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)

Ogliari, Giulia; Ryg, Jesper; Qureshi, Nadeem; Andersen-Ranberg, Karen; Scheel-Hincke, Lasse Lybecker; Masud, Tahir

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.

Citation

Ogliari, G., Ryg, J., Qureshi, N., Andersen-Ranberg, K., Scheel-Hincke, L. L., & Masud, T. (2021). 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). European Geriatric Medicine, 12(5), 1031-1043. https://doi.org/10.1007/s41999-021-00505-4

• Journal Article Type: Article
• Acceptance Date: Apr 27, 2021
• Online Publication Date: May 18, 2021
• Publication Date: Oct 1, 2021
• Deposit Date: May 27, 2021
• Publicly Available Date: May 19, 2022
• Journal: European Geriatric Medicine
• Print ISSN: 1878-7649
• Electronic ISSN: 1878-7657
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 12
• Issue: 5
• Pages: 1031-1043
• DOI: https://doi.org/10.1007/s41999-021-00505-4
• Keywords: Falls, Vision disorders, Eye diseases, Presbycusis, Dual sensory impairment, Population-based prospective study
• Public URL: https://nottingham-repository.worktribe.com/output/5570410
• Publisher URL: https://link.springer.com/article/10.1007/s41999-021-00505-4
• Additional Information: This is a post-peer-review, pre-copyedit version of an article published in European Geriatric Medicine. The final authenticated version is available online at: https://dx.doi.org/10.1007/s41999-021-00505-4