Is an occupation with vocal load a risk factor for laryngopharyngeal reflux: a prospective, multicentre, multivariate comparative study.
Identifieur interne : 000160 ( Main/Exploration ); précédent : 000159; suivant : 000161Is an occupation with vocal load a risk factor for laryngopharyngeal reflux: a prospective, multicentre, multivariate comparative study.
Auteurs : I. Ho Evar-Boltežar [Slovénie] ; M. Šereg-Bahar ; A. Kravos ; G. Mumovi ; S. MitroviSource :
- Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery [ 1749-4486 ] ; 2012.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Analyse multifactorielle (MeSH), Causalité (MeSH), Chant (MeSH), Corps enseignant (MeSH), Enquêtes et questionnaires (MeSH), Facteurs de risque (MeSH), Femelle (MeSH), Humains (MeSH), Maladies professionnelles (épidémiologie), Maladies professionnelles (étiologie), Mâle (MeSH), Reflux laryngopharyngé (épidémiologie), Reflux laryngopharyngé (étiologie), Slovénie (MeSH), Sujet âgé (MeSH), Études prospectives (MeSH).
- MESH :
- épidémiologie : Maladies professionnelles, Reflux laryngopharyngé.
- étiologie : Maladies professionnelles, Reflux laryngopharyngé.
- Adulte, Adulte d'âge moyen, Analyse multifactorielle, Causalité, Chant, Corps enseignant, Enquêtes et questionnaires, Facteurs de risque, Femelle, Humains, Mâle, Slovénie, Sujet âgé, Études prospectives.
- Wicri :
- geographic : Slovénie.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Causality (MeSH), Faculty (MeSH), Female (MeSH), Humans (MeSH), Laryngopharyngeal Reflux (epidemiology), Laryngopharyngeal Reflux (etiology), Male (MeSH), Middle Aged (MeSH), Multivariate Analysis (MeSH), Occupational Diseases (epidemiology), Occupational Diseases (etiology), Prospective Studies (MeSH), Risk Factors (MeSH), Singing (MeSH), Slovenia (MeSH), Surveys and Questionnaires (MeSH).
- MESH :
- geographic : Slovenia.
- epidemiology : Laryngopharyngeal Reflux, Occupational Diseases.
- etiology : Laryngopharyngeal Reflux, Occupational Diseases.
- Adult, Aged, Causality, Faculty, Female, Humans, Male, Middle Aged, Multivariate Analysis, Prospective Studies, Risk Factors, Singing, Surveys and Questionnaires.
Abstract
OBJECTIVES
To compare the prevalence of laryngopharyngeal reflux in choristers, teachers and control subjects without vocal load at work and to determine the risk factors for laryngopharyngeal reflux.
DESIGN
A prospective, multicentre, multivariate comparative study.
PARTICIPANTS
One hundred and nineteen singers from four professional choirs, seventy teachers from four schools and 111 control subjects with an occupation without vocal load.
MAIN OUTCOME MEASURES
All participants completed a questionnaire about their dietary habits, height and weight, presence of stress, smoking and allergies, including the nine-item Reflux Symptom Index. The groups of choristers, teachers and the controls were compared with each other with regard to their sex, age, dietary habits, body-mass index, Reflux Symptom Index score and other factors affecting voice quality. The subjects from all three groups with suspected laryngopharyngeal reflux were compared with the subjects without it. The relationship between the Reflux Symptom Index score and the possible risk factors for reflux was estimated.
RESULTS
The results showed significantly higher Reflux Symptom Index scores in the choristers than in the teachers and the controls (mean scores, 7.86 versus 6.33, P = 0.044; 7.86 versus 4.80, P = 0.000, respectively), but the number of subjects with suspected laryngopharyngeal reflux (Reflux Symptom Index score >13) did not differ significantly between the groups. The choristers were significantly more often treated for laryngopharyngeal reflux than the teachers and the controls (41%, 17% and 28%, respectively). The occupation chorister and frequently experiencing stress were the only factors that influenced the total Reflux Symptom Index score.
