Association of Hearing Impairment and Subsequent Driving Mobility in Older Adults

Hearing impairment (HI) is associated with driving safety (e.g., increased crashes and poor on-road driving performance). However, little is known about HI and driving mobility | The Gerontologist

Image source: Nicolas Alejandro - Flickr // CC BY 2.0

Image source: Nicolas Alejandro – Flickr // CC BY 2.0

Purpose of the Study: This study examined the longitudinal association of audiometric hearing with older adults’ driving mobility over 3 years.

Results: Individuals with moderate or greater HI performed poorly on the UFOV, indicating increased risk for adverse driving events (p < .001). No significant differences were found among older adults with varying levels of HI for driving mobility (p values > .05), including driving cessation rates (p = .38), across time.

Implications: Although prior research indicates older adults with HI may be at higher risk for crashes, they may not modify driving over time. Further exploration of this issue is required to optimize efforts to improve driving safety and mobility among older adults.

Full reference: Edwards, J.D. et al. (2017) Association of Hearing Impairment and Subsequent Driving Mobility in Older Adults. The Gerontologist. 57 (4)pp. 767-775. 

The Association between Hearing Loss, Postural Control, and Mobility in Older Adults

Degraded hearing in older adults has been associated with reduced postural control and higher risk of falls. Both hearing loss (HL) and falls have dramatic effects on older persons’ quality of life (QoL). A large body of research explored the comorbidity between the two domains | Journal of the American Academy of Audiology


Image source: Julita B.C. – Flickr // CC BY-SA 2.0

Purpose: The aim of the current review is to describe the comorbidity between HL and objective measures of postural control, to offer potential mechanisms underlying this relationship, and to discuss the clinical implications of this comorbidity.


Results: Of 211 screened articles, 7 were included in the systematic review. A significant, positive association between HL and several objective measures of postural control was found in all seven studies, even after controlling for major covariates. Severity of hearing impairment was connected to higher prevalence of difficulties in walking and falls. Physiological, cognitive, and behavioral processes that may influence auditory system and postural control were suggested as potential explanations for the association between HL and postural control.

Conclusions: There is evidence for the independent relationship between HL and objective measures of postural control in the elderly. However, a more comprehensive understanding of the mechanisms underlying this relationship is yet to be elucidated. Concurrent diagnosis, treatment, and rehabilitation of these two modalities may reduce falls and increase QoL in older adults.

Full reference: Agmon, M. et al. (2017) The Association between Hearing Loss, Postural Control, and Mobility in Older Adults: A Systematic Review. Journal of the American Academy of Audiology. Vol. 28 (no. 06) pp. 575-588

Talking about cost in audiology consultations with older adults

Financial cost is a barrier for many older adults in their decision to obtain hearing aids (HAs) | International Journal of Audiology 


Objective: This study aimed to examine conversations about the cost of HAs in detail within initial audiology appointments.

Results: Audiologists and clients displayed interactional difficulty during conversations about cost. Clients often had emotional responses to the cost of HAs, which were not attended to by audiologists. It was typical for audiologists to present one HA cost option at a time, which led to multiple rejections from clients which made the interactions difficult. Alternatively, when audiologists offered multiple cost options at once this led to a smoother interaction.

Conclusions: Audiologists and clients were observed to have difficulty talking about HA costs. Offering clients multiple HA cost options at the same time can engage clients in the decision-making process and lead to a smoother interaction between audiologist and client in the management phase of appointments.

Full reference: Ekberg, K. et al. (2017) Difficult conversations: talking about cost in audiology consultations with older adults. International Journal of Audiology. Published online: 23 Jun 2017

Social Support and Coping on Quality of Life Among Elderly With Age-Related Hearing Loss

The consequences of hearing loss hinder the everyday life of older adults and are associated with reduced well-being | American Journal of Audiology

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Image source: Andrea Squatrito – Flickr // CC BY-NC-ND 2.0

Aim: The research aim was to explore the influence of hearing problems, various coping strategies, and perceived social support on quality of life.

