Hearing Impairment and Physical Function and Falls in the Atherosclerosis Risk in Communities Hearing Pilot Study

Deal, Jennifer A.; Sharrett, A. Richey; Bandeen‐Roche, Karen; Kritchevsky, Stephen B.; Pompeii, Lisa; Windham, B. Gwen; Lin, Frank R.

doi:10.1111/jgs.14075

Cited by 18 publications

(17 citation statements)

References 10 publications

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“…Based on a meta-analysis of 4 prospective studies, individuals with hearing impairment had an increased risk to develop cognitive impairment compared to those without impairment [121]. In cross-sectional studies, associations between hearing impairment and lower physical functioning, indicative of higher risk of disability, have also been reported [122,123]. However, the evidence for possible benefits of a hearing aid is insufficient, and the use of hearing aids to reduce the risk of cognitive decline and/or dementia is not recommended [4].…”

Section: Other Factorsmentioning

confidence: 99%

How can dementia and disability be prevented in older adults: where are we today and where are we going?

et al. 2021

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Section: Other Factorsmentioning

confidence: 99%

How can dementia and disability be prevented in older adults: where are we today and where are we going?

et al. 2021

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“…Approximately two-thirds of the U.S. population over the age of 70 years has some level of hearing loss, 1 which can have a significant impact on quality of life. 2 Recent studies illustrate an independent association of age-related hearing loss with morbid conditions, including cognitive impairment, [3][4][5][6] dementia, [7][8][9] depressive symptoms, 10 social isolation, 11 functional decline, 12 falls, 13 and reduced temporal lobe volume. 14 This has brought hearing loss to the forefront of public health discussions.…”

Section: Introductionmentioning

confidence: 99%

Modeling Hearing Loss Progression and Asymmetry in the Older Old: A National Population‐Based Study

2020

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The progression and asymmetry of age-related hearing loss has not been well characterized in those 80 years of age and older because public datasets mask upper extremes of age to protect anonymity. We aim to characterize the progression, severity, and asymmetry of hearing loss in those 80 years of age and older using a representative, national database. Methods: Cross-sectional, multicentered U.S. epidemiologic analysis using the National Health and Nutrition Examination Survey (NHANES) 2005 to 2006, 2009 to 2010, and 2011 to 2012 cycles. Subjects included noninstitutionalized, civilian adults aged 80 years and older (n = 621). Federal security clearance was granted to access publicly restricted age data. Outcome measures included pure-tone average (PTA) air conduction thresholds and the 4-frequency PTA. Results: Six hundred and twenty-one subjects were 80 years old or older (mean = 84.2 years, range = 80-104 years), representing 10,600,197 Americans. The average PTA was 38.9 dB (95% confidence interval [CI] = 37.8, 40.0). Hearing loss exhibited constant acceleration across the adult lifespan at a rate of 0.0052 dB/year 2 (95% CI = 0.0049, 0.0055). This model predicted mean PTA within 2 dB of accuracy for most ages between 20 and 100 years. From age 80 years to approximately 100 years, the average PTA difference between the better and worse ear was 6.75 dB (95% CI = 5.8, 7.1). This asymmetry was relatively constant (i.e., nonsignificant linear regression coefficient of asymmetry over age = 0.07 [95% CI = −0.01, 0.2]). Conclusion: Hearing loss steadily and predictably accelerates across the adult lifespan to at least age 100 years, becoming near universal. These population-level statistics will guide treatment and policy recommendations for hearing health in the older old.

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“…There is evidence that patients with untreated/unrecovered SSNHL have more tinnitus and balance problems as well as a poorer long-term quality of life [6,44]. These findings pose significant concerns regarding other negative health consequences associated with hearing loss, including falls [9,45], social isolation [46], depression [47], and incident dementia [10]. In the presence of other common sources of hearing loss, such as presbycusis, the impact of SSNHL is aggravated.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have identified possible prognostic factors for hearing recovery following SSNHL, including age, severity of hearing loss, duration of hearing loss, and delay in treatment [5,7,8]. As it is a potentially modifiable variable, shortening the time between onset of hearing loss and adequate intervention is a crucial step in improving posttreatment hearing outcomes and minimizing other negative health consequences associated with hearing loss [9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

A Smartphone-Based Approach to Screening for Sudden Sensorineural Hearing Loss: Cross-Sectional Validity Study

Lin

Lee

Lai

et al. 2020

JMIR Mhealth Uhealth

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Background Sudden sensorineural hearing loss (SSNHL) is an otologic emergency that warrants urgent management. Pure-tone audiometry remains the gold standard for definitively diagnosing SSNHL. However, in clinical settings such as primary care practices and urgent care facilities, conventional pure-tone audiometry is often unavailable. Objective This study aimed to determine the correlation between hearing outcomes measured by conventional pure-tone audiometry and those measured by the proposed smartphone-based Ear Scale app and determine the diagnostic validity of the hearing scale differences between the two ears as obtained by the Ear Scale app for SSNHL. Methods This cross-sectional study included a cohort of 88 participants with possible SSNHL who were referred to an otolaryngology clinic or emergency department at a tertiary medical center in Taipei, Taiwan, between January 2018 and June 2019. All participants underwent hearing assessments with conventional pure-tone audiometry and the proposed smartphone-based Ear Scale app consecutively. The gold standard for diagnosing SSNHL was defined as the pure-tone average (PTA) difference between the two ears being ≥30 dB HL. The hearing results measured by the Ear Scale app were presented as 20 stratified hearing scales. The hearing scale difference between the two ears was estimated to detect SSNHL. Results The study sample comprised 88 adults with a mean age of 46 years, and 50% (44/88) were females. PTA measured by conventional pure-tone audiometry was strongly correlated with the hearing scale assessed by the Ear Scale app, with a Pearson correlation coefficient of .88 (95% CI .82-.92). The sensitivity of the 5–hearing scale difference (25 dB HL difference) between the impaired ear and the contralateral ear in diagnosing SSNHL was 95.5% (95% CI 87.5%-99.1%), with a specificity of 66.7% (95% CI 43.0%-85.4%). Conclusions Our findings suggest that the proposed smartphone-based Ear Scale app can be useful in the evaluation of SSNHL in clinical settings where conventional pure-tone audiometry is not available.

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Hearing Impairment and Physical Function and Falls in the Atherosclerosis Risk in Communities Hearing Pilot Study

Cited by 18 publications

References 10 publications

How can dementia and disability be prevented in older adults: where are we today and where are we going?

How can dementia and disability be prevented in older adults: where are we today and where are we going?

Modeling Hearing Loss Progression and Asymmetry in the Older Old: A National Population‐Based Study

A Smartphone-Based Approach to Screening for Sudden Sensorineural Hearing Loss: Cross-Sectional Validity Study

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