Association of Cardiovascular Comorbidities With Hearing Loss in the Older Old

Wattamwar, Kapil; Qian, Z Jason; Otter, Jenna; Leskowitz, Matthew J.; Caruana, Francesco F.; Siedlecki, Barbara; Spitzer, J.; Lalwani, Anil K.

doi:10.1001/jamaoto.2018.0643

Cited by 61 publications

(59 citation statements)

References 29 publications

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“…51 Peripheral age-related hearing loss is also a possible biomarker and modifiable risk factor for cognitive decline, cognitive impairment, and dementia. [50][51][52] Our results, however, revealed that an individual with low levels of handgrip strength might not necessarily have a worse hearing status and suggest that different age-related mechanisms could be underlying this.…”

Section: Discussioncontrasting

confidence: 52%

“…These associations are mainly related to the compromised blood supply to the cochlea under vascular disease conditions, as well as other sensor neural, nutritional status, and medical co‐morbidity factors that may accumulate with age and are not a result of normal ageing . Peripheral age‐related hearing loss is also a possible biomarker and modifiable risk factor for cognitive decline, cognitive impairment, and dementia . Our results, however, revealed that an individual with low levels of handgrip strength might not necessarily have a worse hearing status and suggest that different age‐related mechanisms could be underlying this.…”

Section: Discussionmentioning

confidence: 68%

“…Disabling hearing negatively affects communication and social engagement and can lead to reduced quality of life in adults and may also underlie cardiovascular risk and diseases (i.e. diabetes, hypertension, and history of cerebrovascular accident) . These associations are mainly related to the compromised blood supply to the cochlea under vascular disease conditions, as well as other sensor neural, nutritional status, and medical co‐morbidity factors that may accumulate with age and are not a result of normal ageing .…”

Section: Discussionmentioning

confidence: 99%

“…diabetes, hypertension, and history of cerebrovascular accident). 50 These associations are mainly related to the compromised blood supply to the cochlea under vascular disease conditions, 51 as well as other sensor neural, nutritional status, and medical co-morbidity factors that may accumulate with age and are not a result of normal ageing. 51 Peripheral age-related hearing loss is also a possible biomarker and modifiable risk factor for cognitive decline, cognitive impairment, and dementia.…”

Section: Discussionmentioning

confidence: 99%

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Reference values for handgrip strength and their association with intrinsic capacity domains among older adults

Ramírez‐Vélez

Correa-Bautista

García-Hermoso

et al. 2019

J cachexia sarcopenia muscle

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Objective The purposes of this study were three‐fold: (i) to describe handgrip strength in older individuals aged ≥60 years in Colombia; (ii) to identify sex‐specific and age‐specific muscle weakness cut‐off points in older adults; and (iii) to determine the odds of adverse events for each of the intrinsic capacity domains for individuals with handgrip strength greater than the muscle weakness cut‐off points, as compared with their weaker counterparts. Methods A cross‐sectional study was conducted in Colombia, among 5237 older adults aged ≥60 years old (58.5% women, 70.5 ± 7.8 years), according to ‘SABE Survey 2015’. Handgrip strength data were obtained with a Takei dynamometer. Sociodemographic variables, five domains of intrinsic capacity (i.e. locomotion, vitality, cognition, psychological, and sensory), and medical conditions were assessed and analyzed. Adjustments variables were age, ethnicity, socio‐economic status, urbanicity, body mass index, smoking status, alcohol intake, drug use, physical activity, and co‐morbid chronic diseases. Sex‐stratified analyses were conducted with logistic regression models. Results Handgrip strength was greater among men than among women (26.7 ± 8.5 vs. 16.7 ± 5.7 kg, respectively, P < 0.001) at all ages. Weak handgrip strength cut‐off points ranged from 17.4 to 8.6 and from 10.1 to 4.9 in men and women, respectively. Overall, participants with optimal handgrip strength had better intrinsic capacity [in men, odds ratio (OR) = 0.62, 95% confidence interval (CI) 0.53 to 0.71; P < 0.001; and in women, OR = 0.79, 95% CI 0.68 to 0.92; P = 0.002] than their weaker counterparts. Also, men with optimal handgrip strength had a lower risk of hospitalization (OR = 0.47, 95% CI 0.29 to 0.78; P = 0.004) than their weaker counterparts. Conclusions This study is the first to describe handgrip strength values and cut‐off points for muscle weakness among a nationally representative sample of Colombian older adults by age and sex. After categorizing older adults as weak or not weak based on the handgrip cut‐off points, non‐weakness was associated with a decreased odds of intrinsic capacity impairments. These cut‐off points may be good candidates for clinical assessment of risks to physical and mental health in older Colombian adults.

