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Video gamers around the world may be jeopardizing their hearing health, facing the potential of irreversible hearing loss and tinnitus, according to a systematic review published in the open-access journal BMJ Public Health. The study reveals that sound levels in games often approach or exceed permissible safe limits, raising concerns for the millions of gamers globally.

Researchers point out that while the adverse effects of headphones, earbuds, and music venues on hearing have been recognized, video games’ impact has received relatively little attention. With gamers often playing for extended hours at high-intensity sound levels, the study emphasizes the need for greater public health efforts to raise awareness of potential risks.

The review compiled data from 14 peer-reviewed studies involving over 50,000 people across nine countries. Sound levels reported in studies ranged from 43.2 decibels (dB) for mobile devices to 80-89 dB for gaming centers. Prolonged exposure to impulse sounds, reaching levels as high as 119 dB during gameplay, was reported. Permissible exposure limits are around 100 dB for children and 130–140 dB for adults.

The study highlights that the prevalence of video gaming, with an estimated 3 billion gamers worldwide in 2022, underscores the need for awareness. Gaming centers were particularly mentioned, with sound levels averaging 88.5 dB for shooter games and 85.6 dB for a racing game. The study suggests that daily sound exposure from these video games approaches maximum permissible levels.

While acknowledging the limitations of the study, including some dated studies from the early 1990s, the researchers call for further research to understand the impact of esports, geographic regions, gender, and age on hearing loss. They emphasize the importance of preventive measures, education, and global policy initiatives to protect gamers’ hearing.

Published on January 17, 2024, in BMJ Public Health.

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