7-Day Challenge for Better Hearing Health

By Maggie Niu

In honor of National Public Health Week kicking off April 4, Hearing Health Foundation has seven challenges for you to complete over the course of next week, all related to hearing loss and hearing prevention. Help us celebrate by completing our list of challenges below and sharing your experiences in with us in the comments.

On your mark… get set…GO!

Day 1: Make an appointment to get your hearing tested!

It is important to have your ears tested at least once a year, especially if you are experiencing any buzzing or ringing in your ears or unable to hear clearly. Don’t hesitate to make an appointment: Early intervention is key for preventing further damage.

Here is a directory for audiologists from the Academy of Doctors of Audiology. It is super-easy and quick to find an audiologist close to you. Simply type in your zip code and the radius you are willing to travel and bing, you have your list of audiologists.

Day 2: Reduce the volume on personal music devices to under 70% of the maximum.

We all know that unwanted noise is a nuisance so we try everything in our power to drown it out—either by turning up the volume of the music we're listening to, or talking louder. In the long run, does it benefit our hearing health? The answer is no.

Noise-induced hearing loss can occur gradually over time by listening to loud music or being exposed to loud environmental noises. We can’t always control ambient noise, but we can control personal earphone volume. Next time you are using your earphones on a high volume, remember that you are damaging your ears!

Day 3: Plan a fundraiser to help us find a cure for hearing loss and tinnitus.

Need some ideas? See examples of past events and ideas for creating your own event. Individuals, companies, organizations, sororities, and fraternities of all sizes have joined in our efforts, and we hope you will too!

Day 4: Keep a journal of the foods you eat and note the loudness of the environment you’re in. You may be surprised at what you find.

Noise can affect many things. It can cause stress and affect our mood, but would you believe that noise can affect your palate? A Cornell University study found, "…that in an environment of loud noise, our sense of taste is compromised. Interestingly, this was specific to sweet and umami tastes, with sweet taste inhibited and umami taste significantly enhanced," said Robin Dando, an assistant professor of food science. "The multisensory properties of the environment where we consume our food can alter our perception of the foods we eat."

Day 5: Eat this! Incorporate certain nutrients into your diet for optimal hearing health.

Now we know that noise can affect the taste of food we eat, but are there foods that can help our ears? Check out these five nutrients that can prevent or delay hearing loss. 

• Omega-3 fatty acids and vitamin D: Usually found in fish, both can have positive effects on hearing loss. Studies have shown that adults who ate fish twice a week had a 42% lower chance of facing age-related hearing loss than non-fish eaters.

  • Recipe idea: Grilled Salmon and Zucchini with Red Pepper Sauce
    

• Antioxidants and folic acid: You can find this in spinach, beans, broccoli, asparagus, eggs, nuts and liver. They can reduce the number of free radicals in your body, which can damage the nerve tissue in your ears.

  • Recipe idea: Skinny Taco Stuffed Peppers.
    

• Magnesium and potassium: Bananas, potatoes, artichokes, and broccoli are rich in magnesium and potassium. Magnesium can protect you from noise-induced hearing loss. Potassium is responsible for regulating the amount of fluid in your body.

  • Recipe idea: Creamy Garlic Pasta with Shrimp and Vegetables.
    

• Zinc: Zinc can be found in dark chocolate and oysters. It is important to include zinc because it boosts the body’s immune system and is responsible for warding off germs that cause the common cold and ear infections.

  • Recipe idea: Baked Oysters with Wild Mushroom Ragout.
    

• Vitamins C and E and glutathione: Vitamin C and E can increase your overall health by reducing the chance of getting an ear infection. Vitamins C and E can be found in vegetables and in fruit. Glutathione is made naturally by the liver and is found in fruits, vegetables, and meat.

  • Recipe idea: Pomodoro Pasta with White Beans and Olives.

Day 6: Use everyday technology to enhance your hearing health. 

Take control of your hearing health with the technology you use daily: download a sound level meter on your smartphone or tablet to measure the decibel levels. In our Winter 2015 Hearing Health magazine, we listed apps that were vetted by the National Institute for Occupational Safety and Health, and they include: NoiSee by Noise Lab ($1), Noise Hunter by Inter•net2day ($6), and SoundMeter by Faber Acoustical ($20). These apps were cited as providing the most accurate A-weighted sound level measurements.

Other apps include: The Jacoti ListenApp, where you can test your hearing via earphones, and the LesserSound App, which allows the user to take sound readings and record the location from where the noise was recorded. 

