Association between hearing impairment and self-reported difficulty in physical functioning.
Association between hearing impairment and self-reported difficulty in physical functioning.
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DOI：
10.1111/jgs.12800
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发表时间：
2014-05
影响因子：
6.3
通讯作者：
Lin FR
中科院分区：
文献类型：
--
作者：
Chen DS;Genther DJ;Betz J;Lin FR
在一个具有全国代表性的老年人横断面样本中，确定使用客观听力学定义的听力障碍是否与多种自我报告的身体功能相关。横断面数据的多变量二次分析。2005-06年和2009-10年国家健康和营养检查调查周期。完成听力测试的70岁及以上成年人（N=1,669）。听力采用纯音测听法测定。身体功能通过结构化访谈进行评估。在调整了年龄、人口统计学和心血管危险因素的模型中，听力障碍（每25分贝听力水平（HL））越严重，在日常生活活动中出现身体残疾的几率越大(优势比（OR)=1.4, 95%可信区间(CI)= 1.1-1.9）、日常生活工具活动（OR=1.6, 95% CI= 1.2-2.2）、休闲和社交活动（OR=1.5, 95% CI= 1.1-2.0）、下肢活动（OR=1.4, 95% CI= 1.1-1.7）、一般体育活动(OR=1.3、95% CI= 1.1-1.6)、工作限制（OR=1.4, 95% CI= 1.0-1.9）、行走限制（OR=1.6, 95% CI= 1.3-2.0）和记忆或混乱导致的限制（OR=1.4, 95% CI= 1.1-1.8）。听力障碍与工作量或工作类型的限制无关（or =1.2, 95% CI= 1.0-1.6）。老年人的听力障碍与多种自我报告的身体功能类别的更大残疾和限制独立相关。
To determine whether hearing impairment, defined using objective audiometry, is associated with multiple categories of self-reported physical functioning in a cross-sectional, nationally representative sample of older adults. Multivariate secondary analysis of cross-sectional data. The 2005–06 and 2009–10 cycles of the National Health and Nutrition Examination Survey. Adults aged 70 and older who completed audiometric testing (N=1,669). Hearing was measured using pure-tone audiometry. Physical functioning was assessed using a structured interview. In a model adjusted for age and demographic and cardiovascular risk factors, greater hearing impairment (per 25 dB hearing level (HL)) was associated with greater odds of physical disability in activities of daily living (odds ratio (OR)=1.4, 95% confidence interval (CI)=1.1–1.9), instrumental activities of daily living (OR=1.6, 95% CI=1.2–2.2), leisure and social activities (OR=1.5, 95% CI=1.1–2.0), lower extremity mobility (OR=1.4, 95% CI=1.1–1.7), general physical activities (OR=1.3, 95% CI=1.1–1.6), work limitation (OR=1.4, 95% CI=1.0–1.9), walking limitation (OR=1.6, 95% CI=1.3–2.0), and limitation due to memory or confusion (OR=1.4, 95% CI=1.1–1.8). Hearing impairment was not associated with limitations in amount or type of work done (OR=1.2, 95% CI=1.0–1.6). Hearing impairment in older adults is independently associated with greater disability and limitations in multiple self-reported categories of physical functioning.
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影响因子：
--
作者：
Lin, Frank R.;Metter, E. Jeffrey;O'Brien, Richard J.;Resnick, Susan M.;Zonderman, Alan B.;Ferrucci, Luigi
通讯作者：
Ferrucci, Luigi
影响因子：
3.3
作者：
Cohen-Mansfield, Jiska;Infeld, Donna Lind
通讯作者：
Infeld, Donna Lind
影响因子：
13.2
作者：
Plantinga, Laura C.;Johansen, Kirsten;Powe, Neil R.
通讯作者：
Powe, Neil R.
DOI：
10.1111/j.1532-5415.1999.tb07432.x
发表时间：
1999-11-01
影响因子：
6.3
作者：
Keller, BK;Morton, JL;Potter, JF
通讯作者：
Potter, JF
DOI：
10.1093/geronb/54b.3.s162
发表时间：
1999-05-01
影响因子：
6.2
作者：
de Leon, CFM;Glass, TA;Berkman, LF
通讯作者：
Berkman, LF