听力损失老年人衰弱和跌倒风险增加。
Increased risk of frailty and falls in older persons with hearing loss.
文献信息
| PMID | 42867644 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Sang-Yoon Han |
| 作者单位 | Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University, 222, Wangsimni-ro, Seongdong-gu, Seoul, 04763, Republic of Korea. |
| 期刊 | European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery |
| SCI 分区 | Q1 |
| IF | 2.3 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 耳科 |
中文摘要
目的： 听力损失在老年人中非常普遍，并与不良身体结局相关。衰弱和跌倒是主要的老年综合征，导致发病率和独立性丧失。然而，听力损失、衰弱和跌倒之间的相互关系仍不清楚。
方法： 分析了韩国一项具有全国代表性的调查中9,951名年龄≥65岁社区居住成年人的数据。听力损失通过自我报告的听力困难来定义。衰弱使用韩国版FRAIL量表（K-FRAIL）进行评估。跌倒定义为过去一年中至少发生一次跌倒。使用逻辑回归模型检验听力损失、衰弱和跌倒之间的关联。进行中介分析以评估衰弱是否中介了听力损失与跌倒之间的关联。
结果： 有听力损失的老年人比听力正常的老年人具有更高的衰弱前期、衰弱和跌倒患病率。听力损失与衰弱独立相关（调整后OR 2.26，95% CI 1.77-2.88）和跌倒独立相关（调整后OR 2.63，95% CI 1.86-3.72），且两种关联均呈剂量依赖性。在相当的衰弱水平下，有听力损失的个体始终比听力正常的个体表现出更高的跌倒几率。中介分析表明，衰弱解释了听力损失与跌倒之间关联的21.1%，而在调整衰弱后，听力损失仍与跌倒独立相关。
结论： 听力损失与老年人衰弱和跌倒独立相关，衰弱部分中介了这种关系。这些发现强调了将听力评估纳入综合老年评估和跌倒预防策略的重要性。
英文摘要
PURPOSE: Hearing loss is highly prevalent in older adults and linked to adverse physical outcomes. Frailty and falls are major geriatric syndromes, contributing to morbidity and loss of independence. However, how hearing loss, frailty, and falls are interrelated remains unclear.
METHODS: Data from a nationally representative survey of 9,951 community-dwelling adults aged ≥ 65 years in Korea were analyzed. Hearing loss was defined by self-reported hearing difficulty. Frailty was assessed using the Korean version of the FRAIL scale (K-FRAIL). Falls were defined as at least one fall in the past year. Logistic regression models were used to examine associations between hearing loss, frailty, and falls. Mediation analysis was performed to assess whether frailty mediated the association between hearing loss and falls.
RESULTS: Older adults with hearing loss had a higher prevalence of prefrailty, frailty, and falls than those with normal hearing. Hearing loss was independently associated with frailty (adjusted OR 2.26, 95% CI 1.77-2.88) and falls (adjusted OR 2.63, 95% CI 1.86-3.72), and both associations were dose-dependent. At comparable frailty levels, individuals with hearing loss consistently showed higher odds of falls than those with normal hearing. Mediation analysis indicated that frailty accounted for 21.1% of the association between hearing loss and falls, while hearing loss remained independently associated with falls after adjustment for frailty.
CONCLUSION: Hearing loss is independently associated with frailty and falls in older adults, with frailty partially mediating this relationship. These findings underscore the importance of incorporating hearing assessment into comprehensive geriatric evaluations and fall-prevention strategies.