The Association Between Cardiovascular Disease and Cochlear Function in Older Adults The purpose of this research was to evaluate the relation between self-reported cardiovascular disease (CVD) and cochlear function in older adults. The Epidemiology of Hearing Loss Study (EHLS) is an ongoing population-based study of hearing loss and its risk factors in Beaver Dam, Wisconsin. As part of the EHLS questionnaire, ... Research Article
Research Article  |   April 2005
The Association Between Cardiovascular Disease and Cochlear Function in Older Adults
 
Author Affiliations & Notes
  • Peter Torre, III
    University of Wisconsin Medical School, Madison
  • Karen J. Cruickshanks
    University of Wisconsin Medical School, Madison
  • Barbara E. K. Klein
    University of Wisconsin Medical School, Madison
  • Ronald Klein
    University of Wisconsin Medical School, Madison
  • David M. Nondahl
    University of Wisconsin Medical School, Madison
  • Contact author: Peter Torre III, School of Speech, Language, and Hearing Sciences, San Diego State University, 5500 Campanile Drive, San Diego, CA 92182-1518. E-mail: ptorre@mail.sdsu.edu
Article Information
Hearing & Speech Perception / Hearing Disorders / Special Populations / Older Adults & Aging / Hearing / Research Articles
Research Article   |   April 2005
The Association Between Cardiovascular Disease and Cochlear Function in Older Adults
Journal of Speech, Language, and Hearing Research, April 2005, Vol. 48, 473-481. doi:10.1044/1092-4388(2005/032)
History: Received October 17, 2003 , Accepted July 6, 2004
 
Journal of Speech, Language, and Hearing Research, April 2005, Vol. 48, 473-481. doi:10.1044/1092-4388(2005/032)
History: Received October 17, 2003; Accepted July 6, 2004
Web of Science® Times Cited: 38

The purpose of this research was to evaluate the relation between self-reported cardiovascular disease (CVD) and cochlear function in older adults. The Epidemiology of Hearing Loss Study (EHLS) is an ongoing population-based study of hearing loss and its risk factors in Beaver Dam, Wisconsin. As part of the EHLS questionnaire, participants were asked about their cardiovascular medical history. CVD history was determined from questions regarding history of angina, myocardial infarction (MI), and stroke. Questions about the use of antihypertensive medication and blood pressure measurements determined the presence or absence of hypertension. Among the audiologic measures completed were distortion product otoacoustic emissions (DPOAEs). Cochlear function was measured using DPOAEs and participants were categorized as having (a) cochlear impairment, (b) possible cochlear impairment, or (c) no cochlear impairment. There were 1,501 participants with complete CVD and DPOAE data from the 1998–2000 examination phase. Women with a self-reported history of MI were twice as likely (age-adjusted odds ratio [OR]=2.00, 95% confidence interval [CI]=1.15–3.46) to have cochlear impairment than women without a history of MI. This association was not significant in men (age-adjusted OR=0.98, 95% CI=0.61–1.58). Additionally, no other CVD variables were associated with cochlear impairment. This study provides data on a possible sex-specific association between CVD and DPOAEs in older adults.

Acknowledgments
This research was supported by National Institutes of Health Grants F32 AG05905 and R01 AG11099 while the first author was at the University of Wisconsin—Madison. Portions of this research were presented at the 2002 meeting of the American Heart Association and the 2003 meeting of the American Auditory Society.
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