Relationship between dietary quality, tinnitus and hearing level: data from the national health and nutrition examination survey, 1999-2002

Int J Audiol. 2017 Oct;56(10):716-722. doi: 10.1080/14992027.2017.1331049. Epub 2017 May 27.

Abstract

Objective: To examine the relationship between the healthy eating index (HEI), a measure of dietary quality based on United States Department of Agriculture recommendations and report of tinnitus.

Design: This cross-sectional analysis was based on HEI data and report of tinnitus.

Study sample: Data for adults between 20 and 69 years of age were drawn from the National Health and Nutrition Examination Survey (NHANES), 1999-2002. The NHANES is a programme of studies, to assess the health and nutritional status of adults and children in the United States. Two thousand one hundred and seventy-six participants were included in the analytic sample.

Results: Of the sample, 21.1% reported tinnitus within the past year and 11.7% reported persistent tinnitus, defined as tinnitus experienced at least monthly or greater. Controlling for age, sex, race/ethnicity, diabetes, noise exposure and smoking status, we found that with healthier diet (poorer vs. better HEI) there was decreased odds of reported persistent tinnitus [odds ratio (OR); 0.67; 95% confidence interval (CI) 0.45-0.98; p = 0.03].

Conclusions: The current findings support a possible relationship between healthier diet quality and reported persistent tinnitus.

Keywords: Tinnitus; diet; epidemiology; hearing; loss; nutrition.

MeSH terms

  • Acoustic Impedance Tests
  • Adult
  • Aged
  • Audiometry, Pure-Tone
  • Auditory Threshold
  • Cross-Sectional Studies
  • Diet, Healthy*
  • Female
  • Hearing*
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Nutrition Surveys
  • Nutritional Status*
  • Nutritive Value
  • Odds Ratio
  • Protective Factors
  • Recommended Dietary Allowances
  • Retrospective Studies
  • Risk Factors
  • Risk Reduction Behavior
  • Tinnitus / diagnosis
  • Tinnitus / epidemiology
  • Tinnitus / physiopathology*
  • United States / epidemiology
  • Young Adult