Day 7: Share your story!

Share your story about living with hearing loss, tinnitus, or other hearing conditions and how it has affected you via our online scrapbook, blog, or magazine. Inspire others who are touched by similar conditions so that we can help raise awareness about the prevalence of hearing loss and other hearing disorders as well as our research to find better treatments, therapies, and ultimately a cure.

You can share your story by emailing us at info@hhf.org. It can be on ANYTHING related to hearing loss, tinnitus, or other hearing related conditions, such as funny stories, personal experiences, tips for our readers, or hearing health. If you would like to contribute but find that you're having writer's block, email us anyway! We're HEAR to get you through it! (Pun intended.) 

These are just some tips and advice that can help your hearing and the broader hearing health community. For any additional questions please contact your audiologist, email us at info@hhf.org, or visit our website.

Childhood Hearing Loss: Act Now, Here's How!

By Maggie Niu

Childhood hearing loss is a (rapidly) growing epidemic. A study performed by the World Health Organization (WHO) found that 60 percent of childhood hearing loss is preventable. If left untreated, the child can experience many health issues such as delayed language development and academic underachievement as well as social isolation, which can lead to depression, poor self-esteem, and a higher risk of injuries. These are unfortunately just a few of a much larger list of consequences.

The WHO estimates infections account for 31 percent of hearing loss cases. (Genetic and other causes account for 40 percent). Many infections that cause hearing loss can be prevented through vaccinations against such diseases as the mumps, measles, rubella, and meningitis. Although ear infections do not have a direct vaccine, the influenza shot can help in the prevention ear infections, another cause of hearing loss. Only 4 percent of childhood hearing loss is related to the use of ototoxic (toxic to the ear) medicines in expectant mothers and newborns.

To help prevent and care for childhood hearing loss, the WHO suggests these strategies: strengthen the child's immune system through vaccinations; implement better and more wide-spread early-intervention programs; train healthcare providers on how to better care for those with hearing loss; make hearing devices more readily accessible; push for legislation that regulates and restricts the sale of ototoxic medicines and environmental noise as well as implements standards for safe listening; and raise public awareness around the need for ear and hearing healthcare and programs worldwide.

Preventing hearing loss is a challenging task. However, there are already a few programs in action to help us out. In the U.S., thanks to Universal Newborn Hearing Screening legislation, which HHF was instrumental in establishing, 94 percent of newborns are tested for hearing loss before leaving the hospital, compared with just 5 percent in 1995! There are two tests that are currently available, both are reliable, and they can be used either separately or together. In the optoacoustic emissions test, a soft foam earphone and microphone are placed in the ear. The hearing specialist plays various sounds and measures the response. For the auditory brainstem response test, noninvasive electrodes are placed on the baby's head to detect auditory nerve responses to sounds the hearing specialist plays.

Hearing loss can be devastating for a child as well their family. Not being able to hear can affect all aspects of life, but learning how to prevent and to care for hearing loss can change a child’s life. In addition to the WHO’s “Childhood Hearing Loss: Act Now, Here’s How!”, here are HHF resources on children and hearing loss: 

• Ages and Stages: A speech-language pathologist discusses the process of verbal communication.

• Tips for Hearing Well In the Classroom: Tips on how to work with a child’s teacher to implement a hearing regimen.

• Visual Learning, Visual Teaching: Everything in life has a silver lining, even hearing loss.

• "Listen to Me, Right Now!": What to do if your child doesn’t respond to repeated entreaties—especially when you’re not facing him or her.

• New Beginnings: Advice from parents for parents for how to prepare for the 1st day of school when your child has hearing loss.

• The Dangers of iPod Use: Answers to common questions about hearing protection for children and teens.

Examining the Relationship Between Race and Hearing Loss

By Emily Shepard

February is Black History Month, a time dedicated to celebrating achievements and spreading awareness about issues that affect the African-American community.  

With this in mind, we want to publicize the prevalence of hearing loss among black Americans: Nearly two million have a hearing impairment.1 However, research suggests that the odds of hearing loss are substantially lower for blacks than those who are white.2  Epidemiologic studies of large populations have found that the rate of hearing loss is 40 to 60 percent lower in black individuals compared with white individuals.3 While the basis for this connection remains largely unknown, research has identified a potential biological influence. 

