Hearing and vision impairment and the 5-Year incidence of falls in older adults

Bamini Gopinath, Catherine M. Mcmahon, George Burlutsky, Paul Mitchell

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Background: Concurrent vision and hearing loss are common in older adults; however, epidemiological data on their relationship with the incidence of falls are lacking. Objective: We assessed the association between dual sensory impairment (DSI) and incidence of falls. We examined the influence of Self-Perceived hearing handicap and hearing aid use and risk of falls. Design: A Population-Based, cohort study of participants followed over 5 years. Setting: Blue Mountains, west of Sydney, Australia. Subjects: One thousand four hundred and Seventy-Eight participants aged 55 and older at baseline were included in longitudinal analyses. Methods: Visual impairment was defined as presenting or Best-Corrected visual acuity less than 20/40 (better eye), and hearing impairment as average Pure-Tone air conduction threshold >25 dB HL (500-4,000 Hz, better ear). The shortened version of the hearing handicap inventory for the elderly was administered. Incident falls were assessed over the 12 months before each visit. Cognitive impairment was determined using the Mini-Mental State Examination. Results: Five-Year incidence of falls was 10.4%. Participants with severe Self-Perceived hearing handicap versus no hearing handicap had increased risk of incident falls, Multivariable-Adjusted OR 1.93 (95% confidence intervals, CI, 1.02-3.64). Hearing aid users versus Non-Users had 75% increased likelihood of incident falls. Participants with Co-Existing Best-Corrected visual impairment and mild hearing loss (>25 to ≤40 dB HL) had higher odds of incident falls, OR 2.19 (95% CI 1.03-4.67). After excluding persons with cognitive impairment, this association did not persist. Conclusion: These epidemiological data show that DSI in older adults could significantly increase their risk of falling.

LanguageEnglish
Pages409-414
Number of pages6
JournalAge and Ageing
Volume45
Issue number3
DOIs
Publication statusPublished - 1 May 2016

Fingerprint

Hearing Loss
Hearing
Hearing Aids
Vision Disorders
Incidence
Deaf-Blind Disorders
Accidental Falls
Visual Acuity
Ear
Cohort Studies
Air
Confidence Intervals
Equipment and Supplies
Population
Cognitive Dysfunction

Keywords

  • Blue Mountains Eye Study
  • dual sensory impairment
  • falls
  • hearing loss
  • older people
  • vision loss

Cite this

Gopinath, Bamini ; Mcmahon, Catherine M. ; Burlutsky, George ; Mitchell, Paul. / Hearing and vision impairment and the 5-Year incidence of falls in older adults. In: Age and Ageing. 2016 ; Vol. 45, No. 3. pp. 409-414.
@article{e8205aa7643146c89c699194e0566253,
title = "Hearing and vision impairment and the 5-Year incidence of falls in older adults",
abstract = "Background: Concurrent vision and hearing loss are common in older adults; however, epidemiological data on their relationship with the incidence of falls are lacking. Objective: We assessed the association between dual sensory impairment (DSI) and incidence of falls. We examined the influence of Self-Perceived hearing handicap and hearing aid use and risk of falls. Design: A Population-Based, cohort study of participants followed over 5 years. Setting: Blue Mountains, west of Sydney, Australia. Subjects: One thousand four hundred and Seventy-Eight participants aged 55 and older at baseline were included in longitudinal analyses. Methods: Visual impairment was defined as presenting or Best-Corrected visual acuity less than 20/40 (better eye), and hearing impairment as average Pure-Tone air conduction threshold >25 dB HL (500-4,000 Hz, better ear). The shortened version of the hearing handicap inventory for the elderly was administered. Incident falls were assessed over the 12 months before each visit. Cognitive impairment was determined using the Mini-Mental State Examination. Results: Five-Year incidence of falls was 10.4{\%}. Participants with severe Self-Perceived hearing handicap versus no hearing handicap had increased risk of incident falls, Multivariable-Adjusted OR 1.93 (95{\%} confidence intervals, CI, 1.02-3.64). Hearing aid users versus Non-Users had 75{\%} increased likelihood of incident falls. Participants with Co-Existing Best-Corrected visual impairment and mild hearing loss (>25 to ≤40 dB HL) had higher odds of incident falls, OR 2.19 (95{\%} CI 1.03-4.67). After excluding persons with cognitive impairment, this association did not persist. Conclusion: These epidemiological data show that DSI in older adults could significantly increase their risk of falling.",
keywords = "Blue Mountains Eye Study, dual sensory impairment, falls, hearing loss, older people, vision loss",
author = "Bamini Gopinath and Mcmahon, {Catherine M.} and George Burlutsky and Paul Mitchell",
year = "2016",
month = "5",
day = "1",
doi = "10.1093/ageing/afw022",
language = "English",
volume = "45",
pages = "409--414",
journal = "Age and Ageing",
issn = "0002-0729",
publisher = "OXFORD UNIV PRESS INC",
number = "3",

}

Hearing and vision impairment and the 5-Year incidence of falls in older adults. / Gopinath, Bamini; Mcmahon, Catherine M.; Burlutsky, George; Mitchell, Paul.

