The Effect of Lifetime Noise Exposure and Aging on Speech-Perception-in-Noise Ability and Self-Reported Hearing Symptoms: An Online Study.
The Effect of Lifetime Noise Exposure and Aging on Speech-Perception-in-Noise Ability and Self-Reported Hearing Symptoms: An Online Study.
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DOI：
10.3389/fnagi.2022.890010
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发表时间：
2022
影响因子：
4.8
通讯作者：
中科院分区：
文献类型：
--
作者：
动物研究表明，老化和过度的噪音暴露会损害耳蜗外毛细胞、内毛细胞以及连接内毛细胞和听神经的突触。这可能会转化为听觉症状，如在噪音中理解语音困难、耳鸣和听力亢进。目前的研究使用一种新的在线方法，评估和量化了终生噪声暴露和衰老对(I)噪声中的言语感知(SPIN)阈值、(Ii)自我报告的听力和(Iii)耳鸣的存在的影响。次要目标包括记录终生噪音暴露和衰老对耳鸣障碍和听力亢进的影响。在网上招募了294名过去没有听力或记忆障碍诊断的成年人。参与者被分成两组：217名年轻人(年龄范围：18-35岁，女性：151人)和77人(年龄范围：50-70岁，女性：50岁)。参与者完成了一套在线工具，包括耳科健康和人口学问卷、痴呆症筛查工具、向前和向后数字广度测试、噪音暴露问卷、Khalfa听力过敏症问卷、言语、空间和听力质量量表的缩写、耳鸣残疾问卷、噪声中的数字测试和协调反应测量言语感知测试。对数字广度所反映的性别和认知功能进行控制的分析。一份详细的协议被预先注册，以防止对这个庞大的数据集进行“p-黑客攻击”。在这两个年龄组中，终生噪声暴露并不能预测旋转阈值、自我报告的听力或耳鸣障碍。探索性分析表明，在年轻人中，听力过敏症评分越差，耳鸣的发生率越高，与终生高噪音暴露显著相关，但在老年组中没有。年龄是旋转阈值和耳鸣存在的重要预测因子，但不能预测自我报告的听力能力、耳鸣障碍或听力亢进的严重程度。与几项实验室研究一致，我们的在线数据表明，没有听力障碍诊断的老年人比年轻人的旋转能力更差，耳鸣的风险更高。此外，在没有听力障碍诊断的年轻人中，终生噪声暴露可能会增加耳鸣的风险和听力过敏症的严重程度。
Animal research shows that aging and excessive noise exposure damage cochlear outer hair cells, inner hair cells, and the synapses connecting inner hair cells with the auditory nerve. This may translate into auditory symptoms such as difficulty understanding speech in noise, tinnitus, and hyperacusis. The current study, using a novel online approach, assessed and quantified the effects of lifetime noise exposure and aging on (i) speech-perception-in-noise (SPiN) thresholds, (ii) self-reported hearing ability, and (iii) the presence of tinnitus. Secondary aims involved documenting the effects of lifetime noise exposure and aging on tinnitus handicap and the severity of hyperacusis. Two hundred and ninety-four adults with no past diagnosis of hearing or memory impairments were recruited online. Participants were assigned into two groups: 217 “young” (age range: 18–35 years, females: 151) and 77 “older” (age range: 50–70 years, females: 50). Participants completed a set of online instruments including an otologic health and demographic questionnaire, a dementia screening tool, forward and backward digit span tests, a noise exposure questionnaire, the Khalfa hyperacusis questionnaire, the short-form of the Speech, Spatial, and Qualities of Hearing scale, the Tinnitus Handicap Inventory, a digits-in-noise test, and a Coordinate Response Measure speech-perception test. Analyses controlled for sex and cognitive function as reflected by the digit span. A detailed protocol was pre-registered, to guard against “p-hacking” of this extensive dataset. Lifetime noise exposure did not predict SPiN thresholds, self-reported hearing ability, or tinnitus handicap in either age group. Exploratory analyses showed that worse hyperacusis scores, and a greater prevalence of tinnitus, were associated significantly with high lifetime noise exposure in the young, but not in the older group. Age was a significant predictor of SPiN thresholds and the presence of tinnitus, but not of self-reported hearing ability, tinnitus handicap, or severity of hyperacusis. Consistent with several lab studies, our online-derived data suggest that older adults with no diagnosis of hearing impairment have a poorer SPiN ability and a higher risk of tinnitus than their younger counterparts. Moreover, lifetime noise exposure may increase the risk of tinnitus and the severity of hyperacusis in young adults with no diagnosis of hearing impairment.
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影响因子：
3
作者：
Bharadwaj HM;Verhulst S;Shaheen L;Liberman MC;Shinn-Cunningham BG
通讯作者：
Shinn-Cunningham BG
影响因子：
2.4
作者：
Bolia, RS;Nelson, WT;Simpson, BD
通讯作者：
Simpson, BD
影响因子：
9.9
作者：
Galvin, James E.;Roe, Catherine M.;Morris, John C.
通讯作者：
Morris, John C.
影响因子：
2.7
作者：
Andersson, G;Lindvall, N;Carlbring, P
通讯作者：
Carlbring, P
DOI：
10.5935/0946-5448.20160017
发表时间：
2017-04-19
期刊：
The international tinnitus journal
影响因子：
--
作者：
Boger, Marlene Escher;Sampaio, Andre Luiz Lopes;Oliveira, Carlos Augusto Costa Pires de
通讯作者：
Oliveira, Carlos Augusto Costa Pires de