Evidence map›Paper›PMID 42543423›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2026

Hearing loss and low bone mineral density in premenopausal females.

Madison Howe, Aurora J Weaver, Razan M Alfakir, Haley M Messersmith, Madeleine S Cargile, David Redden, Srividya Grama Bhagavan, Sara L Wilson

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Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. BMD classification, group reporting, and multiplicity in premenopausal hearing loss.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Madison HoweAuburn University, Speech, Language, and Hearing Sciences, Auburn University, 1196 Haley Center, Auburn, AL, 36849, USA. mhowe@uams.edu.ORCID http://orcid.org/0009-0006-6742-4133
Aurora J WeaverAuburn University, Speech, Language, and Hearing Sciences, Auburn University, 1196 Haley Center, Auburn, AL, 36849, USA.
Razan M AlfakirAuburn University, Speech, Language, and Hearing Sciences, Auburn University, 1196 Haley Center, Auburn, AL, 36849, USA.
Haley M MessersmithThe University of Mississippi Speech and Hearing Center, 100 George Hall, Mississippi, 38677, USA.
Madeleine S CargileAuburn University, Speech, Language, and Hearing Sciences, Auburn University, 1196 Haley Center, Auburn, AL, 36849, USA.
David ReddenAuburn University, Edward Via College of Osteopathic Medicine - Auburn Campus, Auburn University, Auburn, AL, 36849, USA.
Srividya Grama BhagavanAuburn University, Speech, Language, and Hearing Sciences, Auburn University, 1196 Haley Center, Auburn, AL, 36849, USA.
Sara L WilsonAuburn University, Speech, Language, and Hearing Sciences, Auburn University, 1196 Haley Center, Auburn, AL, 36849, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOsteoporosis and osteopenia, characterized by reduced bone mineral density (BMD), particularly affect women during menopause. While research has explored the link between low BMD and hearing loss (HL) in postmenopausal women, understanding this connection in premenopausal women requires further investigation. This study aimed to investigate the association between low BMD and HL in premenopausal women.

methodsSixty premenopausal women, ages 20 to 54, exhibiting diverse BMD levels, underwent dual-energy x-ray absorptiometry (DXA) for BMD assessment alongside comprehensive audiological assessments. BMD was stratified into two categories: "Healthy" and "Low."

resultsMild-to-moderate sensorineural HL was identified in the right ear of 26.7% of participants and in the left ear of 36.7% of participants following audiometric evaluation. Chi-square analysis did not establish a statistically significant connection between BMD groups. Comparison of means analysis demonstrated an association between self-perceived hearing difficulty and BMD of the lumbar spine (p < .05).

conclusionsFindings suggest that reduced BMD may not be associated with objective hearing sensitivity in premenopausal women. Longitudinal studies are needed to determine whether bone health contributes to auditory changes across the menopausal transition.

Indexed as

Bone DensityBone Diseases, MetabolicHearing Loss, SensorineuralOsteoporosisPremenopauseAbsorptiometry, PhotonAdultAudiometryAuditory AcuityFemaleHumansLumbar VertebraeMiddle AgedYoung AdultBone mineral densityHearing lossOsteopeniaOsteoporosisPremenopausal

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.