In the study “Association of Skin Color, Race/Ethnicity, and Hearing Loss Among Adults in the USA” by Frank R. Lin, M.D., Ph.D., et al., the authors examine the degree to which skin tone is correlated to hearing loss. The authors argue that melanocytes, which produce the melanin pigment that determines skin color, are present in both the skin and cochlea. Increased melanin in the inner ear may help protect the cochlea against age-related cellular declines and hearing loss in darker-skinned individuals. Differences in noise exposure or in genetic determinants may also factor into the connection between race and hearing loss.4

These findings support the idea that race and hearing loss may be connected. For their study, Lin et al. relied on the Fitzpatrick scale to classify skin types. This scale uses the skin’s tendency to burn and tan to differentiate skin tone. For example, it says that if one always burns and never tans, they are likely to have pale white skin. If someone never burns, they are more likely to have deeply pigmented dark brown to black skin.5 The authors found that darker skin color as assessed by Fitzpatrick skin type was independently associated with better hearing thresholds in black and Hispanic individuals. On the other hand, race and ethnicity were not associated with hearing thresholds after stratification by skin color. The authors argue that these results “serve as preliminary evidence that skin color is independently associated with hearing loss,” and that skin color “may mediate the strong association between race and hearing loss observed in previous epidemiological studies.”6

Nonetheless, it is necessary to remember that although black individuals are at less of risk to experience some form of hearing loss, they are not exempt from it. The role of melanin as it relates to hearing loss is likely to be perceived similarly to its relationship to skin cancer. A Washington Post article titled “Many Blacks Are Unaware of a Skin Cancer That Primarily Affects Dark-Skinned People” explains that those with darker skin tones produce more melanin overall, and that since melanin helps block damaging ultraviolet rays, people of color have greater protection against skin cancer than whites.

But the Washington Post article works to dispel the belief that melanoma, the deadliest form of skin cancer, is a “white person’s disease.” Melanoma is indeed much more common in whites (1 in 50) than in African Americans (1 in 1,000). However, research from the American Academy of Dermatology reports that the five-year survival rate for African Americans with melanoma is 73 percent, compared with 91 percent for Caucasians. In addition, acral lentiginous melanoma (ALM) is a rare form of skin cancer that primarily strikes people of color. The disease affects areas of the body that have less pigment and receive less exposure to the sun, such as the soles of the feet, and are areas that are more likely to be ignored. ALM can be lethal; reggae musician Bob Marley died from ALM in 1981 at age 36.7

It is important to recognize that things that seem improbable are not impossible. Even if your race or ethnicity decreases the chance that you will contract a form of hearing loss, the best way to ensure healthy hearing is to take protective measures.

HHF strives to spread the word about how you can protect your hearing.

HHF is also committed to finding a cure for the millions of Americans who currently experience hearing loss or tinnitus. 

Donate today to help us make a difference.  

1. “How the African American Community Deals with Hearing Impaired Individuals: A Qualitative Analysis Using Social Learning Theory”- 2012- By Lakeisha O’ Neil

2. Lin, Frank R. et al. “Association of Skin Color, Race/Ethnicity, and Hearing Loss Among Adults in the USA.” JARO: Journal of the Association for Research in Otolaryngology 13.1 (2012): 109–117. PMC. Web. 21 Dec. 2015.

3. Lin FR, Thorpe R, Gordon-Salant S, Ferrucci L. Hearing loss prevalence and risk factors among older adults in the United States. J Gerontol A Biol Sci Med Sci. 2011; 66:582–590. doi: 10.1093/gerona/glr002.

4. Lin, Frank R. et al. “Association of Skin Color, Race/Ethnicity, and Hearing Loss Among Adults in the USA.” JARO

5. Fitzpatrick TB. The validity and practicality of sun-reactive skin types I through VI. Arch Dermatol. 1988;124:869–871. doi: 10.1001/archderm.1988.01670060015008.

6. Lin, Frank R. et al. “Association of Skin Color, Race/Ethnicity, and Hearing Loss Among Adults in the USA.” JARO

7. https://www.washingtonpost.com/national/health-science/many-blacks-are-unaware-of-a-skin-cancerthat-primarily-affects-dark-skinned-people/2014/08/04/14164ada-e68a-11e3-afc6-a1dd9407abcf_story.html

How Society Treats Hearing Loss

By ConsumerAffairs

According to the National Institutes of Health, about 3 of every 1,000 children are born with a detectable level of hearing loss, and around 30 million Americans over age 12 have disabling hearing loss. However, only about 20% of the people who could benefit from hearing aids use one.

