Lipids
Determinants
Diet/lifestyle
smorgasbord
100

High levels of these blood lipids were consistently associated with poorer hearing thresholds.

triglycerides (or LDLs)

100

Spankovich (2017) categorizes nutrition as this type of determinant of hearing loss.

Modifiable

100

This method of eating, focused on reduced energy intake without malnutrition, was explored as protective for hearing.

caloric restriction

100

This environmental hazard is one of the strongest non-dietary factors influencing hearing loss risk.

Noise exposure

200

These "good" lipoproteins were linked with better hearing in some studies because of their higher protein content.

What are HDLs

200

Noise exposure, smoking, and physical inactivity fall under this determinant category.

Modifiable/ Extrinsic factor

200

The USDA-developed index that scores diets from 0–100

Healthy Eating Index (HEI)

200

Four pillars of Healthy People 2010

physical fitness, nutrition, prevention, and healthy choices

300

Higher intake of this type of omega fatty acid was associated with reduced 5-year incidence of hearing loss in the Blue Mountains Hearing Study.

long-chain omega-3 fatty acids

300

Age-related hearing loss is a combination of these

Intrinsic and extrinsic factors

300

Higher fruit and vegetable intake is strongly associated with reduced risk for this major chronic disease

Cardiovascular disease

300

One of the major goals of Healthy People 2020

High quality, longer life, Free from preventable disease and disability,Promote healthy behaviors

    

400

Reduced intake of saturated fats, sodium, and processed foods is associated with better outcomes in this 

Chronic disease

400

Socioeconomic status/education falls under this determinant category.

Possibly modifiable

400

According to the DASH eating plan we should limit these.

Fatty meats, full-fat dairy, sugary drinks, sweets, sodium intake

400

What were the two lifestyle factors Rosen and colleagues (1962) speculated contributed to the Mabaan tribe’s preserved hearing sensitivity?

Low noise exposure and a healthy diet (low in saturated fat).

500

                                               

A second BMHS analysis by Spankovich et al. (2011) showed higher total fat and cholesterol intake were associated with this

Poorer TEOAEs

500

Extrinsic factors may include environmental exposures, including this well-known hearing risk.

noise exposure

500

Japanese dietary patterns were associated with lower risk of this sudden auditory condition compared to Western diets.

sudden sensorineural hearing loss (SSNHL)

500

What are two major limitations of single nutrient analysis when studying the relationship between diet and health outcomes?

People don’t eat isolated nutrients

Many nutrients are highly inter-correlated