Table 4 Summary of previous studies and current results.

From: The biphasic impact of apolipoprotein E ε4 allele on age-related hearing loss

Reference

Study design

(Country)

Cohort number

Mean age

(Range)

Hearing tests

(side)

Hearing loss definition

ApoE ε4 genotype group

Results

Limitations

O’Grady et al. (2007)

Longitudinal cohort study (USA)

89

64 (34–95)

PTA, SA

(not mentioned)

 ≥ 40 dB HL

allele frequencies

No association

Small cohort

C. Kurniawan et al. (2012)

Population-based study (Netherlands)

435

85

Portable PTA

(better ear)

 > 35 dB HL (1000, 2000, 4000 Hz average)

ε4 (+)/(−)

ε4 genotype is related to hearing loss

Portable audiometer was used

Dawes et al. (2015)

Candidate gene association study (UK)

265

72 (59–88)

PTA

(better ear)

NA

ε4 (+)/(−)

No association

 

Mener et al. (2016)

Prospective observational study (USA)

1833

70–79

PTA

(better ear)

NA

ε4 (+ / +)/(+ /-)/(−/−)

ε4 genotype is related to good hearing

ε4 (+ / +) group had small number (n = 23) and was younger

Y.Morita et al. (2019)

Cross-sectional survey in prospective cohort study (Japan)

322

71 (60–89)

PTA

(better ear)

 > 30 dB HL (average frequency between

0.25 and 8 kHz)

ε4 (+ / +)/(+ /−)/(−/−)

No association

 

Sarant et al. (2020)

A cross-sectional study (Australia)

2006

66

PTA

(better ear)

 > 25 dB HL (Average 500, 1000, 2000, and 4000 Hz)

ε4 (+ / +)/(+ /−)/(−/−)

No association

ε4 (+ / +) group had small number (n = 35)

Kim et al. (2021)

A longitudinal cohort study (South Korea)

1092

61

ICD-10 code

NA

ε4 (+)/(−)

ε4 carrier & male : high risk of hearing loss (OR = 1.90)

No hearing tests

Present study

Retrospective multicentre study (South Korea)

1162

76

PTA

(better ear)

 > 25 dB HL (Average 500, 1000, 2000, and 4000 Hz)

ε4 ( +)/(−)

 < 75-year-old: ε4 genotype is related to better hearing

 ≥ 75-year-old: ε4 genotype is related to worse hearing

 
  1. ApoE, Apolipoprotein E; PTA, pure tone audiometry; SA, speech audiometry; MMSE, mini mental state examination.