ANKMJ
Ankyra Medical Journal

Ankyra Medical Journal (AnkMJ), formerly known as the Journal of Translational and Practical Medicine, regularly publishes international quality issues in the field of Medicine in the light of current information.

eISSN: 3023-655X
Creative Commons CC BY-NC-ND 4.0 International License.
EndNote Style

Online Manuscript System

Index
Original Article
The frequency of sleep disorders and their relationship with demographic factors in patients with tinnitus
Abstract
Aims: This study aimed to investigate the frequency of sleep disorders in individuals diagnosed with tinnitus and to investigate the effect of demographic factors on these disorders. Methods: This retrospective study included 112 patients diagnosed with tinnitus between January 2018 and December 2019 at the Gazi Yaşargil Training and Research Hospital's otolaryngology clinic. The electronic files of the participants in the study were examined for sleep disorders such as insomnia, hypersomnia, inability to fall asleep, sleep terrors, sleepwalking according to ICD-9 and ICD-10 codes. The effect of demographic findings on sleep disorders were examined with multivariable regression analysis. Result: The mean age of the study population was 38.12±11.35 years and 48.21% were female. The frequency of sleep disorders was 20.5%. The female gender ratio, body mass index (BMI), smoking users and housewife ratio were higher in the group with tinnitus and sleep disorders compared to the group with isolated tinnitus. The mean age was higher in the group with isolated tinnitus compared to the group with tinnitus and sleep disorders. Advancing age (OR = 1.33, p = 0.038) and elevated BMI levels (OR = 1.55, p = 0.035) were associated with an increased likelihood of sleep disorders, whereas male gender (OR = 0.74, p = 0.038) was associated with a decreased likelihood. Conclusion: This study demonstrated that that sleep disorders are prevalent in tinnitus patients. Advancing age and increased BMI were tied to a higher likelihood of sleep disorders in tinnitus patients, whereas male gender was linked to a reduced risk. These results indicate that demographic factors should be taken into account when managing sleep disorders in tinnitus patients.

