Occupational noise exposure and hearing: a systematic review.

A borderline significant association with hearing loss was reported for cardiovascular disease, diabetes, high blood pressure, smoking, lack of exercise and high cholesterol.

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This was attributed to increased focus on hearing loss since 2006, showing that the extent of hearing loss may be significant for military missions.

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When adjusted for age, there was a positive trend for the effect of flying hours, but it was not statistically significant (Qiang et al. 2008 ).

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