CONCLUSIONS
Laryngopharyngeal reflux affects the choristers more often than the teachers or the control subjects without vocal load at work. These results suggest that singing as the main professional activity can notably contribute to the development of the reflux. Vocal load without singing is probably not an important aetiological factor for laryngopharyngeal reflux. The extraoesophageal symptoms affecting voice require treatment for laryngopharyngeal reflux and proper dietary habits especially in the group with high voice quality demands.
DOI: 10.1111/coa.12006
PubMed: 22943594
Affiliations:
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Šereg-Bahar</name></author><author><name sortKey="Kravos, A" sort="Kravos, A" uniqKey="Kravos A" first="A" last="Kravos">A. Kravos</name></author><author><name sortKey="Mumovi, G" sort="Mumovi, G" uniqKey="Mumovi G" first="G" last="Mumovi">G. Mumovi</name></author><author><name sortKey="Mitrovi, S" sort="Mitrovi, S" uniqKey="Mitrovi S" first="S" last="Mitrovi">S. Mitrovi</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2012">2012</date><idno type="RBID">pubmed:22943594</idno><idno type="pmid">22943594</idno><idno type="doi">10.1111/coa.12006</idno><idno type="wicri:Area/Main/Corpus">000161</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000161</idno><idno type="wicri:Area/Main/Curation">000158</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000158</idno><idno type="wicri:Area/Main/Exploration">000158</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Is an occupation with vocal load a risk factor for laryngopharyngeal reflux: a prospective, multicentre, multivariate comparative study.</title><author><name sortKey="Ho Evar Boltezar, I" sort="Ho Evar Boltezar, I" uniqKey="Ho Evar Boltezar I" first="I" last="Ho Evar-Boltežar">I. Ho Evar-Boltežar</name><affiliation wicri:level="1"><nlm:affiliation>Department of Otorhinolaryngology and Cervicofacial Surgery, University Medical Centre Ljubljana, Ljubljana, Slovenia. boltezar.irena@gmail.com</nlm:affiliation><country xml:lang="fr">Slovénie</country><wicri:regionArea>Department of Otorhinolaryngology and Cervicofacial Surgery, University Medical Centre Ljubljana, Ljubljana</wicri:regionArea><wicri:noRegion>Ljubljana</wicri:noRegion></affiliation></author><author><name sortKey="Sereg Bahar, M" sort="Sereg Bahar, M" uniqKey="Sereg Bahar M" first="M" last="Šereg-Bahar">M. Šereg-Bahar</name></author><author><name sortKey="Kravos, A" sort="Kravos, A" uniqKey="Kravos A" first="A" last="Kravos">A. Kravos</name></author><author><name sortKey="Mumovi, G" sort="Mumovi, G" uniqKey="Mumovi G" first="G" last="Mumovi">G. Mumovi</name></author><author><name sortKey="Mitrovi, S" sort="Mitrovi, S" uniqKey="Mitrovi S" first="S" last="Mitrovi">S. Mitrovi</name></author></analytic><series><title level="j">Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery</title><idno type="eISSN">1749-4486</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Causality (MeSH)</term><term>Faculty (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Laryngopharyngeal Reflux (epidemiology)</term><term>Laryngopharyngeal Reflux (etiology)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Multivariate Analysis (MeSH)</term><term>Occupational Diseases (epidemiology)</term><term>Occupational Diseases (etiology)</term><term>Prospective Studies (MeSH)</term><term>Risk Factors (MeSH)</term><term>Singing (MeSH)</term><term>Slovenia (MeSH)</term><term>Surveys and Questionnaires (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Analyse multifactorielle (MeSH)</term><term>Causalité (MeSH)</term><term>Chant (MeSH)</term><term>Corps enseignant (MeSH)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Facteurs de risque (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Maladies professionnelles (épidémiologie)</term><term>Maladies professionnelles (étiologie)</term><term>Mâle (MeSH)</term><term>Reflux laryngopharyngé (épidémiologie)</term><term>Reflux laryngopharyngé (étiologie)</term><term>Slovénie (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Études prospectives (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Slovenia</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Laryngopharyngeal Reflux</term><term>Occupational Diseases</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Laryngopharyngeal Reflux</term><term>Occupational Diseases</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Maladies professionnelles</term><term>Reflux laryngopharyngé</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Maladies professionnelles</term><term>Reflux