Attias · American journal of otolaryngology 1994 · double-blind randomized placebo-controlled trial · n=300

Oral magnesium intake reduces permanent hearing loss induced by noise exposure.

Cited 134 times in the scientific literature.

Level 2 - randomized trial

Individual randomized, double-blind, placebo-controlled trial

PubMed 8135325 · doi:10.1016/0196-0709(94)90036-1 · record verified 2026-08-26

What was done

In a double-blind, placebo-controlled trial, 300 young, healthy, normal-hearing military recruits undergoing 2 months of basic training with impulse noise exposure (while using earplugs) were randomized to receive a daily drink containing either 6.7 mmol (167 mg) magnesium aspartate or sodium aspartate placebo. Investigators measured noise-induced permanent hearing threshold shifts (NIPTS), red blood cell and mononuclear cell magnesium content, and side effects.

What was found

NIPTS was significantly more frequent and more severe in the placebo group than in the magnesium group, particularly for bilateral damage. NIPTS was negatively correlated with magnesium concentrations in red blood cells and mononuclear cells. No notable adverse effects were observed. The abstract does not report exact numerical incidence rates, threshold shift values, or p-values.

Why it matters

Oral magnesium intake may offer a low-cost, well-tolerated prophylactic intervention to protect against permanent hearing damage in settings with hazardous acoustic trauma.

Limits

The abstract provides no raw counts, percentages, effect sizes, or confidence intervals. The findings are restricted to young, healthy recruits exposed specifically to military impulse noise alongside earplug use, which may not generalize to continuous noise exposure or broader populations.

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