Association between urinary arsenic and hearing threshold shifts in adults in the United States, National Health and Nutrition Examination Survey, 2015–2016
2024

Urinary Arsenic and Hearing Loss in US Adults

Sample size: 1017 publication 10 minutes Evidence: moderate

Author Information

Author(s): Long Lili, Jia Zhenchao, Liu Tao

Primary Institution: Sichuan University Hospital of Sichuan University, Chengdu, China

Hypothesis

Is there an association between urinary arsenic levels and hearing threshold shifts in adults in the United States?

Conclusion

Higher levels of urinary arsenic metabolites are associated with poorer hearing thresholds in US adults.

Supporting Evidence

  • Higher urinary dimethylarsinic acid levels were significantly associated with poor low- and speech-frequency hearing thresholds.
  • The study found a nonlinear relationship between urinary arsenic levels and high-frequency hearing thresholds.
  • Participants in the highest tertile of urinary arsenic had worse hearing compared to those in the lowest tertile.

Takeaway

This study found that people with higher arsenic in their urine tend to have worse hearing, especially at low and speech frequencies.

Methodology

The study analyzed data from the NHANES 2015-2016, including urinary arsenic levels and audiometric measurements from 1,017 adults aged 20-69.

Potential Biases

Residual confounding and unmeasured variables could affect the results.

Limitations

The cross-sectional design limits causal inference, and potential confounders may not have been fully accounted for.

Participant Demographics

Participants were aged 20-69 years, with a mean age of 42.13 years, and included 48.67% men.

Statistical Information

P-Value

0.0085

Confidence Interval

95% CI 1.16, 7.90

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3389/fpubh.2024.1431122

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