The impact of endocrine and metabolic disorders and the reflux disease on voice disorders

Authors

DOI:

https://doi.org/10.18778/2544-7238.07.10

Keywords:

voice, obesity, diabetes mellitus, gastroesophageal reflux disease, laryngopharyngeal reflux disease, hypothyroidism, hyperthyroidism, polycystic ovary syndrome

Abstract

The voice is the basic communication tool, the color or quality of which may be affected by metabolic or endocrine diseases, as well as gastroesophageal reflux disease and laryngopharyngeal reflux disease. Obesity is the abnormal or excessive accumulation of fat, which poses a health risk. Changes in the body due to fat accumulation are likely to contribute to the ‘respiratory symptoms of obesity’ such as wheezing and breathlessness. The topic of the influence between obesity and the voice requires further research. Diabetes mellitus is a metabolic chronic disease in which the pancreas does not produce enough insulin or when the body cannot use it effectively. It is reported that patients with poor glycaemic control and neuropathy are characterised by a significant difference in voice assessment. Reflux disease is a chronic condition in which acidic gastric contents move into the oesophagus (GERD) or the pharynx or the larynx (LPRD). It is indicated that there are changes in voice quality in patients struggling with reflux disease compared to healthy individuals. Hypothyroidism and hyperthyroidism are conditions caused by an abnormal production of hormones by this gland. In their course, enlargement of the thyroid gland may occur, thereby constricting the vocal cords and causing dysphonia. This topic requires further research. Polycystic ovary syndrome (PCOS) is the most common endocrine disorder in women of the reproductive age. The results of the studies on the correlation between PCOS and voice disorders are not consistent. The aim of this article is to draw attention to and emphasise how greatly the human voice organ is affected by common diseases that the 21st century man struggles with.

Downloads

Download data is not yet available.

References

Ayazi S., Pearson J., Hashemi M., 2012, Gastroesophageal Reflux and Voice Changes Objective Assessment of Voice Quality and Impact of Antireflux Therapy, „Journal of Clinical Gastroenterology”, Vol. 46(2), s. 119–123.
Google Scholar

Aydin K., Akbulut S., Demir M.G., Demir S., Ozderya A., Temizkan S., Sargin M., 2016, Voice Characteristics Associated With Polycystic Ovary Syndrome, „The Laryngoscope”, Vol. 126(9), s. 2067–2072.
Google Scholar

Barsties B., Verfaillie R., Roy N., Maryn Y., 2013, Do body mass index and fat volume influence vocal quality, phonatory range, and aerodynamics in females?, „Codas”, Vol. 25(4), s. 310–318.
Google Scholar

Britannica, 2023, Diabetes mellitus, www.britannica.com/science/diabetes‑mellitus (dostęp: 27.04.2023).
Google Scholar

Broughton D.E., Moley K.H., 2017, Obesity and female infertility: potential mediators of obesity’s impact, „Fertility and Sterility”, Vol. 107(4), s. 840–847.
Google Scholar

Celebi S., Yelken K., Develioglu O.N., Topak M., Celik O., Ipek H.D., Kulekci M., 2013, Acoustic, perceptual and aerodynamic voice evaluation in an obese population, „The Journal of Laryngology and Otology”, Vol. 127(10), s. 987–990.
Google Scholar

Cleveland Clinic, b.r., GERD (Chronic Acid Reflux), my.clevelandclinic.org/health/diseases/17019‑gerd‑or‑acid‑reflux‑or‑heartburnoverview (dostęp: 6.12.2019).
Google Scholar

Dixon A.E., Peters U., 2018, The effect of obesity on lung function, „Expert Review of Respiratory Medicine”, Vol. 12(9), s. 755–767.
Google Scholar

Ersoz Unlu C., Karacayli C., Ocal F.C.A., 2022, Acoustic and perceptual voice parameters in subclinical and overt primary hypothyroidism, „Auris Nasus Larynx”, Vol. 49(3), s. 112–116.
Google Scholar

Eunice Kennedy Shriver National Institute of Child Health and Human Development, 2022, About Polycystic Ovary Syndrome (PCOS), www.nichd.nih.gov/health/topics/pcos/conditioninfo (dostęp: 29.09.2022).
Google Scholar

Garber J.R., Cobin R.H., Gharib H., Hennessey J.V., Klein I., Mechanick J.I., Pessah‑Pollack R., Singer P.A., 2012, Clinical practice guidelines for hypothyroidism in adults: cosponsored by the American Association of Clinical Endocrinologists and the American Thyroid Association, „Thyroid: Official Journal of the American Thyroid Association”, Vol. 22(12), s. 1200–1235.
Google Scholar