Results: Quality of life was predicted by perceived social support and the number of comorbid diseases (i.e., the physical, psychological, environmental, and social quality of life was better the greater the extent of perceived social support and poorer the more diseases from which the participants suffered).

Conclusions: Perceived social support may be a relevant factor to focus on in auditory rehabilitation programs, in particular, for participants who communicate little support in hearing-related situations and are, hence, at a relative disadvantage. The involvement of significant others in counseling could facilitate the everyday life for older adults with age-related hearing loss and their significant others

Full reference: Moser, S. et al. (2017) The Influence of Social Support and Coping on Quality of Life Among Elderly With Age-Related Hearing Loss. American Journal of Audiology. Vol. 26(6) pp. 170-179. 

Hearing Impairment and Incident Frailty in English Community-Dwelling Older Adults

Hearing impairment is common in later life and is estimated to affect 20% of adults in Great Britain aged 60 and older. Age-related hearing impairment has been associated with comorbidity, disability, and poor quality of life, affecting independent living and overall well-being


Image source: Franck Michel – Flickr // CC BY 2.0

Objectives: To examine the association between hearing impairment and incident frailty in older adults.

Design: Cross-sectional and longitudinal analyses with 4-year follow-up using data from the English Longitudinal Study of Ageing.

Participants: Community-dwelling individuals aged 60 and older with data on hearing and frailty status (N = 2,836).

Measurements: Hearing impairment was defined as poor self-reported hearing. Having none of the five Fried frailty phenotype components (slow walking, weak grip, self-reported exhaustion, weight loss and low physical activity) was defined as not frail, having one or two as prefrail, and having three or more as frail. Participants who were not frail at baseline were followed for incident prefrailty and frailty. Participants who were prefrail at baseline were followed for incident frailty.

Conclusion: Hearing impairment in prefrail older adults was associated with greater risk of becoming frail, independent of covariates, suggesting that hearing impairment may hasten the progression of frailty.

Full reference: Liljas, A.E.M. et al. (2017) Self-Reported Hearing Impairment and Incident Frailty inEnglish Community-Dwelling Older Adults: A 4-YearFollow-Up Study. The Journal of the American Geriatrics Society. 65(5) pp. 958–965,

Comparison of tinnitus and psychological aspects between the younger and older adult patients

Park, S.Y. et al. (2017) Auris Nasus Larynx. 44(2) pp. 147–151

Objective: To explore the differences in various tinnitus-related features and psychological aspects between the younger and older adult patients with tinnitus.

Conclusion: The older patients seemed to be more receptive to tinnitus. The majority of older tinnitus patients had concomitant hearing loss, and thus hearing rehabilitation should be considered preferentially for tinnitus management in this age group. Subjective tinnitus severity, depressive symptoms, and the stress levels were similar between the younger and older tinnitus patients. Therefore, treatment could be planned based upon the comprehensive understanding of the tinnitus characteristics and psychological aspects in each patient irrespective of age.

Read the full abstract here

Hearing and vestibular rehabilitation, with a focus on the elderly

Fisher, E. et al. (2017) The Journal of Laryngology & Otology. 131(3) p. 189

The increasing proportion of our patients in the ‘elderly’ age group in the developed world has effects on ENT as well as every other branch of medicine. In The Journal of Laryngology & Otology in the recent past, we have looked at a variety of topics of particular interest to the otolaryngologist and geriatrician, including pharyngeal pouch, vestibular dysfunction and presbyacusis and cochlear implantation.

In this issue, an auditory brainstem response study focuses on the mechanism of hearing difficulty in the elderly, especially in noisy surroundings, comparing the elderly and young adults. This revealed significantly lower amplitudes and increased latencies in brainstem responses in the elderly, indicating that subcortical mechanisms are involved in this deficiency

Readthe full editorial here