Hearing loss in the elderly: a series of risk factors for imbalance and falling
,
Abstract
Background and Aim: The elderly afflicted with hearing loss experience the consequent problems of falling and imbalance. Some reasons have been reported for the relationship between hearing loss and imbalance. However, a large part of the population of the elderly does not experience hearing assessments and if such assessments are done, the right rehabilitation services are not offered. This study aimed to analyze the research information in which implying the relationship of hearing loss with imbalance and falling in the elderly had been investigated.
Recent Findings: The search for the information was done for the time span of 1989 to the July of 2015.The result of the conducted search included 574 articles on imbalance, falling and hearing loss. After removing duplicates and review of titles and abstracts of articles as well as compliance with the inclusion and exclusion criteria, the articles were studied in details. Among the reviewed articles, 36 relevant articles with either direct referring to the relationship between hearing loss and balance and falling or indirectly related matters discussing the issue in other forms were extracted. Eleven articles which have directly referred to the issue have finally been selected.
Conclusion: The results of this review study showed that the hearing loss of the elderly can be one of the factors leading to their imbalance and falling.
1. Lacerda CF, Silva LO, de Tavares Canto RS, Cheik NC. Effects of hearing aids in the balance, quality of life and fear to fall in elderly people with sensorineural hearing loss. Int Arch Otorhinolaryngol. 2012;16(2):156-62.
2. Lopez D, McCaul KA, Hankey GJ, Norman PE, Almeida OP, Dobson AJ, et al. Falls, injuries from falls, health related quality of life and mortality in older adults with vision and hearing impairment--is there a gender difference? Maturitas. 2011;69(4):359-64.
3. Liu XZ, Yan D. Ageing and hearing loss. J Pathol. 2007;211(2):188-97.
4. Gates GA, Mills JH. Presbycusis. Lancet. 2005;366(9491):1111-20.
5. Wallhagen MI, Strawbridge WJ, Shema SJ, Kurata J, Kaplan GA. Comparative impact of hearing and vision impairment on subsequent functioning. J Am Geriatr Soc. 2001;49(8):1086-92.
6. Viljanen A, Kulmala J, Rantakokko M, Koskenvuo M, Kaprio J, Rantanen T. Fear of falling and coexisting sensory difficulties as predictors of mobility decline in older women. J Gerontol A Biol Sci Med Sci. 2012;67(11):1230-7.
7. Viljanen A, Kaprio J, Pyykkö I, Sorri M, Koskenvuo M, Rantanen T. Hearing acuity as a predictor of walking difficulties in older women. J Am Geriatr Soc. 2009;57(12):2282-6.
8. Dalton DS, Cruickshanks KJ, Klein BE, Klein R, Wiley TL, Nondahl DM. The impact of hearing loss on quality of life in older adults. Gerontologist. 2003;43(5):661-8.
9. Strawbridge WJ, Wallhagen MI, Shema SJ, Kaplan GA. Negative consequences of hearing impairment in old age: a longitudinal analysis. Gerontologist. 2000;40(3):320-6.
10. Arlinger S. Negative consequences of uncorrected hearing loss--a review. Int J Audiol. 2003;42 Suppl 2:2S17-20.
11. Ayis S, Gooberman-Hill R, Bowling A, Ebrahim S. Predicting catastrophic decline in mobility among older people. Age Ageing. 2006;35(4):382-7.
12. Dargent-Molina P, Hays M, Bréart G. Sensory impairments and physical disability in aged women living at home. Int J Epidemiol. 1996;25(3):621-9.
13. Gopinath B, Schneider J, McMahon CM, Teber E, Leeder SR, Mitchell P. Severity of age-related hearing loss is associated with impaired activities of daily living. Age Ageing. 2012;41(2):195-200.
14. Grue EV, Ranhoff AH, Noro A, Finne-Soveri H, Jensdóttir AB, Ljunggren G, et al. Vision and hearing impairments and their associations with falling and loss of instrumental activities in daily living in acute hospitalized older persons in five Nordic hospitals. Scand J Caring Sci. 2009;23(4):635-43.
15. Crews JE, Campbell VA. Vision impairment and hearing loss among community-dwelling older Americans: implications for health and functioning. Am J Public Health. 2004;94(5):823-9.
16. Hosseini M, Sarfaraz Z, Karimlou M, Behnia F. Effect considering of mild and moderate visual and auditory impairment on the activity of daily living and balance performance in the elderly. J Rehabil. 2010;10(40):21-25.
17. Viljanen A, Kaprio J, Pyykkö I, Sorri M, Pajala S, Kauppinen M, et al. Hearing as a predictor of falls and postural balance in older female twins. J Gerontol A Biol Sci Med Sci. 2009;64(2):312-7.
