OBJECTIVES: To determine the relationships between visual and hearing impairment and subsequent functional dependence and mortality among community-dwelling older persons. DESIGN: A Prospective, cohort study. SETTING: Community-based. PARTICIPANTS: A total of 5444 men and women aged 55 to 74 years at baseline. MEASUREMENTS: Self-reported and measured visual impairment, self-reported and measured hearing impairment, self-reported and measured combined sensory impairment, 10-year mortality, and dependency in activities of daily living (ADL), instrumental ADL (IADL), and Rosow-Breslau (RB) function. RESULTS: In multiply-adjusted models, adjusting for length of follow-up, socio-demographic characteristics, and chronic conditions, only measured visual impairment was predictive of mortality. Measured visual impairment was also predictive of 10-year ADL and IADL dependence; measured hearing impairment was predictive of RB dependence. Self-reported visual impairment predicted functional impairment on all scales at 10 years, although self-reported hearing impairment predicted only subsequent RB dependence. Measured combined impairment was associated with the highest risk of 10-year functional dependence. CONCLUSIONS: Sensory impairment is predictive of subsequent functional impairment in older persons.
OBJECTIVES: To determine the relationships between visual and hearing impairment and subsequent functional dependence and mortality among community-dwelling older persons. DESIGN: A Prospective, cohort study. SETTING: Community-based. PARTICIPANTS: A total of 5444 men and women aged 55 to 74 years at baseline. MEASUREMENTS: Self-reported and measured visual impairment, self-reported and measured hearing impairment, self-reported and measured combined sensory impairment, 10-year mortality, and dependency in activities of daily living (ADL), instrumental ADL (IADL), and Rosow-Breslau (RB) function. RESULTS: In multiply-adjusted models, adjusting for length of follow-up, socio-demographic characteristics, and chronic conditions, only measured visual impairment was predictive of mortality. Measured visual impairment was also predictive of 10-year ADL and IADL dependence; measured hearing impairment was predictive of RB dependence. Self-reported visual impairment predicted functional impairment on all scales at 10 years, although self-reported hearing impairment predicted only subsequent RB dependence. Measured combined impairment was associated with the highest risk of 10-year functional dependence. CONCLUSIONS:Sensory impairment is predictive of subsequent functional impairment in older persons.
Authors: Diana Fisher; Chuan-Ming Li; May S Chiu; Christa L Themann; Hannes Petersen; Friðbert Jónasson; Pálmi V Jónsson; Johanna Eyrun Sverrisdottir; Melissa Garcia; Tamara B Harris; Lenore J Launer; Gudny Eiriksdottir; Vilmundur Gudnason; Howard J Hoffman; Mary Frances Cotch Journal: Age Ageing Date: 2013-08-30 Impact factor: 10.668
Authors: Alberto J Caban; David J Lee; Orlando Gómez-Marín; Byron L Lam; D Diane Zheng Journal: Am J Public Health Date: 2005-09-29 Impact factor: 9.308
Authors: Diana E Fisher; Chuan-Ming Li; Howard J Hoffman; May S Chiu; Christa L Themann; Hannes Petersen; Palmi V Jonsson; Helgi Jonsson; Fridbert Jonasson; Johanna Eyrun Sverrisdottir; Lenore J Launer; Gudny Eiriksdottir; Vilmundur Gudnason; Mary Frances Cotch Journal: Int J Audiol Date: 2015-03-28 Impact factor: 2.117
Authors: Else Vengnes Grue; Harriet Finne-Soveri; Paul Stolee; Jeff Poss; Liv Wergeland Sörbye; Anja Noro; John P Hirdes; Anette Hylen Ranhoff Journal: Curr Gerontol Geriatr Res Date: 2010-08-04