Pure Tone Audiometry Threshold Changes for 10 Years in the Same Individuals of General Population: A Retrospective Cohort Study

Ann Otol Rhinol Laryngol. 2019 May;128(5):433-440. doi: 10.1177/0003489419826142. Epub 2019 Jan 24.

Abstract

Objectives: The objectives of this study were to measure the changes in hearing thresholds in the same individuals during a period of 10 years and suggest a clinical reference for the threshold changes by aging.

Methods: In this retrospective cohort study, we used regular health checkup data including 2 pure tone audiometry results with a 10-year interval in the same individuals from 1288 subjects. The subjects' data including demographics, smoking habits, and the diagnosis of chronic diseases were used.

Results: Age, male gender, smoking, and osteoporosis were identified as factors affecting age-related hearing loss (ARHL). The sole effect of aging on ARHL for 10 years according to age groups and genders was as follows: a loss of 1.4 dB in 20s, 4.0 dB in 30s, 5.0 dB in 40s, 8.2 dB in 50s, and 11.2 dB in 60s of males compared to a loss of 2.3 dB in 20s, 2.9 dB in 30s, 5.1 dB in 40s, 6.5 dB in 50s, and 9.4 dB in 60s of females.

Conclusions: We could demonstrate the actual effect of aging on ARHL, and it can be used as a clinical reference. Hearing ability decreases more in males than females but seems to decrease exponentially with age in both males and females.

Keywords: age-related hearing loss; aging; noise-induced hearing loss; pure tone audiometry; sensorineural hearing loss.

MeSH terms

  • Adult
  • Age Factors
  • Audiometry, Pure-Tone*
  • Auditory Threshold*
  • Cohort Studies
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Osteoporosis / epidemiology
  • Presbycusis / diagnosis*
  • Retrospective Studies
  • Sex Factors
  • Smoking / adverse effects
  • Young Adult