Self-Reported Hearing Status Is Associated with Lower Limb Physical Performance, Perceived Mobility, and Activities of Daily Living in Older Community-Dwelling Men and Women
Self-Reported Hearing Status Is Associated with Lower Limb Physical Performance, Perceived Mobility, and Activities of Daily Living in Older Community-Dwelling Men and Women
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DOI：
10.1111/jgs.13381
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发表时间：
2015-06-01
影响因子：
6.3
通讯作者：
Viljanen, Anne
中科院分区：
文献类型：
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作者：
Mikkola, Tuija M.;Polku, Hannele;Viljanen, Anne
目的探讨社区老年人自我报告的听力问题与身体表现和自我报告的活动和日常生活活动（ADL）困难之间的关系。设计横断面队列研究。设置社区。75至90岁的男性和女性（N = 848）。测量结构化面对面访谈，以评估噪音存在下的感知听力问题，行动困难（室内移动、爬楼梯、0.5 km步行、2 km步行）和ADL和工具性ADL困难。进行了短期体能测试组合（SPPB）。年龄;教育年限;认知功能;和自我报告的心脏，循环系统和运动疾病被用作协变量。ResultsPersons谁报告的重大听力问题有一个较低的SPPB总分比那些谁报告良好的听力（平均9.8 vs 10.9，P =.009），表明表现较差，ADL困难更多（平均1.8 vs 1.4，P = 0.002）和IADL（平均4.6 vs 3.4，P = 0.002）。他们在爬楼梯时也更有可能有更大的困难（比值比（OR）= 2.8，P
ObjectivesTo explore the associations between self-reported hearing problems and physical performance and self-reported difficulties in mobility and activities of daily living (ADLs) in community-dwelling older adults.DesignCross-sectional cohort study.SettingCommunity.ParticipantsMen and women aged 75 to 90 (N=848).MeasurementsStructured face-to-face interviews to assess perceived hearing problems in the presence of noise, mobility difficulties (moving indoors, stair-climbing, 0.5-km walk, 2-km walk), and difficulties in ADLs and instrumental ADLs. The Short Physical Performance Battery (SPPB) was administered. Age; years of education; cognitive functioning; and self-reported cardiac, circulatory, and locomotor diseases were used as covariates.ResultsPersons who reported major hearing problems had a lower SPPB total score than those who reported good hearing (mean 9.8 vs 10.9, P=.009), indicating poorer performance, and more difficulties in ADLs (mean 1.8 vs 1.4, P=.002) and IADLs (mean 4.6 vs 3.4, P=.002), after controlling for covariates. They were also more likely to have more difficulty in stair-climbing (odds ratio (OR)=2.8, P