By themselves, those statistics are unsettling. However, compared to the fact that 75% of U.S. adults use some sort of vision correction, they highlight the stark differences in how society treats hearing loss versus a similar disability like vision loss.

Price

According to the Better Hearing Institute, 68% of people with hearing loss cite finances as the main reason for not using hearing aids.

Availability

While glasses have been adopted as must-have fashion accessories for NBA players and presidential hopefuls alike, hearing aids are still lacking in aesthetic options.

Accommodations

Don't count on your favorite hotel or restaurant offering a pair of complimentary hearing aids if you leave yours at home.

At work and school

Untreated hearing loss is proven to affect children's attention and comprehension in classroom lectures, and adults with untreated hearing loss lose as much as $30,000 in salary and wages annually.

In social settings

Kids with hearing loss struggle in social situations, and their difficulty interacting or following along in conversation is often mistaken for aloofness.

In relationships

The say communication is the key to any good relationship, but communication can be challenging for hearing impared individuals, especially in a relationship with a person with normal hearing.

According to the World Health Organization, 360 million people worldwide are hearing disabled. Hearing loss is a major public health issue, the third most common after arthritis and heart disease. Yet because we can’t see hearing loss, only its effects, many mistake it as aloofness, confusion, or personality changes. To learn more about how hearing aids can help with hearing loss, and to find the one that’s right for you, check out ConsumerAffairs' Hearing Aids guide.

Receive updates on life-changing hearing research and resources by subscribing to HHF's free quarterly magazine and e-newsletter.

How Hearing Loss and Tinnitus Affect Our Veterans

By Emily Shepard

Today is Veterans Day. The holiday is important not only because it honors our soldiers, but also because it is a time to raise awareness about their experiences on and off the battlefield. Hearing loss is a major health issue for soldiers, both active duty personnel and veterans. Any form of hearing loss can be detrimental to soldiers on duty, as the ability to hear signs of danger and to communicate with fellow soldiers is crucial for mission success and, more importantly, survival. According to the U.S. Department of Defense’s Hearing Center of Excellence (HCE), a whopping 60% of veterans have returned home with hearing loss or tinnitus over the last decade.

The Fall 2015 issue of Hearing Health magazine focused on hearing loss and tinnitus among U.S. military service members and veterans. In “Tuning Out the Noise,” Ashleigh Byrnes explains that tinnitus is one of the most prevalent injuries among veterans.  The number of veterans diagnosed with service-connected tinnitus is estimated at 1.5 million. According to Byrnes, persistent tinnitus can be “described as noise that prevents sleep or the ability to concentrate” and may “leave patients more vulnerable to other mental health problems, such as depression and anxiety.” Luckily, there are treatment methods, new and old, that can ease the symptoms of tinnitus. 

Sound therapy, long regarded as one of the most successful ways to treat tinnitus, has been practiced for more than 30 years. Between 60-90% of patients report relief from their symptoms using this method. Another option is cognitive behavioral therapy (CBT), which may include the use of relaxation or distraction techniques, or altering the way patients think about their symptoms. Those who try sound therapy or CBT may be able to cope with tinnitus with more positive outcomes.

When it comes to hearing loss, soldiers are at an increased risk. They are susceptible to noise-induced hearing loss (NIHL) due to exposure to loud machinery and explosions on a constant basis. In combat, soldiers are often exposed to sudden noises, such as from an improvised explosive device (IED) or other similar weapons, which are difficult to predict and prevent against.  These sudden noises can result in temporary hearing loss and put military personnel at risk. However, the word “temporary” should be approached with caution. Repeated short-term hearing loss can damage the sensitive hair cells in the inner ear, causing hearing loss that becomes permanent.

With an inability to grow back, inner ear hair cells, when they are damaged or die, can lead to permanent hearing loss. HHF is actively working to reverse this trend. Researchers funded by HHF’s Emerging Research Grants program (ERG) discovered that birds have the ability to spontaneously re-grow inner ear hair cells after they are damaged and restore their hearing—unlike mammals. Through HHF’s Hearing Restoration Project (HRP), a consortium of top hearing scientists is working to translate this finding to the human ear. The HRP’s goal is to regenerate inner ear hair cells in humans and permanently restore hearing to those affected by hearing loss, such as soldiers and veterans. The HRP researchers have made significant strides in this research and have been working hard to find meaningful answers, which you can read about here.

To learn more about hearing loss and tinnitus, please visit our Veterans’ Resource Page.

