Self-Reported Hearing Status Is Associated with Lower Limb Physical Performance, Perceived Mobility, and Activities of Daily Living in Older Community-Dwelling Men and Women
Mikkola, T., Polku, H., Portegijs, E., Rantakokko, M., Rantanen, T., & Viljanen, A. (2015). Self-Reported Hearing Status Is Associated with Lower Limb Physical Performance, Perceived Mobility, and Activities of Daily Living in Older Community-Dwelling Men and Women. Journal of the American Geriatrics Society, 63(6), 1164-1169. https://doi.org/10.1111/jgs.13381
Published inJournal of the American Geriatrics Society
© The American Geriatrics Society. This is an author's final draft version of an article whose final and definitive form has been published by The American Geriatrics Society/Wiley Periodicals. Published in this repository with the kind permission of the publisher.
BACKGROUND: Poor hearing is common in older adults and it may have negative consequences which extend beyond communication. OBJECTIVES: To explore the associations of self-reported hearing problems with physical performance and self-reported difficulties in mobility and activities of daily living (ADL) in community-dwelling older adults. DESIGN: Cross-sectional cohort study SETTING: Community PARTICIPANTS: 848 men and women aged 75-90 years MEASUREMENTS: Structured face-to-face interviews to assess perceived hearing problems in the presence of noise, mobility difficulties (moving indoors, stair-climbing, 0.5 km walk and 2 km walk) and difficulties in ADLs and instrumental ADLs. The Short Physical Performance Battery (SPPB) test was administered. Age, years of education, cognitive functioning, and self-reported cardiac, circulatory, and locomotor diseases were used as covariates. RESULTS: Compared to persons who reported good hearing, persons who reported major hearing problems had a lower SPPB total score indicating poorer performance (mean 9.8 vs. 10.9, p=0.009) and more difficulties in ADLs (mean 1.8 vs. 1.4, p=0.002) and IADLs (mean 4.6 vs. 3.4, p=0.002) after controlling for covariates. They also had higher odds for more difficulty in stair-climbing (OR 2.8, p<0.001) and walking 2 km (OR 2.1, p=0.003) and tended to have more difficulty in walking 0.5 km (OR 1.7, p=0.050) but not in moving indoors (p=0.177). Persons who reported only some hearing problems did not differ from those who reported good hearing in any of the variables studied. CONCLUSION: Perceived major hearing problems among older adults may contribute to 4 poorer lower limb performance, and difficulties in mobility and ADL. Longitudinal studies are needed in order to disentangle whether poor hearing is a risk factor for decline in physical performance. ...
PublisherWiley-Blackwell Publishing, Inc.; American Geriatrics Society
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