CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2022; 26(01): e063-e068
DOI: 10.1055/s-0040-1722251
Original Research

Do Body Mass Index Levels Correlate with Tinnitus Among Teachers?

1   Interdisciplinary Health Promotion Intervention Laboratory, Universidade Cesumar, Maringá, PR, Brazil
,
1   Interdisciplinary Health Promotion Intervention Laboratory, Universidade Cesumar, Maringá, PR, Brazil
2   Scholarship Undergraduate Research, Universidade Cesumar, Maringá, PR, Brazil
,
1   Interdisciplinary Health Promotion Intervention Laboratory, Universidade Cesumar, Maringá, PR, Brazil
2   Scholarship Undergraduate Research, Universidade Cesumar, Maringá, PR, Brazil
,
1   Interdisciplinary Health Promotion Intervention Laboratory, Universidade Cesumar, Maringá, PR, Brazil
3   Postgraduation Program in Health Sciences, Universidade Estadual de Maringá, Maringá, PR, Brazil
,
4   Doctoral and Master’s programs in Rehabilitation Sciences, Universidade Estadual de Londrina/ Universidade Pitágoras Unopar, Londrina, Paraná, Brazil
,
4   Doctoral and Master’s programs in Rehabilitation Sciences, Universidade Estadual de Londrina/ Universidade Pitágoras Unopar, Londrina, Paraná, Brazil
5   Departament of Occupational Health, Prefecture of Cambe, Cambe, PR, Brazil
› Author Affiliations

Abstract

Introduction Working conditions can contribute to the development of lifestyle-related diseases among teachers, including obesity and tinnitus. Describing tinnitus in relation to characteristics and comorbidities can help the treatment and prognosis of teachers affected by this symptom.

Objective To verify a possible association between tinnitus complaint and body mass index (BMI) in teachers.

Methods Cross-sectional study with a sample of teachers who responded to the Visual Analog Scale (VAS) and to the Tinnitus Handicap Inventory (THI). The BMI (kg/m2) was calculated based on self-reported body weight (in kilograms) divided by height (in meters squared). Nonparametric statistics were applied adopting a significance level < 0.05

Results A total of 83 teachers were assessed, with a mean age 48 ± 9.7 years old; 63.9% (n= 53) were females; 44.6% were eutrophic (n = 37), and 16.9% (n = 14) were obese. Of the total, 19.3% (n = 16) reported tinnitus. No differences were found between the groups and BMI (p > 0.05), although there was a significant difference between the Tinnitus and No Tinnitus groups for age (p < 0.001). The chi-squared test showed an association between age group and tinnitus (p < 0.028); those with tinnitus were in the 49 to 65 years old age group. In addition, there was a moderate correlation between tinnitus parameters (VAS; THI-Functional; THI-Total) and BMI.

Conclusion There was a moderate correlation between tinnitus parameters and BMI indicating that, as the BMI increased, so did the impact of tinnitus in the lives of the teachers. Body mass index should be considered a factor in tinnitus assessment and rehabilitation process.

Financial assistance

Fundação Nacional de Desenvolvimento do Ensino (FUNADESP).




