Quantitative criteria for age-related hearing loss using audiometric configuration analysis

  • Jun Ho LeeEmail author
  • Junghwa Bahng
  • Chulho KimEmail author
  • Yoo Yeon Kim



To suggest the most adaptable criteria of age-related hearing loss (ARHL) using prevalence matching with population-based data.


We chose 30, 25, 20, and 15 dB as gap ranges of cutoff values of the descending type of hearing loss, between an average of low (500 Hz, 1 kHz) and high (4 kHz, 6 kHz) frequencies. Interaural difference was defined as 10 or 15 dB. Hearing loss was defined over 25 dB. We compared the prevalence results of the cross-matching criteria. We used population-based data from the Korea National Health and Nutrition Examination Survey. We assumed that the prevalence of ARHL ranged from 25 to 35%, and this prevalence will increase gradually with age.


Among the eight possible criteria, age ≥ 65 years, average of all frequencies > 25 dB at the each sides, gap between low- and high frequencies ≥ 20 dB, and interaural difference ≤ 10 dB were the most suitable criteria to suggest a quantitative definition of ARHL audiometrically.


In the current study, we recommend the new, quantitative ARHL criteria. The suggested criteria for ARHL might be easily accessed by other researchers to demonstrate their own hypotheses.


Presbycusis Age-related hearing impairment Prevalence Epidemiology Classification 



This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (NRF-2016R1D1A1B01014128), Republic of Korea

Compliance with ethical standards

Conflicts of interest

No known or potential conflicts of interest exist.

Supplementary material

405_2019_5689_MOESM1_ESM.docx (23 kb)
Supplementary file1 (DOCX 22 kb)