Your support helps us continue this extraordinary research.

Celebrate Veterans Day and honor our troops by donating today.

How Hearing Loss Affects Other Aspects of Your Health

By Patricia Sarmiento

A few years ago, my dad began experiencing hearing loss. He worked in loud factories all his life. And while in recent years he began wearing ear protection, I think there were many days on the job where he didn’t use any. As he grew older, all that time without ear protection took its toll.

Prior to his experiences with hearing loss, I must admit that I didn’t know much about it. As he began going through the necessary steps, like getting fitted for hearing aids, I began to look into how hearing loss can affect our overall health. Here’s what I found:

Falls: This was my first area of concern when my dad’s hearing loss was diagnosed. I knew that our ears play an important role in our balance. However, I was surprised to see how significantly one’s chances of falling increased with their hearing loss. WhittierHearing.com cites a study that found that even just mild hearing loss meant you were “three times more likely to have a history of falling.” Of course, the older someone is the more dangerous these falls can be. My dad was lucky in that his hearing loss didn’t ever seem to affect him in this way. But if you have a loved one who has fallen or is experiencing balance issues, get their hearing checked!

Depression. We actually began suspecting that my dad was experiencing hearing loss long before he began seeking treatment for it. I think he was simply too proud to admit that he was having problems. We had to repeat ourselves to him and sometimes at family gatherings he would withdraw altogether. It was when he stopped going to his weekly Men’s Breakfast at our church that we knew something was going on.

While my dad received treatment before his hearing loss really began to take a toll on his mental health, I can definitely see how it could lead to depression. People experiencing hearing loss may experience poorer quality of life, isolation and reduced social activity.

Dementia. Through my research, I found out that in older adults there is a connection between hearing loss and dementia and Alzheimer’s. Those with mild hearing impairment are nearly twice as likely to develop dementia compared to those with normal hearing. The risk increases three-fold for those with moderate hearing loss, and five-fold for those with severe impairment. It isn’t yet clear what causes the connection, but the article says some researchers believe it may result from those with hearing loss straining “to decode sounds,” which may take its toll on the brain.

So, what can you do to protect your hearing? I’d like to suggest going for a swim. Here’s why: This guide on swimming and heart health notes what an excellent cardiovascular and full body workout swimming can be. That’s important because there have been many studies showing a connection between heart health and hearing. Yet another reason to be sure you’re getting plenty of exercise!

Patricia Sarmiento loves swimming and running. She channels her love of fitness and wellness into blogging about health and health-related topics. She played sports in high school and college and continues to make living an active lifestyle a goal for her and her family. She lives with her husband, two children, and their Shih Tzu in Maryland.

See our Hearing Health story, “Have a Hearing Loss, Have Another Health Issue?” for more information about health conditions associated with hearing loss.

Does noise stress you out?

By Kathi Mestayer

Yes, it does.  In fact, noise stresses most people (and even many animals). 

But what is noise? My favorite definition is in the glossary of “Sound Matters,” a 2012 publication of the General Services Administration’s (GSA) Public Buildings Service:

“Noise: Any undesired sound.”

So, if noise is undesired, it’s not that surprising that it’s stressful, right? In an article in Noise and Health, “Is There Evidence That Environmental Noise Is Immunotoxic?,” the author, Deepak Prasher, doesn’t mince words: “It is clear that noise is a stressor. The physiological response to noise as a stressor is no different from any other nonspecific physical stressor.” So, how does noise stress us out?

Danger! Danger! Warning! Warning!

Noise triggers a stress response in the amygdala, a region of the brainstem. Our amygdala learns, over time, what sounds might signal impending danger. When one is detected, the amygdala triggers a release of cortisol (a stress hormone) and an involuntary startle reaction. In his book, The Universal Sense: How Hearing Shapes the Mind, neuroscientist Seth Horowitz explains, “The auditory startle circuit is a very successful evolutionary adaptation to an unseen event. It lets us get our bearings and get the hell out of there, or at least widen our attention to figure out what the noise was.”

Cortisol affects us in many ways. According to Prasher, “In the acute stress reaction to an immediate threat, the secretion of stress hormones results in increased heart rate and blood pressure, a rapid release of energy in the bloodstream, reduced metabolism with a decrease in salivary and gastrointestinal activity, reduction in sex hormones, and activation of some immune functions.”