Publication History

Received: 05 September 2020

Accepted: 09 November 2020

Article published online:
28 June 2021

© 2021. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Stohler NA, Reinau D, Jick SS, Bodmer D, Meier CR. A study on the epidemiology of tinnitus in the United Kingdom. Clin Epidemiol 2019; 11: 855-871
  • 2 Kim HJ, Lee HJ, An SY. et al. Analysis of the prevalence and associated risk factors of tinnitus in adults. PLoS One 2015; 10 (05) e0127578
  • 3 Grossan M, Peterson DC. Tinnitus. [Updated 2020 Aug 16]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020. Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430809/
  • 4 Wu V, Cooke B, Eitutis S, Simpson MTW, Beyea JA. Approach to tinnitus management. Can Fam Physician 2018; 64 (07) 491-495
  • 5 Schultz AR, Neves-Souza RD, Costa VdeS, Meneses-Barriviera CL, Franco PP, Marchiori LLM. Is There a Possible Association between Dietary Habits and Benign Paroxysmal Positional Vertigo in the Elderly? The Importance of Diet and Counseling. Int Arch Otorhinolaryngol 2015; 19 (04) 293-297
  • 6 Gibrin PCD, Melo JJ, Marchiori LLM. Prevalence of tinnitus complaints and probable association with hearing loss, diabetes mellitus and hypertension in elderly. CoDAS 2013; 25 (02) 176-180
  • 7 Cima RFF, Mazurek B, Haider H. et al. A multidisciplinary European guideline for tinnitus: diagnostics, assessment, and treatment. HNO 2019; 67 (Suppl. 01) 10-42
  • 8 Sogebi OA. Characterization of tinnitus in Nigeria. Auris Nasus Larynx 2013; 40 (04) 356-360
  • 9 Rocha SV, Cardoso JP, Santos CA, Munaro HLR, Vasconcelos LRC, Petroski EL. Overweight/obesity in teachers: prevalence and associated factors. Rev Bras Cineantropom Desempenho Hum 2015; 17 (04) 450-459
  • 10 Portney LG. 2020. Foundations of Clinical Research: Applications to Evidence-Based Practice. 4th ed.. Philadelphia: FA Davis;
  • 11 Miller MH. A integração dos achados audiológicos. In: Katz J. editor. Tratado de audiologia clínica. 3 ed.. São Paulo: Manole; 1999: 268-70
  • 12 Schmidt LP, Teixeira VN, Dall'Igna C, Dallagnol D, Smith MM. Brazilian Portuguese Language version of the “Tinnitus Handicap Inventory”: validity and reproducibility. Rev Bras Otorrinolaringol (Engl Ed) 2006; 72 (06) 808-810
  • 13 Doi MY, Tano SS, Schultz AR, Borges R, Marchiori LLM. Effectiveness of acupuncture therapy as treatment for tinnitus: a randomized controlled trial. Rev Bras Otorrinolaringol (Engl Ed) 2016; 82 (04) 458-465
  • 14 Dias DF, Loch MR, González AD, Andrade SM, Mesas AE. Insufficient free-time physical activity and occupational factors in Brazilian public school teachers. Rev Saude Publica 2017; 51: 68
  • 15 CDC. National Center for Chronic Disease Prevention and Health Promotion. Defining Adult Overweight and Obesity. Acess Jun 26, 2020 from: https://www.cdc.gov/obesity/adult/defining.html
  • 16 McCormack A, Edmondson-Jones M, Mellor D. et al. Association of dietary factors with presence and severity of tinnitus in a middle-aged UK population. PLoS One 2014; 9 (12) e114711
  • 17 Conde WL, Oliveira DR, Borges CA, Baraldi LG. Consistency between anthropometric measures in national surveys. Rev Saude Publica 2013; 47 (01) 69-76
  • 18 Meuer SP, Hiller W. The impact of hyperacusis and hearing loss on tinnitus perception in German teachers. Noise Health 2015; 17 (77) 182-190
  • 19 Fillis MMA, Andrade SM, González AD, Melanda FN, Mesas AE. Frequency of self-reported vocal problems and associated occupational factors in primary schoolteachers in Londrina, Paraná. State, Brazil: Cad Saude Publica; 2016. 32. 01 S0102–311 × 2016000100701.
  • 20 Souza CL, Carvalho FM, Araújo TM, Reis EJFB, Lima VMC, Porto LA. Factors associated with vocal fold pathologies in teachers. Rev Saude Publica 2011; 45 (05) 914-921
  • 21 Lee DH, Kim YS, Chae HS, Han K. Nationwide analysis of the relationships between mental health, body mass index and tinnitus in premenopausal female adults in Korea: 2010-2012 KNHANES. Sci Rep 2018; 8 (01) 7028
  • 22 Sebo P, Herrmann FR, Haller DM. Accuracy of anthropometric measurements by general practitioners in overweight and obese patients. BMC Obes 2017; 4: 23
  • 23 Casadei K, Kie J. Anthropometric Measurement. [Updated 2020 Apr 28]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020. Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK537315/
  • 24 Ehlert K. Perceptions of public primary school teachers regarding noise-induced hearing loss in South Africa. S Afr J Commun Disord 2017; 64 (01) e1-e12