{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T03:46:34Z","timestamp":1773891994200,"version":"3.50.1"},"reference-count":31,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2020,6,1]],"date-time":"2020-06-01T00:00:00Z","timestamp":1590969600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100010425","name":"Tri-Service General Hospital","doi-asserted-by":"publisher","award":["TSGH-D-109145"],"award-info":[{"award-number":["TSGH-D-109145"]}],"id":[{"id":"10.13039\/501100010425","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100010425","name":"Tri-Service General Hospital","doi-asserted-by":"publisher","award":["TSGH-E-109242"],"award-info":[{"award-number":["TSGH-E-109242"]}],"id":[{"id":"10.13039\/501100010425","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Department of Health, Taipei City Government, Taipei, Taiwan","award":["10801-62-072"],"award-info":[{"award-number":["10801-62-072"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Existing evidence indicates that both iron deficiency anemia and sickle cell anemia have been previously associated with hearing loss. However, human data investigating the association between anemia and auditory threshold shifts at different frequencies in the adolescent, adult and elderly population are extremely limited to date. Therefore, this cross-sectional study used the dataset from the US National Health and Nutrition Examination Survey from 2005 to 2012 to explore differences in low- or high-frequency hearing thresholds and hearing loss prevalence between participants with and without anemia. A total of 918 patients with anemia and 8213 without anemia were included. Results indicated that low- and high-frequency pure tone average were significantly higher in patients with anemia than that in those without anemia in the elderly, but not in adult or adolescent population. In addition, the prevalence of low-frequency hearing loss but not high-frequency hearing loss was also higher in patients with anemia than in those without anemia in the elderly population. After adjusting various confounders, multiple regression models still indicated that patients with anemia tended to have larger threshold shift. In conclusion, anemia was associated with auditory threshold shifts in the elderly population, especially those vulnerable to low-frequency hearing loss.<\/jats:p>","DOI":"10.3390\/ijerph17113916","type":"journal-article","created":{"date-parts":[[2020,6,2]],"date-time":"2020-06-02T04:09:03Z","timestamp":1591070943000},"page":"3916","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Association between Anemia and Auditory Threshold Shifts in the US Population: National Health and Nutrition Examination Survey"],"prefix":"10.3390","volume":"17","author":[{"given":"Jui-Hu","family":"Shih","sequence":"first","affiliation":[{"name":"Department of Pharmacy Practice, Tri-Service General Hospital, Taipei 11490, Taiwan"},{"name":"School of Pharmacy, National Defense Medical Center, Taipei 11490, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I-Hsun","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Practice, Tri-Service General Hospital, Taipei 11490, Taiwan"},{"name":"School of Pharmacy, National Defense Medical Center, Taipei 11490, Taiwan"},{"name":"Department of Pharmacology, National Defense Medical Center, Taipei 11490, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0338-1083","authenticated-orcid":false,"given":"Ke-Ting","family":"Pan","sequence":"additional","affiliation":[{"name":"Institute of Environmental Design and Engineering, Bartlett School, University College London, London WC1E, UK"},{"name":"Graduate Institute of Aerospace and Undersea Medicine, National Defense Medical Center, Taipei 11490, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5058-4356","authenticated-orcid":false,"given":"Chih-Hung","family":"Wang","sequence":"additional","affiliation":[{"name":"Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei 11490, Taiwan"},{"name":"Department of Otorhinolaryngology, Taichung Armed Forces General Hospital, Taichung 41152, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5498-5621","authenticated-orcid":false,"given":"Hsin-Chien","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology-Head and Neck Surgery, Tri-Service General Hospital, Taipei 11490, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li-Yun","family":"Fann","sequence":"additional","affiliation":[{"name":"Department of Nursing, Taipei City Hospital, Taipei 106, Taiwan"},{"name":"Department of Biology and Anatomy, National Defense Medical Center, Taipei 11490, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jen-Ho","family":"Tseng","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Taipei City Hospital, Taipei 106, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0692-7408","authenticated-orcid":false,"given":"Li-Ting","family":"Kao","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Practice, Tri-Service General Hospital, Taipei 11490, Taiwan"},{"name":"School of Pharmacy, National Defense Medical Center, Taipei 11490, Taiwan"},{"name":"Graduate Institute of Life Sciences, National Defense Medical Center, Taipei 11490, Taiwan"},{"name":"School of Public Health, National Defense Medical Center, Taipei 11490, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2020,6,1]]},"reference":[{"key":"ref_1","unstructured":"WHO (2018). 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