Over time, stress (often from transportation and industrial noise) can be particularly toxic. “This model of reactivity in terms of noise-induced stress has been implicated in the development of disorders of the cardiovascular system, sleep, learning, memory, motivation, problem-solving, aggression, and annoyance,” Prasher writes. If you think you’re getting used to that highway noise, think again.

Hearing loss and noise

So, people with hearing loss must be less sensitive to noise, right? Unfortunately, no—less hearing doesn’t mean higher noise tolerance. Research has been done on noise sensitivity and whether it correlates with a person’s audiogram. Here’s a summary of findings from the 2012 issue of Noise & Health:

“In the study of Stansfeld (1992), no significant differences were found in noise sensitivity between those with normal threshold of hearing and those with threshold impairment according to pure tone threshold audiometry. Likewise, Ellermeier et al. (2001) found no significant differences between two groups of low and high noise sensitivity in threshold levels, intensity discrimination, auditory reaction time or exponents for loudness functions. Our finding that the average hearing thresholds did not differ in noise sensitive and non-noise sensitive subjects is in concordance with previous studies.”

Anecdotally, this matches my audiologist’s observation that noise sensitivity is not correlated with our degree of hearing loss. “I always have to do a ‘sudden noise’ test with every person whose hearing aids I program before they leave my office. I can never predict who’s going to jump out of their skin and who’s not,” she says. 

In case you’re wondering, I jumped.

Staff writer Kathi Mestayer serves on advisory boards for the Virginia Department for the Deaf and Hard of Hearing and the Greater Richmond, Virginia, chapter of the Hearing Loss Association of America. This is adapted from her reader-sponsored work, “Be Hear Now."

HHF Celebrates National Protect Your Hearing Month

By Emily Shepard

October marks National Protect Your Hearing Month, part of the American Academy of Audiology’s (AAA) campaign to raise public awareness about hearing protection. Through extensive research and programming such as the Safe and Sound Program, Hearing Health Foundation has contributed greatly to this awareness. To celebrate National Protect Your Hearing Month, HHF has compiled a list of 5 Must Know Facts about Hearing Loss Prevention.

Fact #1: Noise Induced Hearing Loss (NIHL) can be contracted in a variety of environments.  Around 30 million U.S. workers are exposed to hazardous noise levels. The National Institute on Deafness and Other Communication Disorders (NIDCD) reports that 26 million Americans between the ages of 20 and 69- around 15% of the population- have NIHL due to exposure to loud sounds or noise at work or in leisure activities. 60% of military service members have NIHL or tinnitus, or both. Given this huge percentage, it’s unsurprising that active and veteran service members rank hearing loss and tinnitus as their top health concern.  

Fact #2: NIHL is the most preventable type of hearing loss. The measures needed to prevent NIHL are easy and simple. Just remember the following three words: Walk, Block, and Turn. When exposed to loud sounds, walk away. Block noise by wearing earplugs or other hearing protective devices when involved in a loud activity. Turn down the sound on stereos and mp3 devices. These are some of many ways you can help protect your hearing. Ultimately, the idea is to keep an eye (or an ear) on noises that seem hazardous or alarming.   “For more information about how to protect your hearing, please visit our partner’s page, It’s a Noisy Planet. Protect Their Hearing®.

Fact #3:  Half of classical orchestral musicians experience hearing loss. But that doesn’t mean you should! As stated in our blog post, “The Danger From Noise When It Is Actually Music”, musicians practice or perform up to eight hours a day. Sound levels onstage can reach up to 110 decibels (dB), the equivalent of a jackhammer! Prolonged exposure to 85 dB (the sound of heavy traffic), causes hair cells of the inner ear to be permanently damaged and can lead to hearing loss. With an 85 dB minimum for this risk, musicians exposed to jackhammer-levels are in dangerous territory. Attending an orchestra show or any other musically-vibrant production may not put you at the same risk of musicians, but it is still important to take cautionary measures. Find a seat that isn’t too close to the front of the stage and bring earplugs in case the music gets too loud. If the sound becomes especially loud, it might be worthwhile to leave early. Since soundtracks and recordings of shows are often available for purchase, there’s no need to stay out of fear of missing out. Remember, safety should always come first.  

