Thyroid-Stimulating Hormone and Free Thyroxine Alterations in Subjects with Occupational Hearing Loss

Nastaran Ranjbar; Hossein Namvar Arefi; Mohammad Maarefvand; Akram Pourbakht; Ali Shahbazi

doi:10.4103/ijoem.IJOEM_101_19

Thyroid-Stimulating Hormone and Free Thyroxine Alterations in Subjects with Occupational Hearing Loss

Indian J Occup Environ Med. 2021 Jan-Mar;25(1):4-10. doi: 10.4103/ijoem.IJOEM_101_19. Epub 2021 Apr 26.

Authors

Nastaran Ranjbar¹, Hossein Namvar Arefi², Mohammad Maarefvand², Akram Pourbakht², Ali Shahbazi^{3

1}

Affiliations

¹ Department of Neuroscience, Faculty of Advanced Technologies in Medicine, Iran University of Medical Sciences, Tehran, Iran.
² Department of Audiology, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
³ Cellular and Molecular Research Center, Iran University of Medical Sciences, Tehran, Iran.

Abstract

Context and aim: Occupational hearing loss (OHL) is caused by exposure to industrial noise. Alterations in the thyroid-stimulating hormone (TSH) and free thyroxine (FT4) levels are related to hearing loss. The purpose of this study is to investigate the TSH and FT4 level alterations in OHL.

Methods and material: Among 428 subjects, 144 male workers with normal hearing (NH), noise-induced hearing loss (NIHL), and high tone loss (HTL) (N = 48 in each group) were included in this study. All the subjects had normal TSH and FT4 levels.

Results: The TSH level is higher in the HTL and NIHL groups in comparison to NH, but it is only significant in the HTL group. The FT4 level is significantly lower in the NIHL group; however, the lower FT4 level in the HTL group is not significant when compared to the NH group.

Discussion: The NIHL group may turn into the HTL group over time. This process could be monitored by alteration in their TSH and FT4 levels.

Conclusions: Alterations in the TSH and FT4 levels could be considered as a pathophysiology for OHL. More research is required to investigate the electrophysiological, physiological, and histological correlations of TSH and FT4 and different types of hearing loss caused by noise exposure.

Keywords: Hearing loss; noise exposure; thyroid-stimulating hormone; total thyroxine.