Association of Hearing Impairment with Declines in Physical Functioning and the Risk of Disability in Older Adults

Health ABC study

Research output: Contribution to journalArticle

51 Citations (Scopus)

Abstract

Background: Identifying factors associated with functional declines in older adults is important given the aging of the population. We investigated if hearing impairment is independently associated with objectively measured declines in physical functioning in a community-based sample of older adults.

Methods: Prospective observational study of 2,190 individuals from the Health, Aging, and Body Composition study. Participants were followed annually for up to 11 visits. Hearing was measured with pure-tone audiometry. Physical functioning and gait speed were measured with the Short Physical Performance Battery (SPPB). Incident disability and requirement for nursing care were assessed semiannually through self-report.

Results: In a mixed-effects model, greater hearing impairment was associated with poorer physical functioning. At both Visit 1 and Visit 11, SPPB scores were lower in individuals with mild (10.14 [95% CI 10.04-10.25], p <.01; 7.35 [95% CI 7.12-7.58], p <.05) and moderate or greater hearing impairment (10.04 [95% CI 9.90-10.19], p <.01; 7.00 [95% CI 6.69-7.32], p <.01) than scores in normal hearing individuals (10.36 [95% CI 10.26-10.46]; 7.71 [95% CI 7.49-7.92]). We observed that women with moderate or greater hearing impairment had a 31% increased risk of incident disability (Hazard ratio [HR] = 1.31 [95% CI 1.08-1.60], p <.01) and a 31% increased risk of incident nursing care requirement (HR = 1.31 [95% CI 1.05-1.62], p = .02) compared to women with normal hearing.

Conclusions: Hearing impairment is independently associated with poorer objective physical functioning in older adults, and a 31% increased risk for incident disability and need for nursing care in women.

Original languageEnglish
Pages (from-to)654-661
Number of pages8
JournalThe Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
Volume70
Issue number5
Early online date3 Dec 2014
DOIs
Publication statusPublished - May 2015

Keywords

  • Physical function
  • Physical performance
  • Epidemiology
  • LOWER-EXTREMITY FUNCTION
  • GAIT SPEED DECLINE
  • PERFORMANCE BATTERY
  • BODY-COMPOSITION
  • UNITED-STATES
  • SUBSEQUENT DISABILITY
  • VESTIBULAR FUNCTION
  • PROGNOSTIC VALUE
  • HEALTH
  • SURVIVAL

ASJC Scopus subject areas

  • Medicine(all)
  • Biochemistry, Genetics and Molecular Biology(all)

Cite this

@article{f9180f7f24f5423a975bfe5b603f3183,
title = "Association of Hearing Impairment with Declines in Physical Functioning and the Risk of Disability in Older Adults",
abstract = "Background: Identifying factors associated with functional declines in older adults is important given the aging of the population. We investigated if hearing impairment is independently associated with objectively measured declines in physical functioning in a community-based sample of older adults.Methods: Prospective observational study of 2,190 individuals from the Health, Aging, and Body Composition study. Participants were followed annually for up to 11 visits. Hearing was measured with pure-tone audiometry. Physical functioning and gait speed were measured with the Short Physical Performance Battery (SPPB). Incident disability and requirement for nursing care were assessed semiannually through self-report.Results: In a mixed-effects model, greater hearing impairment was associated with poorer physical functioning. At both Visit 1 and Visit 11, SPPB scores were lower in individuals with mild (10.14 [95{\%} CI 10.04-10.25], p <.01; 7.35 [95{\%} CI 7.12-7.58], p <.05) and moderate or greater hearing impairment (10.04 [95{\%} CI 9.90-10.19], p <.01; 7.00 [95{\%} CI 6.69-7.32], p <.01) than scores in normal hearing individuals (10.36 [95{\%} CI 10.26-10.46]; 7.71 [95{\%} CI 7.49-7.92]). We observed that women with moderate or greater hearing impairment had a 31{\%} increased risk of incident disability (Hazard ratio [HR] = 1.31 [95{\%} CI 1.08-1.60], p <.01) and a 31{\%} increased risk of incident nursing care requirement (HR = 1.31 [95{\%} CI 1.05-1.62], p = .02) compared to women with normal hearing.Conclusions: Hearing impairment is independently associated with poorer objective physical functioning in older adults, and a 31{\%} increased risk for incident disability and need for nursing care in women.",
keywords = "Physical function, Physical performance, Epidemiology, LOWER-EXTREMITY FUNCTION, GAIT SPEED DECLINE, PERFORMANCE BATTERY, BODY-COMPOSITION, UNITED-STATES, SUBSEQUENT DISABILITY, VESTIBULAR FUNCTION, PROGNOSTIC VALUE, HEALTH, SURVIVAL",
author = "Chen, {David S.} and Joshua Betz and Kristine Yaffe and Ayonayon, {Hilsa N.} and Stephen Kritchevsky and Martin, {Kathryn R.} and Harris, {Tamara B.} and Elizabeth Purchase-Helzner and Suzanne Satterfield and Qian-Li Xue and Sheila Pratt and Simonsick, {Eleanor M.} and Lin, {Frank R.} and {Health ABC study}",
note = "Funding sources contributed to design and conduct of the study, management and analysis of the data, as well as the preparation and review of the manuscript. Dr Frank Lin reports being a consultant to Cochlear, serving on the scientific advisory board for Autifony and Pfizer, and being a speaker for Med El and Amplifon. Dr Sheila Pratt was supported with resources and the use of facilities at the VA Pittsburgh Healthcare System, Pittsburgh, PA. However, the contents of this manuscript do not represent the views of the Department of Veterans Affairs or the United States Government.",
year = "2015",
month = "5",
doi = "10.1093/gerona/glu207",
language = "English",
volume = "70",
pages = "654--661",
journal = "The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences",
issn = "1079-5006",
publisher = "OXFORD UNIV PRESS INC",
number = "5",

}

TY - JOUR

T1 - Association of Hearing Impairment with Declines in Physical Functioning and the Risk of Disability in Older Adults

AU - Chen, David S.