18. Tun PA, McCoy S, Wingfield A. Aging, hearing acuity, and the attentional costs of effortful listening. Psychol Aging. 2009;24(3):761-6.
19. Woollacott M, Shumway-Cook A. Attention and the control of posture and gait: a review of an emerging area of research. Gait Posture. 2002;16(1):1-14.
20. Shumway-Cook A, Woollacott M. Attentional demands and postural control: the effect of sensory context. J Gerontol A Biol Sci Med Sci. 2000;55(1):M10-6.
21. Lin FR. Hearing loss and cognition among older adults in the United States. J Gerontol A Biol Sci Med Sci. 2011;66(10):1131-6.
22. Lin FR, Ferrucci L, Metter EJ, An Y, Zonderman AB, Resnick SM. Hearing loss and cognition in the Baltimore Longitudinal Study of Aging. Neuropsychology. 2011;25(6):763-70.
23. Zuniga MG, Dinkes RE, Davalos-Bichara M, Carey JP, Schubert MC, King WM, et al. Association between hearing loss and saccular dysfunction in older individuals. Otol Neurotol. 2012;33(9):1586-92.
24. Enrietto JA, Jacobson KM, Baloh RW. Aging effects on auditory and vestibular responses: a longitudinal study. Am J Otolaryngol. 1999;20(6):371-8.
25. Grue EV, Kirkevold M, Ranhoff AH. Prevalence of vision, hearing, and combined vision and hearing impairments in patients with hip fractures. J Clin Nurs. 2009;18(21):3037-49.
26. Haboubi NY, Hudson PR. Factors associated with Colles' fracture in the elderly. Gerontology. 1991;37(6):335-8.
27. Mendy A, Vieira ER, Albatineh AN, Nnadi AK, Lowry D, Gasana J. Low bone mineral density is associated with balance and hearing impairments. Ann Epidemiol. 2014;24(1):58-62.
28. Scott V, Wagar L, Elliott S. Falls & related injuries among older Canadians: Fall-related hospitalizations & intervention initiatives. Prepared on behalf of the Public Health Agency of Canada, Division of Aging and Seniors. Victoria BC: Victoria Scott Consulting. 2010.
29. Marchetti GF, Whitney SL. Older adults and balance dysfunction. Neurol Clin. 2005;23(3):785-805, vii.
30. Shumway-Cook A, Baldwin M, Polissar NL, Gruber W. Predicting the probability for falls in community-dwelling older adults. Phys Ther. 1997;77(8):812-9.
31. Skalska A, Wizner B, Piotrowicz K, Klich-Rączka A, Klimek E, Mossakowska M, et al. The prevalence of falls and their relation to visual and hearing impairments among a nation-wide cohort of older Poles. Exp Gerontol. 2013;48(2):140-6.
32. Baloh RW, Ying SH, Jacobson KM. A longitudinal study of gait and balance dysfunction in normal older people. Arch Neurol. 2003;60(6):835-9.
33. Gerson LW, Jarjoura D, McCord G. Risk of imbalance in elderly people with impaired hearing or vision. Age Ageing. 1989;18(1):31-4.
34. Koh da H, Lee JD, Lee HJ. Relationships among hearing loss, cognition and balance ability in community-dwelling older adults. J Phys Ther Sci. 2015;27(5):1539-42.
35. Lin FR, Ferrucci L. Hearing loss and falls among older adults in the United States. Arch Intern Med. 2012;172(4):369-71.
36. Kulmala J, Viljanen A, Sipilä S, Pajala S, Pärssinen O, Kauppinen M, et al. Poor vision accompanied with other sensory impairments as a predictor of falls in older women. Age Ageing. 2009;38(2):162-7.
37. Purchase-Helzner EL, Cauley JA, Faulkner KA, Pratt S, Zmuda JM, Talbott EO, et al. Hearing sensitivity and the risk of incident falls and fracture in older women: the study of osteoporotic fractures. Ann Epidemiol. 2004;14(5):311-8.
38. Hofer SM, Berg S, Era P. Evaluating the interdependence of aging-related changes in visual and auditory acuity, balance, and cognitive functioning. Psychol Aging. 2003;18(2):285-305.
39. Era P, Schroll M, Ytting H, Gause-Nilsson I, Heikkinen E, Steen B. Postural balance and its sensory-motor correlates in 75-year-old men and women: a cross-national comparative study. J Gerontol A Biol Sci Med Sci. 1996;51(2):M53-63.
