Association of Hearing Impairment With Incident Frailty and Falls in Older Adults

Kamil, Rebecca J.; Betz, Joshua; Powers, Becky; Pratt, Sheila; Kritchevsky, Stephen B.; Ayonayon, Hilsa N.; Harris, Tammy; Helzner, Elizabeth; Deal, Jennifer A.; Martin, Kathryn; Peterson, Matthew J.; Satterfield, Suzanne; Simonsick, Eleanor M.; Lin, Frank R.

doi:10.1177/0898264315608730

Cited by 159 publications

(169 citation statements)

References 54 publications

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“…In contrast, hearing impairment was associated with greater risk of developing frailty in prefrail older adults, and the association remained after further adjustment for covariates. This finding is consistent with those of a previous longitudinal study showing an association between hearing impairment and difficulty getting out of chair and slow gait speed, suggesting that hearing impairment may increase the risk of future frailty in older adults already showing signs of frailty. An important aspect of the current study results is that the association between hearing impairment and incident frailty was observed in individuals who were prefrail but not in those who were not frail at baseline.…”

Section: Discussionsupporting

confidence: 92%

Self‐Reported Hearing Impairment and Incident Frailty in English Community‐Dwelling Older Adults: A 4‐Year Follow‐Up Study

Liljas

Carvalho

Papachristou

et al. 2016

J American Geriatrics Society

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ObjectivesTo examine the association between hearing impairment and incident frailty in older adults.DesignCross‐sectional and longitudinal analyses with 4‐year follow‐up using data from the English Longitudinal Study of Ageing.SettingCommunity.ParticipantsCommunity‐dwelling individuals aged 60 and older with data on hearing and frailty status (N = 2,836).MeasurementsHearing impairment was defined as poor self‐reported hearing. Having none of the five Fried frailty phenotype components (slow walking, weak grip, self‐reported exhaustion, weight loss and low physical activity) was defined as not frail, having one or two as prefrail, and having three or more as frail. Participants who were not frail at baseline were followed for incident prefrailty and frailty. Participants who were prefrail at baseline were followed for incident frailty.ResultsOne thousand three hundred ninety six (49%) participants were not frail, 1,178 (42%) were prefrail, and 262 (9%) were frail according to the Fried phenotype. At follow‐up, there were 367 new cases of prefrailty and frailty among those who were not frail at baseline (n = 1,396) and 133 new cases of frailty among those who were prefrail at baseline (n = 1,178). Cross‐sectional analysis showed an association between hearing impairment and frailty (age‐ and sex‐adjusted odds ratio (OR) = 1.66, 95% confidence interval (CI) = 1.37–2.01), which remained after further adjustments for wealth, education, cardiovascular disease, cognition, and depression. In longitudinal analyses, nonfrail participants with hearing impairment were at greater risk of becoming prefrail and frail at follow‐up (OR = 1.43, 95% CI = 1.05–1.95), but the association was attenuated after further adjustment. Prefrail participants with hearing impairment had a greater risk of becoming frail at follow‐up (OR = 1.64, 95% CI = 1.07–2.51) even after further adjustment.ConclusionHearing impairment in prefrail older adults was associated with greater risk of becoming frail, independent of covariates, suggesting that hearing impairment may hasten the progression of frailty.

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Section: Discussionsupporting

confidence: 92%

Self‐Reported Hearing Impairment and Incident Frailty in English Community‐Dwelling Older Adults: A 4‐Year Follow‐Up Study

Liljas

Carvalho

Papachristou

et al. 2016

J American Geriatrics Society

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“…No presente estudo observámos associação entre fragilidade e autorrelato de problemas de audição. Um estudo longitudinal recente avaliou por audiometria 2000 idosos, concluindo que os portadores de dificuldades auditivas apresentavam um risco 63% maior de desenvolver fragilidade (Kamil et al, 2015). Torna-se pois importante que as pessoas idosas corrijam os problemas auditivos através de adequada vigilância médica e uso de próteses; recomendação extensível aos problemas de visão e deglutição.…”

Section: Discussionunclassified

Frailty and associated risk factors in independent older people living in rural areas

Preto

Conceição

Amaral³

et al. 2018

Rev. Enf. Ref.

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Fragilidade e fatores de risco associados em pessoas idosas independentes residentes em meio ruralFrailty and associated risk factors in independent older people living in rural areas Fragilidad y factores de riesgo asociados en personas ancianas independientes residentes en el medio rural AbstractBackground: The diagnosis of the frailty syndrome is essential in the planning of elderly health interventions. Objective: To assess the prevalence of frailty among older people living in rural communities and its associated factors. Methodology: A cross-sectional study was conducted with 435 elderly subjects who were classified according to the frailty phenotype. The following instruments were also applied: Short Portable Mental Status Questionnaire (SPMSQ), Charlson Comorbidity Index (CCI), Barthel Index (BI), and Lawton And Brody Instrumental Activities Of Daily Living (IADL) Scale. Association tests, mean comparison tests, and correlation analysis (p < 0.05) were used. Results: The sample (74.3 ± 7.1 years) was predominantly female (62.3%) and showed prevalence rates of 33.3% for non-frailty, 46.2% for pre-frailty, and 20.5% for frailty. Frailty was associated with self-perceived health, pain intensity, use of walking aids, and sensory problems. Frail older people were more dependent on activities of daily living. Conclusion: Stronger correlations were found between frailty and the CCI and ELB scores, age, and number of medications per day, in this order.

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“…Eine andere Schwierigkeit scheint zu sein, dass Normalhörende den Eindruck haben, schwerhörige Menschen können besser hören und verstehen, als sie zugeben. [52,53]. Demzufolge können die Konsequenzen der Hörminderung den Lebensalltag älterer Menschen auf der physischen, mentalen und sozialen Ebene beeinflussen [22].…”

Section: Schwerhörigkeit Als Belastungunclassified

Wahrnehmung von Hörproblemen bei älteren Menschen

Moser

Luxenberger

Freidl

2017

HNO

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Association of Hearing Impairment With Incident Frailty and Falls in Older Adults

Cited by 159 publications

References 54 publications

Self‐Reported Hearing Impairment and Incident Frailty in English Community‐Dwelling Older Adults: A 4‐Year Follow‐Up Study

Self‐Reported Hearing Impairment and Incident Frailty in English Community‐Dwelling Older Adults: A 4‐Year Follow‐Up Study

Frailty and associated risk factors in independent older people living in rural areas

Wahrnehmung von Hörproblemen bei älteren Menschen

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