{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:22:39Z","timestamp":1787840559807,"version":"build-2784847793"},"reference-count":43,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"130","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"\n Background:<\/jats:bold>\n M\u00e9ni\u00e8re\u2019s disease is a chronic vestibular disorder characterised by vertigo, hearing loss and tinnitus, with noise exposure potentially exacerbating symptoms. This study aimed to evaluate the influence of noise reduction measures during noise-sensitive periods on vertigo symptoms and vestibular function in affected patients.\n Methods:<\/jats:bold>\n This retrospective study included 223 patients diagnosed with M\u00e9ni\u00e8re\u2019s disease between May 2021 and June 2023. Participants were divided into two groups: the noise reduction measure group (NR group,\n n<\/jats:italic>\n \u2009=\u2009108) and the non-noise reduction measure group (NNR group,\n n<\/jats:italic>\n \u2009=\u2009115). Assessments included the Dizziness Handicap Inventory (DHI), Visual Analogue Scale (VAS) for vertigo severity, Pure Tone Audiometry (PTA), video Head Impulse Test, vestibular evoked myogenic potentials, caloric tests, Tinnitus Handicap Inventory (THI), Hospital Anxiety and Depression Scale (HADS) and the 36-Item Short Form Health Survey (SF-36). All measures were obtained at baseline and 3 months after the treatment initiation. Statistical comparisons between groups were performed using independent samples\n t<\/jats:italic>\n -tests and chi-square tests, as appropriate.\n Results:<\/jats:bold>\n At the 3-month follow-up, the NR group demonstrated significantly greater improvements than the NNR group in THI (\n P\u2009<\/jats:italic>\n =\u20090.011), DHI (\n P\u2009<\/jats:italic>\n =\u20090.014), VAS (\n P<\/jats:italic>\n < 0.001), PTA thresholds (\n P\u2009<\/jats:italic>\n =\u20090.007), vestibular function parameters (all\n P<\/jats:italic>\n < 0.05), HADS for anxiety (\n P<\/jats:italic>\n \u2009=\u20090.020), HADS for depression (\n P\u2009<\/jats:italic>\n =\u20090.014) and multiple SF-36 domains (\n P<\/jats:italic>\n < 0.05). The basic vertigo control rate was also higher in the NR group than in the NNR group (\n P\u2009<\/jats:italic>\n =\u20090.003).\n Conclusion:<\/jats:bold>\n Implementing noise reduction measures during noise-sensitive periods significantly improved vertigo symptoms, reduced tinnitus handicap and enhanced hearing function in patients with M\u00e9ni\u00e8re\u2019s disease, suggesting that this approach may be a valuable adjunctive approach to standard medical treatment.\n <\/jats:p>","DOI":"10.4103\/nah.nah_219_25","type":"journal-article","created":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T12:00:37Z","timestamp":1773057637000},"page":"82-93","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["The Impact of Noise Reduction Measures during Noise-Sensitive Periods on Vertigo Symptoms and Vestibular Function in Patients with M\u00e9ni\u00e8re\u2019s Disease"],"prefix":"10.4103","volume":"28","author":[{"given":"Hua","family":"Zhang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xu","family":"Pan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"XiaoGang","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"PuZhao","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,2,28]]},"reference":[{"key":"R1-20260326","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1097\/WCO.0000000000001227","article-title":"Epidemiology and genetics of Meniere\u2019s disease","volume":"37","author":"Lopez-Escamez","year":"2024","journal-title":"Curr Opin Neurol"},{"key":"R2-20260326","first-page":"Cd015171","article-title":"Systemic pharmacological interventions for M\u00e9ni\u00e8re\u2019s disease","volume":"2","author":"Webster","year":"2023","journal-title":"Cochrane Database Syst Rev"},{"key":"R3-20260326","first-page":"S1","article-title":"Clinical practice guideline: M\u00e9ni\u00e8re\u2019s disease","volume":"162","author":"Basura","year":"2020","journal-title":"Otolaryngol Head Neck Surg"},{"key":"R4-20260326","doi-asserted-by":"crossref","first-page":"116972","DOI":"10.1016\/j.envres.2023.116972","article-title":"Meniere\u2019s