Hearing Loss due to Noise Exposure and its Relationship with Hypertension in Peruvian Workers

Authors

  • María Alejandra Ramírez Saldaña Instituto de Investigaciones en Ciencias Biomedicas, Universidad Ricardo Palma, Lima, Perú https://orcid.org/0000-0002-8578-6369
  • Jenny Raquel Torres-Malca Instituto de Investigaciones en Ciencias Biomedicas, Universidad Ricardo Palma, Lima, Perú and Universidad Tecnológica del Perú, Lima, Perú https://orcid.org/0000-0002-7199-8475
  • Fiorella E. Zuzunaga-Montoya Instituto de Investigaciones en Ciencias Biomedicas, Universidad Ricardo Palma, Lima, Perú
  • Víctor Juan Vera-Ponce Instituto de Investigaciones en Ciencias Biomedicas, Universidad Ricardo Palma, Lima, Perú
  • Liliana Cruz-Ausejo Instituto de Investigaciones en Ciencias Biomedicas, Universidad Ricardo Palma, Lima, Perú https://orcid.org/0000-0001-7506-4939
  • Jhony A. De La Cruz-Vargas Instituto de Investigaciones en Ciencias Biomedicas, Universidad Ricardo Palma, Lima, Perú https://orcid.org/0000-0002-5592-0504

DOI:

https://doi.org/10.6000/1929-6029.2022.11.15

Keywords:

Hearing loss, obesity, hypertension, occupational health (Source: MeSH NLM)

Abstract

Introduction: Noise-induced hearing loss has been implicated in the genesis of several chronic conditions; however, its behavior concerning hypertension still raises doubts about it.

Objective: to determine the association between hearing loss due to exposure to noise and the presence of hypertension in a sample of Peruvian workers.

Methods: Cross-sectional analytical study. Secondary analysis of the occupational database of a Medical center in Lima, Peru. hypertension was measured by self-report and clinical method. Hearing loss was classified as none, mild, moderate and severe. For the regression analysis, Poisson was performed with robust variance, obtaining crude (PRc) and adjusted (PRa) prevalence ratios.

Results: We worked with a total of 1987 participants. The prevalence of hypertension was 15.40% and hearing loss was 36.39%. For the multivariate regression analysis, a statistically significant association with hypertension was found in those with mild hearing loss (PRa=1.52; CI95% 1.06–2.10), moderate (PRa=2.70; CI95% 1,93–3.76) and severe (PRa=3.82; 95% CI 2.56–5.96), compared to those without hearing loss.

Conclusions: Hearing loss due to exposure to occupational noise was associated with the presence of hypertension. Although this study is only a first overview of the relationship that both variables could have, it is recommended to continue promoting policies and awareness campaigns to prevent hearing loss in workers, and thus avoid complications related to it in the long term.

References

Themann CL, Masterson EA. Occupational noise exposure: A review of its effects, epidemiology, and impact with recommendations for reducing its burden. J Acoust Soc Am 2019; 146(5): 3879. https://doi.org/10.1121/1.5134465 DOI: https://doi.org/10.1121/1.5134465

Lie A, Skogstad M, Johannessen HA, Tynes T, Mehlum IS, Nordby K-C, et al. Occupational noise exposure and hearing: a systematic review. Int Arch Occup Environ Health 2016; 89: 351-72. https://doi.org/10.1007/s00420-015-1083-5 DOI: https://doi.org/10.1007/s00420-015-1083-5

Masterson EA, Bushnell PT, Themann CL, Morata TC. Hearing Impairment Among Noise-Exposed Workers - United States, 2003-2012. MMWR Morb Mortal Wkly Rep 2016; 65(15): 389-94. https://doi.org/10.15585/mmwr.mm6515a2 DOI: https://doi.org/10.15585/mmwr.mm6515a2

Zhou J, Shi Z, Zhou L, Hu Y, Zhang M. Occupational noise-induced hearing loss in China: a systematic review and meta-analysis. BMJ Open 2020; 10(9): e039576. https://doi.org/10.1136/bmjopen-2020-039576 DOI: https://doi.org/10.1136/bmjopen-2020-039576

Basner M, Babisch W, Davis A, Brink M, Clark C, Janssen S, et al. Auditory and non-auditory effects of noise on health. Lancet 2014; 383(9925): 1325-32. https://doi.org/10.1016/S0140-6736(13)61613-X DOI: https://doi.org/10.1016/S0140-6736(13)61613-X

