ArticleFrontiers in neuroscience2025
Relationship between sleep duration and hearing loss among adults aged 20-69: exploration of the U-shaped curve pattern.
Article in Frontiers in neuroscience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: The National Health and Nutrition Examination Survey (NHANES) data were used to explore the relationship between sleep duration and hearing level among adults aged 20 to 69 years, aiming to verify the association between abnormal sleep duration and hearing loss (HL). Study design: Cross-sectional prevalence study. Setting: The study utilized data from the NHANES, a large-scale, population-based, cross-sectional survey conducted in the United States. The NHANES is carried out by the National Center for Health Statistics (NCHS) to assess the health and nutritional status of the civilian, non-institutionalized US population. Methods: This study was based on the NHANES data from 2015 to 2016 and 2017 to 2020. A complex multistage probability sampling method was used to select adults aged 20-69 years. After excluding individuals with missing data, 4,883 participants were finally included. Sleep duration was collected through questionnaires, and hearing measurements were conducted by professional staff in mobile examination centers, including PTA at low frequencies, speech frequencies, and high frequencies. Statistical analysis was performed using a weighted linear regression model, adjusting for confounding factors such as gender and age. The restricted cubic spline (RCS) method was used to explore the non-linear relationship between sleep duration and hearing threshold. All statistical analyses were completed in the R environment, and Results: There was a U-shaped curve relationship between sleep duration and hearing threshold ( Conclusion: There is a U-shaped curve relationship between sleep duration and hearing threshold, with the turning point at 8 h. Both short and long sleep durations have an adverse effect on hearing, and this phenomenon is particularly significant in men and the elderly. Future research needs to increase the sample size and adopt a prospective longitudinal study design. Meanwhile, Mendelian randomization and basic experimental studies can help to explore the underlying mechanisms in depth. Developing corresponding preventive strategies may help to reduce the potential burden of HL.
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