Associations between dietary indices and hearing status among middle-older aged adults - results from the Baltimore Longitudinal Study of Aging
Hearing loss, a public health issue in older populations, is closely related to functional decline. To investigate the longitudinal associations between 4 dietary indices and hearing status. Data from the Baltimore Longitudinal Study of Aging were used and included 882 participants ≥45 y of age. Die...
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| Published in: | The American journal of clinical nutrition Vol. 119; no. 5; p. 1338 |
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| Main Authors: | , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
United States
01.05.2024
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| Subjects: | |
| ISSN: | 1938-3207, 1938-3207 |
| Online Access: | Get more information |
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| Summary: | Hearing loss, a public health issue in older populations, is closely related to functional decline.
To investigate the longitudinal associations between 4 dietary indices and hearing status.
Data from the Baltimore Longitudinal Study of Aging were used and included 882 participants ≥45 y of age. Dietary intake was assessed using a validated food frequency questionnaire, and 4 dietary scores (Mediterranean-Dietary Approaches to Stop Hypertension Intervention for Neurodegenerative Delay diet [MIND], Mediterranean style diet score [MDS], Alternative Healthy Eating Index [AHEI], and Healthy Eating Index [HEI]) were calculated as averages over time. Hearing status was examined using pure-tone audiometry, and pure-tone average (PTA) of hearing thresholds were calculated at speech-level (PTA
), low (PTA
), and high (PTA
) frequencies, with lower thresholds indicating better hearing. Multivariable linear mixed-effect models were used to examine associations between dietary indices and hearing threshold change over time adjusted for confounders.
At baseline, the mean age of participants was 67 y and 55% were female. Over a median of 8 y of follow-up, MDS ≥7 was associated with 3.5 (95% CI: -6.5, -0.4) and 5.0 (95% CI: -9.1, -1.0) dB lower PTA
and PTA
, respectively, compared with MDS ≤3; the highest tertile of the AHEI was associated with 2.3 (95% CI: -4.6, -0.1) and 5.0 (95% CI: -8.0, -2.0) dB lower PTA
and PTA
; and each standard deviation increment in HEI was associated with 1.6 dB (95% CI: -2.7, -0.6), 1.1 dB (95% CI: -2.1, -0.1), and 2.1 dB (95% CI: -3.5, -0.6) lower PTA
, PTA
, and PTA
, respectively.
Adherence to healthy dietary patterns was associated with better hearing status, with stronger associations at high frequencies. Am J Clin Nutr 20xx;x:xx. |
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| Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| ISSN: | 1938-3207 1938-3207 |
| DOI: | 10.1016/j.ajcnut.2024.03.001 |