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(Reference retrieved automatically from SciELO through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Effects of diabetes mellitus and systemic arterial hypertension on elderly patients' hearing,

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Author(s):
Laurie Penha Rolim [1] ; Alessandra Giannella Samelli [2] ; Renata Rodrigues Moreira [3] ; Carla Gentile Matas [4] ; Itamar de Souza Santos [5] ; Isabela Martins Bensenor [6] ; Paulo Andrade Lotufo [7]
Total Authors: 7
Affiliation:
[1] Universidade de São Paulo. Faculdade de Medicina. Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional - Brasil
[2] Universidade de São Paulo. Faculdade de Medicina. Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional - Brasil
[3] Universidade de São Paulo. Hospital Universitário - Brasil
[4] Universidade de São Paulo. Faculdade de Medicina. Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional - Brasil
[5] Universidade de São Paulo. Hospital Universitário - Brasil
[6] Universidade de São Paulo. Hospital Universitário - Brasil
[7] Universidade de São Paulo. Hospital Universitário - Brasil
Total Affiliations: 7
Document type: Journal article
Source: Brazilian Journal of Otorhinolaryngology; v. 84, n. 6, p. 754-763, 2018-12-00.
Abstract

Abstract Introduction: Chronic diseases can act as an accelerating factor in the auditory system degeneration. Studies on the association between presbycusis and diabetes mellitus and systemic arterial hypertension have shown controversial conclusions. Objective: To compare the initial audiometry (A1) with a subsequent audiometry (A2) performed after a 3 to 4-year interval in a population of elderly patients with diabetes mellitus and/or systemic arterial hypertension, to verify whether hearing loss in these groups is more accelerated when compared to controls without these clinical conditions. Methods: 100 elderly individuals participated in this study. For the auditory threshold assessment, a previous complete audiological evaluation (A1) and a new audiological evaluation (A2) performed 3-4 years after the first one was utilized. The participants were divided into four groups: 20 individuals in the diabetes mellitus group, 20 individuals in the systemic arterial hypertension group, 20 individuals in the diabetes mellitus/systemic arterial hypertension group and 40 individuals in the control group, matching them with each study group, according to age and gender. ANOVA and Kruskal-Wallis statistical tests were used, with a significance level set at 0.05. Results: When comparing the mean annual increase in the auditory thresholds of the A1 with the A2 assessment, considering each study group and its respective control, it can be observed that there was no statistically significant difference for any of the frequencies for the diabetes mellitus group; for the systemic arterial hypertension group, significant differences were observed after 4 kHz. For the diabetes mellitus and systemic arterial hypertension group, significant differences were observed at the frequencies of 500, 2 kHz, 3 kHz and 8 kHz. Conclusion: It was observed that the systemic arterial hypertension group showed the greatest decrease in auditory thresholds in the studied segment when compared to the other groups, suggesting that among the three studied conditions, hypertension seems to have the greatest influence on hearing. (AU)

FAPESP's process: 13/05589-2 - Audiological profile of elderly hypertensive and / or diabetic
Grantee:Laurie Penha Rolim
Support Opportunities: Scholarships in Brazil - Master