The Association between Hearing Impairment and Postural Stability in Older Adults: A Systematic Review and Meta-analysis.
The Association between Hearing Impairment and Postural Stability in Older Adults: A Systematic Review and Meta-analysis.
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DOI：
10.1177/23312165221144155
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发表时间：
2022-01
影响因子：
2.7
通讯作者：
Brauer, Sandra G.
中科院分区：
文献类型：
--
作者：
Foster, Jacinta, I;Williams, Katrina L.;Timmer, Barbra H. B.;Brauer, Sandra G.
越来越多的证据表明，通过改变姿势稳定性，听力障碍与较高的福尔斯跌倒风险有关，研究结果喜忧参半。本系统综述和荟萃分析的主要目的是确定老年人听力损伤和姿势不稳定之间的相关性，包括基于听力损伤严重程度的差异。该综述在PROSPERO中进行了预注册，并根据PRISMA指南在6个数据库中进行。对60岁及以上听力损失和姿势稳定性或步态客观测量的成年人进行的初步研究符合入选条件。方法学质量评估使用修改后的纽卡斯尔-渥太华量表（NOS）适用于横断面研究。使用荟萃分析和叙述性综合对数据进行分析。纳入荟萃分析需要明确定义听力测定评估的听力损伤，以及两个亚组的参与者：轻度（25-40 dB HL）和中度至重度（>40 dB HL）听力损伤。 25项合格研究（n = 27，847）被纳入叙述性综合，质量评级范围从不满意到非常好。8项研究被纳入荟萃分析，这些研究显示，中度至重度听力障碍的个体在5倍坐立测试中明显较慢（平均差异[95%CI] = 0.50 s [0.04，0.97]，p = .03），步态速度较慢（平均差异[95%CI] =-0.11 s [-0.16，-0.05]，p < .001），并且总的短期身体表现量表评分较低（平均差异[95%CI] =-0.79 [-1.17，-0.41]，p < .001）。本综述提供的证据表明，在荟萃分析和叙述性综合中，听力障碍严重程度的增加与姿势稳定性较差之间存在负相关。
There is growing evidence linking hearing impairment to higher falls risk through alterations in postural stability, with studies showing mixed results. The primary aim of this systematic review and meta-analysis was to determine the association between hearing impairment and postural instability in older adults, including differences based on severity of hearing impairment. This review was pre-registered in PROSPERO and performed in accordance with PRISMA guidelines across six databases. Primary research on adults aged 60 years and older with hearing loss and an objective measure of postural stability or gait were eligible for inclusion. Methodological quality was assessed using the modified Newcastle-Ottawa Scale (NOS) adapted for cross-sectional studies. Data were analysed using meta-analyses and a narrative synthesis. Inclusion in the meta-analyses required clearly defined audiometrically-assessed hearing impairment, and two subgroups of participants: mild (25–40 dB HL) and moderate to-severe (>40 dB HL) hearing impairment. Twenty-five eligible studies (n = 27,847) were included in the narrative synthesis, with quality ratings ranging from unsatisfactory to very good on the modified NOS. Eight studies were included in the meta-analysis which showed individuals with moderate to-severe hearing impairment were significantly slower on the 5 x sit-to-stand test (mean difference[95%CI] = 0.50 s [0.04, 0.97], p = .03), had a slower gait speed (mean difference[95%CI] = −0.11 s [−0.16, −0.05], p < .001) and had lower total Short Physical Performance Battery scores (mean difference[95%CI] = −0.79[−1.17, −0.41], p < .001) than those with normal hearing. This review provides evidence there is an inverse association between increasing severity of hearing impairment and poorer postural stability across both the meta-analysis and narrative synthesis.
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DOI：
10.1093/gerona/glu207
发表时间：
2015-05-01
影响因子：
5.1
作者：
Chen, David S.;Betz, Joshua;Lin, Frank R.
通讯作者：
Lin, Frank R.
影响因子：
3.5
作者：
Brodie, Matthew A. D.;Menz, Hylton B.;Lord, Stephen R.
通讯作者：
Lord, Stephen R.
影响因子：
2
作者：
Doumas, Michail;Smolders, Caroline;Krampe, Ralf Th.
通讯作者：
Krampe, Ralf Th.
影响因子：
2
作者：
Gandemer, Lennie;Parseihian, Gaetan;Bourdin, Christophe
通讯作者：
Bourdin, Christophe
影响因子：
5.7
作者：
Dalton, DS;Cruickshanks, KJ;Nondahl, DM
通讯作者：
Nondahl, DM