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Association of Lifestyle Behaviors With Hearing Loss

The UK Biobank Cohort Study
  • Humberto Yévenes-Briones
    Correspondence
    Correspondence: Address to Humberto Yévenes-Briones, PhD, Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid, C/ Arzobispo Morcillo, s/n, 28029 Madrid, Spain.
    Affiliations
    Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid and CIBERESP (CIBER of Epidemiology and Public Health), Madrid, Spain
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  • Francisco Félix Caballero
    Affiliations
    Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid and CIBERESP (CIBER of Epidemiology and Public Health), Madrid, Spain
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  • José Ramón Banegas
    Affiliations
    Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid and CIBERESP (CIBER of Epidemiology and Public Health), Madrid, Spain
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  • Fernando Rodríguez-Artalejo
    Affiliations
    Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid and CIBERESP (CIBER of Epidemiology and Public Health), Madrid, Spain

    IMDEA-Food Institute, CEI UAM+CSIC, Madrid, Spain
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  • Esther Lopez-Garcia
    Affiliations
    Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid and CIBERESP (CIBER of Epidemiology and Public Health), Madrid, Spain

    IMDEA-Food Institute, CEI UAM+CSIC, Madrid, Spain
    Search for articles by this author

      Abstract

      Objective

      To examine the combined association of five healthy lifestyle behaviors with hearing loss (HL) in the UK Biobank cohort, established between 2006 and 2010 in the United Kingdom.

      Methods

      This longitudinal analysis included 61,958 participants aged 40 to 70 years from April 2007 to December 2016. The healthy behaviors examined were: never smoking, high level of physical activity, high diet quality, moderate alcohol intake, and optimal sleep. Hearing loss was self-reported at baseline and in any physical exam during the follow-up.

      Results

      Over a median follow-up of 3.9±2.5 years, 3072 (5.0%) participants reported incident HL. After adjustment for potential confounders, including age, social factors, exposure to high-intensity noise, ototoxic medication, and comorbidity, the HRs of HL associated with having 1, 2, 3, and 4 to 5 vs 0 behaviors were: 0.85 (95% CI, 0.75 to 0.96), 0.85 (95% CI, 0.75 to 0.96), 0.82 (95% CI, 0.71 to 0.94), and 0.80 (95% CI, 0.67 to 0.97), respectively (P for trend, 0.02). We estimated that the population attributable risk percent for not adhering to any five low-risk lifestyle behaviors was 15.6%.

      Conclusion

      In this large study, an increasing number of healthy behaviors was associated with decreased risk of HL.

      Abbreviations and Acronyms:

      BMI (body mass index), DASH (dietary approaches to stop hypertension), HL (hearing loss)
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