31/07/2026
Noise exposure during fitness classes
A new study published in JAMA Otolaryngology-Head and Neck Surgery has found that loud music in group fitness classes can reach 108 dBA, which is equivalent to attending a rock concert and well beyond recommended sound levels. Such noise exposure greatly increases risk of hearing loss for both instructors and class participants.
The JAMA study highlighted what many hearing care professionals have suspected for years: sound levels in group fitness classes frequently exceed safe listening limits. Depending on the class and duration, participants may be exposed to sound levels above 85 dBA for extended periods, increasing their risk for noise induced hearing loss (NIHL), tinnitus, and temporary threshold shifts.
While these classes offer incredible physical and mental health benefits, the study reminds us that hearing health should be part of the wellness conversation. The goal isn’t to discourage participation but to help people enjoy these environments safely by increasing awareness of sound exposure and encouraging practical hearing conservation strategies.
This research reinforces the importance of asking detailed lifestyle questions during case history. We routinely ask about occupational noise exposure, but recreational noise exposure, including fitness classes, concerts, sporting events, and personal listening devices, can be just as significant.
When patients report frequent participation in high volume activities, it’s important to establish a baseline hearing evaluation, include speech in noise testing when appropriate, and educate them about cumulative noise exposure. Prevention is one of the most valuable services audiologists provide, and these conversations can help patients protect their hearing before permanent damage occurs.
The use of musician’s earplugs during especially loud classes may be a good option because they reduce the volume while preserving sound quality, allowing one to hear the instructor and enjoy the music without excessive exposure. Avoid standing directly next to speakers whenever possible, and give ears time to recover after prolonged loud environments.
For most patients, high fidelity or musician’s earplugs are an excellent option. Unlike traditional foam earplugs, they lower sound levels more evenly across frequencies, allowing users to hear music and verbal instruction clearly while reducing potentially harmful noise exposure.
For patients who attend fitness classes regularly, custom musician’s earplugs may provide the best combination of comfort, consistent attenuation, and long-term compliance. Ultimately, the best hearing protection is the one patients are willing to wear consistently.
Hearing protection should be tailored to an individual’s lifestyle. Someone who enjoys group fitness may also attend concerts, travel frequently, ride motorcycles, hunt, work with power tools, or have occupational noise exposure. Different environments require different levels and styles of protection.
Be proactive and protect hearing. We often meet patients after hearing loss has already occurred, but studies like this remind us that education and prevention can make a meaningful difference.
As younger adults become increasingly focused on overall wellness, hearing health deserves a place in that conversation. By discussing recreational noise exposure, promoting routine hearing evaluations, and recommending practical hearing protection, we can help patients maintain healthy hearing throughout their lives rather than simply treating hearing loss once it’s developed.
For information on our range of custom ear protection solutions please contact Midland Hearing Care on 043 336 8029 or email [email protected] to schedule an appointment.
