Elizabeth R Heitz1, Kan Z Gianattasio1, Christina Prather2, Sameera A Talegawkar1,3, Melinda C Power1. 1. Department of Epidemiology and Biostatistics, George Washington University Milken Institute of Public Health, Washington, DC. 2. Department of Medicine, George Washington University Milken Institute of Public Health, Washington, DC. 3. Department of Exercise and Nutrition Sciences, George Washington University Milken Institute of Public Health, Washington, DC.
Abstract
BACKGROUND/ OBJECTIVE: To evaluate the relationship between self-reported hearing loss and nonfatal fall-related injury in a nationally representative sample of community-dwelling adults living in the United States. DESIGN: Cross-sectional analysis of national survey data. SETTING: National Health Interview Survey (2016). PARTICIPANTS: A total of 30 994 community-dwelling adults in the United States, aged 18 years and older. MEASUREMENTS: We evaluated the association between self-reported hearing loss and nonfatal injury resulting from a fall in the previous 3 months. We used multivariate logistic regression to calculate adjusted odds ratios (ORs) and evaluated effect measure modification by age. RESULTS: The odds of nonfatal fall-related injury were 1.60 times higher among respondents with hearing loss compared to respondents without hearing loss (95% confidence interval [CI] = 1.20-2.12; P = .0012). Results were unchanged when adjusting for demographics (OR = 1.59; 95% CI = 1.18-2.15; P = .002). After adjustment for cardiovascular risk factors, cardiovascular disease, visual impairment, and limitation caused by nervous system/sensory organ conditions and depression, anxiety, or another emotional problem, the OR fell to 1.27 (95% CI = 0.92-1.74; P = .14). In the fully adjusted model, including adjustment for vestibular vertigo, there was little support to link hearing loss and fall-related injury (OR = 1.16; 95% CI = 0.84-1.60; P = .36). Effect modification by age was not observed. CONCLUSIONS: Self-reported hearing loss may be a clinically useful indicator of increased fall risk, but treatment for hearing loss is unlikely to mitigate this risk, given that there is no independent association between self-reported hearing loss and nonfatal falls after accounting for vestibular function and other potential confounders.
BACKGROUND/ OBJECTIVE: To evaluate the relationship between self-reported hearing loss and nonfatal fall-related injury in a nationally representative sample of community-dwelling adults living in the United States. DESIGN: Cross-sectional analysis of national survey data. SETTING: National Health Interview Survey (2016). PARTICIPANTS: A total of 30 994 community-dwelling adults in the United States, aged 18 years and older. MEASUREMENTS: We evaluated the association between self-reported hearing loss and nonfatal injury resulting from a fall in the previous 3 months. We used multivariate logistic regression to calculate adjusted odds ratios (ORs) and evaluated effect measure modification by age. RESULTS: The odds of nonfatal fall-related injury were 1.60 times higher among respondents with hearing loss compared to respondents without hearing loss (95% confidence interval [CI] = 1.20-2.12; P = .0012). Results were unchanged when adjusting for demographics (OR = 1.59; 95% CI = 1.18-2.15; P = .002). After adjustment for cardiovascular risk factors, cardiovascular disease, visual impairment, and limitation caused by nervous system/sensory organ conditions and depression, anxiety, or another emotional problem, the OR fell to 1.27 (95% CI = 0.92-1.74; P = .14). In the fully adjusted model, including adjustment for vestibular vertigo, there was little support to link hearing loss and fall-related injury (OR = 1.16; 95% CI = 0.84-1.60; P = .36). Effect modification by age was not observed. CONCLUSIONS: Self-reported hearing loss may be a clinically useful indicator of increased fall risk, but treatment for hearing loss is unlikely to mitigate this risk, given that there is no independent association between self-reported hearing loss and nonfatal falls after accounting for vestibular function and other potential confounders.
Authors: Pablo Martinez-Amezcua; Pei-Lun Kuo; Nicholas S Reed; Eleanor M Simonsick; Yuri Agrawal; Frank R Lin; Jennifer A Deal; Luigi Ferrucci; Jennifer A Schrack Journal: J Gerontol A Biol Sci Med Sci Date: 2021-09-13 Impact factor: 6.053
Authors: Anat V Lubetzky; Jennifer L Kelly; Bryan D Hujsak; Jenny Liu; Daphna Harel; Maura Cosetti Journal: Front Neurol Date: 2021-06-03 Impact factor: 4.003