disease: pathogenesis, treatments, and emerging approaches for an idiopathic bioenvironmental disorder","volume":"238","author":"Mohseni-Dargah","year":"2023","journal-title":"Environ Res"},{"key":"R5-20260326","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1097\/MOO.0000000000000921","article-title":"M\u00e9ni\u00e8re\u2019s disease is a disorder of the inner ear","volume":"31","author":"Ahmad","year":"2023","journal-title":"Curr Opin Otolaryngol Head Neck Surg"},{"key":"R6-20260326","doi-asserted-by":"crossref","first-page":"1955","DOI":"10.1007\/s00415-022-11532-x","article-title":"Vestibular migraine or Meniere\u2019s disease: a diagnostic dilemma","volume":"270","author":"Chen","year":"2023","journal-title":"J Neurol"},{"key":"R7-20260326","first-page":"683","article-title":"Association between simultaneous occurrence of occupational noise-induced hearing loss and noise-induced vestibular dysfunction: a systematic review","volume":"52","author":"Nadri","year":"2023","journal-title":"Iran J Public Health"},{"key":"R8-20260326","doi-asserted-by":"crossref","first-page":"34001","DOI":"10.1289\/EHP12762","article-title":"The echoes of noise: residential exposure to traffic and risk of tinnitus","volume":"131","author":"Adegboye","year":"2023","journal-title":"Environ Health Perspect"},{"key":"R9-20260326","doi-asserted-by":"crossref","first-page":"189","DOI":"10.4103\/ijoem.ijoem_312_23","article-title":"Association between noise-induced hearing loss and vestibular dysfunction in workers chronically exposed to occupational noise","volume":"28","author":"Nadri","year":"2024","journal-title":"Indian J Occup Environ Med"},{"key":"R10-20260326","first-page":"e70320","article-title":"Exploring the association between clinical characteristics and etiopathogenesis of tinnitus: a cross-sectional study","volume":"16","author":"Wadhwa","year":"2024","journal-title":"Cureus"},{"key":"R11-20260326","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1186\/s12940-021-00727-w","article-title":"Air pollution, methane super-emitters, and oil and gas wells in Northern California: the relationship with migraine headache prevalence and exacerbation","volume":"20","author":"Elser","year":"2021","journal-title":"Environ Health"},{"key":"R12-20260326","doi-asserted-by":"crossref","first-page":"e70032","DOI":"10.1002\/lio2.70032","article-title":"Effect of betahistine on pro-inflammatory cytokine expression in autoimmune inner ear disease and Meniere\u2019s disease patients","volume":"9","author":"Yellin","year":"2024","journal-title":"Laryngoscope Investig Otolaryngol"},{"key":"R13-20260326","doi-asserted-by":"crossref","first-page":"1576","DOI":"10.1016\/j.brs.2023.10.003","article-title":"Meniere disease treated with transcutaneous auricular vagus nerve stimulation combined with betahistine Mesylate: a randomized controlled trial","volume":"16","author":"Wu","year":"2023","journal-title":"Brain Stimul"},{"key":"R14-20260326","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3233\/VES-150549","article-title":"Diagnostic criteria for Meni\u00e8re\u2019s disease","volume":"25","author":"Lopez-Escamez","year":"2015","journal-title":"J Vestib Res"},{"key":"R15-20260326","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1001\/jama.2024.21972","article-title":"Ethical principles for medical research involving human participants","volume":"333","year":"2025","journal-title":"Jama"},{"key":"R16-20260326","first-page":"181","article-title":"American Academy of Otolaryngology-Head and Neck Foundation, Inc","volume":"113","year":"1995","journal-title":"Otolaryngol Head Neck Surg"},{"key":"R17-20260326","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1001\/archotol.1990.01870040046011","article-title":"The development of the Dizziness Handicap Inventory","volume":"116","author":"Jacobson","year":"1990","journal-title":"Arch Otolaryngol Head Neck Surg"},{"key":"R18-20260326","doi-asserted-by":"crossref","first-page":"1241","DOI":"10.1007\/s10072-016-2573-2","article-title":"Validation of 5-item and 2-item questionnaires in Chinese version of Dizziness Handicap Inventory for screening objective benign