The association between consanguineous marriage and offspring with congenital hearing loss

BACKGROUND: Consanguinity is a commonly recognized practice among marriages in the Middle East and may lead to an increase in the prevalence of inherited disorders. Autosomal recessive deafness is the most common form of inherited congenital hearing loss (CHL). OBJECTIVES: Determine the association...

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Main Authors: Aljohara M. Almazroua, Luluh Alsughayer, Rayanh Ababtain, Yazeed Al-shawi, Abdulrahman A. Hagr
Format: Article
Language:English
Published: King Faisal Specialist Hospital and Research Centre 2020-12-01
Series:Annals of Saudi Medicine
Online Access:https://www.annsaudimed.net/doi/full/10.5144/0256-4947.2020.456
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author Aljohara M. Almazroua
Luluh Alsughayer
Rayanh Ababtain
Yazeed Al-shawi
Abdulrahman A. Hagr
author_facet Aljohara M. Almazroua
Luluh Alsughayer
Rayanh Ababtain
Yazeed Al-shawi
Abdulrahman A. Hagr
author_sort Aljohara M. Almazroua
collection DOAJ
description BACKGROUND: Consanguinity is a commonly recognized practice among marriages in the Middle East and may lead to an increase in the prevalence of inherited disorders. Autosomal recessive deafness is the most common form of inherited congenital hearing loss (CHL). OBJECTIVES: Determine the association of consanguineous marriages with congenital sensorineural hearing loss (SNHL) and auditory neuropathy. DESIGN: Descriptive and analytical cross-sectional study. SETTING: Ear specialist hospital. PATIENTS AND METHODS: Children with severe-to-profound congenital SNHL, who had been referred to the specialist hospital for cochlear implant were analyzed. Patients were divided into subgroups based on degree of consanguinity. MAIN OUTCOME MEASURE: The relative risk of having more than one child with SNHL in offspring of a consanguineous marriage. SAMPLE SIZE: 189 parents and children with CHL. RESULTS: The parents of 157 children (83.1%) were blood-related. Of those, 48 had more than one child with CHL (31.4%), while only two parents who were not blood-related had more than one child with CHL (6.25%; P=.005). Among the 189 children, 131 (69.3%) parents were direct cousins. Only 39 (20.6%) and 43 (22.8%) children had family histories of CHL on the paternal and maternal sides, respectively. There was no statistically significant difference in the prevalence of auditory neuropathy between the offspring of consanguineous and non-consanguineous marriages (P=.648). CONCLUSION: The risk of having more than one child with SNHL in the offspring from a consanguineous marriage is 3.5 times higher than that of a non-consanguineous mating. LIMITATION: The association of hearing loss degree with consanguinity was not studied. CONFLICT OF INTEREST: None.
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spelling doaj.art-917e96a531d84f5e992fc740468d70992022-12-21T22:53:08ZengKing Faisal Specialist Hospital and Research CentreAnnals of Saudi Medicine0256-49470975-44662020-12-0140645646110.5144/0256-4947.2020.4560256-4947.2020.456The association between consanguineous marriage and offspring with congenital hearing lossAljohara M. Almazroua0Luluh Alsughayer1Rayanh Ababtain2Yazeed Al-shawi3Abdulrahman A. Hagr4From the College of Medicine, King Saud University, Riyadh, Saudi ArabiaFrom the College of Medicine, King Saud University, Riyadh, Saudi ArabiaFrom the College of Medicine, King Saud University, Riyadh, Saudi ArabiaFrom the Department of Otolaryngology, King Abdullah Ear Specialist Center, King Saud University, Riyadh, Saudi ArabiaFrom the Department of Otolaryngology, King Abdullah Ear Specialist Center, King Saud University, Riyadh, Saudi ArabiaBACKGROUND: Consanguinity is a commonly recognized practice among marriages in the Middle East and may lead to an increase in the prevalence of inherited disorders. Autosomal recessive deafness is the most common form of inherited congenital hearing loss (CHL). OBJECTIVES: Determine the association of consanguineous marriages with congenital sensorineural hearing loss (SNHL) and auditory neuropathy. DESIGN: Descriptive and analytical cross-sectional study. SETTING: Ear specialist hospital. PATIENTS AND METHODS: Children with severe-to-profound congenital SNHL, who had been referred to the specialist hospital for cochlear implant were analyzed. Patients were divided into subgroups based on degree of consanguinity. MAIN OUTCOME MEASURE: The relative risk of having more than one child with SNHL in offspring of a consanguineous marriage. SAMPLE SIZE: 189 parents and children with CHL. RESULTS: The parents of 157 children (83.1%) were blood-related. Of those, 48 had more than one child with CHL (31.4%), while only two parents who were not blood-related had more than one child with CHL (6.25%; P=.005). Among the 189 children, 131 (69.3%) parents were direct cousins. Only 39 (20.6%) and 43 (22.8%) children had family histories of CHL on the paternal and maternal sides, respectively. There was no statistically significant difference in the prevalence of auditory neuropathy between the offspring of consanguineous and non-consanguineous marriages (P=.648). CONCLUSION: The risk of having more than one child with SNHL in the offspring from a consanguineous marriage is 3.5 times higher than that of a non-consanguineous mating. LIMITATION: The association of hearing loss degree with consanguinity was not studied. CONFLICT OF INTEREST: None.https://www.annsaudimed.net/doi/full/10.5144/0256-4947.2020.456
spellingShingle Aljohara M. Almazroua
Luluh Alsughayer
Rayanh Ababtain
Yazeed Al-shawi
Abdulrahman A. Hagr
The association between consanguineous marriage and offspring with congenital hearing loss
Annals of Saudi Medicine
title The association between consanguineous marriage and offspring with congenital hearing loss
title_full The association between consanguineous marriage and offspring with congenital hearing loss
title_fullStr The association between consanguineous marriage and offspring with congenital hearing loss
title_full_unstemmed The association between consanguineous marriage and offspring with congenital hearing loss
title_short The association between consanguineous marriage and offspring with congenital hearing loss
title_sort association between consanguineous marriage and offspring with congenital hearing loss
url https://www.annsaudimed.net/doi/full/10.5144/0256-4947.2020.456
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