Association between hearing impairment and lower levels of physical activity in older adults.

Association between hearing impairment and lower levels of physical activity in older adults.
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DOI:
10.1111/jgs.12938
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发表时间:
2014-08
影响因子:
6.3
通讯作者:
Lin FR
Lin FR
中科院分区:
医学1区
文献类型:
--
作者:
Gispen FE;Chen DS;Genther DJ;Lin FR

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鉴于身体活动对健康的影响,确定老年人身体活动减少的可改变风险因素是很重要的。在老年人中非常普遍的听力障碍是否与活动水平有关尚不清楚。横断面分析2005-2006年国家健康和营养检查调查706名年龄在70岁或以上的成年人,他们完成了听力测试,并通过问卷调查主观评估了他们的身体活动,并通过身体佩戴的加速度计客观评估了听力障碍。(听力较好的耳朵中的0.5 - 4千赫(kHz)纯音平均值(正常<25分贝(dB),轻度25至<40 dB,中度或更高≥ 40 dB)。主要结果测量是自我报告的休闲时间身体活动和加速度计测量的身体活动。两者都是使用中等强度体力活动的分钟数进行量化,并分为三个级别:不活跃,不够活跃和足够活跃。进行有序逻辑回归分析,并调整人口统计学和心血管危险因素。与听力正常的人相比,中度或重度听力障碍的人通过自我报告(OR=1.59,95%CI:1.11,2.28)和加速度计(OR=1.70,95%CI:0.99,2.91)测量的体力活动类别较低的几率更大。轻度听力损伤与体力活动水平无关。老年人中度或重度听力损伤与体力活动水平降低相关,与人口统计学和心血管风险因素无关。未来的研究需要调查这种关联的基础,以及听力康复干预是否会影响老年人的身体活动。
Identifying modifiable risk factors for decreased physical activity in older adults is important given the impact of physical activity on health. Whether hearing impairment, highly prevalent in older adults, is associated with activity levels is unclear. Cross-sectional analysis 2005–2006 National Health and Nutritional Examination Survey 706 adults aged 70 years or greater who completed audiometric testing and whose physical activity was assessed subjectively with questionnaires and objectively with body-worn accelerometers Hearing impairment was defined by the speech-frequency (0.5 – 4 kilohertz (kHz) pure tone average in the better-hearing ear (normal <25 decibel (dB), mild 25 to <40dB, moderate or greater ≥40dB). Main outcome measures were self-reported leisure time physical activity and accelerometer-measured physical activity. Both were quantified using minutes of moderate-intensity physical activity and categorized into three levels: inactive, insufficiently active, and sufficiently active. Ordinal logistic regression analyses were conducted and adjusted for demographic and cardiovascular risk factors. Compared to those with normal hearing, individuals with moderate or greater hearing impairment had a greater odds of being in a lower category of physical activity as measured by self-report (OR=1.59, 95%CI: 1.11, 2.28) and accelerometry (OR=1.70, 95%CI: 0.99, 2.91). Mild hearing impairment was not associated with level of physical activity. Moderate or greater hearing impairment in older adults is associated with decreased levels of physical activity independent of demographic and cardiovascular risk factors. Future research is needed to investigate the basis of this association and whether hearing rehabilitative interventions could affect physical activity in older adults.
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