Abstract
Purpose
Cardiovascular risk factors, including metabolic syndrome (MetS) components, were reported as possible risk factors of sudden sensorineural hearing loss (SSNHL). The objective of this study was to evaluate the relationship between MetS (and its components) and SSNHL.
Methods
Eighty-one SSNHL patients and 243 sex-, aged-matched controls participated from January 2018 to July 2019. The participants included 176 (54.3%) men and 148 (45.7%) women. The correlation between Mets components, total cholesterol, low-density lipoprotein-cholesterol, and the onset of SSNHL was analyzed using used multivariate conditional logistic regression analysis.
Results
A total 12 patients (14.8%) with SSNHL and 27 subjects (11.1%) in control group had MetS (p > 0.05). The rate of low levels of high-density lipoprotein-cholesterol (HDL-C), hypertriglyceridemia, and hypertension was significantly higher in the SSNHL group than those in the control group (p < 0.05). A trend of odds SSNHL was observed with increasing the number of MetS components (p < 0.001). The multivariable analysis revealed that the rate of hypertriglyceridemia and low HDL-C concentration was significantly higher in the SSNHL groups compared to the controls.
Conclusions
Hypertriglyceridemia and low levels of HDL-C may be important factors in the pathogenesis of SSNHL, and should be assessed during the investigation of patients with this condition.
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References
Chandrasekhar SS, Tsai Do BS, Schwartz SR, Bontempo LJ, Faucett EA, Finestone SA, Hollingsworth DB, Kelley DM, Kmucha ST, Moonis G (2019) Clinical practice guideline: sudden hearing loss (update). Otolaryngol Head Neck Surg 161(1_suppl):S1–S45
Kim SH, Kim SJ, Im H, Kim TH, Song JJ, Chae SW (2017) A trend in sudden sensorineural hearing loss: data from a population-based study. Audiol Neurootol 22(6):311–316
Teranishi M, Katayama N, Uchida Y, Tominaga M, Nakashima T (2007) Thirty-year trends in sudden deafness from four nationwide epidemiological surveys in Japan. Acta Otolaryngol 127(12):1259–1265
Wu CS, Lin HC, Chao PZ (2006) Sudden sensorineural hearing loss: evidence from Taiwan. Audiol Neurootol 11(3):151–156
Lin CF, Lee KJ, Yu SS, Lin YS (2016) Effect of comorbid diabetes and hypercholesterolemia on the prognosis of idiopathic sudden sensorineural hearing loss. Laryngoscope 126(1):142–149
Aimoni C, Bianchini C, Borin M, Ciorba A, Fellin R, Martini A, Scanelli G, Volpato S (2010) Diabetes, cardiovascular risk factors and idiopathic sudden sensorineural hearing loss: a case–control study. Audiol Neurotol 15(2):111–115
Mosnier I, Stepanian A, Baron G, Bodenez C, Robier A, Meyer B, Fraysse B, Bertholon P, Defay F, Ameziane N, Ferrary E, Sterkers O, de Prost D (2011) Cardiovascular and thromboembolic risk factors in idiopathic sudden sensorineural hearing loss: a case–control study. Audiol Neurootol 16(1):55–66
Chien CY, Tai SY, Wang LF, Hsi E, Chang NC, Wu MT, Ho KY (2015) Metabolic syndrome increases the risk of sudden sensorineural hearing loss in taiwan: a case–control study. Otolaryngol Head Neck Surg 153(1):105–111
Lin RJ, Krall R, Westerberg BD, Chadha NK, Chau JK (2012) Systematic review and meta-analysis of the risk factors for sudden sensorineural hearing loss in adults. Laryngoscope 122(3):624–635. https://doi.org/10.1002/lary.22480
Pan WH, Yeh WT, Weng LC (2008) Epidemiology of metabolic syndrome in Asia. Asia Pac J Clin Nutr 17(Suppl 1):37–42
Executive Summary of The Third Report of The National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, And Treatment of High Blood Cholesterol In Adults (Adult Treatment Panel III) (2001) JAMA 285(19):2486–2497
Mottillo S, Filion KB, Genest J, Joseph L, Pilote L, Poirier P, Rinfret S, Schiffrin EL, Eisenberg MJ (2010) The metabolic syndrome and cardiovascular risk: a systematic review and meta-analysis. J Am Coll Cardiol 56(14):1113–1132
Ju SY, Lee JY, Kim DH (2017) Association of metabolic syndrome and its components with all-cause and cardiovascular mortality in the elderly: a meta-analysis of prospective cohort studies. Medicine 96(45):e8491
Lee JS, Kim DH, Lee HJ, Kim HJ, Koo JW, Choi HG, Park B, Hong SK (2015) Lipid profiles and obesity as potential risk factors of sudden sensorineural hearing loss. PLoS One 10(4):e0122496
Hwang J-H (2015) Role of obesity on the prognosis of sudden sensorineural hearing loss in adults. Otolaryngol Head Neck Surg 153(2):251–256
