PMID- 33970753
OWN - NLM
STAT- MEDLINE
DCOM- 20220916
LR  - 20220916
IS  - 1651-2022 (Electronic)
IS  - 1401-5439 (Linking)
VI  - 47
IP  - 3
DP  - 2022 Oct
TI  - Disease related changes in vocal parameters of patients with type 2 diabetes 
      mellitus.
PG  - 202-208
LID - 10.1080/14015439.2021.1917653 [doi]
AB  - BACKGROUND: As the duration of diabetes progresses, various disease related 
      complications might occur in patients. The main goal of this paper is to compare 
      acoustic and aerodynamic measures of patients with type 2 diabetes mellitus 
      (T2DM) with a control group of healthy subjects. METHODS: A total of 91 subjects, 
      51 individuals with type 2 diabetes mellitus (DM group) and 40 healthy volunteers 
      (HV group) were participated in the study. Maximum phonation time (MPT) was 
      captured for assessing phonatory mechanics. Acoustic voice parameters, including 
      mean fundamental frequency (mean fo), jitter local (Jlocal), jitter absolute 
      (Jabs), shimmer local (Slocal), shimmer decibel (SdB), and harmonics to noise 
      ratio (HNR) were detected using the Praat software program. RESULTS: Only for 
      Jabs, statically significant difference was found between the groups. There were 
      no statically significant differences between any voice parameters of HV versus 
      those with the duration of diabetes >/=10 years and the HbA1c level >/=7%. However, 
      statically significant differences for MPT and Slocal were found between patients 
      with neuropathy versus HV. In addition, a comparison between patients with voice 
      complaint versus HV showed significant differences for Slocal and SdB. 
      CONCLUSIONS: The findings of the present study do not provide strong evidence 
      about the possible effect of DM on the human voice. However, diabetic neuropathy 
      is considered to be a factor affecting the voice parameters in the target 
      population. The physicians should pay attention to the acoustic and aerodynamic 
      voice parameters in patients with diabetes, particularly in those with neuropathy 
      or voice complaints.
FAU - Golac, Hakan
AU  - Golac H
AUID- ORCID: 0000-0002-6161-7501
AD  - Department of Speech and Language Therapy, Gazi University, Ankara, Turkey.
FAU - Atalik, Guzide
AU  - Atalik G
AUID- ORCID: 0000-0003-4412-223X
AD  - Department of Speech and Language Therapy, Gazi University, Ankara, Turkey.
FAU - Turkcan, Alper Kutalmis
AU  - Turkcan AK
AUID- ORCID: 0000-0002-9638-455X
AD  - Department of Otolaryngology, Gazi University, Ankara, Turkey.
FAU - Yilmaz, Metin
AU  - Yilmaz M
AUID- ORCID: 0000-0002-3382-4220
AD  - Department of Otolaryngology, Gazi University, Ankara, Turkey.
LA  - eng
PT  - Journal Article
DEP - 20210510
PL  - England
TA  - Logoped Phoniatr Vocol
JT  - Logopedics, phoniatrics, vocology
JID - 9617311
SB  - IM
MH  - Acoustics
MH  - *Diabetes Mellitus, Type 2/complications/diagnosis
MH  - Humans
MH  - Phonation
MH  - Speech Acoustics
MH  - *Voice Quality
OTO - NOTNLM
OT  - Diabetes mellitus
OT  - diabetic complications
OT  - dysphonia
OT  - neuropathy
OT  - voice disorders
EDAT- 2021/05/11 06:00
MHDA- 2022/09/17 06:00
CRDT- 2021/05/10 17:29
PHST- 2021/05/11 06:00 [pubmed]
PHST- 2022/09/17 06:00 [medline]
PHST- 2021/05/10 17:29 [entrez]
AID - 10.1080/14015439.2021.1917653 [doi]
PST - ppublish
SO  - Logoped Phoniatr Vocol. 2022 Oct;47(3):202-208. doi: 
      10.1080/14015439.2021.1917653. Epub 2021 May 10.