Fact #4: What commonly used portable device is louder than a hair dryer, dishwasher, heavy city traffic, and a subway platform? The correct answer is an MP3 player at maximum volume (105 dB). Listening to your favorite artists or podcasts on blast may seem like a thrill, but there’s nothing fun about subjecting your ears to hazardous noise levels. 1 in 5 teenagers, an age group that frequently uses MP3 players, suffer from hearing loss. The Palo Alto Medical Foundation reports that 12.5% of kids between the ages of 6 and 19 suffer from loss of hearing as a result of using ear phones or earbuds turned to a high volume. So to play it safe, HHF suggests no more than 15 minutes of unprotected exposure at or above 100 decibels.  

Fact #5: Steps to prevent hearing loss should begin the moment someone is born. In 1993, only 5% of newborns were tested at birth for hearing loss. Thanks to HHF’s instrumental role in establishing Universal Newborn Hearing Screening legislation, this percentage increased dramatically. By 2007, 94% of newborns were tested. Early detection of hearing impairments in infants can help to diminish or even eliminate negative impacts that would otherwise harm their future development. Therefore it is important to screen infants for hearing impairments, preferably before they are discharged from the hospital. You can learn about the different types of tests hospitals use to screen infants here.  

World Heart Day

By the Better Hearing Institute

World Heart Day is today, September 29th. In response to a growing body of research showing a link between cardiovascular and hearing health, Hearing Health Foundation and Better Hearing Institute (BHI) are urging you to check your hearing.

Raymond Hull, PhD, professor of communication sciences and disorders in audiology and neurosciences at Wichita State University, recently completed research analyzing 84 years of work from scientists worldwide on the connection between cardiovascular health and the ability to hear and understand what others are saying. Hull’s work, which reviewed 70 scientific studies, confirmed a direct link.
 
According to Hull, “Our entire auditory system, especially the blood vessels of the inner ear, needs an oxygen-rich nutrient supply. If it doesn't get it due to cardiovascular health problems, then hearing can be affected."  
 
While there are many possible causes of hearing loss, cardiovascular disease appears to exaggerate the impact of those causes and intensify the degree of hearing decline, says Hull. This compounded effect not only increases the difficulty a person experiences in perceiving what has been said, but also diminishes their ability to make sense of what they hear with speed and accuracy.

Could hearing loss be an early sign of cardiovascular disease?

Research is ongoing, but a number of findings suggest that keeping track of your hearing may help you monitor your cardiovascular health as well.

“The inner ear is so sensitive to blood flow that it is possible that abnormalities in the cardiovascular system could be noted here earlier than in other less sensitive parts of the body,” according to David R. Friedland, MD, PhD, Professor and Vice-Chair of Otolaryngology and Communication Sciences at the Medical College of Wisconsin in Milwaukee.

In Dr. Friedland’s own 2009 study, published in The Laryngoscope, he and fellow researchers found that audiogram pattern correlates strongly with cerebrovascular and peripheral arterial disease and may represent a screening test for those at risk. They even concluded that patients with low-frequency hearing loss should be regarded as at risk for cardiovascular events, and appropriate referrals should be considered.

More recently, a 2014-published study by researchers at the University of Wisconsin in Madison found that the risk of hearing impairment was significantly greater in people with underlying atherosclerosis, or hardening of the arteries, than in those without vessel abnormalities, suggesting that hearing loss may be an early sign of cardiovascular disease in apparently healthy people, according to an article in The Wall Street Journal. The study involved a large cohort of middle-aged participants and showed that hearing loss is common in people in their forties. 

3 Heart-Healthy Reasons to Get a Hearing Test

1. Six decades of research points to heart-hearing health link: Specifically, the study authors concluded that the negative influence of impaired cardiovascular health on both the peripheral and central auditory system—and the potential positive influence of improved cardiovascular health on these same systems—have been found through a sizable body of research.
   

2. The ear may be a window to the heart: Some experts find the evidence showing a link between cardiovascular and hearing health so compelling that they say the ear may be a window to the heart. They encourage collaboration between hearing care providers, cardiologists, and other healthcare professionals. Some even call on hearing care professionals to include cardiovascular health in patient case history and to measure their patients’ blood pressure.
   

3. The same lifestyle behaviors that affect the heart impact hearing. A higher level of physical activity is associated with a lower risk of hearing loss in women. Another revealed that smokers and passive smokers are more likely to suffer hearing loss. And a third found that regular fish consumption and higher intake of long-chain omega-3 polyunsaturated fatty acids are associated with a lower risk of hearing loss in women. Coincidence? Or does it all come back to blood flow to the inner ear? Research is ongoing.

The content for this blog post originated in a press release issued by The Better Hearing Institute on September 15, 2015.

Using Words Carefully

By Jane Madell, Au.D.

