The role risk of cigarette smoking, alcohol consumption, sleeping disorder, and mental health with hearing loss among stroke patients.

INTRODUCTION: This study aimed to navigate the relationship between cigarette smoking, alcohol consumption, sleeping disorder, mental health and hearing loss in stroke patients. METHODS: This was a cross-sectional study that involved 1040 male and female patients aged 25-65 years. The research utilized physical examinations, radiological assessments, biochemical tests, and pure-tone audiometry (PTA) to evaluate hearing function. RESULTS: Among the 1040 stroke patients, 219 cigarette smokers (21.6%) were found to have hearing loss. Remarkable dissimilarities were observed in three categories: cigarette smokers with hearing loss, cigarette smokers without hearing loss, and non-smokers without hearing loss. These differences were noted in BMI (p<0.001), physical activity (p=0.002), hypertension (p<0.001), MP3 use (p<0.001), tinnitus (p<0.001), vertigo (p<0.001), dizziness (p<0.001), and headaches/migraines (p<0.001). Similarly, significant differences were identified among cigarette smokers with hearing loss, cigarette smokers without hearing loss, and non-smokers in relation to age (p<0.001), BMI (p<0.001), MP3 use (p=0.004), hypertension (p=0.028), ATP III metabolic syndrome (p<0.001), IDF metabolic syndrome (p<0.001), tinnitus (p<0.001), vertigo (p<0.001), dizziness (p=0.012), headaches/migraines (p<0.001), vitamin D (p<0.001), calcium (p<0.001), magnesium (p<0.001), potassium (p=0.019), fasting glucose (p<0.001), hemoglobin A1c (p<0.001), high blood pressure (p<0.001), microalbuminuria (p<0.001), and sleepiness (p=0.014). Multivariate stepwise regression analysis of cigarette smokers among stroke patients showed that vertigo (p<0.001), obesity (p<0.001), vitamin D deficiency (p<0.001), ATP III metabolic syndrome (p<0.001), IDF metabolic syndrome (p=0.004), calcium levels (p=0.008), headaches/migraines (p=0.039), and hypertension (p=0.025) could predict hearing loss. CONCLUSIONS: This study puts forward that smoking cigarettes along with factors like hypertension, obesity, vitamin D deficiency, and sleepiness, serve as notable danger element for loosing hearing ability among stroke patients. There is increasing evidence linking cigarette tobacco smoking to lung cancer and various adverse health effects.