Evidence map›Paper›PMID 40737282›Full record

ArticlePloS one2025

Association of serum Klotho with tinnitus prevalence, duration and severity: A cross-sectional study in middle-aged and older adults.

Ke-Jiang Du, Bin-Yu Mo, Tao Hou, Long Chen, Deng-Rong Su, Shi-Hua Yin

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Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Ke-Jiang DuDepartment of Otorhinolaryngology Head and Neck Surgery, Second Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Bin-Yu MoDepartment of Otorhinolaryngology Head and Neck Surgery, Liuzhou People's Hospital affiliated to Guangxi Medical University, Liuzhou, Guangxi, China.
Tao HouDepartment of Otorhinolaryngology Head and Neck Surgery, Second Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Long ChenDepartment of Otorhinolaryngology Head and Neck Surgery, Second Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Deng-Rong SuDepartment of Otorhinolaryngology Head and Neck Surgery, Second Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Shi-Hua YinDepartment of Otorhinolaryngology Head and Neck Surgery, Second Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.ORCID https://orcid.org/0000-0001-7156-2893

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs an anti-aging protein, although studies increasingly suggest that the Klotho plays a role in the auditory system, the link between serum Klotho levels and tinnitus remains poorly characterized. The aim of this study was to investigate the associations between serum Klotho levels and tinnitus focusing on prevalence, duration and severity in middle-aged and older adults.

methodsWe performed a population-based cross-sectional study of individuals in the National Health and Nutrition Examination Survey (NHANES) 2009-2012 and 2015-2016. Univariable and multivariable logistic regression was used to evaluate the relationship between serum Klotho levels and tinnitus, with adjustment for potential confounders and further age-stratified analyses. Restricted cubic splines were applied to assess potential non-linearity in the dose-response relationship. Furthermore, Subgroup and interaction analyses were conducted to assess the consistency of this association.

resultsIn this research of 3280 individuals aged 40-79 years with a median age of 55 (IQR: 48, 62) and 48% male participants, the median serum Klotho level was 779.80pg/mL. Multivariable logistic regression uncovered consistent inverse associations between serum Klotho levels and tinnitus incidence across progressively adjusted models (ORs: 0.68-0.70, p = 0.009-0.01). Age-based stratified analyses suggested the strongest effect was observed in individuals aged 50-59 years (full model ORs: 0.55, p = 0.046). A marginally significant protective effect was observed in the 60-69 age group (unadjusted OR=0.62, 95% CI: 0.39-1.00, p = 0.050). Serum Klotho levels showed no significant correlation with tinnitus severity, while a potential association with the duration of tinnitus was observed (p = 0.058). Additionally, restricted cubic spline analysis revealed a linear inverse association between Klotho and tinnitus risk stratified by age (all p for nonlinear >0.15). Finally, subgroup and interaction analyses revealed no significant effect modification (all p-interaction >0.1).

conclusionSerum Klotho concentrations showed a consistent inverse association with tinnitus prevalence in US adults, with the strongest effect observed in individuals aged 50-69 years.

Indexed as

GlucuronidaseTinnitusAdultAgedCross-Sectional StudiesFemaleHumansKlotho ProteinsMaleMiddle AgedNutrition SurveysPrevalenceSeverity of Illness IndexGlucuronidaseKlotho ProteinsKL protein, human

Identifiers

PMID40737282
PMCPMC12309988

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