paroxysmal positional vertigo","volume":"37","author":"Chen","year":"2016","journal-title":"Neurol Sci"},{"key":"R19-20260326","doi-asserted-by":"crossref","first-page":"125","DOI":"10.3233\/VES-220102","article-title":"Cross-cultural adaptation and construct validity of the Chinese Version of Visual Vertigo Analogue Scale by using structural equation modeling","volume":"34","author":"Li","year":"2024","journal-title":"J Vestib Res"},{"key":"R20-20260326","doi-asserted-by":"crossref","first-page":"235","DOI":"10.3233\/VES-2011-0420","article-title":"Visual analog scale to assess vertigo and dizziness after repositioning maneuvers for benign paroxysmal positional vertigo","volume":"21","author":"Toupet","year":"2011","journal-title":"J Vestib Res"},{"key":"R21-20260326","first-page":"65","article-title":"Clinical nystagmography. A detailed study of electro-nystagmography in 341 patients with vertigo","volume":"24","author":"Jongkees","year":"1962","journal-title":"Pract Otorhinolaryngol (Basel)"},{"key":"R22-20260326","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1001\/archotol.1996.01890140029007","article-title":"Development of the Tinnitus Handicap Inventory","volume":"122","author":"Newman","year":"1996","journal-title":"Arch Otolaryngol Head Neck Surg"},{"key":"R23-20260326","doi-asserted-by":"crossref","first-page":"10","DOI":"10.3342\/ceo.2012.5.1.10","article-title":"Reliability and validity of the chinese (mandarin) tinnitus handicap inventory","volume":"5","author":"Meng","year":"2012","journal-title":"Clin Exp Otorhinolaryngol"},{"key":"R24-20260326","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1111\/j.1600-0447.1983.tb09716.x","article-title":"The hospital anxiety and depression scale","volume":"67","author":"Zigmond","year":"1983","journal-title":"Acta Psychiatr Scand"},{"key":"R25-20260326","doi-asserted-by":"crossref","first-page":"1908","DOI":"10.1111\/j.1365-2702.2008.02736.x","article-title":"A psychometric evaluation of the Chinese version of the Hospital Anxiety and Depression Scale in patients with coronary heart disease","volume":"18","author":"Wang","year":"2009","journal-title":"J Clin Nurs"},{"key":"R26-20260326","doi-asserted-by":"crossref","first-page":"903","DOI":"10.1016\/S0895-4356(98)00081-X","article-title":"Overview of the SF-36 Health Survey and the International Quality of Life Assessment (IQOLA) Project","volume":"51","author":"Ware","year":"1998","journal-title":"J Clin Epidemiol"},{"key":"R27-20260326","first-page":"69","article-title":"[Study on the application of the Chinese version of SF-36 scales and selection of interceptive cents for its grade range]","volume":"25","author":"Zhang","year":"2004","journal-title":"Zhonghua Liu Xing Bing Xue Za Zhi"},{"key":"R28-20260326","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1002\/lio2.399","article-title":"Threshold sound conditioning in the treatment of sensorineural hearing loss","volume":"5","author":"Kwak","year":"2020","journal-title":"Laryngoscope Investig Otolaryngol"},{"key":"R29-20260326","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1152\/jn.00164.2013","article-title":"Noise-induced cochlear neuropathy is selective for fibers with low spontaneous rates","volume":"110","author":"Furman","year":"2013","journal-title":"J Neurophysiol"},{"key":"R30-20260326","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1016\/j.neulet.2018.09.054","article-title":"Auditory central gain compensates for changes in cochlear output after prolonged low-level noise exposure","volume":"687","author":"Sheppard","year":"2018","journal-title":"Neurosci Lett"},{"key":"R31-20260326","doi-asserted-by":"crossref","first-page":"4027","DOI":"10.1007\/s00405-023-07899-w","article-title":"Endolymphatic hydrops imaging and correlation with clinical characteristics, audiovestibular function and mental impairment in patients with Meniere\u2019s disease","volume":"280","author":"Hu","year":"2023","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"R32-20260326","first-page":"e1313","article-title":"balance, and imaging assessment in adolescent Meni\u00e8re\u2019s disease: a retrospective analysis. Laryngoscope Investig