  1. 1.
    Frisina RD, Ding B, Zhu X, Walton JP (2016) Age-related hearing loss: prevention of threshold declines, cell loss and apoptosis in spiral ganglion neurons. Aging (Albany NY) 8:2081–2099. CrossRefGoogle Scholar
  2. 2.
    Homans NC, Metselaar RM, Dingemanse JG, van der Schroeff MP, Brocaar MP, Wieringa MH, Baatenburg de Jong RJ, Hofman A, Goedegebure A (2017) Prevalence of age-related hearing loss, including sex differences, in older adults in a large cohort study. Laryngoscope 127:725–730. CrossRefPubMedGoogle Scholar
  3. 3.
    Su P, Hsu CC, Lin HC et al (2017) Age-related hearing loss and dementia: a 10-year national population-based study. Eur Arch Otorhinolaryngol 274:2327–2334. CrossRefPubMedGoogle Scholar
  4. 4.
    Kim TS, Kim EH, Chung JW (2017) The association between age-related hearing impairment and metabolic syndrome in Korean women: 5-year follow-up observational study. Metab Syndr Relat Disord 15:240–245. CrossRefPubMedGoogle Scholar
  5. 5.
    Tavanai E, Mohammadkhani G (2017) Role of antioxidants in prevention of age-related hearing loss: a review of literature. Eur Arch Otorhinolaryngol 274:1821–1834. CrossRefPubMedGoogle Scholar
  6. 6.
    Moscicki EK, Elkins EF, Baum HM, McNamara PM (1985) Hearing loss in the elderly: an epidemiologic study of the Framingham Heart Study cohort. Ear Hear 6:184–190CrossRefGoogle Scholar
  7. 7.
    Cruickshanks KJ, Wiley TL, Tweed TS et al (1998) Prevalence of hearing loss in older adults in Beaver Dam, Wisconsin. The epidemiology of hearing loss study. Am J Epidemiol 148:879–886. CrossRefGoogle Scholar
  8. 8.
    Cruz MS, Lima MC, Santos JL, Duarte YA, Lebrão ML, Ramos-Cerqueira AT (2012) Self-reported hearing loss among elderly individuals in the city of São Paulo, Brazil: prevalence and associated factors (SABE Study, 2006). Cad Saude Publica 28:1479–1492CrossRefGoogle Scholar
  9. 9.
    Gopinath B, Rochtchina E, Wang JJ, Schneider J, Leeder SR, Mitchell P (2009) Prevalence of age-related hearing loss in older adults: Blue Mountains Study. Arch Intern Med 169:415–416. CrossRefPubMedGoogle Scholar
  10. 10.
    López-Torres Hidalgo J, Boix Gras C, Téllez Lapeira J et al (2009) Functional status of elderly people with hearing loss. Arch Gerontol Geriatr. 49:88–92. CrossRefPubMedGoogle Scholar
  11. 11.
    Abdel-Hamid O, Khatib OM, Aly A, Morad M, Kamel S (2007) Prevalence and patterns of hearing impairment in Egypt: a national household survey. East Mediterr Health J 13:1170–1180CrossRefGoogle Scholar
  12. 12.
    Chang HP, Chou P (2007) Presbycusis among older Chinese people in Taipei, Taiwan: a community-based study. Int J Audiol 46:738–745. CrossRefPubMedGoogle Scholar
  13. 13.
    Kim HN, Kim SG, Lee HK et al (2000) Incidence of presbycusis of Korean populations in Seoul, Kyunggi and Kangwon provinces. J Korean Med Sci 15:580–584. CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    Agrawal Y, Platz EA, Niparko JK (2008) Prevalence of hearing loss and differences by demographic characteristics among US adults: data from the national health and nutrition examination survey, 1999–2004. Arch Intern Med 168:1522–1530. CrossRefPubMedGoogle Scholar
  15. 15.
    Bedin E, Franzè A, Zadro C et al (2009) Age-related hearing loss in four Italian genetic isolates: an epidemiological study. Int J Audiol. 48(7):465–472. CrossRefPubMedGoogle Scholar
  16. 16.
    Cruickshanks KJ, Dhar S, Dinces E et al (2015) Hearing impairment prevalence and associated risk factors in the Hispanic community health study/study of Latinos. JAMA Otolaryngol Head Neck Surg 141:641–648. CrossRefPubMedPubMedCentralGoogle Scholar
  17. 17.
    Dawes P, Fortnum H, Moore DR et al (2014) Hearing in middle age: a population snapshot of 40- to 69-year olds in the United Kingdom. Ear Hear. 35:e44–51. CrossRefPubMedPubMedCentralGoogle Scholar
  18. 18.
    Nash SD, Cruickshanks KJ, Klein R et al (2011) The prevalence of hearing impairment and associated risk factors: the beaver dam offspring study. Arch Otolaryngol Head Neck Surg 137:432–439. CrossRefPubMedPubMedCentralGoogle Scholar
  19. 19.
    Marrone N, Mason CR, Kidd G Jr (2008) The effects of hearing loss and age on the benefit of spatial separation between multiple talkers in reverberant rooms. J Acoust Soc Am 124:3064–3075. CrossRefPubMedPubMedCentralGoogle Scholar
  20. 20.
    Leigh-Paffenroth ED, Roup CM, Noe CM (2011) Behavioral and electrophysiologic binaural processing in persons with symmetric hearing loss. J Am Acad Audiol 22:181–193. 194-195)CrossRefPubMedGoogle Scholar
  21. 21.
    Borchgrevink HM, Tambs K, Hoffman HJ (2005) The Nord-Trøndelag Norway audiometric survey 1996–98: unscreened thresholds and prevalence of hearing impairment for adults %3e 20 years. Noise Health 7:1–15CrossRefGoogle Scholar
  22. 22.
    Stevens G, Flaxman S, Brunskill E et al (2013) Global and regional hearing impairment prevalence: an analysis of 42 studies in 29 countries. Eur J Public Health 23:146–152. CrossRefPubMedGoogle Scholar
  23. 23.
    Chao TK, Chen TH (2009) Predictive model for progression of hearing loss: meta-analysis of multi-state outcome. J Eval Clin Pract 15:32–40. CrossRefPubMedGoogle Scholar
  24. 24.
    Fortunato S, Forli F, Guglielmi V et al (2016) A review of new insights on the association between hearing loss and cognitive decline in ageing. Acta Otorhinolaryngol Ital 36:155–166. CrossRefPubMedPubMedCentralGoogle Scholar
  25. 25.
    Sommer J, Brennan-Jones CG, Eikelboom RH et al (2017) A population-based study of the association between dysglycaemia and hearing loss in middle age. Diabet Med 34:683–690. CrossRefPubMedGoogle Scholar
  26. 26.
    Contrera KJ, Betz J, Deal JA et al (2016) Association of hearing impairment and emotional vitality in older adults. J Gerontol B Psychol Sci Soc Sci 71:400–404. CrossRefPubMedPubMedCentralGoogle Scholar
  27. 27.
    Park JH, Chao JR, Kim MJ, Kim YY, Lee JH (2017) The changing pattern of published articles in the field of otology: 1818 to today. J Audiol Otol 21:160–165. CrossRefPubMedPubMedCentralGoogle Scholar
  28. 28.
    Committee on Hearing and Equilibrium guidelines for the evaluation of results of treatment of conductive hearing loss (1995) American Academy of Otolaryngology-Head and Neck Surgery F foundation, Inc Otolaryngol Head Neck Surg 113 186 187 doi: 10.1016/S0194-5998(95)70103-6Google Scholar
  29. 29.
    Siegel LG (1975) The treatment of idiopathic sudden sensorineural hearing loss. Otolaryngol Clin North Am 8:467–473PubMedGoogle Scholar
  30. 30.
    Lutman ME, Coles RR, Buffin JT (2016) Guidelines for quantification of noise-induced hearing loss in a medicolegal context. Clin Otolaryngol 41:347–357. CrossRefPubMedGoogle Scholar
  31. 31.
    Raza Z, Hashmi SB, Shoaib M (2013) Young people with aging ears: a consequence of early presbycusis due to earphones misuse. J Pak Med Assoc 63:150PubMedGoogle Scholar
  32. 32.
    Scholes S, Biddulph J, Davis A, Mindell JS (2018) Socioeconomic differences in hearing among middle-aged and older adults: cross-sectional analyses using the health survey for England. BMJ Open 8:e019615. CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Otorhinolaryngology and Head and Neck Surgery, Chucheon Sacred Heart HospitalHallym University College of MedicineChuncheonRepublic of Korea
  2. 2.Department of Otorhinolaryngology and Head and Neck Surgery, Hangang Sacred Heart HospitalHallym University Medical CenterSeoulRepublic of Korea
  3. 3.Institute of New Frontier ResearchHallym University College of MedicineChuncheonRepublic of Korea
  4. 4.Department of AudiologyHallym University of Graduate StudiesSeoulRepublic of Korea
  5. 5.Department of Neurology, Chucheon Sacred Heart HospitalHallym UniversityGangwon-doRepublic of Korea
  6. 6.Department of Medical Genetics, College of MedicineHallym UniversityChuncheonRepublic of Korea

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