40. Huang HC, Gau ML, Lin WC, George K. Assessing risk of falling in older adults. Public Health Nurs. 2003;20(5):399-411.
41. Tinetti ME, Liu WL, Ginter SF. Mechanical restraint use and fall-related injuries among residents of skilled nursing facilities. Ann Intern Med. 1992;116(5):369-74.
42. Stevens JA, Ballesteros MF, Mack KA, Rudd RA, DeCaro E, Adler G. Gender differences in seeking care for falls in the aged Medicare population. Am J Prev Med. 2012;43(1):59-62.
43. Evci ED, Ergin F, Beşer E. Home accidents in the elderly in Turkey. Tohoku J Exp Med. 2006;209(4):291-301.
44. Criter RE, Honaker JA. Falls in the audiology clinic: a pilot study. J Am Acad Audiol. 2013;24(10):1001-5.
45. Bumin G, Uyanik M, Aki E, Kayihan H. An investigation of risk factors for fails in elderly people in a Turkish rest home: a pilot study. Aging Clin Exp Res. 2002;14(3):192-6.
46. Tinetti ME, Speechley M. Prevention of falls among the elderly. N Engl J Med. 1989;320(16):1055-9.
47. Barrett-Connor E, Weiss TW, McHorney CA, Miller PD, Siris ES. Predictors of falls among postmenopausal women: results from the National Osteoporosis Risk Assessment (NORA). Osteoporos Int. 2009;20(5):715-22.
48. Harrison B, Booth D, Algase D. Studying fall risk factors among nursing home residents who fell. J Gerontol Nurs. 2001;27(10):26-34.
49. Rubenstein LZ. Falls in older people: epidemiology, risk factors and strategies for prevention. Age Ageing. 2006;35 Suppl 2:ii37-ii41.
50. Cohen-Mansfield J, Taylor JW. Hearing aid use in nursing homes. Part 2: Barriers to effective utilization of hearing AIDS. J Am Med Dir Assoc. 2004;5(5):289-96.
51. Krueger PD, Brazil K, Lohfeld LH. Risk factors for falls and injuries in a long-term care facility in Ontario. Can J Public Health. 2001;92(2):117-20.
52. Sihvonen S, Era P, Helenius M. Postural balance and health-related factors in middle-aged and older women with injurious falls and non-fallers. Aging Clin Exp Res. 2004;16(2):139-46.
53. Viljanen A, Kulmala J, Rantakokko M, Koskenvuo M, Kaprio J, Rantanen T. Accumulation of sensory difficulties predicts fear of falling in older women. J Aging Health. 2013;25(5):776-91.
54. Formiga F, Navarro M, Duaso E, Chivite D, Ruiz D, Perez-Castejon JM, et al. Factors associated with hip fracture-related falls among patients with a history of recurrent falling. Bone. 2008;43(5):941-4.
2. Lopez D, McCaul KA, Hankey GJ, Norman PE, Almeida OP, Dobson AJ, et al. Falls, injuries from falls, health related quality of life and mortality in older adults with vision and hearing impairment--is there a gender difference? Maturitas. 2011;69(4):359-64.
3. Liu XZ, Yan D. Ageing and hearing loss. J Pathol. 2007;211(2):188-97.
4. Gates GA, Mills JH. Presbycusis. Lancet. 2005;366(9491):1111-20.
5. Wallhagen MI, Strawbridge WJ, Shema SJ, Kurata J, Kaplan GA. Comparative impact of hearing and vision impairment on subsequent functioning. J Am Geriatr Soc. 2001;49(8):1086-92.
6. Viljanen A, Kulmala J, Rantakokko M, Koskenvuo M, Kaprio J, Rantanen T. Fear of falling and coexisting sensory difficulties as predictors of mobility decline in older women. J Gerontol A Biol Sci Med Sci. 2012;67(11):1230-7.
7. Viljanen A, Kaprio J, Pyykkö I, Sorri M, Koskenvuo M, Rantanen T. Hearing acuity as a predictor of walking difficulties in older women. J Am Geriatr Soc. 2009;57(12):2282-6.
8. Dalton DS, Cruickshanks KJ, Klein BE, Klein R, Wiley TL, Nondahl DM. The impact of hearing loss on quality of life in older adults. Gerontologist. 2003;43(5):661-8.
9. Strawbridge WJ, Wallhagen MI, Shema SJ, Kaplan GA. Negative consequences of hearing impairment in old age: a longitudinal analysis. Gerontologist. 2000;40(3):320-6.
10. Arlinger S. Negative consequences of uncorrected hearing loss--a review. Int J Audiol. 2003;42 Suppl 2:2S17-20.
11. Ayis S, Gooberman-Hill R, Bowling A, Ebrahim S. Predicting catastrophic decline in mobility among older people. Age Ageing. 2006;35(4):382-7.