In: Age and Ageing, Vol. 45, No. 3, 01.05.2016, p. 409-414.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Hearing and vision impairment and the 5-Year incidence of falls in older adults

AU - Gopinath, Bamini

AU - Mcmahon, Catherine M.

AU - Burlutsky, George

AU - Mitchell, Paul

PY - 2016/5/1

Y1 - 2016/5/1

N2 - Background: Concurrent vision and hearing loss are common in older adults; however, epidemiological data on their relationship with the incidence of falls are lacking. Objective: We assessed the association between dual sensory impairment (DSI) and incidence of falls. We examined the influence of Self-Perceived hearing handicap and hearing aid use and risk of falls. Design: A Population-Based, cohort study of participants followed over 5 years. Setting: Blue Mountains, west of Sydney, Australia. Subjects: One thousand four hundred and Seventy-Eight participants aged 55 and older at baseline were included in longitudinal analyses. Methods: Visual impairment was defined as presenting or Best-Corrected visual acuity less than 20/40 (better eye), and hearing impairment as average Pure-Tone air conduction threshold >25 dB HL (500-4,000 Hz, better ear). The shortened version of the hearing handicap inventory for the elderly was administered. Incident falls were assessed over the 12 months before each visit. Cognitive impairment was determined using the Mini-Mental State Examination. Results: Five-Year incidence of falls was 10.4%. Participants with severe Self-Perceived hearing handicap versus no hearing handicap had increased risk of incident falls, Multivariable-Adjusted OR 1.93 (95% confidence intervals, CI, 1.02-3.64). Hearing aid users versus Non-Users had 75% increased likelihood of incident falls. Participants with Co-Existing Best-Corrected visual impairment and mild hearing loss (>25 to ≤40 dB HL) had higher odds of incident falls, OR 2.19 (95% CI 1.03-4.67). After excluding persons with cognitive impairment, this association did not persist. Conclusion: These epidemiological data show that DSI in older adults could significantly increase their risk of falling.

AB - Background: Concurrent vision and hearing loss are common in older adults; however, epidemiological data on their relationship with the incidence of falls are lacking. Objective: We assessed the association between dual sensory impairment (DSI) and incidence of falls. We examined the influence of Self-Perceived hearing handicap and hearing aid use and risk of falls. Design: A Population-Based, cohort study of participants followed over 5 years. Setting: Blue Mountains, west of Sydney, Australia. Subjects: One thousand four hundred and Seventy-Eight participants aged 55 and older at baseline were included in longitudinal analyses. Methods: Visual impairment was defined as presenting or Best-Corrected visual acuity less than 20/40 (better eye), and hearing impairment as average Pure-Tone air conduction threshold >25 dB HL (500-4,000 Hz, better ear). The shortened version of the hearing handicap inventory for the elderly was administered. Incident falls were assessed over the 12 months before each visit. Cognitive impairment was determined using the Mini-Mental State Examination. Results: Five-Year incidence of falls was 10.4%. Participants with severe Self-Perceived hearing handicap versus no hearing handicap had increased risk of incident falls, Multivariable-Adjusted OR 1.93 (95% confidence intervals, CI, 1.02-3.64). Hearing aid users versus Non-Users had 75% increased likelihood of incident falls. Participants with Co-Existing Best-Corrected visual impairment and mild hearing loss (>25 to ≤40 dB HL) had higher odds of incident falls, OR 2.19 (95% CI 1.03-4.67). After excluding persons with cognitive impairment, this association did not persist. Conclusion: These epidemiological data show that DSI in older adults could significantly increase their risk of falling.

KW - Blue Mountains Eye Study

KW - dual sensory impairment

KW - falls

KW - hearing loss

KW - older people

KW - vision loss

UR - http://www.scopus.com/inward/record.url?scp=84965047513&partnerID=8YFLogxK

U2 - 10.1093/ageing/afw022

DO - 10.1093/ageing/afw022

M3 - Article

VL - 45

SP - 409

EP - 414

JO - Age and Ageing

T2 - Age and Ageing

JF - Age and Ageing

SN - 0002-0729

IS - 3

ER -