Keywords : Hearing loss, insomnia, sleep disorders, sleep quality, tinnitus

Download Article


1. Shargorodsky J, Curhan GC, Farwell WR. Prevalence and characteristics of tinnitus among US adults. Am J Med. 2010;123(8):711-718.
2. Saunders JC. The role of central nervous system plasticity in tinnitus. J Commun Disord. 2007;40(4):313-334.
3. Han BI, Lee HW, Kim TY, Lim JS, Shin KS. Tinnitus: characteristics, causes, mechanisms, and treatments. J Clin Neurol. 2009;5(1):11-9.
4. Langguth B, de Ridder D, Schlee W, Kleinjung T. Tinnitus: Clinical insights in its pathophysiology- a perspective. J Assoc Res Otolaryngol. 2024;25(3):249-258.
5. Vijayakumar KA, Cho GW, Maharajan N, Jang CH. A review on peripheral tinnitus, causes, and treatments from the perspective of autophagy. Exp Neurobiol. 2022;31(4):232-242.
6. Roberts LE, Eggermont JJ, Caspary DM, Shore SE, Melcher JR, Kaltenbach JA. Ringing ears: the neuroscience of tinnitus. J Neurosci. 2010;30(45):14972-14979.
7. Rauschecker JP, Leaver AM, Mühlau M. Tuning out the noise: limbic-auditory interactions in tinnitus. Neuron. 2010;66(6):819-826.
8. Shore SE, Roberts LE, Langguth B. Maladaptive plasticity in tinnitus—triggers, mechanisms and treatment. Nat Rev Neurol. 2016;12(3):150-160.
9. Shulman A, Wang W, Luo H, Bao S, Searchfield G, Zhang J. Neuroinflammation and tinnitus. Behavior Neurosci Tinnitus. 2021:161-174.
10. Reis C, Dias S, Rodrigues AM, et al. Sleep duration, lifestyles and chronic diseases: a cross-sectional population-based study. Sleep Sci. 2018;11(04):217-230.
11. Arranz L-I, Rafecas M, Alegre C. Effects of obesity on function and quality of life in chronic pain conditions. Curr Rheumatol Rep. 2014;16:1-8.
12. Wang S, Li B, Wu Y, et al. Relationship of sleep duration with sociodemographic characteristics, lifestyle, mental health, and chronic diseases in a large Chinese adult population. J Clin Sleep Med. 2017;13(3):377-384.
13. Kales A, Kales JD, Soldatos CR. Insomnia and other sleep disorde s. Surg Clin North Am. 1982;66(5):971-991.
14. Medic G, Wille M, Hemels ME. Short-and long-term health consequences of sleep disruption. Nat Sci Sleep. 2017:151-161.
15. Uslu H, Uslu GA. The role of sleep deprivation in physiological system dysfunctions. WJARR. 2023;20(3):1155-1165.
16. Vernia F, Di Ruscio M, Ciccone A, et al. Sleep disorders related to nutrition and digestive diseases: a neglected clinical condition. Int J Med Sci. 2021;18(3):593.
17. Morgan D, Tsai SC. Sleep and the endocrine system. Crit Care Clin. 2015;31(3):403-418.
18. Fioretti AB, Fusetti M, Eibenstein A. Association between sleep disorders, hyperacusis and tinnitus: evaluation with tinnitus questionnaires. Noise Health. 2013;15(63):91-95.
19. Folmer RL, Griest SE. Tinnitus and insomnia. Am J Otolaryngol. 2000;21(5):287-293.
20. Gallo KEB, Corrêa CdC, Gonçalves CGdO, et al. Effect of tinnitus on sleep quality and insomnia. IAO. 2023;27:197-202.
21. Kang MJ, Lee Y, Kim YJ, et al. Association between sleep duration and presbycusis in Korean adults: Korea national health and nutrition examination survey. Korean J Fam Med. 2023;44(2):117-123.
22. Jiang K, Spira AP, Reed NS, Lin FR, Deal JA. Sleep characteristics and hearing loss in older adults: the national health and nutrition examination survey 2005-2006. J Gerontol A Biol Sci Med Sci. 2022;77(3):632-639.
23. Sousa CS, Castro Junior N, Larsson EJ, Ching TH. Risk factors for presbycusis in a socio-economic middle-class sample. Braz J Otorhinolaryngol. 2009;75(4):530-536.
24. Paparrigopoulos T, Tzavara C, Theleritis C, Psarros C, Soldatos C, Tountas Y. Insomnia and its correlates in a representative sample of the Greek population. BMC Public Health. 2010;10 (1):531.
25. Izuhara K, Wada K, Nakamura K, et al. Association between tinnitus and sleep disorders in the general Japanese population. Ann Otol Rhinol Laryngol. 2013;122(11):701-706.
26. Wakabayashi S, Saito H, Oishi N, Shinden S, Ogawa K. Effects of tinnitus treatments on sleep disorders in patients with tinnitus. Int J Audiol. 2018;57(2):110-114.
27. Alster J, Shemesh Z, Ornan M, Attias J. Sleep disturbance associated with chronic tinnitus. Biol Psychiatry. 1993;34(1-2):84-90.
28. Jeon J-M, Choi S-Y, Lee J-G, Moon JW, Chae S-W, Song J-J. Sleep disorder in tinnitus patients. Korean J Otorhinolaryngol-Head Neck Surg. 2021;64(11):792-799.
29. Hébert S, Fullum S, Carrier J. Polysomnographic and quantitative electroencephalographic correlates of subjective sleep complaints in chronic tinnitus. J Sleep Res. 2011;20(1pt1):38-44.
30. Burgos I, Feige B, Hornyak M, et al. Chronic tinnitus and associated sleep disturbances. Somnologie. 2005;9(3):133-138.
31. Koo M, Hwang JH. Risk of tinnitus in patients with sleep apnea: a nationwide, population-based, case-control study. Laryngoscope. 2017;127(9):2171-2175.
32. Koning HM. Sleep disturbances associated with tinnitus: Reduce the maximal intensity of tinnitus. Int Tinnitus J. 2019;23(1):64-68.
33. Tyler RS, Baker LJ. Difficulties experienced by tinnitus sufferers. J Speech Hear Disord. 1983;48(2):150-154.
34. Axelsson A, Ringdahl A. Tinnitus—a study of its prevalence and characteristics. British J Audiol. 1989;23(1):53-62.
35. Folmer RL. Long-term reductions in tinnitus severity. BMC Ear Nose Throat Disord. 2002;2:1-9.
36. Lasisi AO, Gureje O. Prevalence of insomnia and impact on quality of life among community elderly subjects with tinnitus. Ann Otol Rhinol Laryngol. 2011;120(4):226-230.
37. Schlee W, Kleinjung T, Hiller W, Goebel G, Kolassa I-T, Langguth B. Does tinnitus distress depend on age of onset? PLoS One. 2011;6(11):e27379.
38. Colrain IM, Trinder J, Swan GE. The impact of smoking cessation on objective and subjective markers of sleep: review, synthesis, and recommendations. Nicotine Tobacco Res. 2004;6(6):913-925.
39. Lin Y-Y, Wu L-W, Kao T-W, et al. Secondhand smoke is associated with hearing threshold shifts in obese adults. Sci Rep. 2016;6(1):33071.
40. Isono S, Warner DS, Warner MA. Obstructive sleep apnea of obese adults: pathophysiology and perioperative airway management. ASA. 2009;110(4):908-921.
41. Horner RL. Pathophysiology of obstructive sleep apnea. J Cardiopulm Rehabil Prev. 2008;28(5):289-298.
Article available in :
Volume 3, Issue 5, 2024
Page : 116-119
https://doi.org/10.51271/ANKMJ-0026
Article Information
Received : 08 Eyl 2024
Accepted : 26 Eyl 2024
Published : 30 Eyl 2024
Corresponding Author :

Berzan Haznedar: Department of Ear Nose Throat,Gazi Yasargil Training and Research Hospital, Diyarbakır, Turkiye

[email protected]
Citation : Haznedar B. The association between tinnitus and sleep disorders. Ank Med J. 2024;3(5):116-119.

Read: 80
Download : 904
Cited: 0
_Footer