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A Survey on Hearing Loss, Dizziness, and Balance Problems as Fall Risk Factors: Responses of Older Adults Seen by Audiologists.

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Subjective Hearing Difficulty and Fall Risk.

Robin E Criter1, Megan Gustavson1

  • 1Department of Speech, Language and Hearing Sciences, Western Michigan University, Kalamazoo.

American Journal of Audiology
|June 23, 2020
PubMed
Summary

Subjective hearing difficulty, measured by the Hearing Handicap Inventory for the Elderly (HHIE), is linked to an increased risk of falls in older adults. Higher HHIE scores correlated with greater fall risk indicators.

Area of Science:

  • Gerontology
  • Audiology
  • Public Health

Background:

  • Hearing loss is an established risk factor for falls in the elderly population.
  • Understanding the relationship between subjective hearing perception and fall risk is crucial for preventative strategies.

Purpose of the Study:

  • To investigate the association between self-reported hearing difficulty and the risk of falls among community-dwelling older adults.
  • To explore correlations between hearing handicap scores and various fall risk assessment measures.

Main Methods:

  • Community-dwelling adults aged 60+ completed the Hearing Handicap Inventory for the Elderly (HHIE), Dizziness Handicap Inventory (DHI), Activities-Specific Balance Confidence Scale (ABC), and the Timed Up and Go (TUG) test.
  • Data analysis included Pearson and Spearman correlations, with scores plotted by group and HHIE category.

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Main Results:

  • Seventy-four participants were analyzed, categorized by audiology patient status and hearing aid use.
  • Significant positive correlations were found between HHIE scores and DHI scores (without hearing aids) and between HHIE scores and recent falls (with hearing aids).
  • A clear trend indicated increased fall risk with higher HHIE score categories (mild to severe).

Conclusions:

  • Subjective hearing difficulty, as indicated by HHIE scores, shows a trend towards increased fall risk in older adults.
  • Hearing handicap scores correlate with specific fall risk indicators like dizziness and number of falls.
  • Future research should consider subjective hearing difficulty and audiometric thresholds in fall risk assessments.