Severity of age-related hearing loss is associated with impaired activities of daily living
Severity of age-related hearing loss is associated with impaired activities of daily living
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DOI：
10.1093/ageing/afr155
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发表时间：
2012-03-01
期刊：
影响因子：
6.7
通讯作者：
Mitchell, Paul
中科院分区：
文献类型：
--
作者：
Gopinath, Bamini;Schneider, Julie;Mitchell, Paul
背景资料：与年龄有关的听力损失是一种常见的慢性疾病;因此，了解其对老年人功能状态的影响非常重要。我们评估了听力障碍与日常生活活动（ADL）scale.Methods的活动限制之间的关联：共1,952蓝山听力研究参与者年龄≥ 60岁，他们的听力水平使用纯音测听。一项调查工具与功能状态的问题，确定由美国老年人资源和服务ADL scaleadministration.Results：一百六十四（10.4%）的参与者报告ADL困难。听力受损的成年人比非受损的比例更高，在执行三个七个基本的ADL和六个七个工具ADL任务的困难。多变量校正后，听力损失严重程度增加与ADL受损相关（P趋势= 0.001）。与无听力损失的受试者相比，中度至重度听力损失的受试者报告ADL困难的可能性增加2.9倍，多变量校正比值比（OR）：2.87 [95%置信区间（CI）：1.59-5.19]。年龄< 75岁的听力损失参与者与没有听力损失的参与者相比，ADL受损的几率高出2倍。戴过或戴助听器也与2倍增加的可能性受损ADL.Conclusion：功能状态作为衡量一个共同的ADL量表是减少老年听力受损的成年人。我们的研究结果表明，听力严重下降可能会导致独立性和对正式支持服务或安置的需求之间的差异。
Background: age-related hearing loss is a common chronic condition; hence, it is important to understand its influence on the functional status of older adults. We assessed the association between hearing impairment with activity limitations as assessed by the activities of daily living (ADL) scale.Methods: a total of 1,952 Blue Mountains Hearing Study participants aged >= 60 years had their hearing levels measured using pure-tone audiometry. A survey instrument with questions on functional status as determined by the Older Americans Resources and Services ADL scale was administered.Results: one hundred and sixty-four (10.4%) participants reported ADL difficulty. A higher proportion of hearing impaired than non-impaired adults reported difficulties in performing three out of the seven basic ADL and six out of the seven instrumental ADL tasks. After multivariable adjustment, increased severity of hearing loss was associated with impaired ADL (P-trend = 0.001). Subjects with moderate to severe hearing loss compared with those without, had a 2.9-fold increased likelihood of reporting difficulty in ADL, multivariate-adjusted odds ratio (OR): 2.87 [95% confidence interval (CI): 1.59-5.19]. Participants aged < 75 years with hearing loss compared with those without, had 2-fold higher odds of impaired ADL. Having worn or wearing a hearing aid was also associated with a 2-fold increased likelihood of impaired ADL.Conclusion: functional status as measured by a common ADL scale is diminished in older hearing impaired adults. Our findings suggest that severely diminished hearing could make the difference between independence and the need for formal support services or placement.