Hearing loss is a risk factor of disability in older adults: A systematic review

Lin, Tzu Chia; Yen, Miaofen; Liao, Yen Chi

doi:10.1016/j.archger.2019.103907

Cited by 24 publications

(18 citation statements)

References 33 publications

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“…Hearing impairment is known to affect many aspects of daily functioning and is a risk factor for disability, depression, activity limitation, and participation restriction mainly in those with severe/major hearing loss (58). Hearing impairment is prevalent in almost two-thirds of older adults and often under-reported in the old-old (59,60).…”

Section: Discussionmentioning

confidence: 99%

Patterns of participation restriction among older adults at risk of falls and relationship with intrinsic capacity: A latent cluster analysis

Merchant

Chan²,

Aprahamian³

et al. 2022

Front. Med.

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IntroductionThe concept of participation restriction was first described by the World Health Organization in 2001 as a component of The International Classification of Functioning, Disability and Health Framework. Both falls and fear of falling (FOF) are associated with social isolation, depression, anxiety, poor quality of life and cognitive impairment resulting in participation restriction. Life-space mobility (LSM) is an important indicator for participation restriction which depends on multiple inter-related factors. We aimed to determine participation patterns using latent cluster analysis (LCA) in older adults at risk of falls, its relationship with intrinsic capacity (IC) and its risk prediction.MethodsCross-sectional study of 154 community dwelling older adults ≥ 60 years with falls or risk of falls was conducted. Questionnaires were administered on demographics, hearing, LSM, frailty (FRAIL scale), anorexia of aging (SNAQ), cognition (Montreal Cognitive Assessment, MoCA), FOF (Falls Efficacy Scale-International), physical function, and assessment for handgrip strength (HGS), gait speed, 5-times sit to stand (STS), vision and times-up-and-go (TUG) were performed. Six IC domains (vision and hearing, cognition, nutrition, mobility and depression) were measured.ResultsThree pattern of participation cluster were identified, high (n = 63, 40.9%), moderate (n = 83, 53.9%) and low (n = 8, 33 5.2%). Individuals in the high participation cluster were significantly younger, had higher LSM scores and lower FES-I scores, more robust, fewer ADL and IADL limitations, lower prevalence of low HGS, higher gait speed and shorter TUG. In the fully adjusted model compared to the high participation cluster, moderate participation was significantly associated with low MoCA scores (OR 4.2, 95% CI 1.7–10.4, p = 0.02), poor STS (OR 7.1, 95% CI 3.0–17.0, p < 0.001) whereas low participation was associated with anorexia of aging (OR 9.9, 95% CI 1.6–60.9, p = 0.014), poor STS (OR 19.1, 95% CI 2.0–187.5, p = 0.011) and hearing impairment (OR 9.8, 95% CI 1.4–70.8, p = 0.024). Participants with 3 out of 6 IC decline had a probability of greater than 80% to belong to the low/moderate participation class.DiscussionPhysical function, cognition, hearing and nutrition were significantly associated with low and/or moderate participation class. Future studies are needed to evaluate improvement in participation of those with falls or at risk for falls through restoration of IC.

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Section: Discussionmentioning

confidence: 99%

Patterns of participation restriction among older adults at risk of falls and relationship with intrinsic capacity: A latent cluster analysis

Merchant

Chan²,

Aprahamian³

et al. 2022

Front. Med.

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“…Hearing loss can negatively impact a person's wellbeing and quality of life due to activity limitations and participation restrictions that may be experienced (Chisolm et al 2007;Lin, Yen, and Liao 2019). People who frequently interact with a person with hearing loss (PHL) are defined as their communication partners (CPs).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a web-based SUpport PRogramme (SUPR) for communication partners of persons with hearing loss: results of a two-arm, cluster randomised controlled trial and process evaluation

Meijerink

Pronk

Lissenberg‐Witte

et al. 2021

International Journal of Audiology

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“…In 2020, 44.11 million adults in the U.S. were estimated to have hearing loss; with the aging of the population, the number is expected to increase to 73.50 millions in the next 40 years ( 1 ). Hearing loss, the enact of encoding peripheral environmental auditory information for central decoding in the brain, can have a great toll on well-being and communication ( 2 ), and may lead to poor quality of life ( 3 ), and disability ( 4 ). It has also been associated with negative health consequences such as increased risk of falls ( 5 ), and cognitive decline ( 6 ), and has been recognized as a modifiable risk factor for dementia ( 7 ).…”

Section: Introductionmentioning

confidence: 99%

Alternative Pathways for Hearing Care May Address Disparities in Access

Willink

Assi

Nieman

et al. 2021

Front. Digit. Health

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Background/Objectives: Low-uptake of hearing aids among older adults has long dogged the hearing care system in the U.S. and other countries. The introduction of over-the-counter hearing aids is set to disrupt the predominantly high-cost, specialty clinic-based delivery model of hearing care with the hope of increasing accessibility and affordability of hearing care. However, the current model of hearing care delivery may not be reaching everyone with hearing loss who have yet to use hearing aids. In this study, we examine the group of people who do not use hearing aids and describe their characteristics and health care utilization patterns. We also consider what other healthcare pathways may be utilized to increase access to hearing treatment.Design: Cross-sectional, the 2017 Medicare Current Beneficiary Survey.Setting: Non-institutionalized adults enrolled in Medicare, the U.S. public health insurance program for older adults (65 years and older) and those with qualifying medical conditions and disabilities.Participants: A nationally representative sample of 7,361 Medicare beneficiaries with self-reported trouble hearing and/or hearing aid use.Measurements: Survey-weighted proportions described the population characteristics and health care utilization of those with hearing loss by hearing aid use, and the characteristics of those with untreated hearing loss by health care service type utilized.Results: Women, racial/ethnic minorities, and low-income Medicare beneficiaries with self-reported hearing trouble were less likely to report using hearing aids than their peers. Among those who do not use hearing aids, the most commonly used health care services were obtaining prescription drugs (64%) and seeing a medical provider (50%). Only 20% did not access either service in the past year. These individuals were more likely to be young and to have higher educational attainment and income.Conclusion: Alternative models of care delivered through pharmacies and general medical practices may facilitate access to currently underserved populations as they are particularly high touch-points for Medicare beneficiaries with untreated hearing trouble. As care needs will vary across a spectrum of hearing loss, alternative models of hearing care should look to complement not substitute for existing access pathways to hearing care.

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Hearing loss is a risk factor of disability in older adults: A systematic review

Cited by 24 publications

References 33 publications

Patterns of participation restriction among older adults at risk of falls and relationship with intrinsic capacity: A latent cluster analysis

Patterns of participation restriction among older adults at risk of falls and relationship with intrinsic capacity: A latent cluster analysis

Effectiveness of a web-based SUpport PRogramme (SUPR) for communication partners of persons with hearing loss: results of a two-arm, cluster randomised controlled trial and process evaluation

Alternative Pathways for Hearing Care May Address Disparities in Access

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