Risk of sound-induced hearing loss from exposure to video gaming or esports: a systematic scoping review

Background There is little information on whether video gaming might be a modifiable risk factor for hearing loss and/or tinnitus, despite the plausibility of these relationships given that video games are often played at high-intensity sound levels and for long periods of time.Objective To synthesi...

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Main Authors: Shelly Chadha, Carolina Der, Xinxing Fu, Lauren K Dillard, Peter Mulas
Format: Article
Language:English
Published: BMJ Publishing Group 2024-04-01
Series:BMJ Public Health
Online Access:https://bmjpublichealth.bmj.com/content/2/1/e000253.full
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author Shelly Chadha
Carolina Der
Xinxing Fu
Lauren K Dillard
Peter Mulas
author_facet Shelly Chadha
Carolina Der
Xinxing Fu
Lauren K Dillard
Peter Mulas
author_sort Shelly Chadha
collection DOAJ
description Background There is little information on whether video gaming might be a modifiable risk factor for hearing loss and/or tinnitus, despite the plausibility of these relationships given that video games are often played at high-intensity sound levels and for long periods of time.Objective To synthesise current evidence related to relationships between gaming and the potential risk of hearing loss and/or tinnitus.Design Systematic scoping reviewData sources We searched three databases (PubMed, Scopus, Ovid MEDLINE) in January 2023 for peer-reviewed articles, and searched grey literature sources, from inception to 2023.Eligibility criteria Observational, mixed-methods, trials, or case studies published in (or that could be translated into) English, Spanish or Chinese were eligible for inclusion. Studies were included if they evaluated relationships of gaming with hearing loss and/or tinnitus.Data extraction and synthesis Two reviewers extracted and verified study data, which are synthesised in tables and in the text.Results Fourteen peer-reviewed studies were included, 11 of which were cohort studies and 3 of which were non-cohort observational studies. Across studies, the prevalence of gaming ranged from 20% to 78%. In general, the average measured sound levels of video games nearly exceeded, or exceeded, permissible sound exposure limits, and on average, individuals played video games for approximately 3 hours per week. Among the five peer-reviewed studies that evaluated associations or correlations of gaming with hearing loss or tinnitus, four reported significant associations or correlations with gaming and hearing loss or tinnitus.Conclusions The limited available evidence suggests that gaming may be a common source of unsafe listening, which could place many individuals worldwide at risk of permanent hearing loss and/or tinnitus. Additional research on these relationships is needed along with steps to promote safe listening among gamers.
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spelling doaj-art-e0c27c4540c34c2c8892e914773073d02025-01-28T20:40:15ZengBMJ Publishing GroupBMJ Public Health2753-42942024-04-012110.1136/bmjph-2023-000253Risk of sound-induced hearing loss from exposure to video gaming or esports: a systematic scoping reviewShelly Chadha0Carolina Der1Xinxing Fu2Lauren K Dillard3Peter Mulas4Department of Noncommunicable Diseases, World Health Organization, Geneva, SwitzerlandDepartment of Noncommunicable Diseases, World Health Organization, Geneva, SwitzerlandBeijing Institute of Otolaryngology, Capital Medical University, Beijing, ChinaDepartment of Otolaryngology-Head & Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USADepartment of Noncommunicable Diseases, World Health Organization, Geneva, SwitzerlandBackground There is little information on whether video gaming might be a modifiable risk factor for hearing loss and/or tinnitus, despite the plausibility of these relationships given that video games are often played at high-intensity sound levels and for long periods of time.Objective To synthesise current evidence related to relationships between gaming and the potential risk of hearing loss and/or tinnitus.Design Systematic scoping reviewData sources We searched three databases (PubMed, Scopus, Ovid MEDLINE) in January 2023 for peer-reviewed articles, and searched grey literature sources, from inception to 2023.Eligibility criteria Observational, mixed-methods, trials, or case studies published in (or that could be translated into) English, Spanish or Chinese were eligible for inclusion. Studies were included if they evaluated relationships of gaming with hearing loss and/or tinnitus.Data extraction and synthesis Two reviewers extracted and verified study data, which are synthesised in tables and in the text.Results Fourteen peer-reviewed studies were included, 11 of which were cohort studies and 3 of which were non-cohort observational studies. Across studies, the prevalence of gaming ranged from 20% to 78%. In general, the average measured sound levels of video games nearly exceeded, or exceeded, permissible sound exposure limits, and on average, individuals played video games for approximately 3 hours per week. Among the five peer-reviewed studies that evaluated associations or correlations of gaming with hearing loss or tinnitus, four reported significant associations or correlations with gaming and hearing loss or tinnitus.Conclusions The limited available evidence suggests that gaming may be a common source of unsafe listening, which could place many individuals worldwide at risk of permanent hearing loss and/or tinnitus. Additional research on these relationships is needed along with steps to promote safe listening among gamers.https://bmjpublichealth.bmj.com/content/2/1/e000253.full
spellingShingle Shelly Chadha
Carolina Der
Xinxing Fu
Lauren K Dillard
Peter Mulas
Risk of sound-induced hearing loss from exposure to video gaming or esports: a systematic scoping review
BMJ Public Health
title Risk of sound-induced hearing loss from exposure to video gaming or esports: a systematic scoping review
title_full Risk of sound-induced hearing loss from exposure to video gaming or esports: a systematic scoping review
title_fullStr Risk of sound-induced hearing loss from exposure to video gaming or esports: a systematic scoping review
title_full_unstemmed Risk of sound-induced hearing loss from exposure to video gaming or esports: a systematic scoping review
title_short Risk of sound-induced hearing loss from exposure to video gaming or esports: a systematic scoping review
title_sort risk of sound induced hearing loss from exposure to video gaming or esports a systematic scoping review
url https://bmjpublichealth.bmj.com/content/2/1/e000253.full
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