laryngopharyngé</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Causality</term><term>Faculty</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Multivariate Analysis</term><term>Prospective Studies</term><term>Risk Factors</term><term>Singing</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse multifactorielle</term><term>Causalité</term><term>Chant</term><term>Corps enseignant</term><term>Enquêtes et questionnaires</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Slovénie</term><term>Sujet âgé</term><term>Études prospectives</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Slovénie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>To compare the prevalence of laryngopharyngeal reflux in choristers, teachers and control subjects without vocal load at work and to determine the risk factors for laryngopharyngeal reflux.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>A prospective, multicentre, multivariate comparative study.</p></div><div type="abstract" xml:lang="en"><p><b>PARTICIPANTS</b></p><p>One hundred and nineteen singers from four professional choirs, seventy teachers from four schools and 111 control subjects with an occupation without vocal load.</p></div><div type="abstract" xml:lang="en"><p><b>MAIN OUTCOME MEASURES</b></p><p>All participants completed a questionnaire about their dietary habits, height and weight, presence of stress, smoking and allergies, including the nine-item Reflux Symptom Index. The groups of choristers, teachers and the controls were compared with each other with regard to their sex, age, dietary habits, body-mass index, Reflux Symptom Index score and other factors affecting voice quality. The subjects from all three groups with suspected laryngopharyngeal reflux were compared with the subjects without it. The relationship between the Reflux Symptom Index score and the possible risk factors for reflux was estimated.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The results showed significantly higher Reflux Symptom Index scores in the choristers than in the teachers and the controls (mean scores, 7.86 versus 6.33, P = 0.044; 7.86 versus 4.80, P = 0.000, respectively), but the number of subjects with suspected laryngopharyngeal reflux (Reflux Symptom Index score >13) did not differ significantly between the groups. The choristers were significantly more often treated for laryngopharyngeal reflux than the teachers and the controls (41%, 17% and 28%, respectively). The occupation chorister and frequently experiencing stress were the only factors that influenced the total Reflux Symptom Index score.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Laryngopharyngeal reflux affects the choristers more often than the teachers or the control subjects without vocal load at work. These results suggest that singing as the main professional activity can notably contribute to the development of the reflux. Vocal load without singing is probably not an important aetiological factor for laryngopharyngeal reflux. The extraoesophageal symptoms affecting voice require treatment for laryngopharyngeal reflux and proper dietary habits especially in the group with high voice quality demands.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22943594</PMID><DateCompleted><Year>2013</Year><Month>05</Month><Day>17</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>19</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1749-4486</ISSN><JournalIssue CitedMedium="Internet"><Volume>37</Volume><Issue>5</Issue><PubDate><Year>2012</Year><Month>Oct</Month></PubDate></JournalIssue><Title>Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery</Title></Journal><ArticleTitle>Is an occupation with vocal load a risk factor for laryngopharyngeal reflux: a prospective, multicentre, multivariate comparative study.</ArticleTitle><Pagination><MedlinePgn>362-8</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/coa.12006</ELocationID><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To compare the prevalence of laryngopharyngeal reflux in choristers, teachers and control subjects without vocal load at work and to determine the risk factors for laryngopharyngeal reflux.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">A prospective, multicentre, multivariate comparative study.</AbstractText><AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">One hundred and nineteen singers from four professional choirs, seventy teachers from four schools and 111 control subjects with an occupation without vocal load.