難聴と健康に関する地域住民を対象とした疫学知見 : 社会医学の視点で見る難聴予防

要旨: これは地域住民を対象とした疫学研究を中心に, 難聴がもたらす健康影響や難聴の1次予防に関する知見を整理したナラティブレビューである。難聴は抑うつ, 認知症, 転倒, 交通事故およびフレイルなどと関連していて, それらを介して健康寿命の短縮や早期死亡につながる可能性が示唆されている。負の健康影響がある難聴の発生を予防するような因子として, 騒音や特定の薬剤はもちろんであるが, 喫煙, 飲酒, 肥満, 糖尿病, 身体活動, 栄養や食生活などが候補となっている。日常生活に支障をきたす難聴は2019年には世界でおよそ5人に1人が該当すると推計されたほど有病率が高く, 高齢人口の増加とともにさら...

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Published inAUDIOLOGY JAPAN Vol. 67; no. 4; pp. 245 - 252
Main Authors 西脇, 祐司, 道川, 武紘
Format Journal Article
LanguageJapanese
Published 一般社団法人 日本聴覚医学会 30.08.2024
日本聴覚医学会
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ISSN0303-8106
1883-7301
DOI10.4295/audiology.67.245

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Abstract 要旨: これは地域住民を対象とした疫学研究を中心に, 難聴がもたらす健康影響や難聴の1次予防に関する知見を整理したナラティブレビューである。難聴は抑うつ, 認知症, 転倒, 交通事故およびフレイルなどと関連していて, それらを介して健康寿命の短縮や早期死亡につながる可能性が示唆されている。負の健康影響がある難聴の発生を予防するような因子として, 騒音や特定の薬剤はもちろんであるが, 喫煙, 飲酒, 肥満, 糖尿病, 身体活動, 栄養や食生活などが候補となっている。日常生活に支障をきたす難聴は2019年には世界でおよそ5人に1人が該当すると推計されたほど有病率が高く, 高齢人口の増加とともにさらに増えることが予想される。社会医学の立場からは難聴予防活動につなげるためのエビデンス構築が急務であると考えている。
AbstractList 「要旨」: これは地域住民を対象とした疫学研究を中心に, 難聴がもたらす健康影響や難聴の1次予防に関する知見を整理したナラティブレビューである. 難聴は抑うつ, 認知症, 転倒, 交通事故およびフレイルなどと関連していて, それらを介して健康寿命の短縮や早期死亡につながる可能性が示唆されている. 負の健康影響がある難聴の発生を予防するような因子として, 騒音や特定の薬剤はもちろんであるが, 喫煙, 飲酒, 肥満, 糖尿病, 身体活動, 栄養や食生活などが候補となっている. 日常生活に支障をきたす難聴は2019年には世界でおよそ5人に1人が該当すると推計されたほど有病率が高く, 高齢人口の増加とともにさらに増えることが予想される. 社会医学の立場からは難聴予防活動につなげるためのエビデンス構築が急務であると考えている.
要旨: これは地域住民を対象とした疫学研究を中心に, 難聴がもたらす健康影響や難聴の1次予防に関する知見を整理したナラティブレビューである。難聴は抑うつ, 認知症, 転倒, 交通事故およびフレイルなどと関連していて, それらを介して健康寿命の短縮や早期死亡につながる可能性が示唆されている。負の健康影響がある難聴の発生を予防するような因子として, 騒音や特定の薬剤はもちろんであるが, 喫煙, 飲酒, 肥満, 糖尿病, 身体活動, 栄養や食生活などが候補となっている。日常生活に支障をきたす難聴は2019年には世界でおよそ5人に1人が該当すると推計されたほど有病率が高く, 高齢人口の増加とともにさらに増えることが予想される。社会医学の立場からは難聴予防活動につなげるためのエビデンス構築が急務であると考えている。
Author 道川, 武紘
西脇, 祐司
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References 6) Saito H, Nishiwaki Y, Michikawa T, et al:Hearing handicap predicts the development of depressive symptoms after 3 years in older community-dwelling Japanese. J Am Geriatr Soc 58: 93-97, 2010
20) Hu H, Sasaki N, Ogasawara T, et al: Smoking, smoking cessation, and the risk of hearing loss: Japan Epidemiology Collaboration on Occupational Health Study. Nicotine Tob Res 21: 481-488, 2019
8) Lin FR, Pike JR, Albert MS, et al: Hearing intervention versus health education control to reduce cognitive decline in older adults with hearing loss in the USA (ACHIEVE): a multicentre, randomised controlled trial. Lancet 402: 786-797, 2023
23) Michikawa T, Mizutari K, Saito H, et al: Glycosylated hemoglobin level is associated with hearing impairment in older Japanese: The Kurabuchi Study. J Am Geriatr Soc 62: 1231-1237, 2014
30) Michikawa T, Nakamura T, Imamura H, et al: Markers of overall nutritional status and incident hearing impairment in community-dwelling older Japanese: The Kurabuchi Study. J Am Geriatr Soc 64: 1480-1485, 2016
1) Burton MJ, Ramke J, Marques AP, et al: The Lancet Global Health Commission on Global Eye Health: vision beyond 2020. Lancet Glob Health 9: e489-e551, 2021
13) Campos L, Prochazka A, Anderson M, et al: Consistent hearing aid use is associated with lower fall prevalence and risk in older adults with hearing loss. J Am Geriatr Soc 71: 3163-3171, 2023
10) Miyake Y, Tanaka K, Senba H, et al: Hearing Impairment and Prevalence of Mild Cognitive Impairment in Japan: Baseline Data From the Aidai Cohort Study in Yawatahama and Uchiko. Ear Hear 41: 254-258, 2020
12) Jiam NT, Li C, Agrawal Y: Hearing loss and falls: A systematic review and meta-analysis. Laryngoscope 126: 2587-2596, 2016
