearinglossfrompmpuseinadolescentsacrosssectionalanalysis
AT steffensthomas earlyindicationofnoiseinducedhearinglossfrompmpuseinadolescentsacrosssectionalanalysis
AT marcrumstevenc earlyindicationofnoiseinducedhearinglossfrompmpuseinadolescentsacrosssectionalanalysis
AT kolbstefanie earlyindicationofnoiseinducedhearinglossfrompmpuseinadolescentsacrosssectionalanalysis
AT herrcaroline earlyindicationofnoiseinducedhearinglossfrompmpuseinadolescentsacrosssectionalanalysis
AT twardelladorothee earlyindicationofnoiseinducedhearinglossfrompmpuseinadolescentsacrosssectionalanalysis