Lin HC, Wang CH, Chou YC, Shih CP, Chu YH, Lee JC, Chen HC (2015) The correlation between lipoprotein ratios and hearing outcome in idiopathic sudden sensorineural hearing loss patients. Clin Otolaryngol 40(4):355–362
Lin S-W, Lin Y-S, Weng S-F, Chou C-W (2012) Risk of developing sudden sensorineural hearing loss in diabetic patients: a population-based cohort study. Otol Neurotol 33(9):1482–1488
Schulz S, Ritter J, Oertel K, Witt K, Bär K-J, Guntinas-Lichius O, Voss A (2014) Altered autonomic regulation as a cardiovascular risk marker for patients with sudden sensorineural hearing loss. Otol Neurotol 35(10):1720–1729
Jung SY, Shim HS, Hah YM, Kim SH, Yeo SG (2018) Association of metabolic syndrome with sudden sensorineural hearing loss. JAMA Otolaryngol Head Neck Surg 144(4):308–314
Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP, Initiative S (2014) The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: guidelines for reporting observational studies. Int J Surg 12(12):1495–1499
World Health Organization (1991) Report of the informal working group on prevention of deafness and hearing impairment programme planning, Geneva, 18–21 June 1991. World Health Organization, Geneva. http://www.who.int/iris/handle/10665/58839. Accessed 12 Dec 2019
Azizi F, Hadaegh F, Khalili D, Esteghamati A, Hosseinpanah F, Delavari A, Larijani B, Mirmiran P, Zabetian A, Mehrabi Y, Kelishadi R, Aghajani H (2010) Appropriate definition of metabolic syndrome among Iranian adults: report of the Iranian National Committee of Obesity. Arch Iran Med 13(5):426–428
Association AD (2010) Diagnosis and classification of diabetes mellitus. Diabetes Care 33(Supplement 1):S62–S69
Kalan Farmanfarma K, Kaykhaei MA, Adineh HA, Mohammadi M, Dabiri S, Ansari-moghaddam A (2019) Prevalence of metabolic syndrome in Iran: a meta-analysis of 69 studies. Diabetes Metab Synd Clin Res Rev 13(1):792–799
Saklayen MG (2018) The global epidemic of the metabolic syndrome. Curr Hypertens Rep 20(2):12
Palmer MK, Toth PP (2019) Trends in lipids, obesity, metabolic syndrome, and diabetes mellitus in the United States: an NHANES analysis (2003–2004 to 2013–2014). Obesity 27(2):309–314
Fasano T, Pertinhez TA, Tribi L, Lasagni D, Pilia A, Vecchia L, Baricchi R, Bianchin G (2017) Laboratory assessment of sudden sensorineural hearing loss: a case–control study. Laryngoscope 127(10):2375–2381
Yasan H, Tüz M, Yariktaş M, Aynali G, Tomruk O, Akkuş O (2013) The significance of routine laboratory parameters in patients with sudden sensorineural hearing loss. Indian J Otolaryngol Head Neck Surg 65(Suppl 3):553–556
Rajati M, Azarpajooh MR, Mouhebati M, Nasrollahi M, Salehi M, Khadivi E, Nourizadeh N, Hashemi F, Bakhshaee M (2016) Is sudden hearing loss associated with atherosclerosis? Iran J Otorhinolaryngol 28(86):189–195
Kaneva AM, Yanov YK, Bojko SG, Kudryavykh OE, Potolitsyna NN, Bojko ER, Odland JO (2019) The atherogenic index (ATH index) as a potential predictive marker of idiopathic sudden sensorineural hearing loss: a case control study. Lipids Health Dis 18(1):64
Xipeng L, Ruiyu L, Meng L, Yanzhuo Z, Kaosan G, Liping W (2013) Effects of diabetes on hearing and cochlear structures. J Otol 8(2):82–87
Rajagopalan L, Greeson JN, Xia A, Liu H, Sturm A, Raphael RM, Davidson AL, Oghalai JS, Pereira FA, Brownell WE (2007) Tuning of the outer hair cell motor by membrane cholesterol. J Biol Chem 282(50):36659–36670
Kucuk A, Uslu AU, Icli A, Cure E, Arslan S, Turkmen K, Toker A, Kayrak M (2017) The LDL/HDL ratio and atherosclerosis in ankylosing spondylitis. Z Rheumatol 76(1):58–63
Lemieux I, Lamarche B, Couillard C, Pascot A, Cantin B, Bergeron J, Dagenais GR, Després J-P (2001) Total cholesterol/HDL cholesterol ratio vs LDL cholesterol/HDL cholesterol ratio as indices of ischemic heart disease risk in men: the Quebec Cardiovascular Study. Arch Intern Med 161(22):2685–2692
DiMarco DM, Fernandez ML (2016) The clinical relevance of plasma cholesterol ratios. EC Nutr 3:609–610
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All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by MMJ and MN. The first draft of the manuscript was written by MJ and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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Jalali, M.M., Nasimidoust Azgomi, M. Metabolic syndrome components and sudden sensorineural hearing loss: a case–control study. Eur Arch Otorhinolaryngol 277, 1023–1029 (2020). https://doi.org/10.1007/s00405-020-05808-z
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DOI: https://doi.org/10.1007/s00405-020-05808-z