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Section: Discussioncontrasting

confidence: 52%

Section: Discussionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Reference values for handgrip strength and their association with intrinsic capacity domains among older adults

Ramírez‐Vélez

Correa-Bautista

García-Hermoso

et al. 2019

J cachexia sarcopenia muscle

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“…Furthermore, Rosenhall and Sundh (2006) found a probable correlation between high blood pressure and hearing loss at low and mid frequencies for women at an advanced age, but not for men. However, a recent retrospective study showed a correlation between a decline in hearing and cardiovascular diseases (CVD) and this association was stronger in men than in women (Wattamwar et al 2018), especially at lower frequencies. If CVD affects hearing more in men than in women, potentially better treatment and prevention of CVD in Cohort 1930 may have contributed to the improved hearing acuity in men.…”

Section: Factors Behind the Improvement In Hearing Acuity Among Menmentioning

confidence: 99%

Prevalence of hearing loss and need for aural rehabilitation in 85-year-olds: a birth cohort comparison, almost three decades apart

Göthberg

Rosenhall

Tengstrand

et al. 2020

International Journal of Audiology

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Objective: Many individuals >80 years have difficulties with speech communication due to age-related hearing loss and would benefit from aural rehabilitation. As the proportion of older people increases, there is a need to investigate the prevalence of "disabling hearing loss" to calculate future rehabilitation need. The aims are to determine the prevalence of hearing loss in an unscreened birth cohort of 85-year olds, and to identify differences in audiometric results between two birth cohorts, born 28-29 years apart. Design: This is a population-based, cross-sectional study that is part of the Gothenburg H70 Birth Cohort Studies. Study sample: Hearing thresholds were measured and compared between 85-year olds born in 1930 (n ¼ 286) and 1901-1902 (n ¼ 249). Results: Based on the WHO criteria, the prevalence of "disabling hearing loss" was 45% for men and 43% for women in the latest birth cohort. Hearing thresholds (0.5-4 kHz) for men improved compared with the earlier birth cohort. No such difference was observed for women. Conclusion: The prevalence of age-related hearing loss over three decades has decreased among 85year-old men, but has been retained in women. The improvement for men occurred predominantly in the low-mid frequencies. An increased need for aural rehabilitation is expected due to demographic changes.

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Association Between Hearing Loss and Impaired Physical Function, Frailty, and Disability in Older Adults

Yévenes‐Briones

Caballero

Struijk

et al. 2021

JAMA Otolaryngol Head Neck Surg

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IMPORTANCE Several studies have examined the association between hearing loss (HL) and physical function, with inconsistent results. Few used pure-tone thresholds and considered possible confounders in the association.OBJECTIVE To examine the association between hearing loss and impaired lower extremity function, frailty syndrome, and disability in older adults. DESIGN, SETTING, AND PARTICIPANTSThe Seniors-ENRICA-2 is a cohort study that was established in 2015-2017 in Spain. The present study was conducted from December 2015 to June 2017. Data were analyzed from January 2, 2021, to March 10, 2021. This cross-sectional analysis included 1644 community-dwelling individuals aged 65 years or older (range, 66-91 years) of both sexes. Participants had hearing threshold measurements and data on impaired lower extremity function, frailty syndrome, and disability.EXPOSURES Hearing loss defined as pure-tone average greater than 40 dB HL in the better ear for standard frequency (0.5, 1, and 2 kHz), speech frequency (0.5, 1, 2, and 4 kHz), and high frequency (3, 4, and 8 kHz).MAIN OUTCOMES AND MEASURES Impaired lower extremity function was defined with the Short Physical Performance Battery; the frailty syndrome was defined as having at least 3 of the 5 criteria, including weakness, slow walking speed, low physical activity, exhaustion, and weight loss; and disability in instrumental activities of daily living (IADL) was evaluated with the Lawton and Brody scale. RESULTSOf the 1644 participants, 831 were men (50.5%); mean (SD) age was 73.8 (4.3) years. The prevalence of moderate HL was 13.6% at speech frequency. After adjustment for age, sex, lifestyle, comorbidities, impaired cognition, and social isolation, HL in standard frequency was associated with impaired lower extremity function, with an odds ratio (OR) of 2.20 (95% CI, 1.25-3.88); the corresponding estimate for the frailty syndrome was 1.85 (95% CI, 0.98-3.49) and for the IADL disability, was 2.25 (95% CI, 1.29-3.94). When considering speech frequency pure-tone average, HL was also associated with impaired function (OR, 2.59; 95% CI, 1.57-4.28), frailty syndrome (OR, 1.85; 95% CI, 1.06-3.22), and IADL disability (OR, 2.18; 95% CI, 1.32-3.60). CONCLUSIONS AND RELEVANCEIn this cross-sectional analysis of data from the Seniors-ENRICA-2 cohort study, hearing loss was associated with impaired lower extremity function, frailty syndrome, and IADL disability. It may be useful to examine this association with the mechanisms elucidated in further studies.

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Association of Cardiovascular Comorbidities With Hearing Loss in the Older Old

Cited by 61 publications

References 29 publications

Reference values for handgrip strength and their association with intrinsic capacity domains among older adults

Reference values for handgrip strength and their association with intrinsic capacity domains among older adults

Prevalence of hearing loss and need for aural rehabilitation in 85-year-olds: a birth cohort comparison, almost three decades apart

Association Between Hearing Loss and Impaired Physical Function, Frailty, and Disability in Older Adults

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