Tinnitus and Sensory Dysfunctions: A Cohort Study from Health Checkups before and during COVID-19 Endemic.

IF 1.3 4区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Tsutomu Nakashima, Naomi Katayama, Naoki Saji, Yasue Uchida, Tadao Yoshida, Masumi Kobayashi, Hirokazu Suzuki, Mariko Shimono, Saiko Sugiura, Michihiko Sone, Nobuyuki Hamajima
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Abstract

Introduction: Tinnitus and smell dysfunction have been reported to be associated. The long-term course of tinnitus and sensory dysfunctions, including olfactory and gustatory dysfunctions, following COVID-19 infection requires further study.

Materials and methods: A cohort study of tinnitus and sensory dysfunctions before and during the COVID-19 pandemic was conducted through health checkups in a rural area in Japan. Five hundred ten participants attended health checkups in August 2019, 434 in 2023, and 437 in 2024. Two hundred twenty-five participants attended the 2019 and 2023 health checkups, and one hundred seventy-one participants attended all three. The subjects included people 40 years of age or older. The questionnaire included information on tinnitus, hearing, vertigo, headache, smell, taste, and lifestyle habits. In 2023, the questionnaire included questions about COVID-19.

Results: Tinnitus, hearing impairment, and smell dysfunction were associated. Fear and anxiety about COVID-19 infection were significantly associated with tinnitus after adjusting for age and sex. Irregular sleep time and fewer sports and exercise habits were significantly associated with tinnitus, not smell or taste dysfunction. In an investigation of identical persons, deterioration of tinnitus was conspicuous in 2023 compared to 2019 in persons with strong fear and anxiety about COVID-19.

Conclusions: Tinnitus is related to lifestyle habits compared to other sensory disorders. Fear and anxiety about COVID-19, rather than COVID-19 infection itself, significantly influenced tinnitus during the COVID-19 pandemic in rural areas.

耳鸣和感觉功能障碍:来自COVID-19流行前和期间健康检查的队列研究
耳鸣和嗅觉功能障碍有相关的报道。COVID-19感染后耳鸣和嗅觉、味觉等感觉功能障碍的长期病程有待进一步研究。材料与方法:以日本农村地区为研究对象,通过健康体检,对新冠肺炎大流行前和期间的耳鸣和感觉功能障碍进行队列研究。2019年8月,510名参与者参加了健康检查,2023年为434人,2024年为437人。225名参与者参加了2019年和2023年的健康检查,171名参与者参加了所有三次健康检查。研究对象包括40岁以上的人。问卷内容包括耳鸣、听力、眩晕、头痛、嗅觉、味觉和生活习惯。2023年,调查问卷包括有关COVID-19的问题。结果:耳鸣、听力损害、嗅觉功能障碍相关。调整年龄和性别后,对COVID-19感染的恐惧和焦虑与耳鸣显著相关。不规律的睡眠时间和较少的运动和锻炼习惯与耳鸣显著相关,但与嗅觉或味觉功能障碍无关。在对同一人群的调查中,与2019年相比,对COVID-19有强烈恐惧和焦虑的人在2023年的耳鸣恶化明显。结论:与其他感觉障碍相比,耳鸣与生活习惯有关。在新冠肺炎大流行期间,对农村地区耳鸣有显著影响的是对新冠肺炎的恐惧和焦虑,而不是感染本身。
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来源期刊
Audiology and Neuro-Otology
Audiology and Neuro-Otology 医学-耳鼻喉科学
CiteScore
3.20
自引率
6.20%
发文量
35
审稿时长
>12 weeks
期刊介绍: ''Audiology and Neurotology'' provides a forum for the publication of the most-advanced and rigorous scientific research related to the basic science and clinical aspects of the auditory and vestibular system and diseases of the ear. This journal seeks submission of cutting edge research opening up new and innovative fields of study that may improve our understanding and treatment of patients with disorders of the auditory and vestibular systems, their central connections and their perception in the central nervous system. In addition to original papers the journal also offers invited review articles on current topics written by leading experts in the field. The journal is of primary importance for all scientists and practitioners interested in audiology, otology and neurotology, auditory neurosciences and related disciplines.
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