Association of hearing impairment with incident frailty and falls in older adults

Rebecca J Kamil; Joshua Betz; Becky Brott Powers; Sheila Pratt; Stephen Kritchevsky; Hilsa N Ayonayon; Tammy B Harris; Elizabeth Helzner; Jennifer A Deal; Kathryn Martin; Matthew Peterson; Suzanne Satterfield; Eleanor M Simonsick; Frank R Lin; Health ABC study

doi:10.1177/0898264315608730

Association of hearing impairment with incident frailty and falls in older adults

Rebecca J Kamil, Joshua Betz, Becky Brott Powers, Sheila Pratt, Stephen Kritchevsky, Hilsa N Ayonayon, Tammy B Harris, Elizabeth Helzner, Jennifer A Deal, Kathryn Martin, Matthew Peterson, Suzanne Satterfield, Eleanor M Simonsick, Frank R Lin, Health ABC study

Research output: Contribution to journal › Article › peer-review

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Abstract

OBJECTIVE: We aimed to determine whether hearing impairment (HI) in older adults is associated with the development of frailty and falls.

METHOD: Longitudinal analysis of observational data from the Health, Aging and Body Composition study of 2,000 participants aged 70 to 79 was conducted. Hearing was defined by the pure-tone-average of hearing thresholds at 0.5, 1, 2, and 4 kHz in the better hearing ear. Frailty was defined as a gait speed of <0.60 m/s and/or inability to rise from a chair without using arms. Falls were assessed annually by self-report.

RESULTS: Older adults with moderate-or-greater HI had a 63% increased risk of developing frailty (adjusted hazard ratio [HR] = 1.63, 95% confidence interval [CI] = [1.26, 2.12]) compared with normal-hearing individuals. Moderate-or-greater HI was significantly associated with a greater annual percent increase in odds of falling over time (9.7%, 95% CI = [7.0, 12.4] compared with normal hearing, 4.4%, 95% CI = [2.6, 6.2]).

DISCUSSION: HI is independently associated with the risk of frailty in older adults and with greater odds of falling over time.

Original language	English
Pages (from-to)	644-660
Number of pages	17
Journal	Journal of Aging and Health
Volume	28
Issue number	4
Early online date	5 Oct 2015
DOIs	https://doi.org/10.1177/0898264315608730
Publication status	Published - 1 Jun 2016

Bibliographical note

© The Author(s) 2015.
Funding: The authors disclosed receipt of the following financial support for the research,
authorship, and/or publication of this article: This research was supported by National
Institute on Aging (NIA) Contracts N01-AG-6-2101, N01-AG-6-2103,
N01-AG-6-2106; NIA Grant R01-AG028050; and NINR Grant R01-NR012459. This research was supported in part by the Intramural Research Program of the NIH, National Institute on Aging. Frank Lin is supported by the National Institute of Deafness and Communication Disorders K23DC011279 Grant, Triological Society and American College of Surgeons Clinician Scientist Award, and Eleanor Schwartz Charitable Foundation. Rebecca Kamil’s coursework at Bloomberg School of Public Health is supported by the Oticon Foundation. Sheila Pratt and Becky Brott Powers were supported by the Geriatric Research Education and Clinical Center in the Veterans Administration Pittsburgh Healthcare System during the development of this article.

Keywords

hearing impairment
frailty
falls
older adults
Health ABC

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Cite this

Kamil, R. J., Betz, J., Powers, B. B., Pratt, S., Kritchevsky, S., Ayonayon, H. N., Harris, T. B., Helzner, E., Deal, J. A., Martin, K., Peterson, M., Satterfield, S., Simonsick, E. M., Lin, F. R., & Health ABC study (2016). Association of hearing impairment with incident frailty and falls in older adults. Journal of Aging and Health, 28(4), 644-660. https://doi.org/10.1177/0898264315608730

Kamil, RJ, Betz, J, Powers, BB, Pratt, S, Kritchevsky, S, Ayonayon, HN, Harris, TB, Helzner, E, Deal, JA, Martin, K, Peterson, M, Satterfield, S, Simonsick, EM, Lin, FR & Health ABC study 2016, 'Association of hearing impairment with incident frailty and falls in older adults', Journal of Aging and Health, vol. 28, no. 4, pp. 644-660. https://doi.org/10.1177/0898264315608730

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abstract = "OBJECTIVE: We aimed to determine whether hearing impairment (HI) in older adults is associated with the development of frailty and falls.METHOD: Longitudinal analysis of observational data from the Health, Aging and Body Composition study of 2,000 participants aged 70 to 79 was conducted. Hearing was defined by the pure-tone-average of hearing thresholds at 0.5, 1, 2, and 4 kHz in the better hearing ear. Frailty was defined as a gait speed of <0.60 m/s and/or inability to rise from a chair without using arms. Falls were assessed annually by self-report.RESULTS: Older adults with moderate-or-greater HI had a 63% increased risk of developing frailty (adjusted hazard ratio [HR] = 1.63, 95% confidence interval [CI] = [1.26, 2.12]) compared with normal-hearing individuals. Moderate-or-greater HI was significantly associated with a greater annual percent increase in odds of falling over time (9.7%, 95% CI = [7.0, 12.4] compared with normal hearing, 4.4%, 95% CI = [2.6, 6.2]).DISCUSSION: HI is independently associated with the risk of frailty in older adults and with greater odds of falling over time.",

