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Childhood otitis media is associated with dizziness in adulthood: the HUNT cohort study
The objective of the study was to examine the association between otitis media in childhood and dizziness in adulthood. Longitudinal, population-based cohort study of 21,962 adults (aged 20–59 years, mean 40) who completed a health questionnaire in the Nord-Trøndelag Hearing Loss Study was conducted...
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Published in: | European archives of oto-rhino-laryngology 2016-08, Vol.273 (8), p.2047-2054 |
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creator | Aarhus, Lisa Tambs, Kristian Hoffman, Howard J. Engdahl, Bo |
description | The objective of the study was to examine the association between otitis media in childhood and dizziness in adulthood. Longitudinal, population-based cohort study of 21,962 adults (aged 20–59 years, mean 40) who completed a health questionnaire in the Nord-Trøndelag Hearing Loss Study was conducted. At 7, 10 and 13 years of age, the same individuals underwent screening audiometry in a longitudinal school hearing investigation. Children found with hearing loss underwent an ear, nose and throat specialist examination. Adults diagnosed with childhood chronic suppurative otitis media (
n
= 102) and childhood hearing loss after recurrent acute otitis media (
n
= 590) were significantly more likely to have increased risk of reported dizziness when compared to adults with normal hearing as children at the school investigation and also a negative history of recurrent otitis media (
n
= 21,270),
p
|
doi_str_mv | 10.1007/s00405-015-3764-9 |
format | article |
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n
= 102) and childhood hearing loss after recurrent acute otitis media (
n
= 590) were significantly more likely to have increased risk of reported dizziness when compared to adults with normal hearing as children at the school investigation and also a negative history of recurrent otitis media (
n
= 21,270),
p
< 0.05. After adjusting for adult age, sex and socio-economic status, the odds ratios were 2.1 [95 % confidence interval (CI): 1.4–3.3] and 1.3 (95 % CI: 1.0–1.5), respectively. This longitudinal cohort study suggests that childhood chronic suppurative otitis media and childhood hearing loss after recurrent acute otitis media are associated with increased risk of dizziness in adulthood. This might reflect a permanent effect of inflammatory mediators or toxins on the vestibular system. The new finding stresses the importance of treatment and prevention of these otitis media conditions.</description><identifier>ISSN: 0937-4477</identifier><identifier>EISSN: 1434-4726</identifier><identifier>DOI: 10.1007/s00405-015-3764-9</identifier><identifier>PMID: 26335289</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adult ; Audiometry - methods ; Child ; Chronic Disease ; Cohort Studies ; Dizziness - etiology ; Dizziness - physiopathology ; Dizziness - prevention & control ; Early Medical Intervention - methods ; Female ; Head and Neck Surgery ; Hearing Loss - diagnosis ; Hearing Loss - etiology ; Hearing Loss - physiopathology ; Hearing Loss - prevention & control ; Humans ; Longitudinal Studies ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Neurosurgery ; Norway ; Otitis Media, Suppurative - complications ; Otitis Media, Suppurative - diagnosis ; Otitis Media, Suppurative - physiopathology ; Otitis Media, Suppurative - therapy ; Otology ; Otorhinolaryngology ; Surveys and Questionnaires</subject><ispartof>European archives of oto-rhino-laryngology, 2016-08, Vol.273 (8), p.2047-2054</ispartof><rights>Springer-Verlag Berlin Heidelberg 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c387t-d56347cc3dfd4e6883b41110749174c936b21aeda3f0ced093a7ae41ae67995b3</citedby><cites>FETCH-LOGICAL-c387t-d56347cc3dfd4e6883b41110749174c936b21aeda3f0ced093a7ae41ae67995b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26335289$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aarhus, Lisa</creatorcontrib><creatorcontrib>Tambs, Kristian</creatorcontrib><creatorcontrib>Hoffman, Howard J.