老年人中的听力损失和虚弱:社区动脉样硬化风险研究
Sahar Assi1, Emmanuel E Garcia Morales1, B Gwen Windham2
1Cochlear Center for Hearing and Public Health, Johns Hopkins University, Baltimore, MD, USA; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Journal of the American Medical Directors Association
|September 25, 2023
概括
听力损失与老年人的虚弱及其组成部分有关. 助听器的使用可能会降低虚弱的风险,但需要更多的研究.
科学领域:
- 老年学是一门学科.
- 听力学 听力学是指听力学.
- 公共卫生 公共卫生
背景情况:
- 听力损失是老年人常见的疾病.
- 它可能会导致认知和身体衰退,增加虚弱的风险.
- 使用经过验证的措施,对听力损失和脆弱性的基于人口的证据是有限的.
研究的目的:
- 调查听力损失和表型虚弱之间的关联.
- 为了检查听力损失和个体脆弱成分之间的关系.
- 探索助听器使用对脆弱性的潜在保护作用.
主要方法:
- 对3179名社区老年人的横截面研究 (社区动脉样硬化风险研究).
- 使用纯色调听力测试 (0.5-4千赫) 评估听力;分类为没有,轻度或中度/严重的听力损失.
- 使用Fried/物理脆弱现象类型评估的脆弱性;助听器使用自我报告. 用于分析的回归模型.
主要成果:
- 27%的参与者有中度或较大的听力损失;55%的人使用助听器.
- 与没有听力损失相比,中度或较大的听力损失与虚弱和虚弱前期的几率增加有关.
- 听力损失与慢步,体力活动不足和疲劳有关. 没有使用助听器但有听力损失的人有较高的虚弱概率.
结论:
- 听力损失与老年人预先脆弱和脆弱有显著的关联.
- 助听器的使用可能会起到对脆弱性的保护作用.
- 需要进行进一步的纵向研究,以确认助听器的使用是否可以预防或延迟脆弱的发作.
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