TABLE 4:
The Association between Dietary Approaches to Stop Hypertension (DASH) Score and 3-year Audiometric Hearing Threshold Elevation in the Conservation of Hearing Study (CHEARS) Audiology Assessment Arm, 2012–2018
| Dash score (quartile) | Both Ear | Worse Ear | Better Ear | Left Ear | Right Ear | |||||
|---|---|---|---|---|---|---|---|---|---|---|
| ORa | 95% CI | ORa | 95% CI | ORa | 95% CI | ORa | 95% CI | ORa | 95% CI | |
| Low-frequency PTA | ||||||||||
| Quartile 1 | 1.00 | Reference | 1.00 | Reference | 1.00 | Reference | 1.00 | Reference | 1.00 | Reference |
| Quartile 2 | 1.06 | 0.86,1.29 | 1.08 | 0.87,1.34 | 1.04 | 0.72,1.50 | 1.09 | 0.85,1.41 | 1.03 | 0.80,1.32 |
| Quartile 3 | 0.97 | 0.79,1.20 | 0.98 | 0.79,1.23 | 1.00 | 0.69,1.44 | 1.02 | 0.79,1.33 | 0.94 | 0.73,1.21 |
| Quartile 4 | 0.86 | 0.69,1.06 | 0.88 | 0.70,1.11 | 0.84 | 0.57,1.23 | 0.92 | 0.70,1.21 | 0.82 | 0.63,1.07 |
| Mid-frequency PTA | ||||||||||
| Quartile 1 | 1.00 | Reference | 1.00 | Reference | 1.00 | Reference | 1.00 | Reference | 1.00 | Reference |
| Quartile 2 | 1.02 | 0.86,1.21 | 1.00 | 0.82,1.22 | 1.05 | 0.83,1.33 | 1.13 | 0.92,1.38 | 0.91 | 0.74,1.12 |
| Quartile 3 | 0.91 | 0.76,1.08 | 0.87 | 0.71,1.07 | 0.95 | 0.75,1.22 | 0.95 | 0.77,1.17 | 0.87 | 0.71,1.08 |
| Quartile 4 | 0.78 | 0.65,0.93 | 0.79 | 0.64,0.98 | 0.71 | 0.55,0.92 | 0.82 | 0.66,1.01 | 0.75 | 0.60,0.93 |
| High-frequency PTA | ||||||||||
| Quartile 1 | 1.00 | Reference | 1.00 | Reference | 1.00 | Reference | 1.00 | Reference | 1.00 | Reference |
| Quartile 2 | 0.99 | 0.84,1.16 | 0.99 | 0.80,1.22 | 1.02 | 0.82,1.27 | 1.05 | 0.86,1.28 | 0.94 | 0.77,1.15 |
| Quartile 3 | 0.91 | 0.77,1.07 | 0.85 | 0.69,1.05 | 0.99 | 0.80,1.24 | 0.86 | 0.70,1.05 | 0.98 | 0.80,1.20 |
| Quartile 4 | 0.88 | 0.74,1.04 | 0.86 | 0.69,1.07 | 0.91 | 0.72,1.15 | 0.79 | 0.64,0.97 | 1.01 | 0.82,1.24 |
Odds ratio based on multivariate logistic regression models adjusted for age (continuous), race (black/white/multi/other or unknown), body mass index(<25kg/m2/25–29/30–34/35–39/40+), smoking status (never/past/current), history of tinnitus (yes/no), cumulative average energy intake (continuous), noise exposure (very loud occupational or leisure-time noise exposure >=3 hours/week during any decade; yes/no), and the ear and frequency-level baseline pure tone average (PTA) measurements at low-frequency PTA (0.5,1,2 kHz), mid-frequency PTA (3,4 kHz) and high-frequency PTA (6,8 kHz) for both ears. Exposure-frequency interactions were also included in all the models.