Dzhambov AM, Dimitrova DD. Heart disease attributed to occupational noise, vibration and other co-exposure: Self-reported population-based survey among Bulgarian workers. Med Pr 2016; 67(4): 435-45. https://doi.org/10.13075/mp.5893.00437 DOI: https://doi.org/10.13075/mp.5893.00437

Kempen E van, Casas M, Pershagen G, Foraster M. WHO Environmental Noise Guidelines for the European Region: A Systematic Review on Environmental Noise and Cardiovascular and Metabolic Effects: A Summary. Int J Environ Res Public Health 2018; 15(2): E379. https://doi.org/10.3390/ijerph15020379 DOI: https://doi.org/10.3390/ijerph15020379

Dzhambov A, Dimitrova D. Occupational Noise Exposure and the Risk for Work-Related Injury: A Systematic Review and Meta-analysis. Ann Work Expo Health 2017; 61(9): 1037-53. https://doi.org/10.1093/annweh/wxx078 DOI: https://doi.org/10.1093/annweh/wxx078

Münzel T, Sørensen M, Gori T, Schmidt FP, Rao X, Brook J, et al. Environmental stressors and cardio-metabolic disease: part I-epidemiologic evidence supporting a role for noise and air pollution and effects of mitigation strategies. Eur Heart J 2017; 38(8): 550-6. https://doi.org/10.1093/eurheartj/ehw269 DOI: https://doi.org/10.1093/eurheartj/ehw269

Gan WQ, Mannino DM. Occupational Noise Exposure, Bilateral High-Frequency Hearing Loss, and Blood Pressure. J Occup Environ Med 2018; 60(5): 462-8. https://doi.org/10.1097/JOM.0000000000001232 DOI: https://doi.org/10.1097/JOM.0000000000001232

Chen S, Ni Y, Zhang L, Kong L, Lu L, Yang Z, et al. Noise exposure in occupational setting associated with elevated blood pressure in China. BMC Public Health 2017; 17(1): 107. https://doi.org/10.1186/s12889-017-4050-0 DOI: https://doi.org/10.1186/s12889-017-4050-0

Sørensen M, Hoffmann B, Hvidberg M, Ketzel M, Jensen SS, Andersen ZJ, et al. Long-term exposure to traffic-related air pollution associated with blood pressure and self-reported hypertension in a Danish cohort. Environ Health Perspect 2012; 120(3): 418-24. https://doi.org/10.1289/ehp.1103631 DOI: https://doi.org/10.1289/ehp.1103631

Nserat S, Al-Musa A, Khader YS, Abu Slaih A, Iblan I. Blood Pressure of Jordanian Workers Chronically Exposed to Noise in Industrial Plants. Int J Occup Environ Med 2017; 8(4): 217-23. https://doi.org/10.15171/ijoem.2017.1134 DOI: https://doi.org/10.15171/ijoem.2017.1134

Stokholm ZA, Bonde JP, Christensen KL, Hansen AM, Kolstad HA. Occupational noise exposure and the risk of hypertension. Epidemiol Camb Mass 2013; 24(1): 135-42. https://doi.org/10.1097/EDE.0b013e31826b7f76 DOI: https://doi.org/10.1097/EDE.0b013e31826b7f76

Afshin A, Forouzanfar MH, Reitsma MB, Sur P, Estep K, Lee A, et al. Health Effects of Overweight and Obesity in 195 Countries over 25 Years. N Engl J Med [Internet] 2017 [citado el 26 de noviembre de 2021]; 377(1). https://doi.org/10.1056/NEJMoa1614362 DOI: https://doi.org/10.1056/NEJMoa1614362

Tikka C, Verbeek JH, Kateman E, Morata TC, Dreschler WA, Ferrite S. Interventions to prevent occupational noise-induced hearing loss. Cochrane Database Syst Rev 2017; 7: CD006396. https://doi.org/10.1002/14651858.CD006396.pub4 DOI: https://doi.org/10.1002/14651858.CD006396.pub4

Salud IN de. Guía de práctica clínica para evaluación médica a trabajadores de actividades con exposición a ruido. Guías de evaluación medico ocupacional (GEMO-003). Inst Nac Salud [Internet] 2008 [citado el 29 de noviembre de 2021]; Disponible en: https://repositorio.ins.gob.pe/handle/INS/247

Girard SA, Leroux T, Verreault R, Courteau M, Picard M, Turcotte F, et al. Cardiovascular disease mortality among retired workers chronically exposed to intense occupational noise. Int Arch Occup Environ Health 2015; 88(1): 123-30. https://doi.org/10.1007/s00420-014-0943-8 DOI: https://doi.org/10.1007/s00420-014-0943-8