Gölaç H., Atalik G., Türkcan A.K., Yilmaz M., 2022, Disease related changes in vocal parameters of patients with type 2 diabetes mellitus, „Logopedics, Phoniatrics, Vocology”, Vol. 47(3), s. 202–208.
Google Scholar

Guadagnoli L., Simons M., McGarva J., Taft T.H., Tilburg M.A.L. van, 2022, Improving Patient Adherence to Lifestyle Changes for the Management of Gastroesophageal Reflux, „Patient Preference and Adherence”, Vol. 16(13), s. 897–909.
Google Scholar

Gugatschka M., Lichtenwagner S., Schwetz V., Lerchbaum E., Graupp M., Gerstenberger C., Kiesler K., Obermayer‑Pietsch B., Friedrich G., 2013, Subjective and Objective Vocal Parameters in Women With Polycystic Ovary Syndrome, „Journal of Voice: Official Journal of the Voice Foundation”, Vol. 27(1), s. 98–100.
Google Scholar

Hamdan A.L., Jabbour J., Nassar J., Dahouk I., Azar S.T., 2012a, Vocal characteristics in patients with type 2 diabetes mellitus, „European Archives of Oto‑Rhino‑Laryngology: Official Journal of the European Federation of Oto‑Rhino‑Laryngological Societies (EUFOS): Affiliated with the German Society for Oto‑Rhino‑Laryngology – Head and Neck Surgery”, Vol. 269(5), s. 1489–1495.
Google Scholar

Hamdan A.L., Nassar J., El‑Dahouk I., Al Zaghal Z., Jabbour J., Azar S.T., 2012b, Vocal characteristics in patients with thyroiditis, „American Journal of Otolaryngology”, Vol. 33(5), s. 600–603.
Google Scholar

Hamdan A.L., Safadi B., Chamseddine G., Kasty M., Turfe Z.A., Ziade G., 2014, Effect of weight loss on voice after bariatric surgery, „Journal of Voice: Official Journal of the Voice Foundation”, Vol. 28(5), s. 618–623.
Google Scholar

Hannoun A., Zreik T., Husseini S.T., Mahfoud L., Sibai A., Hamdan A.L., 2011, Vocal Changes in Patients With Polycystic Ovary Syndrome, „Journal of Voice: Official Journal of the Voice Foundation”, Vol. 25(4), s. 501–504.
Google Scholar

Hari Kumar K.V., Garg A., Ajai Chandra N.S., Singh S.P., Datta R., 2016, Voice and endocrinology, „Indian Journal of Endocrinology and Metabolism”, Vol. 20(5), s. 590–594.
Google Scholar

Junuzović‑Žunić L., Ibrahimagić A., Altumbabić S., 2019, Voice Characteristics in Patients with Thyroid Disorders, „The Eurasian Journal of Medicine”, Vol. 51(2), s. 101–105.
Google Scholar

Kokot F., 2004, Endokrynologia, [w:] F. Kokot (red.), Choroby wewnętrzne. Podręcznik akademicki, Warszawa: Wydawnictwo Lekarskie PZWL, s. 970–995.
Google Scholar

Lechien J.R., Finck C., Huet K., Khalife M., Fourneau A.F., Delvaux V., Piccaluga M., Harmegnies B., Saussez S., 2016, Impact of laryngopharyngeal reflux on subjective and objective voice assessments: a prospective study, „Journal of Otolaryngology – Head & Neck Surgery = Le Journal d’Oto‑Rhino‑Laryngologie et de Chirurgie Cervico‑faciale”, Vol. 45(1), s. 59–67.
Google Scholar

Mayo Clinic, b.r., Hyperthyroidism (overactive thyroid), www.mayoclinic.org/diseases‑conditions/hyperthyroidism/symptoms‑causes/syc-20373659 (dostęp: 30.11.2022).
Google Scholar

McCarty J.C., Ferguson B.J., 2014, Identifying Asthma Triggers, „Otolaryngologic Clinics of North America”, Vol. 47(1), s. 109–118.
Google Scholar

Mohammadzadeh A., Heydari E., Azizi F., 2011, Speech impairment in primary hypothyroidism, „Journal of Endocrinological Investigation”, Vol. 34(6), s. 431–433.
Google Scholar

