Environmental Risk Factors, Protective Factors, and Biomarkers for Hearing Loss: An Umbrella Review

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Main Authors: Xianpeng Xu, Yiru Liao, Lihong Zhang, Yu He, Ying Zhang, Dajing Xiong, Hui Xie
Format: Artículo Open Access
Published: Wiley 2024
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author Xianpeng Xu
Yiru Liao
Lihong Zhang
Yu He
Ying Zhang
Dajing Xiong
Hui Xie
author_facet Xianpeng Xu
Yiru Liao
Lihong Zhang
Yu He
Ying Zhang
Dajing Xiong
Hui Xie
Xianpeng Xu
Yiru Liao
Lihong Zhang
Yu He
Ying Zhang
Dajing Xiong
Hui Xie
collection Wiley Open Access
contents Environmental Risk Factors, Protective Factors, and Biomarkers for Hearing Loss: An Umbrella Review Xianpeng Xu Yiru Liao Lihong Zhang Yu He Ying Zhang Dajing Xiong Hui Xie Otolaryngology–Head and Neck Surgery AbstractObjectiveWe aimed to investigate the potential environmental risk factors, protective factors, and biomarkers of hearing loss (HL), and establish a hierarchy of evidence.Data SourcesEmbase, PubMed, Cochrane Library, and Web of Science electronic database from inception to June 1, 2023.Review MethodsWe included meta‐analyses of observational studies of associations between HL and environmental risk factors, protective factors, or biomarkers. We calculated summary effect estimates, 95% confidence interval, heterogeneity I2 statistic, 95% prediction interval, small study effects, and excess significance biases.ResultsOf the 9211 articles retrieved, 60 eligible articles were included. The 60 eligible articles identified 47 potential environmental risk and protective factors (N = 4,123,803) and 46 potential biomarkers (N = 173,701). Evidence of association was convincing (class I) for rheumatoid arthritis (RA) and every 1 cm increase in height. Evidence of association was highly suggestive (class II) for human immunodeficiency virus (HIV), diabetes, cumulative noise exposure (CNE), smoking, congenital cytomegalovirus (CMV) infection, combined exposure to organic solvents and noise, non‐Gaussian noise exposure, each 1 kg increase in birth weight, noise exposure, and alopecia areata (AA).ConclusionIn this umbrella review, RA, every 1 cm increase in height, HIV, diabetes, CNE, smoking, congenital CMV infection, combined exposure to organic solvents and noise, non‐Gaussian noise exposure, each 1 kg increase in birth weight, noise exposure, and AA were strongly associated with HL. 10.1002/ohn.724 http://onlinelibrary.wiley.com/termsAndConditions#vor
doi_str_mv 10.1002/ohn.724
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institution Wiley Open Access
license_str_mv http://onlinelibrary.wiley.com/termsAndConditions#vor
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spellingShingle Environmental Risk Factors, Protective Factors, and Biomarkers for Hearing Loss: An Umbrella Review
Xianpeng Xu
Yiru Liao
Lihong Zhang
Yu He
Ying Zhang
Dajing Xiong
Hui Xie
Otolaryngology–Head and Neck Surgery
Environmental Risk Factors, Protective Factors, and Biomarkers for Hearing Loss: An Umbrella Review Xianpeng Xu Yiru Liao Lihong Zhang Yu He Ying Zhang Dajing Xiong Hui Xie Otolaryngology–Head and Neck Surgery AbstractObjectiveWe aimed to investigate the potential environmental risk factors, protective factors, and biomarkers of hearing loss (HL), and establish a hierarchy of evidence.Data SourcesEmbase, PubMed, Cochrane Library, and Web of Science electronic database from inception to June 1, 2023.Review MethodsWe included meta‐analyses of observational studies of associations between HL and environmental risk factors, protective factors, or biomarkers. We calculated summary effect estimates, 95% confidence interval, heterogeneity I2 statistic, 95% prediction interval, small study effects, and excess significance biases.ResultsOf the 9211 articles retrieved, 60 eligible articles were included. The 60 eligible articles identified 47 potential environmental risk and protective factors (N = 4,123,803) and 46 potential biomarkers (N = 173,701). Evidence of association was convincing (class I) for rheumatoid arthritis (RA) and every 1 cm increase in height. Evidence of association was highly suggestive (class II) for human immunodeficiency virus (HIV), diabetes, cumulative noise exposure (CNE), smoking, congenital cytomegalovirus (CMV) infection, combined exposure to organic solvents and noise, non‐Gaussian noise exposure, each 1 kg increase in birth weight, noise exposure, and alopecia areata (AA).ConclusionIn this umbrella review, RA, every 1 cm increase in height, HIV, diabetes, CNE, smoking, congenital CMV infection, combined exposure to organic solvents and noise, non‐Gaussian noise exposure, each 1 kg increase in birth weight, noise exposure, and AA were strongly associated with HL. 10.1002/ohn.724 http://onlinelibrary.wiley.com/termsAndConditions#vor
title Environmental Risk Factors, Protective Factors, and Biomarkers for Hearing Loss: An Umbrella Review
topic Otolaryngology–Head and Neck Surgery
url https://aao-hnsfjournals.onlinelibrary.wiley.com/doi/10.1002/ohn.724