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. 2021 Oct;12(5):1031-1043.
doi: 10.1007/s41999-021-00505-4. Epub 2021 May 18.

Subjective vision and hearing impairment and falls among community-dwelling adults: a prospective study in the Survey of Health, Ageing and Retirement in Europe (SHARE)

Giulia Ogliari  1 , Jesper Ryg  2   3 , Nadeem Qureshi  4 , Karen Andersen-Ranberg  2   3   5 , Lasse Lybecker Scheel-Hincke  5 , Tahir Masud  6   2
Affiliations

Subjective vision and hearing impairment and falls among community-dwelling adults: a prospective study in the Survey of Health, Ageing and Retirement in Europe (SHARE)

Giulia Ogliari et al. Eur Geriatr Med. 2021 Oct.

Abstract

Purpose: To investigate the association between vision and hearing impairment and falls in community-dwelling adults aged ≥ 50 years.

Methods: This is a prospective study on 50,986 participants assessed in Waves 6 and 7 of the Survey of Health, Ageing and Retirement in Europe. At baseline, we recorded socio-demographic data, clinical factors and self-reported vision and hearing impairment. We classified participants as having good vision and hearing, impaired vision, impaired hearing or impaired vision and hearing. We recorded falls in the six months prior to the baseline and 2-year follow-up interviews. The cross-sectional and longitudinal associations between vision and hearing impairment categories and falls were analysed by binary logistic regression models; odds ratios (OR) and 95% confidence intervals (CI) were calculated. All analyses were adjusted for socio-demographic and clinical factors.

Results: Mean age was 67.1 years (range 50-102). At baseline, participants with impaired vision, impaired hearing, and impaired vision and hearing had an increased falls risk (OR (95% CI)) of 1.34 (1.22-1.49), 1.34 (1.20-1.50) and 1.67 (1.50-1.87), respectively, compared to those with good vision and hearing (all p < 0.001). At follow-up, participants with impaired vision, without or with impaired hearing, had an increased falls risk of 1.19 (1.08-1.31) and 1.33 (1.20-1.49), respectively, compared to those with good vision and hearing (both p < 0.001); hearing impairment was longitudinally associated with falls in middle-aged women.

Conclusion: Vision impairment was cross-sectionally and longitudinally associated with an increased falls risk. This risk was highest in adults with dual sensory impairment.

Keywords: Dual sensory impairment; Eye diseases; Falls; Population-based prospective study; Presbycusis; Vision disorders.

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References

    1. GBD 2019 Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020 Oct 17;396(10258):1204–1222. doi: https://doi.org/10.1016/S0140-6736(20)30925-9 . (Erratum in: Lancet. 2020 Nov 14;396(10262):1562. PMID: 33069326; PMCID: PMC7567026).
    1. Flaxman SR, Bourne RRA, Resnikoff S, Ackland P, Braithwaite T, Cicinelli MV, Das A, Jonas JB, Keeffe J, Kempen JH, Leasher J, Limburg H, Naidoo K, Pesudovs K, Silvester A, Stevens GA, Tahhan N, Wong TY, Taylor HR; Vision Loss Expert Group of the Global Burden of Disease Study. Global causes of blindness and distance vision impairment 1990–2020: a systematic review and meta-analysis. Lancet Glob Health. 2017 Dec;5(12):e1221-e1234. doi: https://doi.org/10.1016/S2214-109X(17)30393-5 . (Epub 2017 Oct 11. PMID: 29032195).
    1. Cunningham LL, Tucci DL (2017) Hearing Loss in Adults. N Engl J Med 377(25):2465–2473. https://doi.org/10.1056/NEJMra1616601 (PMID:29262274;PMCID:PMC6457651) - DOI - PubMed - PMC
    1. Lin FR, Thorpe R, Gordon-Salant S, Ferrucci L. Hearing loss prevalence and risk factors among older adults in the United States. J Gerontol A Biol Sci Med Sci. 2011 May;66(5):582–90. doi: https://doi.org/10.1093/gerona/glr002 . (Epub 2011 Feb 27. PMID: 21357188; PMCID: PMC3074958).
    1. Tinetti ME, Speechley M, Ginter SF (1988) Risk factors for falls among elderly persons living in the community. N Engl J Med 319(26):1701–1707. https://doi.org/10.1056/NEJM198812293192604 (PMID: 3205267) - DOI - PubMed

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