</creatorcontrib><creatorcontrib>Engdahl, Bo</creatorcontrib><title>Childhood otitis media is associated with dizziness in adulthood: the HUNT cohort study</title><title>European archives of oto-rhino-laryngology</title><addtitle>Eur Arch Otorhinolaryngol</addtitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><description>The objective of the study was to examine the association between otitis media in childhood and dizziness in adulthood. Longitudinal, population-based cohort study of 21,962 adults (aged 20–59 years, mean 40) who completed a health questionnaire in the Nord-Trøndelag Hearing Loss Study was conducted. At 7, 10 and 13 years of age, the same individuals underwent screening audiometry in a longitudinal school hearing investigation. Children found with hearing loss underwent an ear, nose and throat specialist examination. Adults diagnosed with childhood chronic suppurative otitis media (
n
= 102) and childhood hearing loss after recurrent acute otitis media (
n
= 590) were significantly more likely to have increased risk of reported dizziness when compared to adults with normal hearing as children at the school investigation and also a negative history of recurrent otitis media (
n
= 21,270),
p
< 0.05. After adjusting for adult age, sex and socio-economic status, the odds ratios were 2.1 [95 % confidence interval (CI): 1.4–3.3] and 1.3 (95 % CI: 1.0–1.5), respectively. This longitudinal cohort study suggests that childhood chronic suppurative otitis media and childhood hearing loss after recurrent acute otitis media are associated with increased risk of dizziness in adulthood. This might reflect a permanent effect of inflammatory mediators or toxins on the vestibular system. The new finding stresses the importance of treatment and prevention of these otitis media conditions.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Audiometry - methods</subject><subject>Child</subject><subject>Chronic Disease</subject><subject>Cohort Studies</subject><subject>Dizziness - etiology</subject><subject>Dizziness - physiopathology</subject><subject>Dizziness - prevention & control</subject><subject>Early Medical Intervention - methods</subject><subject>Female</subject><subject>Head and Neck Surgery</subject><subject>Hearing Loss - diagnosis</subject><subject>Hearing Loss - etiology</subject><subject>Hearing Loss - physiopathology</subject><subject>Hearing Loss - prevention & control</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neurosurgery</subject><subject>Norway</subject><subject>Otitis Media, Suppurative - complications</subject><subject>Otitis Media, Suppurative - diagnosis</subject><subject>Otitis Media, Suppurative - physiopathology</subject><subject>Otitis Media, Suppurative - therapy</subject><subject>Otology</subject><subject>Otorhinolaryngology</subject><subject>Surveys and Questionnaires</subject><issn>0937-4477</issn><issn>1434-4726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNp9kDFPwzAQhS0EoqXwA1iQR5aAHTt2zIYqoEgVLK0YLcd2iKs0LrEj1P56XLUwMt3p7r0nvQ-Aa4zuMEL8PiBEUZEhXGSEM5qJEzDGlNCM8pydgjEShGeUcj4CFyGsEEIFFeQcjHJGSJGXYgw-po1rTeO9gT666AJcW-MUTIsKwWunojXw28UGGrfbuc6GAF0HlRnauLc9wNhYOFu-LaD2je8jDHEw20twVqs22KvjnIDl89NiOsvm7y-v08d5pknJY2YKRijXmpjaUMvKklQUY4w4FZhTLQircqysUaRG2ppUSHFlaToxLkRRkQm4PeRuev812BDl2gVt21Z11g9B4hLhkuWFIEmKD1Ld-xB6W8tN79aq30qM5J6nPPCUiafc85QieW6O8UOVwPw5fgEmQX4QhPTqPm0vV37ou1T5n9QfyBSAag</recordid><startdate>20160801</startdate><enddate>20160801</enddate><creator>Aarhus, Lisa</creator><creator>Tambs, Kristian</creator><creator>Hoffman, Howard J.