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Exposure to excessive sounds and hearing status in academic classical music students

100%

Pawlaczyk-Łuszczyńska M., Zamojska-Daniszewska M., Dudarewicz A., Zaborowski K.

International Journal of Occupational Medicine and Environmental Health

2017

vol. 30

issue 1

55-75

Objectives The aim of this study was to assess hearing of music students in relation to their exposure to excessive sounds. Material and Methods Standard pure-tone audiometry (PTA) was performed in 168 music students, aged 22.5±2.5 years. The control group included 67 subjects, non-music students and non-musicians, aged 22.8±3.3 years. Data on the study subjects’ musical experience, instruments in use, time of weekly practice and additional risk factors for noise-induced hearing loss (NIHL) were identified by means of a questionnaire survey. Sound pressure levels produced by various groups of instruments during solo and group playing were also measured and analyzed. The music students’ audiometric hearing threshold levels (HTLs) were compared with the theoretical predictions calculated according to the International Organization for Standardization standard ISO 1999:2013. Results It was estimated that the music students were exposed for 27.1±14.3 h/week to sounds at the A-weighted equivalent-continuous sound pressure level of 89.9±6.0 dB. There were no significant differences in HTLs between the music students and the control group in the frequency range of 4000–8000 Hz. Furthermore, in each group HTLs in the frequency range 1000–8000 Hz did not exceed 20 dB HL in 83% of the examined ears. Nevertheless, high frequency notched audiograms typical of the noise-induced hearing loss were found in 13.4% and 9% of the musicians and non-musicians, respectively. The odds ratio (OR) of notching in the music students increased significantly along with higher sound pressure levels (OR = 1.07, 95% confidence interval (CI): 1.014–1.13, p < 0.05). The students’ HTLs were worse (higher) than those of a highly screened non-noise-exposed population. Moreover, their hearing loss was less severe than that expected from sound exposure for frequencies of 3000 Hz and 4000 Hz, and it was more severe in the case of frequency of 6000 Hz. Conclusions The results confirm the need for further studies and development of a hearing conservation program for music students. Int J Occup Med Environ Health 2017;30(1):55–75

Czy progi słuchu u pracowników przemysłu meblarskiego wynikają z ich narażenia na hałas?

67%

Pawlaczyk-Łuszczyńska M., Dudarewicz A., Czaja N., Bortkiewicz A.

Medycyna Pracy

2016

vol. 67

issue 3

337-351

Background The aim of the study was to analyze the hearing status of employees of a furniture factory with respect to their exposure to noise and the presence of additional risk factors of noise-induced hearing loss (NIHL). Material and Methods Noise measurements, questionnaire survey and assessment of hearing, using pure tone audiometry, were carried out in 50 male workers, aged 20–57 years, directly employed in the manufacture of furniture. The actual workers’ hearing threshold levels (HTLs) were compared with the predictions calculated according to PN-ISO 1999:2000 based on age, gender and noise exposure. Results Workers under study were exposed to noise at daily noise exposure levels of 82.7–94.8 dB (mean: 90.9 dB) for a period of 3–14 years. In all subjects, mean HTL at 500 Hz, 1000 Hz, 2000 Hz and 4000 Hz did not exceed 25 dB. Nevertheless, high frequency notches were found in 11% of audiograms. The actual workers’ HTLs at 3000–6000 Hz were similar to those predicted using PN-ISO 1999:2000. There were statistical significant differences between HTLs in subgroups of people with higher (> 78 mm Hg) and lower (≤ 78 mm Hg) diastolic blood pressure, smokers and non-smokers, and those working with organic solvents. Hearing loss was more evident in subjects affected by the additional risk factors specified above. Conclusions The results confirm the need to consider, in addition to noise, also some other NIHL risk factors, such as tobacco smoking, elevated blood pressure, and co-exposure to organic solvents when estimating the risk of NIHL and developing the hearing conservation programs for workers. Med Pr 2016;67(3):337–351

Wstęp Celem pracy była analiza stanu słuchu pracowników zakładu meblarskiego z uwzględnieniem ich narażenia zawodowego na hałas i występowania dodatkowych czynników ryzyka uszkodzenia słuchu spowodowanego hałasem. Materiał i metody W grupie 50 mężczyzn w wieku 20–57 lat, zatrudnionych bezpośrednio przy produkcji mebli, przeprowadzono pomiary hałasu, badania kwestionariuszowe i ocenę stanu słuchu z zastosowaniem audiometrii tonalnej. Rzeczywiste progi słuchu pracowników porównano z progami przewidywanymi, wyznaczonymi według normy PN-ISO 1999:2000 na podstawie ich wieku, płci i narażenia na hałas. Wyniki Badane osoby pracowały przez 3–14 lat w warunkach narażenia na hałas o jego dziennym poziomie ekspozycji 82,7–94,8 dB (średnia: 90,9 dB). U wszystkich osób średni próg słuchu dla częstotliwości 500 Hz, 1000 Hz, 2000 Hz i 4000 Hz nie przekraczał 25 dB, ale w przypadku 11% audiogramów zaobserwowano załamki wysokoczęstotliwościowe, typowe dla działania hałasu. Rzeczywiste progi słuchu pracowników w zakresie częstotliwości 3000–6000 Hz były zbliżone do przewidywanych według PN-ISO 1999:2000. Stwierdzono istotnie statystyczne różnice między progami słuchu w podgrupach osób z wyższym (> 78 mm Hg) i niższym (≤ 78 mm Hg) ciśnieniem rozkurczowym krwi, palących papierosy i niepalących oraz pracujących bez kontaktu lub w kontakcie z rozpuszczalnikami organicznymi. U osób z ww. dodatkowymi czynnikami ryzyka obserwowano większe ubytki słuchu. Wnioski Wyniki badań potwierdzają, że podczas szacowania ryzyka uszkodzenia słuchu spowodowanego hałasem i opracowywania programów ochrony słuchu pracowników konieczne jest uwzględnianie dodatkowych (poza hałasem) czynników ryzyka, w tym palenia papierosów, podwyższonego ciśnienia tętniczego krwi i równoczesnej ekspozycji na rozpuszczalniki organiczne. Med. Pr. 2016;67(3):337–351

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1 International Journal of Occupational Medicine and Environmental Health

1 Medycyna Pracy

2 Dudarewicz A.

2 Pawlaczyk-Łuszczyńska M.

1 Bortkiewicz A.

1 Czaja N.

1 Zaborowski K.

1 Zamojska-Daniszewska M.

1 2017

1 2016

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Exposure to excessive sounds and hearing status in academic classical music students

Czy progi słuchu u pracowników przemysłu meblarskiego wynikają z ich narażenia na hałas?