4) Yamada M, Nishiwaki Y, Michikawa T, et al: Impact of hearing difficulty on dependence in activities of daily living (ADL) and mortality: a 3-year cohort study of community-dwelling Japanese older adults. Arch Gerontol Geriatr 52: 245-249, 2011
2) GBD 2019 Hearing Loss Collaboratars: Hearing loss prevalence and years lived with disability, 1990-2019: findings from the Global Burden of Disease Study 2019. Lancet 397: 996-1009, 2021
27) Jin Y, Tanaka T, Reed NS, et al: Associations between dietary indices and hearing status among middle-older aged adults-results from the Baltimore Longitudinal Study of Aging. Am J Clin Nutr 119: 1338-1345, 2024
33) 中村正和, 田淵貴大, 尾崎米厚, 他: 加熱式たばこ製品の使用実態, 健康影響, たばこ規制への影響とそれを踏まえた政策提言. 日公衛誌 67: 3-14, 2020
25) Kawakami R, Sawada SS, Kato K, et al: Leisure-time physical activity and incidence of objectively assessed hearing loss: The Niigata Wellness Study. Scand J Med Sci Sports 32: 435-445, 2022
28) Andreeva VA, Peneau S, Julia C, et al: The inflammatory potential of the diet is prospectively associated with subjective hearing loss. Eur J Nutr 60: 3669-3678, 2021
5) Tan BKJ, Ng FYC, Song H, et al: Associations of hearing loss and dual sensory loss with mortality: A systematic review, meta-analysis, and meta-regression of 26 observational studies with 1213756 participants. JAMA Otolaryngol Head Neck Surg 148: 220-234, 2022
17) Kishimoto-Urata M, Urata S, Fujimoto C, et al: Role of oxidative stress and antioxidants in acquired inner ear disorders. Antioxidants (Basel) 11: 1469, 2022
18) Tang D, Tran Y, Dawes P, et al: A narrative review of lifestyle risk factors and the role of oxidative stress in age-related hearing loss. Antioxidants (Basel) 12: 878, 2023
29) Curhan SG, Wang M, Eavey RD, et al: Adherence to healthful dietary patterns is associated with lower risk of hearing loss in women. J Nutr 148: 944-951, 2018
14) Tian R, Almeida OP, Jayakody DMP, et al: Association between hearing loss and frailty: a systematic review and meta-analysis. BMC Geriatr 21: 333, 2021
32) 厚生労働省. 喫煙と健康 喫煙の健康影響に関する検討会報告書. 2016. https: //www.mhlw.go.jp/stf/shingi2/0000135586.html (2024/5/27アクセス
19) Cruickshanks KJ, Klein R, Klein BE, et al:Cigarette smoking and hearing loss: the epidemiology of hearing loss study. JAMA 279: 1715-1719, 1998
11) Saji N, Makizako H, Suzuki H, et al: Hearing impairment is associated with cognitive function in community-dwelling older adults: A cross-sectional study. Arch Gerontol Geriatr 93: 104302, 2021
26) Michikawa T, Nishiwaki Y, Kikuchi Y, et al: Serum levels of retinol and other antioxidants for hearing impairment among Japanese older adults. J Gerontol A Biol Sci Med Sci 64: 910-915, 2009
15) Ivers RQ, Mitchell P, Cumming RG: Sensory impairment and driving: the Blue Mountains Eye Study. Am J Public Health 89: 85-87, 1999
24) Nagahama S, Kashino I, Hu H, et al: Haemoglobin A1c and hearing impairment: longitudinal analysis using a large occupational health check-up data of Japan. BMJ Open 8: e023220, 2018
21) Qian P, Zhao Z, Liu S, et al: Alcohol as a risk factor for hearing loss: A systematic review and meta-analysis. PLoS One 18: e0280641, 2023
7) Livingston G, Huntley J, Sommerlad A, et al: Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. Lancet 396: 413-446, 2020
9) Cantuaria ML, Pedersen ER, Waldorff RB, et al: Hearing loss, hearing aid use, and risk of dementia in older adults. JAMA Otolaryngol Head Neck Surg 150: 157-164, 2024
31) Yevenes-Briones H, Caballero FF, Banegas JR, et al: Association of lifestyle behaviors with hearing loss: The UK Biobank Cohort Study. Mayo Clin Proc 97: 2040-2049, 2022
