医学
置信区间
优势比
危险系数
听力损失
老年人跌倒
坠落(事故)
听力学
伤害预防
毒物控制
职业安全与健康
观察研究
害怕跌倒
可能性
老年学
逻辑回归
内科学
医疗急救
环境卫生
病理
作者
Rebecca J. Kamil,Joshua Betz,Becky Powers,Sheila Pratt,Stephen B. Kritchevsky,Hilsa N. Ayonayon,T. B. Harris,Elizabeth Helzner,Jennifer A. Deal,Kathryn R. Martin,Matthew J. Peterson,Anne B. Newman,Eleanor M. Simonsick,Frank R. Lin
标识
DOI:10.1177/0898264315608730
摘要
Objective: We aimed to determine whether hearing impairment (HI) in older adults is associated with the development of frailty and falls. Method: Longitudinal analysis of observational data from the Health, Aging and Body Composition study of 2,000 participants aged 70 to 79 was conducted. Hearing was defined by the pure-tone-average of hearing thresholds at 0.5, 1, 2, and 4 kHz in the better hearing ear. Frailty was defined as a gait speed of <0.60 m/s and/or inability to rise from a chair without using arms. Falls were assessed annually by self-report. Results: Older adults with moderate-or-greater HI had a 63% increased risk of developing frailty (adjusted hazard ratio [HR] = 1.63, 95% confidence interval [CI] = [1.26, 2.12]) compared with normal-hearing individuals. Moderate-or-greater HI was significantly associated with a greater annual percent increase in odds of falling over time (9.7%, 95% CI = [7.0, 12.4] compared with normal hearing, 4.4%, 95% CI = [2.6, 6.2]). Discussion: HI is independently associated with the risk of frailty in older adults and with greater odds of falling over time.
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