Tobacco Smoke Exposure during Childhood: Effect on Cochlear Physiology

International Journal of Environmental Research and Public Health

Alessandra S. Durante²  Beatriz Pucci¹  Nicolly Gudayol¹  Beatriz Massa²  Marcella Gameiro² 

[1] Irmandade da Santa Casa de Misericórdia de São Paulo (ISCMSP, Santa Casa Sisters of Mercy Hospital of São Paulo), Street Dr. Cesário Mota Júnior, 112, São Paulo 01221-020, Brazil; E-Mails:;Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP, School of Medical Sciences of Santa Casa of São Paulo), Arnaldo Vieira de Carvalho Foundation, Street Dr. Cesário Mota Júnior, 61 São Paulo 01221-020, Brazil; E-Mails:

关键词: outer hair cells;    spontaneous otoacoustic emissions;    cochlea;    growth and development;    smoking;    child;    tobacco;   

DOI  :  10.3390/ijerph10115257

来源: mdpi

【 摘 要 】

The rate of smoking in Brazil is about 18.8%. Exposure to environmental tobacco smoke is one of the major factors predisposing children to several hazardous health problems. The objective of the present research was to analyze the effect of tobacco smoke exposure during childhood on cochlear physiology by measuring the transient evoked otoacoustic emissions (TEOAE) response levels. Cotinine, the main metabolite of nicotine, was measured in 145 students’ (8–10 years old) urine. Sixty students indicated tobacco smoke exposure (TSE) (cotinine urine levels ≥ 5.0 ng/mL) and 85 did not. The evaluation of TEOAE of TSE students showed lower response levels, mainly on frequencies of 2.8 kHz on the right and left ears and 2.0 kHz on left ear and lower signal noise response levels, mainly on the 1.0 kHz and 1.4 kHz frequencies, when compared to controls that were not exposed to tobacco. The mean hearing loss in tobacco smoke exposure children was 2.1 dB SPL. These results have important implications on the damage to the cochlear structures and indicate a possible loss in hearing and hearing ability development.

【 授权许可】

CC BY   
© 2013 by the authors; licensee MDPI, Basel, Switzerland.