12. Dargent-Molina P, Hays M, Bréart G. Sensory impairments and physical disability in aged women living at home. Int J Epidemiol. 1996;25(3):621-9.
13. Gopinath B, Schneider J, McMahon CM, Teber E, Leeder SR, Mitchell P. Severity of age-related hearing loss is associated with impaired activities of daily living. Age Ageing. 2012;41(2):195-200.
14. Grue EV, Ranhoff AH, Noro A, Finne-Soveri H, Jensdóttir AB, Ljunggren G, et al. Vision and hearing impairments and their associations with falling and loss of instrumental activities in daily living in acute hospitalized older persons in five Nordic hospitals. Scand J Caring Sci. 2009;23(4):635-43.
15. Crews JE, Campbell VA. Vision impairment and hearing loss among community-dwelling older Americans: implications for health and functioning. Am J Public Health. 2004;94(5):823-9.
16. Hosseini M, Sarfaraz Z, Karimlou M, Behnia F. Effect considering of mild and moderate visual and auditory impairment on the activity of daily living and balance performance in the elderly. J Rehabil. 2010;10(40):21-25.
17. Viljanen A, Kaprio J, Pyykkö I, Sorri M, Pajala S, Kauppinen M, et al. Hearing as a predictor of falls and postural balance in older female twins. J Gerontol A Biol Sci Med Sci. 2009;64(2):312-7.
18. Tun PA, McCoy S, Wingfield A. Aging, hearing acuity, and the attentional costs of effortful listening. Psychol Aging. 2009;24(3):761-6.
19. Woollacott M, Shumway-Cook A. Attention and the control of posture and gait: a review of an emerging area of research. Gait Posture. 2002;16(1):1-14.
20. Shumway-Cook A, Woollacott M. Attentional demands and postural control: the effect of sensory context. J Gerontol A Biol Sci Med Sci. 2000;55(1):M10-6.
21. Lin FR. Hearing loss and cognition among older adults in the United States. J Gerontol A Biol Sci Med Sci. 2011;66(10):1131-6.
22. Lin FR, Ferrucci L, Metter EJ, An Y, Zonderman AB, Resnick SM. Hearing loss and cognition in the Baltimore Longitudinal Study of Aging. Neuropsychology. 2011;25(6):763-70.
23. Zuniga MG, Dinkes RE, Davalos-Bichara M, Carey JP, Schubert MC, King WM, et al. Association between hearing loss and saccular dysfunction in older individuals. Otol Neurotol. 2012;33(9):1586-92.
24. Enrietto JA, Jacobson KM, Baloh RW. Aging effects on auditory and vestibular responses: a longitudinal study. Am J Otolaryngol. 1999;20(6):371-8.
25. Grue EV, Kirkevold M, Ranhoff AH. Prevalence of vision, hearing, and combined vision and hearing impairments in patients with hip fractures. J Clin Nurs. 2009;18(21):3037-49.
26. Haboubi NY, Hudson PR. Factors associated with Colles' fracture in the elderly. Gerontology. 1991;37(6):335-8.
27. Mendy A, Vieira ER, Albatineh AN, Nnadi AK, Lowry D, Gasana J. Low bone mineral density is associated with balance and hearing impairments. Ann Epidemiol. 2014;24(1):58-62.
28. Scott V, Wagar L, Elliott S. Falls & related injuries among older Canadians: Fall-related hospitalizations & intervention initiatives. Prepared on behalf of the Public Health Agency of Canada, Division of Aging and Seniors. Victoria BC: Victoria Scott Consulting. 2010.
29. Marchetti GF, Whitney SL. Older adults and balance dysfunction. Neurol Clin. 2005;23(3):785-805, vii.
30. Shumway-Cook A, Baldwin M, Polissar NL, Gruber W. Predicting the probability for falls in community-dwelling older adults. Phys Ther. 1997;77(8):812-9.
31. Skalska A, Wizner B, Piotrowicz K, Klich-Rączka A, Klimek E, Mossakowska M, et al. The prevalence of falls and their relation to visual and hearing impairments among a nation-wide cohort of older Poles. Exp Gerontol. 2013;48(2):140-6.
32. Baloh RW, Ying SH, Jacobson KM. A longitudinal study of gait and balance dysfunction in normal older people. Arch Neurol. 2003;60(6):835-9.
33. Gerson LW, Jarjoura D, McCord G. Risk of imbalance in elderly people with impaired hearing or vision. Age Ageing. 1989;18(1):31-4.
