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An Automated System for Sound Localization Testing in Hearing-Impaired Listeners
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Association between hearing impairment and self-reported difficulty in physical functioning.

David S Chen1, Dane J Genther, Joshua Betz

  • 1Center on Aging and Health, Johns Hopkins Medical Institutions, Baltimore, Maryland; School of Medicine, Johns Hopkins University, Baltimore, Maryland.

Journal of the American Geriatrics Society
|May 1, 2014
PubMed
Summary
This summary is machine-generated.

Hearing impairment in older adults is linked to increased physical disability across various daily activities. This study highlights the connection between hearing loss and reduced physical functioning in seniors.

Keywords:
hearing impairmentolder adultsphysical functioning

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Area of Science:

  • Gerontology
  • Audiology
  • Public Health

Background:

  • Hearing impairment is a prevalent condition among older adults.
  • The relationship between objective hearing measures and self-reported physical functioning requires further investigation.

Purpose of the Study:

  • To examine the association between audiometrically defined hearing impairment and multiple categories of self-reported physical functioning in older adults.
  • To determine if hearing impairment is an independent risk factor for physical disability in this population.

Main Methods:

  • Secondary analysis of cross-sectional data from the National Health and Nutrition Examination Survey (2005-06, 2009-10).
  • Included 1,669 adults aged 70 and older with audiometric testing.
  • Hearing measured by pure-tone audiometry; physical functioning assessed via structured interview.

Main Results:

  • Greater hearing impairment (per 25 dB HL) was associated with significantly higher odds of disability in activities of daily living (OR=1.4), instrumental activities of daily living (OR=1.6), and mobility (OR=1.6).
  • Associations were observed for leisure/social activities, general physical activities, work limitation, and memory/confusion-related limitations.
  • No significant association was found for limitations in the amount or type of work performed.

Conclusions:

  • Objective hearing impairment is independently associated with greater disability and limitations in multiple self-reported physical functioning domains in older adults.
  • Findings underscore the importance of addressing hearing health to maintain physical function and independence in aging populations.