</AbstractText><AbstractText Label="MAIN OUTCOME MEASURES" NlmCategory="METHODS">All participants completed a questionnaire about their dietary habits, height and weight, presence of stress, smoking and allergies, including the nine-item Reflux Symptom Index. The groups of choristers, teachers and the controls were compared with each other with regard to their sex, age, dietary habits, body-mass index, Reflux Symptom Index score and other factors affecting voice quality. The subjects from all three groups with suspected laryngopharyngeal reflux were compared with the subjects without it. The relationship between the Reflux Symptom Index score and the possible risk factors for reflux was estimated.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The results showed significantly higher Reflux Symptom Index scores in the choristers than in the teachers and the controls (mean scores, 7.86 versus 6.33, P = 0.044; 7.86 versus 4.80, P = 0.000, respectively), but the number of subjects with suspected laryngopharyngeal reflux (Reflux Symptom Index score >13) did not differ significantly between the groups. The choristers were significantly more often treated for laryngopharyngeal reflux than the teachers and the controls (41%, 17% and 28%, respectively). The occupation chorister and frequently experiencing stress were the only factors that influenced the total Reflux Symptom Index score.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Laryngopharyngeal reflux affects the choristers more often than the teachers or the control subjects without vocal load at work. These results suggest that singing as the main professional activity can notably contribute to the development of the reflux. Vocal load without singing is probably not an important aetiological factor for laryngopharyngeal reflux. The extraoesophageal symptoms affecting voice require treatment for laryngopharyngeal reflux and proper dietary habits especially in the group with high voice quality demands.</AbstractText><CopyrightInformation>© 2012 Blackwell Publishing Ltd.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hočevar-Boltežar</LastName><ForeName>I</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology and Cervicofacial Surgery, University Medical Centre Ljubljana, Ljubljana, Slovenia. boltezar.irena@gmail.com</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Šereg-Bahar</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Kravos</LastName><ForeName>A</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Mumović</LastName><ForeName>G</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Mitrović</LastName><ForeName>S</ForeName><Initials>S</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Clin Otolaryngol</MedlineTA><NlmUniqueID>101247023</NlmUniqueID><ISSNLinking>1749-4478</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Clin Otolaryngol. 2014 Dec;39(6):397-8</RefSource><PMID Version="1">25418819</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015984" MajorTopicYN="Y">Causality</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005178" MajorTopicYN="Y">Faculty</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D057045" MajorTopicYN="N">Laryngopharyngeal Reflux</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015999" MajorTopicYN="N">Multivariate Analysis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009784" MajorTopicYN="N">Occupational Diseases</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D063346" MajorTopicYN="Y">Singing</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017524" MajorTopicYN="N" Type="Geographic">Slovenia</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2012</Year><Month>9</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2012</Year><Month>9</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>5</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">22943594</ArticleId><ArticleId IdType="doi">10.1111/coa.12006</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Slovénie</li></country></list><tree><noCountry><name sortKey="Kravos, A" sort="Kravos, A" uniqKey="Kravos A" first="A" last="Kravos">A. Kravos</name><name sortKey="Mitrovi, S" sort="Mitrovi, S" uniqKey="Mitrovi S" first="S" last="Mitrovi">S. Mitrovi</name><name sortKey="Mumovi, G" sort="Mumovi, G" uniqKey="Mumovi G" first="G" last="Mumovi">G. Mumovi</name><name sortKey="Sereg Bahar, M" sort="Sereg Bahar, M" uniqKey="Sereg Bahar M" first="M" last="Šereg-Bahar">M. Šereg-Bahar</name></noCountry><country name="Slovénie"><noRegion><name sortKey="Ho Evar Boltezar, I" sort="Ho Evar Boltezar, I" uniqKey="Ho Evar Boltezar I" first="I" last="Ho Evar-Boltežar">I. Ho Evar-Boltežar</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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