AU - Betz, Joshua

AU - Yaffe, Kristine

AU - Ayonayon, Hilsa N.

AU - Kritchevsky, Stephen

AU - Martin, Kathryn R.

AU - Harris, Tamara B.

AU - Purchase-Helzner, Elizabeth

AU - Satterfield, Suzanne

AU - Xue, Qian-Li

AU - Pratt, Sheila

AU - Simonsick, Eleanor M.

AU - Lin, Frank R.

AU - Health ABC study

N1 - Funding sources contributed to design and conduct of the study, management and analysis of the data, as well as the preparation and review of the manuscript. Dr Frank Lin reports being a consultant to Cochlear, serving on the scientific advisory board for Autifony and Pfizer, and being a speaker for Med El and Amplifon. Dr Sheila Pratt was supported with resources and the use of facilities at the VA Pittsburgh Healthcare System, Pittsburgh, PA. However, the contents of this manuscript do not represent the views of the Department of Veterans Affairs or the United States Government.

PY - 2015/5

Y1 - 2015/5

N2 - Background: Identifying factors associated with functional declines in older adults is important given the aging of the population. We investigated if hearing impairment is independently associated with objectively measured declines in physical functioning in a community-based sample of older adults.Methods: Prospective observational study of 2,190 individuals from the Health, Aging, and Body Composition study. Participants were followed annually for up to 11 visits. Hearing was measured with pure-tone audiometry. Physical functioning and gait speed were measured with the Short Physical Performance Battery (SPPB). Incident disability and requirement for nursing care were assessed semiannually through self-report.Results: In a mixed-effects model, greater hearing impairment was associated with poorer physical functioning. At both Visit 1 and Visit 11, SPPB scores were lower in individuals with mild (10.14 [95% CI 10.04-10.25], p <.01; 7.35 [95% CI 7.12-7.58], p <.05) and moderate or greater hearing impairment (10.04 [95% CI 9.90-10.19], p <.01; 7.00 [95% CI 6.69-7.32], p <.01) than scores in normal hearing individuals (10.36 [95% CI 10.26-10.46]; 7.71 [95% CI 7.49-7.92]). We observed that women with moderate or greater hearing impairment had a 31% increased risk of incident disability (Hazard ratio [HR] = 1.31 [95% CI 1.08-1.60], p <.01) and a 31% increased risk of incident nursing care requirement (HR = 1.31 [95% CI 1.05-1.62], p = .02) compared to women with normal hearing.Conclusions: Hearing impairment is independently associated with poorer objective physical functioning in older adults, and a 31% increased risk for incident disability and need for nursing care in women.

AB - Background: Identifying factors associated with functional declines in older adults is important given the aging of the population. We investigated if hearing impairment is independently associated with objectively measured declines in physical functioning in a community-based sample of older adults.Methods: Prospective observational study of 2,190 individuals from the Health, Aging, and Body Composition study. Participants were followed annually for up to 11 visits. Hearing was measured with pure-tone audiometry. Physical functioning and gait speed were measured with the Short Physical Performance Battery (SPPB). Incident disability and requirement for nursing care were assessed semiannually through self-report.Results: In a mixed-effects model, greater hearing impairment was associated with poorer physical functioning. At both Visit 1 and Visit 11, SPPB scores were lower in individuals with mild (10.14 [95% CI 10.04-10.25], p <.01; 7.35 [95% CI 7.12-7.58], p <.05) and moderate or greater hearing impairment (10.04 [95% CI 9.90-10.19], p <.01; 7.00 [95% CI 6.69-7.32], p <.01) than scores in normal hearing individuals (10.36 [95% CI 10.26-10.46]; 7.71 [95% CI 7.49-7.92]). We observed that women with moderate or greater hearing impairment had a 31% increased risk of incident disability (Hazard ratio [HR] = 1.31 [95% CI 1.08-1.60], p <.01) and a 31% increased risk of incident nursing care requirement (HR = 1.31 [95% CI 1.05-1.62], p = .02) compared to women with normal hearing.Conclusions: Hearing impairment is independently associated with poorer objective physical functioning in older adults, and a 31% increased risk for incident disability and need for nursing care in women.

KW - Physical function

KW - Physical performance

KW - Epidemiology

KW - LOWER-EXTREMITY FUNCTION

KW - GAIT SPEED DECLINE

KW - PERFORMANCE BATTERY

KW - BODY-COMPOSITION

KW - UNITED-STATES

KW - SUBSEQUENT DISABILITY

KW - VESTIBULAR FUNCTION

KW - PROGNOSTIC VALUE

KW - HEALTH

KW - SURVIVAL

U2 - 10.1093/gerona/glu207

DO - 10.1093/gerona/glu207

M3 - Article

VL - 70

SP - 654

EP - 661

JO - The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences

JF - The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences

SN - 1079-5006

IS - 5

ER -