22) Yang JR, Hidayat K, Chen CL, et al: Body mass index, waist circumference, and risk of hearing loss: a meta-analysis and systematic review of observational study. Environ Health Prev Med 25: 25, 2020
3) McDaid D, Park A, Chadha S: Estimating the global costs of hearing loss. Int J Audiol 60: 162-170, 2021
16) Gopinath B, Liew G, Burlutsky G, et al: Association between vision and hearing impairment and successful aging over five years. Maturitas 143: 203-208, 2021
References_xml – reference: 20) Hu H, Sasaki N, Ogasawara T, et al: Smoking, smoking cessation, and the risk of hearing loss: Japan Epidemiology Collaboration on Occupational Health Study. Nicotine Tob Res 21: 481-488, 2019
– reference: 22) Yang JR, Hidayat K, Chen CL, et al: Body mass index, waist circumference, and risk of hearing loss: a meta-analysis and systematic review of observational study. Environ Health Prev Med 25: 25, 2020
– reference: 24) Nagahama S, Kashino I, Hu H, et al: Haemoglobin A1c and hearing impairment: longitudinal analysis using a large occupational health check-up data of Japan. BMJ Open 8: e023220, 2018
– reference: 1) Burton MJ, Ramke J, Marques AP, et al: The Lancet Global Health Commission on Global Eye Health: vision beyond 2020. Lancet Glob Health 9: e489-e551, 2021
– reference: 12) Jiam NT, Li C, Agrawal Y: Hearing loss and falls: A systematic review and meta-analysis. Laryngoscope 126: 2587-2596, 2016
– reference: 14) Tian R, Almeida OP, Jayakody DMP, et al: Association between hearing loss and frailty: a systematic review and meta-analysis. BMC Geriatr 21: 333, 2021
– reference: 33) 中村正和, 田淵貴大, 尾崎米厚, 他: 加熱式たばこ製品の使用実態, 健康影響, たばこ規制への影響とそれを踏まえた政策提言. 日公衛誌 67: 3-14, 2020
– reference: 32) 厚生労働省. 喫煙と健康 喫煙の健康影響に関する検討会報告書. 2016. https: //www.mhlw.go.jp/stf/shingi2/0000135586.html (2024/5/27アクセス)
– reference: 5) Tan BKJ, Ng FYC, Song H, et al: Associations of hearing loss and dual sensory loss with mortality: A systematic review, meta-analysis, and meta-regression of 26 observational studies with 1213756 participants. JAMA Otolaryngol Head Neck Surg 148: 220-234, 2022
– reference: 26) Michikawa T, Nishiwaki Y, Kikuchi Y, et al: Serum levels of retinol and other antioxidants for hearing impairment among Japanese older adults. J Gerontol A Biol Sci Med Sci 64: 910-915, 2009
– reference: 25) Kawakami R, Sawada SS, Kato K, et al: Leisure-time physical activity and incidence of objectively assessed hearing loss: The Niigata Wellness Study. Scand J Med Sci Sports 32: 435-445, 2022
– reference: 11) Saji N, Makizako H, Suzuki H, et al: Hearing impairment is associated with cognitive function in community-dwelling older adults: A cross-sectional study. Arch Gerontol Geriatr 93: 104302, 2021
– reference: 15) Ivers RQ, Mitchell P, Cumming RG: Sensory impairment and driving: the Blue Mountains Eye Study. Am J Public Health 89: 85-87, 1999
– reference: 27) Jin Y, Tanaka T, Reed NS, et al: Associations between dietary indices and hearing status among middle-older aged adults-results from the Baltimore Longitudinal Study of Aging. Am J Clin Nutr 119: 1338-1345, 2024
– reference: 29) Curhan SG, Wang M, Eavey RD, et al: Adherence to healthful dietary patterns is associated with lower risk of hearing loss in women. J Nutr 148: 944-951, 2018
– reference: 31) Yevenes-Briones H, Caballero FF, Banegas JR, et al: Association of lifestyle behaviors with hearing loss: The UK Biobank Cohort Study. Mayo Clin Proc 97: 2040-2049, 2022
– reference: 13) Campos L, Prochazka A, Anderson M, et al: Consistent hearing aid use is associated with lower fall prevalence and risk in older adults with hearing loss. J Am Geriatr Soc 71: 3163-3171, 2023
