Hearing handicap and frailty in community-dwelling older adults living

Campos, Ruana Danieli da Silva; Zazzetta, Marisa Silvana; Orlandi, Fabiana de Souza; Pavarini, Sofia Cristina Iost; Cominetti, Márcia Regina; Santos-Orlandi, Ariene Angelini dos; Jesus, Isabela Thaís Machado de; Gomes, Grace Angélica de Oliveira; Gratão, Aline Cristina Martins; Costa-Guarisco, Letícia Pimenta

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Original Article • CoDAS 34 (4) • 2022 • https://doi.org/10.1590/2317-1782/20212021080 copy

Hearing handicap and frailty in community-dwelling older adults living

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Purpose

To verify the relationship between hearing handicap and frailty in community-dwelling older adults.

Methods

A cross-sectional study was carried out with 238 older adults (aged ≥ 60 years) in 2018. The Hearing Handicap Inventory for the Elderly – Screening version – HHIE-S was applied to assess the hearing handicap. To assess frailty, the Frailty Phenotype proposed for Fried and co-workers was adopted, objectively evaluating 5 criteria: unintentional weight loss, reported fatigue, reduced grip strength, reduced walking speed and low physical activity. It was investigated whether the hearing handicap were related with frailty using Kruskal-Wallis and Spearman test.

Results

Worse perception of the hearing handicap was found in pre-frail and frail individuals, compared to non-frail individuals. In addition, hearing handicap showed a positive and statistically significant correlation with frailty.

Conclusion

Hearing handicap is related to frailty in community-dwelling older adults.

Keywords
Aged; Hearing Loss; Presbycusis; Frailty; Frail Elderly

Variable	Category	n	%	Mean	SD	Median	[Min-Max]
Sex	Female	99	41.6
Sex	Male	139	58.4
Age (years)				71.1	7.3	71	[60-100]
Age group	60-610 years	104	43.7
	71-710 years	100	42
	80+ years	34	14.3
Race/ethnicity	White	117	410.2
Race/ethnicity	Non-white	121	50.8
Education (years)				2.6	2.8	2	[0-17]
No. of people living in the residence	1-3 people	191	80.3
	4-5 people	40	16.8
	6-8 people	7	2.1
Family outcome	R$800 to R$ 1200	41	17.2
	R$1201 to R$ 2100	66	27.7
	R$2101 or more	67	28.2
	No answer	64	26.1

Comorbidities	Hypertension	169	71
	Diabetes Melittus	166	29.4
	Osteoporosis	38	16
	Depression	31	13.1
	Stroke	23	10.5
	Cancer	12	5.5
Hearing Handicap (HHIE-S)^* * Hearing Handicap Inventory for the Older adults – Screening version(15)	No damage	174	73.1
	Damage level/ moderate	49	20.6
	Damage significant	15	6.3
Frailty	Non-frail	55	23.1
	Pre-frail	134	56.3
	Frail	49	20.6

	Non-Frail	Pre-Frail	Frail
N	55	134	49
Mean HHIE-S^* * Hearing Handicap Inventory for the Older adults - Screening version(15);	3.7	6.8	8.9
SD	7.8	9.5	10.8
NF/PF^a a Kruskal Wallis Test p-value	0.044^ Statistically significant
NF/Fa p-value	0.015**
PF/Fa p- value	0.995

	Frailty
Damage hearing (HHIE-S)^* * Hearing Handicap Inventory for the Older adults – Screening version(15);	r	p
	0.218	0.001^ Statistically significant
Social Scale	0.228	0.001**
Emotional Scale	0.2	0.002**

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[1] Conflict of interests: nothing to declare.