National Heart, Lung, and Blood Institute, 2022, Overweight and Obesity. Causes and Risk Factors, www.nhlbi.nih.gov/health/overweight‑and‑obesity/causes (dostęp: 24.03.2022).
Google Scholar

National Institute of Diabetes and Digestive and Kidney Diseases, b.r., Definition & Facts for GER & GERD, www.niddk.nih.gov/health‑information/digestive‑diseases/acid‑reflux‑ger‑gerd‑adults/definition‑facts (dostęp: 15.07.2020).
Google Scholar

National Library of Medicine, 2022, Polycystic Ovarian Disease, www.ncbi.nlm.nih.gov/books/NBK459251 (dostęp: 15.11.2022).
Google Scholar

National Library of Medicine, 2023, Hypothyroidism, www.ncbi.nlm.nih.gov/books/NBK519536 (dostęp: 08.08.203).
Google Scholar

Olszewski J., Nowosielska‑Grygiel J., 2017, Nowe metody diagnostyczne oceny czynności głosu dla potrzeb foniatry i logopedy, „Logopaedica Lodziensia”, nr 1, s. 91–99.
Google Scholar

Pandeya N., Webb P.M., Sadeghi S., Green A.C., Whiteman D.C., 2010, Gastro‑oesophageal reflux symptoms and risk of oesophageal cancer: are effects of smoking, NSAIDs or acid suppressants?, „Gut”, Vol. 59(1), s. 31–38.
Google Scholar

Patel S., 2018, Polycystic ovary syndrome (PCOS), an inflammatory, systemic, lifestyle endocrinopathy, „The Journal of Steroid Biochemistry and Molecular Biology”, Vol. 182(1), s. 27–36.
Google Scholar

Rubin A.D., Sataloff R.T., 2007, Vocal fold paresis and paralysis, „Otolaryngologic Clinics of North America”, Vol. 40(5), s. 1109–1131.
Google Scholar

Sańko‑Resmer J., Wyzgał J., 2009, Endokrynologia: Choroby tarczycy, [w:] L. Pączek, K. Mucha, B. Foroncewicz (red.), Choroby wewnętrzne. Podręcznik dla studentów pielęgniarstwa i położnictwa, Warszawa: Wydawnictwo Lekarskie PZWL, s. 465–482.
Google Scholar

Sethi S., Richter J.E., 2017, Diet and gastroesophageal reflux disease: role in pathogenesis and management, „Current Opinion in Gastroenterology”, Vol. 33(2), s. 107–111.
Google Scholar

Sharma V., Cowan D.C., 2021, Obesity, Inflammation, and Severe Asthma: an Update, „Current Allergy and Asthma Reports”, Vol. 21(12), s. 46–58.
Google Scholar

Stagnaro‑Green A., 2012, Approach to the patient with postpartum thyroiditis, „The Journal of Clinical Endocrinology and Metabolism”, Vol. 97(2), s. 334–342.
Google Scholar

Stogowska E., Kamiński K.A., Ziółko B., Kowalska I., 2022, Voice changes in reproductive disorders, thyroid disorders and diabetes: a review, „Endocrine Connections”, Vol. 11(3), 210505.
Google Scholar

Sulica L., 2013, Vocal Fold Paresis: An Evolving Clinical Concept, „Current Otorhinolaryngology Reports”, No. 1, s. 158–162.
Google Scholar

Syamal M.N., Benninger M.S., 2016, Vocal fold paresis: a review of clinical presentation, differential diagnosis, and prognostic indicators, „Current Opinion in Otolaryngology & Head and Neck Surgery”, Vol. 24(3), s. 197–202.
Google Scholar

University of Pittsburgh, Department of Otolaryngology, b.r., Reflux Laryngitis, www.otolaryngology.pitt.edu/centers‑excellence/voice‑center/conditions‑we‑treat/reflux‑laryngitis (dostęp: 17.10.2022).
Google Scholar

World Health Organization, 2021, Obesity and overweight, www.who.int/news‑room/fact‑sheets/detail/obesity‑and‑overweight (dostęp: 9.06.2021).
Google Scholar

World Health Organization, 2023, Diabetes, www.who.int/news‑room/fact‑sheets/detail/diabetes (dostęp: 5.04.2023).
Google Scholar

Published

2023-11-29 — Updated on 2023-12-01

Versions

How to Cite

Muras, P. (2023). The impact of endocrine and metabolic disorders and the reflux disease on voice disorders. Logopaedica Lodziensia, (7), 139–153. https://doi.org/10.18778/2544-7238.07.10 (Original work published November 29, 2023)