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Updated: Jul 13, 2026

Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
Published on: January 23, 2017
Childhood hearing is associated with growth rates in infancy and adolescence
David Welch1, Patrick J D Dawes
1Department of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, Dunedin 9054, New Zealand. david.welch@dmhdru.otago.ac.nz
Insights
Childhood hearing levels correlate with growth rates, particularly during late adolescence. This association suggests hearing may predict Insulin-like Growth Factor 1 (IGF-1) mediated development.
Area of Science:
- Endocrinology
- Audiology
- Developmental Biology
Background:
- Shorter stature is linked to sensorineural hearing loss.
- Insulin-like Growth Factor 1 (IGF-1) influences cochlear development and neurodevelopment.
- Previous research indicates peak IGF-1 levels during late puberty.
Purpose of the Study:
- To investigate the relationship between childhood hearing threshold and growth rate in a normally hearing population.
- To determine if this association is strongest during late puberty, coinciding with peak IGF-1 levels.
Main Methods:
- Statistical analysis of the relationship between childhood hearing threshold and height growth rate.
- Examination across different life stages up to age 32.
- Focus on periods of significant growth and hormonal changes.
Main Results:
- A significant association was found between hearing and height growth in the general population.
- The strongest correlations were observed in late puberty, as hypothesized.
- Significant associations were also noted in infancy and early childhood.
Conclusions:
- Childhood hearing threshold is associated with growth rate in normally hearing individuals.
- The findings support the hypothesis that hearing may predict Insulin-like Growth Factor 1 (IGF-1) mediated developmental characteristics.
- Hearing may serve as an indicator for broader developmental trajectories.
Abstract:
It is known that shorter stature is associated with sensorineural hearing loss; and that cochlear development is associated with activity of IGF 1, as are many important aspects of neurodevelopment. We hypothesized that this relation might be extrapolated to a normally hearing group, and that the strongest relation between hearing level and growth rate would be in late puberty, when serum IGF-1 levels are highest. We examined the statistical relation between childhood hearing threshold and rate of growth in height at different times during the life course up to age 32. We found mixed support for the hypothesis. The strongest relations were observed in late puberty, at the ages which previous research shows are associated with the highest serum concentrations of IGF-1 in males and females, but also in infancy and early childhood. The association between hearing and height is present in a normally hearing, general population sample, and is associated with growth in late adolescence. Our findings support the idea that childhood hearing threshold may be predictive of IGF-1 mediated developmental characteristics.
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