J Audiol Otol.  2024 Oct;28(4):252-259. 10.7874/jao.2023.00458.

The Relationship Between Lower Vitamin D Levels and Hearing Loss in Older Adults

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
  • 2University of Ulsan College of Medicine, Seoul, Korea

Abstract

Background and Objectives
Age-related hearing loss (ARHL) is a sensorineural disease that is associated with a number of factors. In addition to age, sex, environment, lifestyle, and comorbidities are all known to be related to ARHL as well. The prevalence of ARHL can be reduced by controlling the adjustable factors that cause it. Vitamin D levels are strongly related to calcium metabolism, which can affect ARHL. This study aimed to investigate the association between vitamin D and ARHL.
Subjects and Methods
A total of 1,104 subjects aged >65 years were enrolled from the fifth Korean National Health and Nutrition Examination Survey, which was conducted from 2010-2012. Every participant received both an audiological assessment and a nutritional survey. The association between ARHL and serum vitamin D concentration was analyzed using logistic regression analyses with complex sampling adjusted for confounding factors such as alcohol consumption, smoking status, mobility, and bone mineral density.
Results
Our multivariable analysis revealed that males in the group with lower serum levels of vitamin D (< 20 ng/mL) had a higher prevalence of ARHL (odds ratio, 1.638, 95% confidence interval, 1.058-2.538, p=0.027).
Conclusions
This finding suggests that lower serum levels of vitamin D are associated with ARHL in the older male population.

Keyword

Age-related hearing loss; Vitamin D; Bone mineral density; Mobility; Korean National Health and Nutrition Examination Survey
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