{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T14:53:30Z","timestamp":1789829610441,"version":"4.0.1"},"reference-count":57,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,3,17]],"date-time":"2024-03-17T00:00:00Z","timestamp":1710633600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine the association between hearing function, assessed with pure\u2010tone average (PTA) of air conduction thresholds, and 24\u2010hour ambulatory blood pressure (BP) in older adults.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Cross\u2010sectional study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>A total of 1404 community\u2010dwelling individuals aged \u226565 years from the Seniors\u2010ENRICA cohort were examined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Hearing loss was defined as PTA\u2009&gt;\u200940\u2010AudCal hearing loss decibels (dB\u2010aHL) in the better ear for standard frequency (0.5, 1, and 2\u2009kHz), speech frequency (0.5, 1, 2, and 4\u2009kHz), and high frequency (3, 4, and 8\u2009kHz). Circadian BP patterns were calculated as the percentage decline in systolic BP during the night, and participants were classified as dipper, nondipper, and riser. Ambulatory hypertension was defined as BP\u2009\u2265\u2009130\/80\u2009mm\u2009Hg (24 hour), \u2265135\/85 (daytime), and \u2265120\/70 (nighttime) or on antihypertensive treatment. Analyses were performed with linear\u2010 and logistic\u2010regression models adjusted for the main confounders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In multivariable analyses, the PTA was associated with higher nighttime systolic BP [<jats:italic>\u03b2<\/jats:italic> coefficient per 20\u2009dB\u2010aHL increment standard frequency (95% confidence interval, CI): 2.41\u2009mm\u2009Hg (0.87, 3.95); <jats:italic>\u03b2<\/jats:italic> (95% CI) per 20\u2009dB\u2010aHL increment speech frequency 2.17\u2009mm\u2009Hg (0.70, 3.64)]. Among hypertensive patients, hearing loss at standard and high\u2010frequency PTA was associated with the riser BP pattern [odds ratio: 2.01 (95% CI, 1.03\u20103.93) and 1.45 (1.00\u20102.09), respectively]; also, hearing loss at standard PTA was linked to uncontrolled nighttime BP [1.81 (1.01\u20103.24)].<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>PTA was associated with higher nighttime BP, and hearing loss with a riser BP pattern and uncontrolled BP in older hypertensives.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ohn.725","type":"journal-article","created":{"date-parts":[[2024,3,18]],"date-time":"2024-03-18T02:08:57Z","timestamp":1710727737000},"page":"1712-1722","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The Hearing Function and Ambulatory Blood Pressure in Older 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