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Domain-Specific Associations Between Physical Activity and Tinnitus in NHANES 2015-2018.

Mitra Britton¹, Peter A Hosick²

¹Department of Communication Sciences and Disorders, Montclair State University, Montclair, NJ 07043, USA.

Audiology Research

|June 25, 2026

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Non-work physical activity (NW PA) may reduce tinnitus risk, while work-related physical activity (WORK PA) might increase it. This study highlights the importance of considering the type of physical activity when examining tinnitus associations.

Area of Science:

Auditory Health
Epidemiology
Occupational Health

Background:

Tinnitus is a common condition with significant psychological impact and limited treatment options.
The relationship between physical activity and tinnitus is not well understood.
This study investigates the link between different types of physical activity and tinnitus prevalence.

Purpose of the Study:

To examine the association between domain-specific physical activity (work-related vs. non-work-related) and tinnitus in U.S. adults.
To identify potential modifiable factors influencing tinnitus risk.

Main Methods:

Analysis of data from the National Health and Nutrition Examination Survey (NHANES) 2015-2018.
Inclusion of 4301 U.S. adults aged 20 years and older.

Keywords:

NHANES NW PA = non-work-related physical activity WORK PA = work-related physical activity tinnitus

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Multivariable logistic regression models adjusted for various health and demographic factors to assess associations between physical activity domains and tinnitus.

Main Results:

The prevalence of tinnitus was 17.3% in the study sample.
High non-work physical activity (NW PA) was associated with lower odds of tinnitus (OR = 0.70).
High work-related physical activity (WORK PA) was associated with higher odds of tinnitus (OR = 1.30).
Noise exposure and depressive symptoms were independently linked to tinnitus.

Conclusions:

A paradoxical association exists between physical activity domains and tinnitus.
Non-work physical activity may be protective against tinnitus, while work-related physical activity might increase risk.
Domain-specific assessment of physical activity is crucial for understanding tinnitus and identifying potential interventions.