TY - JOUR
T1 - Hearing loss and physical functioning among adults with heart failure
T2 - Data from NHANES
AU - Cosiano, Michael F.
AU - Jannat-Khah, Deanna
AU - Lin, Frank R.
AU - Goyal, Parag
AU - McKee, Michael
AU - Sterling, Madeline R.
N1 - Funding Information:
Dr. Goyal received research support from Amgen, unrelated to the content of this manuscript. Dr. Lin is a consultant to Amplifon, Cochlear Ltd., and Boehringer Ingelheim, unrelated to the content of this manuscript. He also reports grants from the National Institutes of Health and Eleanor Schwartz Charitable Foundation, during the conduct of the study; personal fees from Cochlear Ltd., Amplifon, and Boehringer Ingelheim, outside the submitted work. The authors report no other conflicts of interest in this work.
Publisher Copyright:
© 2020 Cosiano et al.
PY - 2020
Y1 - 2020
N2 - Background: Hearing loss (HL) is associated with poor physical functioning among older adults, yet this association has not been examined in heart failure (HF), a disease in which both hearing loss and poor physical functioning are highly prevalent. We investigated whether this association exists in HF since HL represents a potentially modifiable risk factor for poor physical functioning. Methods: We studied adults aged ≥70 years with self-reported HF in the National Health and Nutrition Examination Survey (NHANES). HL was assessed and categorized using pure-tone averages. Activities of daily living (ADLs), instrumental ADLs (IADLs), leisure and social activities (LSA), lower extremity mobility (LEM), and general physical activity (GPA) were assessed. Multiple imputation was used to examine the association. Results: One hundred eighty-one participants comprised our population. Those with ≥ moderate HL had more difficulty with ADLs (37.0% vs 24.0%, p=0.02), IADLs (36.0% vs 23.0%, p=0.05), and LEM (37.3% vs 20.0%, p=0.009), compared to participants with none or mild HL. In multivariable models, ≥ moderate HL was significantly associated with difficulty in physical functioning across four of the five domains: ADLs: PR: 1.71 (95% CI: 1.07–2.72); IADLs: PR: 1.71 (1.24–2.34); LEM: PR: 1.51 (1.01–2.26); and GPA: PR: 1.19 (1.00–1.41). Conclusion: Among older adults with HF, moderate or greater HL was associated with a higher prevalence of difficulty with ADLs, IADLs, and LEM, compared to mild or no HL.
AB - Background: Hearing loss (HL) is associated with poor physical functioning among older adults, yet this association has not been examined in heart failure (HF), a disease in which both hearing loss and poor physical functioning are highly prevalent. We investigated whether this association exists in HF since HL represents a potentially modifiable risk factor for poor physical functioning. Methods: We studied adults aged ≥70 years with self-reported HF in the National Health and Nutrition Examination Survey (NHANES). HL was assessed and categorized using pure-tone averages. Activities of daily living (ADLs), instrumental ADLs (IADLs), leisure and social activities (LSA), lower extremity mobility (LEM), and general physical activity (GPA) were assessed. Multiple imputation was used to examine the association. Results: One hundred eighty-one participants comprised our population. Those with ≥ moderate HL had more difficulty with ADLs (37.0% vs 24.0%, p=0.02), IADLs (36.0% vs 23.0%, p=0.05), and LEM (37.3% vs 20.0%, p=0.009), compared to participants with none or mild HL. In multivariable models, ≥ moderate HL was significantly associated with difficulty in physical functioning across four of the five domains: ADLs: PR: 1.71 (95% CI: 1.07–2.72); IADLs: PR: 1.71 (1.24–2.34); LEM: PR: 1.51 (1.01–2.26); and GPA: PR: 1.19 (1.00–1.41). Conclusion: Among older adults with HF, moderate or greater HL was associated with a higher prevalence of difficulty with ADLs, IADLs, and LEM, compared to mild or no HL.
KW - Hearing loss
KW - Heart failure
KW - Physical functioning
KW - Prevalence
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U2 - 10.2147/CIA.S246662
DO - 10.2147/CIA.S246662
M3 - Article
C2 - 32440106
AN - SCOPUS:85084254846
VL - 15
SP - 635
EP - 643
JO - Clinical Interventions in Aging
JF - Clinical Interventions in Aging
SN - 1176-9092
ER -