We are all influenced by words. Some have easy, uncomplicated meanings (book, tree, house) and others carry a lot of emotional baggage (disabled, slow, delayed, etc.). When audiologists talk with families and children we are working with, we need to think carefully about how we describe children and test results. We do not want our words to interfere with our message.

Normal vs. Abnormal

What does it mean to say that a child’s behavior or test results are “abnormal”? Is there another way we can discuss this? Can we talk about what we expect to see and compare it to what we are seeing? We need to be sure we are talking about a specific test or behavior and not making a statement about the whole child. We need to be sure we are not saying, “Your child is abnormal.” We are saying, “Your child’s hearing is abnormal.” In audiology we might say, “Children with typical hearing have responses above this line on the audiogram. Your child’s hearing is below this line.” When describing speech perception testing, we can talk about what typical children can understand and what we may need to do to help this child understand speech better. A speech-language pathologist or listening and spoken language specialist might say, “Children with typical language development have a vocabulary of XX words at this age, your child has a vocabulary of XX words.”

Describing strengths and weaknesses

It is more useful to describe a child’s strength and weaknesses than to describe a child as having a disability (unless you are trying to get a school district to agree to services in an Individualized Education Program (IEP) meeting). Labeling a child as “disabled” does nothing to plan remediation. It is much more useful to make a list of strengths and areas of weakness. The areas of weakness, carefully defined, can result in a treatment plan. If testing identifies a hearing loss, it provides an opportunity to discuss possibilities for remediation such as selecting technology or determining therapy options. If a speech-language evaluation indicates specific areas of weakness (e.g, vocabulary, auditory memory, etc.), the report should discuss how these areas of weakness will affect language and literacy, and the therapy plan should specifically list areas to be worked on to improve skills.

When discussing test results with a child we need to remember that this is likely going to be distressing and we need remind the child that everyone has areas of strength and weakness, and we need to be sure to remind her what her strengths are.

Giving criticism or suggestions

Kids with hearing loss and other disabilities that affect access to academic information find it difficult to deal with the constant need for extra help, etc. They spend hours a week in therapy of one kind or another where they are working on areas of weakness and things that are difficult. They may be receiving preview and review services in school to help them keep up. The very fact that they need to go to see the teacher of the deaf for these services is an indication to the child that he is different than the other kids in his classroom. We need to be sure we are providing positive feedback along with areas needing improvement. If we need to give criticism, sandwich it between positive statements. While we need to give kids honest information, we need to be careful how we explain it. There is no value in telling kids that their work is “bad” or “poor,” or that “if they worked harder they would be able to do better.” We need to encourage them to work hard, but we will accomplish it more easily by being positive.

Teaching self-advocacy

An important part of success is helping kids advocate for themselves. It is very tempting as parents and professionals to advocate for our children. But we are not always there, so we need to help kids learn to advocate for themselves. They need to understand that they have a disability, and while this is not a statement about who they are as a person, it is a statement about what is needed to help them hear or learn. Talk about how to, recognize when you have missed something, and how to ask for help. If you do not know what page the teacher said to go to, raise your hand and ask for repetition, or look at your neighbor’s book. If you do not hear the answers of other kids to a teacher’s questions, ask the teacher to repeat. If you miss a friend’s comment, ask what was said. Practicing how to ask is very useful with parents or therapists modeling how to ask.

Introducing kids to others with the same disability

Kids need to know that they are not alone. When working with a child with hearing loss, it is useful to introduce them to other kids and to adults who have hearing loss. If there are celebrities who have hearing loss, it will make kids feel terrific to know about them. It helps them to understand that hearing loss is not going to interfere with being who they want to be. When it became public that Derrick Coleman has a hearing loss, it gave a boost to a lot of kids with hearing loss. I personally loved the commercial that Duracell put out with him saying something like, “They told me I couldn’t do this, but I was deaf so I didn’t listen.” What a powerful statement for kids!! Meeting physicians, audiologists, or teachers with hearing loss opens doors for kids. Audiologists, speech-language pathologists, listening and spoken language specialists, teachers of the deaf, and families can seek out adults with hearing loss for kids and parents to meet. It will help everyone feel stronger.

This post originally appeared on Hearing Health @ Hearing Health & Technology Matters’ blog on June 16, 2015. The author, Jane Madell, Au.D., is an audiologist, speech-language pathologist, and auditory verbal therapist with 40-plus years of experience in the greater New York City area.