Otolaryngol","volume":"9","author":"Li","year":"2024","journal-title":"Hearing"},{"key":"R33-20260326","doi-asserted-by":"crossref","first-page":"722","DOI":"10.3389\/fneur.2017.00722","article-title":"The effect of comorbidity between tinnitus and dizziness on perceived handicap, psychological distress, and quality of life","volume":"8","author":"Miura","year":"2017","journal-title":"Front Neurol"},{"key":"R34-20260326","doi-asserted-by":"crossref","first-page":"6650","DOI":"10.3390\/jcm13226650","article-title":"Relationship between occupational exposure to noise and vibrations and vertigo: a prospective case-control study","volume":"13","author":"S\u00e1nchez-Sellero","year":"2024","journal-title":"J Clin Med"},{"key":"R35-20260326","doi-asserted-by":"crossref","first-page":"25660","DOI":"10.1038\/s41598-024-77154-7","article-title":"Endolymphatic hydrops and cochlear synaptopathy after noise exposure are distinct sequelae of hair cell stereociliary bundle trauma","volume":"14","author":"Fong","year":"2024","journal-title":"Sci Rep"},{"key":"R36-20260326","doi-asserted-by":"crossref","first-page":"3957","DOI":"10.1007\/s12070-021-02741-3","article-title":"Vestibular hypersensitivity in patients with chronic noise exposure","volume":"74","author":"Bayat","year":"2022","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"R37-20260326","doi-asserted-by":"crossref","first-page":"581527","DOI":"10.3389\/fneur.2020.581527","article-title":"Usefulness of Video Head Impulse Test results in the identification of Meniere\u2019s disease","volume":"11","author":"Kaci","year":"2020","journal-title":"Front Neurol"},{"key":"R38-20260326","doi-asserted-by":"crossref","first-page":"S66","DOI":"10.1016\/j.bjorl.2021.11.010","article-title":"Effectiveness of galvanic vestibular evoked myogenic potential for evaluation of Meniere\u2019s disease","volume":"88","author":"Cheng","year":"2022","journal-title":"Braz J Otorhinolaryngol"},{"key":"R39-20260326","doi-asserted-by":"crossref","first-page":"298","DOI":"10.14639\/0392-100X-2104","article-title":"Clinical application of cVEMPs and oVEMPs in patients affected by M\u00e9ni\u00e8re\u2019s disease, vestibular neuritis and benign paroxysmal positional vertigo: a systematic review","volume":"39","author":"Scarpa","year":"2019","journal-title":"Acta Otorhinolaryngol Ital"},{"key":"R40-20260326","doi-asserted-by":"crossref","first-page":"1880","DOI":"10.3390\/antiox10121880","article-title":"impulse noise induced hidden hearing loss, hair cell ciliary changes and oxidative stress in mice","volume":"10","author":"Gratias","year":"2021","journal-title":"Antioxidants (Basel)"},{"key":"R41-20260326","doi-asserted-by":"crossref","first-page":"138","DOI":"10.3389\/fnagi.2015.00138","article-title":"Editorial: Aging, neurogenesis and neuroinflammation in hearing loss and protection","volume":"7","author":"Magari\u00f1os","year":"2015","journal-title":"Front Aging Neurosci"},{"key":"R42-20260326","doi-asserted-by":"crossref","first-page":"3869","DOI":"10.1007\/s00405-025-09297-w","article-title":"Association of Meni\u00e8re\u2019s disease with depression and anxiety: a systematic review and meta-analysis","volume":"282","author":"Yeo","year":"2025","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"R43-20260326","doi-asserted-by":"crossref","first-page":"3","DOI":"10.4103\/2141-9248.126601","article-title":"The influence of psychological factors in Meniere\u2019s disease","volume":"4","author":"Orji","year":"2014","journal-title":"Ann Med Health Sci Res"}],"container-title":["Noise and Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/nah.nah_219_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:25:04Z","timestamp":1787837104000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/nah.nah_219_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":43,"journal-issue":{"issue":"130","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/nah.nah_219_25","relation":{},"ISSN":["1463-1741"],"issn-type":[{"value":"1463-1741","type":"print"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-10-25","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-30","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}