Dietary vitamin intake correlates with hearing thresholds in the older population: the Korean National Health and Nutrition Examination Survey

Am J Clin Nutr. 2014 Jun;99(6):1407-13. doi: 10.3945/ajcn.113.072793. Epub 2014 Mar 19.

Abstract

Background: Previous animal studies have shown that vitamins may prevent age-related hearing loss. However, no concrete conclusions have been reached about the association between vitamin intake and presbycusis in humans.

Objective: We investigated the association between dietary vitamin intake and hearing thresholds in adults between 50 and 80 y of age by using data from a large population-based survey.

Design: We used data from the 2011 Korea National Health and Nutrition Examination Survey. A pure-tone audiogram and physical examination of the ear were performed, and vitamin intake was calculated by using the 24-h recall method. Data from 1910 participants were analyzed through univariate and multivariate linear regression analyses.

Results: After adjustment for age, sex, smoking, and exposure to occupational and explosive noise, intake of vitamin C correlated with better hearing at midfrequency (2000 and 3000 Hz) (coefficient: -0.012; 95% CI: -0.022, -0.002). Dietary supplement use was positively associated with better hearing at all frequencies. The univariate analysis indicated that dietary intakes of retinol, riboflavin, niacin, and vitamin C were positively correlated with better hearing at most frequencies. In contrast, serum concentrations of vitamin D were associated with worse hearing at mid and high (4000 and 6000 Hz) frequencies.

Conclusions: Dietary intake of vitamin C was associated with better hearing in the older population. Because less than one-half of elderly participants in this study consumed a sufficient amount of vitamins, and vitamin intake decreased with age, we should consider proper diet counseling to prevent hearing decline.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Aging*
  • Ascorbic Acid / therapeutic use
  • Auditory Threshold
  • Cross-Sectional Studies
  • Diet* / ethnology
  • Dietary Supplements* / adverse effects
  • Female
  • Health Surveys
  • Humans
  • Male
  • Middle Aged
  • Niacin / therapeutic use
  • Presbycusis / blood
  • Presbycusis / epidemiology
  • Presbycusis / ethnology
  • Presbycusis / prevention & control*
  • Republic of Korea / epidemiology
  • Riboflavin / therapeutic use
  • Risk Factors
  • Sex Factors
  • Vitamin A / therapeutic use
  • Vitamin D / adverse effects
  • Vitamin D / blood
  • Vitamins / adverse effects
  • Vitamins / therapeutic use*

Substances

  • Vitamins
  • Vitamin A
  • Vitamin D
  • Niacin
  • Ascorbic Acid
  • Riboflavin