Self-reported hearing difficulties and changes in life-space mobility among community-dwelling older adults: a Two-year follow-Up study

Polku, Hannele; Mikkola, Tuija M.; Rantakokko, Merja; Portegijs, Erja; Törmäkangas, Timo; Rantanen, Taina; Viljanen, Anne

doi:10.1186/s12877-015-0119-8

Cited by 32 publications

(32 citation statements)

References 48 publications

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“…Poranen-Clark et al 59 examined the relationship between executive function (EF), measured with the Trial Making Test, and LSA scores; they found that better EF at baseline predicted higher LSA scores at 2 years of follow up among participants in the LISPE study. Polku et al, 57 examining whether self-reported hearing difficulty at baseline predicts changes in LSM at 2 years of follow-up, found that those without hearing difficulty at baseline had a higher LSA scores than those with mild or major hearing difficulty.…”

Section: Resultsmentioning

confidence: 99%

“…We found socio-demographic variables such older age, female gender, and lower level of education, 5 , 27 , 28 , 30 fear of falling, 40 limitations in ADLs and IADLs, 5 , 27 , 34 depressive symptoms, 5 , 27 , 31 , 32 , 80 low physical activity, 29 , 39 poor performance in gait speed and muscle strength, 5 , 27 , 29 , 33 vision impairment, 33 oral HRQoL, 81 and transportation difficulty 45 were associated with lower LSM. Changes in LSM were predicted by injurious falls, 20 , 47 hospitalizations, 51 low executive function, 59 frailty, 65 walking difficulty and task modification, 60 , 82 weight loss, 61 obesity, 27 sedentary behavior, 83 hearing difficulty, 57 peripheral artery disease, 48 and reduced estimated glomerular filtration rate. 50 Recovery in LSM has been reported after surgery.…”

Section: Discussionmentioning

confidence: 99%

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<p>Life-Space Mobility in the Elderly: Current Perspectives</p>

Johnson¹,

Rodriguez²,

Snih³

2020

CIA

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Life-space mobility (LSM) is a concept for assessing patterns of functional mobility over time. LSM is gaining traction in the research of geriatric population health. Several instruments have been developed to measure LSM, such as the University of Alabama at Birmingham Life-Space Assessment (LSA) or the Nursing Home Life-Space Diameter instrument. There has been exponential growth in the use of instruments measuring LSM in studies of older adults since the concept was introduced in 1985. In response to the increased volume of publications with clinical applicability to those working in geriatric health or conducting population-based research in older adults, we conducted a narrative review: a) to provide a summary of the articles that have assessed validation of the University of Alabama at Birmingham LSA instrument, the most widely used instrument to assess LSM in older adults; and b) to provide a summary of the research articles that have examined LSM as independent or outcome variable. Studies for this review were obtained with an organized search format and were included if they were published in the past 20 years, written in English, published in peer-reviewed literature, and included LSM as an independent or outcome variable. Seventy-nine articles were identified: 36 that employed a cross-sectional design and 22 that employed a longitudinal/prospective design to examine LSM as outcome variable; 17 longitudinal/prospective design articles that examined LSM as primary independent variable; 3 review articles; and 1 systematic review. Areas of research included physical function, cognitive function, sensory impairment, mental health, falls, frailty, comorbidities, healthcare use, mortality, and social/environmental factors. These studies showed that LSM instruments can accurately predict morbidity, mortality, and healthcare use.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

<p>Life-Space Mobility in the Elderly: Current Perspectives</p>

Johnson¹,

Rodriguez²,

Snih³

2020

CIA

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“…Most elders experience age-related changes, including vision and hearing impairments. Sensory impairments affect elders’ everyday lives, including independence [ 1 , 2 ], social participation [ 3 , 4 ], health-related quality of life [ 5 , 6 ], and mental health [ 7 ]. The prevalence of cognitive impairment also increases among elders and is a concern [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Vision and hearing impairments, cognitive impairment and mortality among long-term care recipients: a population-based cohort study

et al. 2016

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BackgroundVision and hearing impairments among elders are common, and cognitive impairment is a concern. This study assessed the association of vision and hearing impairments with cognitive impairment and mortality among long-term care recipients.MethodsData of 1754 adults aged 65 or older were included in analysis from the Gujo City Long-Term Care Insurance Database in Japan for a mean follow-up period of 4.7 years. Trained and certified investigators assessed sensory impairments and cognitive impairment using a national assessment tool. Five-level scales were used to measure vision and hearing impairments. Cognitive performance was assessed on two dimensions, namely communication/cognition and problem behaviors. We performed logistic regression analysis to estimate odd ratios (ORs) and 95 % confidence intervals (CIs) for the association of vision and hearing impairments with cognitive impairment. Using Cox proportional hazard regression models, we obtained hazard ratios (HRs) for mortality.ResultsOf 1754 elders, 773 (44.0 %) had normal sensory function, 252 (14.4 %) vision impairment, 409 (23.3 %) hearing impairment, and 320 (18.2 %) dual sensory impairment. After adjusting for potential cofounders, ORs of cognitive impairment were 1.46 (95 % CI 1.07–1.98) in individuals with vision impairment, 1.47 (95 % CI 1.13–1.92) in those with hearing impairment, and 1.97 (95 % CI 1.46–2.65) in those with dual sensory impairment compared to individuals with normal sensory function. The adjusted HR of overall mortality was 1.29 (95 % CI 1.01–1.65) in individuals with dual sensory impairment and cognitive impairment relative to normal sensory and cognitive functions.ConclusionsCognitive impairment was most common in individuals with dual sensory impairment, and those with dual sensory impairment and cognitive impairment had increased mortality.

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“…The present study contributes novel information on perceived hearing difficulties and life-space mobility. To our knowledge, only two earlier studies have investigated this association (Allman, Baker, Maisiak et al, 2004;Polku, Mikkola, Rantakokko et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

“…Persons who exhibit self-stigma associated with hearing loss are more likely to reduce their activities outside the home in order to minimize the chances of revealing their hearing loss to others (Gagné, Southall & Jennings, 2011). Even though a person would not withdraw entirely from situations that are challenging for hearing, they may involve in them less frequently (Mikkola, Portegijs, Rantakokko et al 2015;Polku, Mikkola, Rantakokko et al, 2015). Perceived benefit from the HA may facilitate participation in out-of-home situations, thereby supporting life-space mobility.…”

Section: Discussionmentioning

confidence: 99%