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author = "Kamil, {Rebecca J} and Joshua Betz and Powers, {Becky Brott} and Sheila Pratt and Stephen Kritchevsky and Ayonayon, {Hilsa N} and Harris, {Tammy B} and Elizabeth Helzner and Deal, {Jennifer A} and Kathryn Martin and Matthew Peterson and Suzanne Satterfield and Simonsick, {Eleanor M} and Lin, {Frank R} and {Health ABC study}",

note = "{\textcopyright} The Author(s) 2015. Funding: The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This research was supported by National Institute on Aging (NIA) Contracts N01-AG-6-2101, N01-AG-6-2103, N01-AG-6-2106; NIA Grant R01-AG028050; and NINR Grant R01-NR012459. This research was supported in part by the Intramural Research Program of the NIH, National Institute on Aging. Frank Lin is supported by the National Institute of Deafness and Communication Disorders K23DC011279 Grant, Triological Society and American College of Surgeons Clinician Scientist Award, and Eleanor Schwartz Charitable Foundation. Rebecca Kamil{\textquoteright}s coursework at Bloomberg School of Public Health is supported by the Oticon Foundation. Sheila Pratt and Becky Brott Powers were supported by the Geriatric Research Education and Clinical Center in the Veterans Administration Pittsburgh Healthcare System during the development of this article.",

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T1 - Association of hearing impairment with incident frailty and falls in older adults

AU - Kamil, Rebecca J

AU - Betz, Joshua

AU - Powers, Becky Brott

AU - Pratt, Sheila

AU - Kritchevsky, Stephen

AU - Ayonayon, Hilsa N

AU - Harris, Tammy B

AU - Helzner, Elizabeth

AU - Deal, Jennifer A

AU - Martin, Kathryn

AU - Peterson, Matthew

AU - Satterfield, Suzanne

AU - Simonsick, Eleanor M

AU - Lin, Frank R

AU - Health ABC study

N1 - © The Author(s) 2015. Funding: The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This research was supported by National Institute on Aging (NIA) Contracts N01-AG-6-2101, N01-AG-6-2103, N01-AG-6-2106; NIA Grant R01-AG028050; and NINR Grant R01-NR012459. This research was supported in part by the Intramural Research Program of the NIH, National Institute on Aging. Frank Lin is supported by the National Institute of Deafness and Communication Disorders K23DC011279 Grant, Triological Society and American College of Surgeons Clinician Scientist Award, and Eleanor Schwartz Charitable Foundation. Rebecca Kamil’s coursework at Bloomberg School of Public Health is supported by the Oticon Foundation. Sheila Pratt and Becky Brott Powers were supported by the Geriatric Research Education and Clinical Center in the Veterans Administration Pittsburgh Healthcare System during the development of this article.

PY - 2016/6/1

Y1 - 2016/6/1

N2 - OBJECTIVE: We aimed to determine whether hearing impairment (HI) in older adults is associated with the development of frailty and falls.METHOD: Longitudinal analysis of observational data from the Health, Aging and Body Composition study of 2,000 participants aged 70 to 79 was conducted. Hearing was defined by the pure-tone-average of hearing thresholds at 0.5, 1, 2, and 4 kHz in the better hearing ear. Frailty was defined as a gait speed of <0.60 m/s and/or inability to rise from a chair without using arms. Falls were assessed annually by self-report.RESULTS: Older adults with moderate-or-greater HI had a 63% increased risk of developing frailty (adjusted hazard ratio [HR] = 1.63, 95% confidence interval [CI] = [1.26, 2.12]) compared with normal-hearing individuals. Moderate-or-greater HI was significantly associated with a greater annual percent increase in odds of falling over time (9.7%, 95% CI = [7.0, 12.4] compared with normal hearing, 4.4%, 95% CI = [2.6, 6.2]).DISCUSSION: HI is independently associated with the risk of frailty in older adults and with greater odds of falling over time.

AB - OBJECTIVE: We aimed to determine whether hearing impairment (HI) in older adults is associated with the development of frailty and falls.METHOD: Longitudinal analysis of observational data from the Health, Aging and Body Composition study of 2,000 participants aged 70 to 79 was conducted. Hearing was defined by the pure-tone-average of hearing thresholds at 0.5, 1, 2, and 4 kHz in the better hearing ear. Frailty was defined as a gait speed of <0.60 m/s and/or inability to rise from a chair without using arms. Falls were assessed annually by self-report.RESULTS: Older adults with moderate-or-greater HI had a 63% increased risk of developing frailty (adjusted hazard ratio [HR] = 1.63, 95% confidence interval [CI] = [1.26, 2.12]) compared with normal-hearing individuals. Moderate-or-greater HI was significantly associated with a greater annual percent increase in odds of falling over time (9.7%, 95% CI = [7.0, 12.4] compared with normal hearing, 4.4%, 95% CI = [2.6, 6.2]).DISCUSSION: HI is independently associated with the risk of frailty in older adults and with greater odds of falling over time.

KW - hearing impairment

KW - frailty

KW - falls

KW - older adults

KW - Health ABC

U2 - 10.1177/0898264315608730

DO - 10.1177/0898264315608730

M3 - Article

C2 - 26438083

SN - 0898-2643

VL - 28

SP - 644

EP - 660

JO - Journal of Aging and Health

JF - Journal of Aging and Health

IS - 4

ER -

Association of hearing impairment with incident frailty and falls in older adults

Abstract

Bibliographical note

Keywords

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