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: 17.33). 02/2012; 172(4):369-71. DOI: 10.1001/archinternmed.2011.728
Source: PubMed
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    • "Furthermore, hearing loss, which affects approximately two-thirds of older adults in the United States [13], is independently associated with poorer self-reported physical functioning [14] [15] and walking speed [16]. There is evidence that the relationship between hearing loss and physical functioning is mediated by more than concomitant vestibular disease, as hearing loss has been shown to be associated with falls independent of vestibular function [17]. Despite the relevance of physical functioning to head and neck diseases, there are currently no objective metrics of physical performance commonly in use within otolaryngology. "
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    ABSTRACT: Purpose Objective measures of physical functioning and mobility are considered to be the strongest indicators of overall health and mortality risk in older adults. These measures are not routinely used in otolaryngology research. We investigated the feasibility of using a validated physical performance battery to assess the functioning of older adults seen in a tertiary care otolaryngology clinic. Materials and Methods The Short Physical Performance Battery was performed on 22 individuals aged 50 years or older enrolled in the Studying Multiple Outcomes after Aural Rehabilitative Treatment (SMART) study at Johns Hopkins Results We successfully administered the SPPB to 22 participants, and this testing resulted in minimal participant and provider burden with respect to time, training, and space requirements. The mean time to complete 5 chair stands was 13.0 ± 3.8 seconds. The mean times for the side-by-side, semi-tandem, and tandem stands were 10.0 ± 0.0, 9.5 ± 2.1, and 8.8 ± 3.2 seconds, respectively. Mean walking speed was 1.1 ± 0.3 meters per second, and composite SPPB scores ranged from 6 to 12 (mean = 10.45, S.D. = 1.6). Conclusions Our results demonstrate the feasibility of implementing a standardized physical performance battery to assess physical functioning in a cohort of older adults seen in a tertiary otolaryngology clinic. We provide detailed instructions, references, and analytic methods for implementing the SPPB in future otolaryngology studies involving older adults.
    Full-text · Article · Nov 2014 · American Journal of Otolaryngology
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    • "PTA values were compared between pre-and postimplant exams demonstrating a significant improvement with CI (Figure 3). Also speech perception scores showed a significant improvement both in the detection Figure 1 Conceptual model of the association of hearing loss with cognitive and physical functioning in older adults (from F. Lin, 2012)[3] Figure 2 External and internal parts of a cochlear implant "
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    ABSTRACT: Background At the present time, 50 to 60% of the population above 70 years of age suffers from a hearing impairment and from 0.6 to 1.1% has a severe to profound loss, which cannot benefit from an hearing aid. Moreover, it is expected that this prevalence will grow by more than two-fold in the next 40 years. There is strong evidence that hearing loss in older adults is associated with both cognitive load and social isolation, which in turn, are associated with cognitive and physical functioning. Cochlear implant (CI) dramatically improves sound audibility and speech understanding. The aim of this paper was to analyze outcome and complications of CI treatment in elderly patients. Methods A retrospective study on 17 patients, aged at implantation between 65 and 79 years (mean = 70.47 ± 3.94), unilaterally implanted for severe to profound bilateral hearing loss. The following data were statistically evaluated: pre-implant pure-tone threshold and tests of speech recognition, both with hearing aid that without; post-implant threshold and speech perception with CI off and on. Moreover, statistical correlations of PTA improvement between two age groups (65 to 70 and over 70 years) were carried out. Results Mean PTA improved from 111.25 (± 17.51) (pre-implant) to 43.81 (± 9.27) (post-implant); and the mean SRT improved from 90 dB to 65 dB. Moreover there was no statistical difference in PTA improvement between the two age groups (65 to 70 and over 70 years). No severe per- or post-operative surgical complications were noted. Discussion In the elderly, CI is a safe procedure that significantly improves hearing threshold (p < 0.00001) and speech perception (p < 0.01). Support of family and professionals, as well as duration of deafness and pre-implant scores greatly influence the results of rehabilitation and its perceived benefit. CI should not be denied in older individuals who are otherwise in good health.
    Full-text · Article · Oct 2013 · BMC Surgery

  • No preview · Article · Feb 2012 · Archives of internal medicine
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