{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T18:31:58Z","timestamp":1786386718831,"version":"build-2736575974"},"reference-count":45,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T00:00:00Z","timestamp":1768780800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T00:00:00Z","timestamp":1768780800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine the association between the body roundness index (BRI), a novel anthropometric measure of central obesity, and hearing loss in US adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Cross\u2010sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Nationally representative data from the National Health and Nutrition Examination Survey, 1999 to 2012 and 2015 to 2018 cycles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 5143 adults aged \u226520 years with complete audiometric and anthropometric data were included. BRI was calculated from waist circumference and height. Hearing loss was defined as a pure\u2010tone average threshold \u226520\u2009dB in the better ear across 0.5 to 4\u2009kHz. Multivariable logistic regression models assessed the association between BRI and hearing loss, adjusting for sociodemographic, lifestyle, and clinical covariates. Restricted cubic spline analysis was used to explore non\u2010linear trends.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among the 5143 participants (mean [SD] age, 47.9 [17.2] years; 50.2% male; mean [SD] BRI, 5.4 [2.3]), higher BRI was associated with an increased risk of hearing loss. In fully adjusted models, participants in the highest BRI quartile had an odds ratio (OR) of 1.49 (95% CI, 0.99\u20102.26;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.008) compared to those in the lowest quartile. When BRI was treated as a continuous variable, each 1\u2010SD increase in BRI was associated with an OR of 1.08 (95% CI, 1.02\u20101.15;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.008) for hearing loss.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Higher BRI is independently associated with an increased risk of hearing loss among US adults. These findings highlight a potential link between obesity and auditory health and suggest that BRI may aid in identifying individuals at higher risk for hearing impairment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ohn.70110","type":"journal-article","created":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T12:32:16Z","timestamp":1768825936000},"page":"511-521","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association Between Body Roundness Index and Hearing Loss: A Cross\u2010Sectional Study of NHANES"],"prefix":"10.1002","volume":"174","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6117-4384","authenticated-orcid":false,"given":"Li\u2010Yuan","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology &amp; Hearing International Jiangsu Ear and Hearing Center The First Affiliated Hospital with Nanjing Medical University Nanjing China"},{"name":"Department of Allergology &amp; 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