34. Koh da H, Lee JD, Lee HJ. Relationships among hearing loss, cognition and balance ability in community-dwelling older adults. J Phys Ther Sci. 2015;27(5):1539-42.
35. Lin FR, Ferrucci L. Hearing loss and falls among older adults in the United States. Arch Intern Med. 2012;172(4):369-71.
36. Kulmala J, Viljanen A, Sipilä S, Pajala S, Pärssinen O, Kauppinen M, et al. Poor vision accompanied with other sensory impairments as a predictor of falls in older women. Age Ageing. 2009;38(2):162-7.
37. Purchase-Helzner EL, Cauley JA, Faulkner KA, Pratt S, Zmuda JM, Talbott EO, et al. Hearing sensitivity and the risk of incident falls and fracture in older women: the study of osteoporotic fractures. Ann Epidemiol. 2004;14(5):311-8.
38. Hofer SM, Berg S, Era P. Evaluating the interdependence of aging-related changes in visual and auditory acuity, balance, and cognitive functioning. Psychol Aging. 2003;18(2):285-305.
39. Era P, Schroll M, Ytting H, Gause-Nilsson I, Heikkinen E, Steen B. Postural balance and its sensory-motor correlates in 75-year-old men and women: a cross-national comparative study. J Gerontol A Biol Sci Med Sci. 1996;51(2):M53-63.
40. Huang HC, Gau ML, Lin WC, George K. Assessing risk of falling in older adults. Public Health Nurs. 2003;20(5):399-411.
41. Tinetti ME, Liu WL, Ginter SF. Mechanical restraint use and fall-related injuries among residents of skilled nursing facilities. Ann Intern Med. 1992;116(5):369-74.
42. Stevens JA, Ballesteros MF, Mack KA, Rudd RA, DeCaro E, Adler G. Gender differences in seeking care for falls in the aged Medicare population. Am J Prev Med. 2012;43(1):59-62.
43. Evci ED, Ergin F, Beşer E. Home accidents in the elderly in Turkey. Tohoku J Exp Med. 2006;209(4):291-301.
44. Criter RE, Honaker JA. Falls in the audiology clinic: a pilot study. J Am Acad Audiol. 2013;24(10):1001-5.
45. Bumin G, Uyanik M, Aki E, Kayihan H. An investigation of risk factors for fails in elderly people in a Turkish rest home: a pilot study. Aging Clin Exp Res. 2002;14(3):192-6.
46. Tinetti ME, Speechley M. Prevention of falls among the elderly. N Engl J Med. 1989;320(16):1055-9.
47. Barrett-Connor E, Weiss TW, McHorney CA, Miller PD, Siris ES. Predictors of falls among postmenopausal women: results from the National Osteoporosis Risk Assessment (NORA). Osteoporos Int. 2009;20(5):715-22.
48. Harrison B, Booth D, Algase D. Studying fall risk factors among nursing home residents who fell. J Gerontol Nurs. 2001;27(10):26-34.
49. Rubenstein LZ. Falls in older people: epidemiology, risk factors and strategies for prevention. Age Ageing. 2006;35 Suppl 2:ii37-ii41.
50. Cohen-Mansfield J, Taylor JW. Hearing aid use in nursing homes. Part 2: Barriers to effective utilization of hearing AIDS. J Am Med Dir Assoc. 2004;5(5):289-96.
51. Krueger PD, Brazil K, Lohfeld LH. Risk factors for falls and injuries in a long-term care facility in Ontario. Can J Public Health. 2001;92(2):117-20.
52. Sihvonen S, Era P, Helenius M. Postural balance and health-related factors in middle-aged and older women with injurious falls and non-fallers. Aging Clin Exp Res. 2004;16(2):139-46.
53. Viljanen A, Kulmala J, Rantakokko M, Koskenvuo M, Kaprio J, Rantanen T. Accumulation of sensory difficulties predicts fear of falling in older women. J Aging Health. 2013;25(5):776-91.
54. Formiga F, Navarro M, Duaso E, Chivite D, Ruiz D, Perez-Castejon JM, et al. Factors associated with hip fracture-related falls among patients with a history of recurrent falling. Bone. 2008;43(5):941-4.
| Files | ||
| Issue | Vol 25 No 1 (2016) | |
| Section | Review Article(s) | |
| Keywords | ||
| Hearing loss imbalance postural control falling the elderly | ||
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How to Cite
1.
Bavarsad Cheshmeh Ali M, Tavakoli M, Nassadj G. Hearing loss in the elderly: a series of risk factors for imbalance and falling. Aud Vestib Res. 2016;25(1):32-38.
