Hearing loss and falls among older adults in the United States.

Center on Aging and Health, Johns Hopkins School of Public Health, 2024 E Monument St, Ste 2-700, Baltimore, MD 21205. .
Archives of internal medicine (Impact Factor: 13.25). 02/2012; 172(4):369-71. DOI: 10.1001/archinternmed.2011.728
Source: PubMed
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    ABSTRACT: This study examined hearing loss prevalence and hearing aid usage rates among Korean elders by comparing the differences between those with and without hearing loss, and between those who used and did not use hearing aids. This study was based on data collected during the Korean National Health and Nutrition Examination Survey V (2010-2012). The study sample consisted of 5,447 Koreans aged ≥60 years who received a hearing assessment. Hearing loss was measured using a pure tone audiometry test and classified according to the World Health Organization's criteria. Hearing aid use was assessed by self-report. Multiple logistic regression analyses were performed to determine the associations between hearing loss, hearing aid use, and related variables. Hearing loss was found in 16.8% of the elders and only 15.9% of them used a hearing aid. Male (95% CI: 1.27-2.15), tinnitus (95% CI: 1.58-2.32), dizziness (95% CI: 1.05-1.73), and occupational noise exposure (95% CI: 1.32-2.38) were the variables most strongly associated with hearing loss after multivariate adjustment. Tinnitus (95% CI: 1.34-4.13) and occupational noise exposure (95% CI: 1.01-5.02) were strongly associated with hearing aid use after multivariate adjustment. More than half of South Korean elders aged ≥60 and older have hearing loss but the rate of hearing aid use is very low. An aural public health program should address modifiable risk factors, such as tinnitus and noise exposure, and non-modifiable risk factors associated with hearing loss in the elderly.
    Iranian Journal of Public Health 03/2015; 44(3):308-17. · 0.58 Impact Factor
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    ABSTRACT: Age-related hearing impairment (ARHI, also known as presbycusis) is potentially a reversible risk factor for dementia and Alzheimer disease (AD). Social isolation, loneliness, poor verbal communication, and cognitive reserve depletion might causally link ARHI with cognitive impairment. ARHI is an important frailty marker, and several factors related to physical frailty could be associated with cognitive impairment. Such factors include inflammatory markers and vascular factors, which might also directly contribute to ARHI. Randomized controlled trials of potential interventions, and larger population-based studies, could facilitate further understanding of the interplay between cognitive impairment, ARHI and frailty in older age. Deficits in both peripheral hearing and central auditory processing (CAP) can contribute to ARHI. Impairments in peripheral hearing and CAP have been linked to accelerated cognitive decline, incident cognitive impairment and AD; moreover, CAP dysfunction is common in mild cognitive impairment (MCI) and AD. Assessment of CAP dysfunction in people with ARHI might, therefore, aid identification of older individuals with increased risk of MCI and AD.
    Nature Reviews Neurology 02/2015; DOI:10.1038/nrneurol.2015.12 · 14.10 Impact Factor
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    ABSTRACT: Hearing impairment is highly prevalent in older adults and can affect the daily activities of a person who is hard of hearing (HOH). The impact of hearing impairment may also have collateral effects on the primary communication partner (CP; e.g., spouse, close family member, or caregiver) of the person who is HOH. We aimed to characterize the impact of hearing loss in a person who is HOH on his or her CP. We conducted a systematic review of manuscripts examining the consequences of hearing loss in a person who is HOH on the CP. We searched PubMed, Embase, Scopus, PyscINFO, CINAHL Plus with full text, and Web of Science for peer-reviewed articles using a predefined search string and hand-searched reference lists of relevant articles. We initially screened abstracts blinded for author and journal to eliminate irrelevant and duplicate articles. Descriptive information on study populations, hearing assessments, outcome metrics, and study findings were extracted from full-length manuscripts. Of the 1,047 abstracts retrieved from database searching and 5 hand-searched articles, 24 articles met inclusion criteria. These articles included observational clinical studies, randomized clinical trials, and epidemiologic studies. Overall, CPs experienced a restricted social life, increased burden of communication, and poorer quality of life (QOL) and relationship satisfaction. Effects of hearing impairment on a CP's mental health were unclear. Treatment of hearing loss in the person who is HOH tended to improve QOL, communication, feelings toward the person who is HOH, and activity participation of the CP. This review highlights the broad effects of hearing impairment and the importance of involving CPs in hearing loss treatment decisions. American Academy of Audiology.
    Journal of the American Academy of Audiology 02/2015; 26(2):155-82. DOI:10.3766/jaaa.26.2.6 · 1.59 Impact Factor


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