Chang T-Y, Liu C-S, Huang K-H, Chen R-Y, Lai J-S, Bao B-Y. High-frequency hearing loss, occupational noise exposure and hypertension: a cross-sectional study in male workers. Environ Health Glob Access Sci Source 2011; 10: 35. https://doi.org/10.1186/1476-069X-10-35 DOI: https://doi.org/10.1186/1476-069X-10-35

Kuang D, Yu YY, Tu C. Bilateral high-frequency hearing loss is associated with elevated blood pressure and increased hypertension risk in occupational noise exposed workers. PloS One 2019; 14(9): e0222135. https://doi.org/10.1371/journal.pone.0222135 DOI: https://doi.org/10.1371/journal.pone.0222135

Tarter SK, Robins TG. Chronic noise exposure, high-frequency hearing loss, and hypertension among automotive assembly workers. J Occup Med Off Publ Ind Med Assoc 1990; 32(8): 685-9.

Tomei G, Sancini A, Tomei F, Vitarelli A, Andreozzi G, Rinaldi G, et al. Prevalence of systemic arterial hypertension, electrocardiogram abnormalities, and noise-induced hearing loss in agricultural workers. Arch Environ Occup Health 2013; 68(4): 196-203. https://doi.org/10.1080/19338244.2012.701245 DOI: https://doi.org/10.1080/19338244.2012.701245

Wang B, Han L, Dai S, Li X, Cai W, Yang D, et al. Hearing Loss Characteristics of Workers with Hypertension Exposed to Occupational Noise: A Cross-Sectional Study of 270,033 Participants. BioMed Res Int 2018; 2018: 8541638. https://doi.org/10.1155/2018/8541638 DOI: https://doi.org/10.1155/2018/8541638

Nawaz MU, Vinayak S, Rivera E, Elahi K, Tahir H, Ahuja V, et al. Association Between Hypertension and Hearing Loss. Cureus 2021; 13(9): e18025. https://doi.org/10.7759/cureus.18025 DOI: https://doi.org/10.7759/cureus.18025

Samelli AG, Santos IS, Padilha FYOMM, Gomes RF, Moreira RR, Rabelo CM, et al. Hearing loss, tinnitus, and hypertension: analysis of the baseline data from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Clin Sao Paulo Braz 2021; 76: e2370. https://doi.org/10.6061/clinics/2021/e2370 DOI: https://doi.org/10.6061/clinics/2021/e2370

Teixeira LR, Pega F, Dzhambov AM, Bortkiewicz A, da Silva DTC, de Andrade CAF, et al. The effect of occupational exposure to noise on ischaemic heart disease, stroke and hypertension: A systematic review and meta-analysis from the WHO/ILO Joint Estimates of the Work-Related Burden of Disease and Injury. Environ Int 2021; 154: 106387. https://doi.org/10.1016/j.envint.2021.106387 DOI: https://doi.org/10.1016/j.envint.2021.106387

Spreng M. Possible health effects of noise induced cortisol increase. Noise Health 2000; 2(7): 59-64.

Dawes P, Cruickshanks KJ, Fischer ME, Klein BEK, Klein R, Nondahl DM. Hearing-aid use and long-term health outcomes: Hearing handicap, mental health, social engagement, cognitive function, physical health, and mortality. Int J Audiol 2015; 54(11): 838-44. https://doi.org/10.3109/14992027.2015.1059503 DOI: https://doi.org/10.3109/14992027.2015.1059503

Tang T-H, Hwang J-H, Yang T-H, Hsu C-J, Wu C-C, Liu T-C. Can Nutritional Intervention for Obesity and Comorbidities Slow Down Age-Related Hearing Impairment? Nutrients 2019; 11(7): E1668. https://doi.org/10.3390/nu11071668 DOI: https://doi.org/10.3390/nu11071668

Downloads

Published

2022-10-28

How to Cite

Ramírez Saldaña, M. A. ., Torres-Malca, J. R. ., Zuzunaga-Montoya, F. E. ., Vera-Ponce, V. J. ., Cruz-Ausejo, L. ., & La Cruz-Vargas, J. A. D. . (2022). Hearing Loss due to Noise Exposure and its Relationship with Hypertension in Peruvian Workers. International Journal of Statistics in Medical Research, 11, 121–127. https://doi.org/10.6000/1929-6029.2022.11.15

Issue

Section

General Articles

Most read articles by the same author(s)

1 2 > >>