</creator><creator>Engdahl, Bo</creator><general>Springer Berlin Heidelberg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160801</creationdate><title>Childhood otitis media is associated with dizziness in adulthood: the HUNT cohort study</title><author>Aarhus, Lisa ; Tambs, Kristian ; Hoffman, Howard J. ; Engdahl, Bo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c387t-d56347cc3dfd4e6883b41110749174c936b21aeda3f0ced093a7ae41ae67995b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Audiometry - methods</topic><topic>Child</topic><topic>Chronic Disease</topic><topic>Cohort Studies</topic><topic>Dizziness - etiology</topic><topic>Dizziness - physiopathology</topic><topic>Dizziness - prevention & control</topic><topic>Early Medical Intervention - methods</topic><topic>Female</topic><topic>Head and Neck Surgery</topic><topic>Hearing Loss - diagnosis</topic><topic>Hearing Loss - etiology</topic><topic>Hearing Loss - physiopathology</topic><topic>Hearing Loss - prevention & control</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neurosurgery</topic><topic>Norway</topic><topic>Otitis Media, Suppurative - complications</topic><topic>Otitis Media, Suppurative - diagnosis</topic><topic>Otitis Media, Suppurative - physiopathology</topic><topic>Otitis Media, Suppurative - therapy</topic><topic>Otology</topic><topic>Otorhinolaryngology</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aarhus, Lisa</creatorcontrib><creatorcontrib>Tambs, Kristian</creatorcontrib><creatorcontrib>Hoffman, Howard J.</creatorcontrib><creatorcontrib>Engdahl, Bo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European archives of oto-rhino-laryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aarhus, Lisa</au><au>Tambs, Kristian</au><au>Hoffman, Howard J.</au><au>Engdahl, Bo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Childhood otitis media is associated with dizziness in adulthood: the HUNT cohort study</atitle><jtitle>European archives of oto-rhino-laryngology</jtitle><stitle>Eur Arch Otorhinolaryngol</stitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><date>2016-08-01</date><risdate>2016</risdate><volume>273</volume><issue>8</issue><spage>2047</spage><epage>2054</epage><pages>2047-2054</pages><issn>0937-4477</issn><eissn>1434-4726</eissn><abstract>The objective of the study was to examine the association between otitis media in childhood and dizziness in adulthood. Longitudinal, population-based cohort study of 21,962 adults (aged 20–59 years, mean 40) who completed a health questionnaire in the Nord-Trøndelag Hearing Loss Study was conducted. At 7, 10 and 13 years of age, the same individuals underwent screening audiometry in a longitudinal school hearing investigation. Children found with hearing loss underwent an ear, nose and throat specialist examination. Adults diagnosed with childhood chronic suppurative otitis media (
n
= 102) and childhood hearing loss after recurrent acute otitis media (
n
= 590) were significantly more likely to have increased risk of reported dizziness when compared to adults with normal hearing as children at the school investigation and also a negative history of recurrent otitis media (
n
= 21,270),
p
< 0.05. After adjusting for adult age, sex and socio-economic status, the odds ratios were 2.1 [95 % confidence interval (CI): 1.4–3.3] and 1.3 (95 % CI: 1.0–1.5), respectively. This longitudinal cohort study suggests that childhood chronic suppurative otitis media and childhood hearing loss after recurrent acute otitis media are associated with increased risk of dizziness in adulthood. This might reflect a permanent effect of inflammatory mediators or toxins on the vestibular system. The new finding stresses the importance of treatment and prevention of these otitis media conditions.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>26335289</pmid><doi>10.1007/s00405-015-3764-9</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adult Audiometry - methods Child Chronic Disease Cohort Studies Dizziness - etiology Dizziness - physiopathology Dizziness - prevention & control Early Medical Intervention - methods Female Head and Neck Surgery Hearing Loss - diagnosis Hearing Loss - etiology Hearing Loss - physiopathology Hearing Loss - prevention & control Humans Longitudinal Studies Male Medicine Medicine & Public Health Middle Aged Neurosurgery Norway Otitis Media, Suppurative - complications Otitis Media, Suppurative - diagnosis Otitis Media, Suppurative - physiopathology Otitis Media, Suppurative - therapy Otology Otorhinolaryngology Surveys and Questionnaires |
title | Childhood otitis media is associated with dizziness in adulthood: the HUNT cohort study |
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