– reference: 7) Livingston G, Huntley J, Sommerlad A, et al: Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. Lancet 396: 413-446, 2020
– reference: 16) Gopinath B, Liew G, Burlutsky G, et al: Association between vision and hearing impairment and successful aging over five years. Maturitas 143: 203-208, 2021
– reference: 21) Qian P, Zhao Z, Liu S, et al: Alcohol as a risk factor for hearing loss: A systematic review and meta-analysis. PLoS One 18: e0280641, 2023
– reference: 3) McDaid D, Park A, Chadha S: Estimating the global costs of hearing loss. Int J Audiol 60: 162-170, 2021
– reference: 4) Yamada M, Nishiwaki Y, Michikawa T, et al: Impact of hearing difficulty on dependence in activities of daily living (ADL) and mortality: a 3-year cohort study of community-dwelling Japanese older adults. Arch Gerontol Geriatr 52: 245-249, 2011
– reference: 19) Cruickshanks KJ, Klein R, Klein BE, et al:Cigarette smoking and hearing loss: the epidemiology of hearing loss study. JAMA 279: 1715-1719, 1998
– reference: 17) Kishimoto-Urata M, Urata S, Fujimoto C, et al: Role of oxidative stress and antioxidants in acquired inner ear disorders. Antioxidants (Basel) 11: 1469, 2022
– reference: 18) Tang D, Tran Y, Dawes P, et al: A narrative review of lifestyle risk factors and the role of oxidative stress in age-related hearing loss. Antioxidants (Basel) 12: 878, 2023
– reference: 23) Michikawa T, Mizutari K, Saito H, et al: Glycosylated hemoglobin level is associated with hearing impairment in older Japanese: The Kurabuchi Study. J Am Geriatr Soc 62: 1231-1237, 2014
– reference: 28) Andreeva VA, Peneau S, Julia C, et al: The inflammatory potential of the diet is prospectively associated with subjective hearing loss. Eur J Nutr 60: 3669-3678, 2021
– reference: 9) Cantuaria ML, Pedersen ER, Waldorff RB, et al: Hearing loss, hearing aid use, and risk of dementia in older adults. JAMA Otolaryngol Head Neck Surg 150: 157-164, 2024
– reference: 2) GBD 2019 Hearing Loss Collaboratars: Hearing loss prevalence and years lived with disability, 1990-2019: findings from the Global Burden of Disease Study 2019. Lancet 397: 996-1009, 2021
– reference: 8) Lin FR, Pike JR, Albert MS, et al: Hearing intervention versus health education control to reduce cognitive decline in older adults with hearing loss in the USA (ACHIEVE): a multicentre, randomised controlled trial. Lancet 402: 786-797, 2023
– reference: 10) Miyake Y, Tanaka K, Senba H, et al: Hearing Impairment and Prevalence of Mild Cognitive Impairment in Japan: Baseline Data From the Aidai Cohort Study in Yawatahama and Uchiko. Ear Hear 41: 254-258, 2020
– reference: 30) Michikawa T, Nakamura T, Imamura H, et al: Markers of overall nutritional status and incident hearing impairment in community-dwelling older Japanese: The Kurabuchi Study. J Am Geriatr Soc 64: 1480-1485, 2016
– reference: 6) Saito H, Nishiwaki Y, Michikawa T, et al:Hearing handicap predicts the development of depressive symptoms after 3 years in older community-dwelling Japanese. J Am Geriatr Soc 58: 93-97, 2010
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Snippet 要旨: これは地域住民を対象とした疫学研究を中心に, 難聴がもたらす健康影響や難聴の1次予防に関する知見を整理したナラティブレビューである。難聴は抑うつ, 認知症, 転倒, 交通事故およびフレイルなどと関連していて,...
「要旨」: これは地域住民を対象とした疫学研究を中心に, 難聴がもたらす健康影響や難聴の1次予防に関する知見を整理したナラティブレビューである. 難聴は抑うつ, 認知症, 転倒, 交通事故およびフレイルなどと関連していて, それらを介して健康寿命の短縮や早期死亡につながる可能性が示唆されている....
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健康寿命
社会医学
観察研究
Title 難聴と健康に関する地域住民を対象とした疫学知見 : 社会医学の視点で見る難聴予防
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