TY - JOUR PY - 2015// TI - Association of hearing impairment with incident frailty and falls in older adults JO - Journal of aging and health A1 - Kamil, Rebecca J. A1 - Betz, Joshua A1 - Powers, Becky Brott A1 - Pratt, Sheila A1 - Kritchevsky, Stephen A1 - Ayonayon, Hilsa N. A1 - Harris, Tammy B. A1 - Helzner, Elizabeth A1 - Deal, Jennifer A. A1 - Martin, Kathryn A1 - Peterson, Matthew A1 - Satterfield, Suzanne A1 - Simonsick, Eleanor M. A1 - Lin, Frank R. SP - 644 EP - 660 VL - 28 IS - 4 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.

Language: en

LA - en SN - 0898-2643 UR - http://dx.doi.org/10.1177/0898264315608730 ID - ref1 ER -