Effects of Hearing Intervention on Physical Activity Measured by Accelerometry: A Secondary Analysis of the ACHIEVE Study

被引：0

作者：

Schrack, Jennifer A. ^{[1
,2
]}

Wanigatunga, Amal A. ^{[1
,2
]}

Glynn, Nancy W. ^{[3
]}

Arnold, Michelle L. ^{[4
]}

Burgard, Sheila ^{[5
]}

Chisolm, Theresa H. ^{[4
]}

Couper, David ^{[5
]}

Deal, Jennifer A. ^{[1
,6
]}

Gmelin, Theresa ^{[3
]}

Goman, Adele M. ^{[7
]}

Huang, Alison R. ^{[1
,6
]}

Gravens-Mueller, Lisa ^{[5
]}

Hayden, Kathleen M. ^{[8
]}

Martinez-Amezcua, Pablo ^{[1
,6
]}

Mitchell, Christine M. ^{[1
]}

Pankow, James S. ^{[9
]}

Pike, James R. ^{[10
]}

Reed, Nicholas S. ^{[1
,6
,10
]}

Sanchez, Victoria A. ^{[4
]}

Sullivan, Kevin J. ^{[11
]}

Coresh, Josef ^{[10
]}

Lin, Frank R. ^{[1
,6
]}

ACHIEVE Collaborative Res Grp

机构：

[1] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD 21205 USA

[2] Johns Hopkins Univ, Ctr Aging & Hlth, Baltimore, MD 21218 USA

[3] Univ Pittsburgh, Sch Publ Hlth, Dept Epidemiol, Pittsburgh, PA USA

[4] Univ South Florida Sarasota Manatee, Coll Sci & Math, Sarasota, FL USA

[5] Univ North Carolina, Gillings Sch Global Publ Hlth, Dept Biostat, Chapel Hill, NC USA

[6] Johns Hopkins Bloomberg Sch Publ Hlth, Cochlear Ctr Hearing & Publ Hlth, Baltimore, MD USA

[7] Edinburgh Napier Univ, Sch Hlth & Social Care, Edinburgh, Scotland

[8] Wake Forest Univ, Sch Med, Dept Social Sci & Hlth Policy, Winston Salem, NC USA

[9] Univ Minnesota, Sch Publ Hlth, Div Epidemiol & Community Hlth, Minneapolis, MN USA

[10] NYU, NYU Langone Hlth, Optimal Aging Inst, Grossman Sch Med,Dept Populat Hlth & Med, New York, NY USA

[11] Univ Mississippi, Med Ctr, Dept Med, MIND Ctr, Jackson, MS USA

来源：

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY | 2025年 / 73卷 / 06期

关键词：

hearing aids; hearing loss; physical activity; OLDER-ADULTS; RISK;

D O I：

10.1111/jgs.19435

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Background Hearing loss is prevalent in older adults and is associated with reduced daily physical activity, but whether hearing intervention attenuates declines in physical activity is unknown. We investigated the 3-year effect of a hearing intervention versus a health education control on accelerometer-measured physical activity in older adults with hearing loss. Methods This secondary analysis of the ACHIEVE randomized controlled trial included 977 adults aged 70-84 years with hearing loss. Participants were randomized to either a hearing intervention group or a health education control group. Physical activity was measured using wrist-worn accelerometers at baseline, 1, 2, and 3 years. Linear mixed models assessed the impact of the intervention on changes in total activity counts, active minutes per day, and activity fragmentation. Results Among 847 participants in the final analysis (mean age 76.2 years; 440 [52%] women; 87 [10%] Black; 5 [0.8%] Hispanic), total activity counts declined by 2.7% annually, and active minutes/day declined by 2.1% annually over 3 years in both intervention and control groups. Activity patterns also became more fragmented over time. No appreciable differences were observed between hearing intervention and health education control in the 3-year change in accelerometry-measured physical activity measures. Conclusions Hearing intervention did not appreciably attenuate 3-year declines in physical activity compared to health education control in older adults with hearing loss. Alternative strategies beyond hearing treatment may be needed to enhance physical activity among older adults with hearing loss.

引用

页码：1762 / 1771

页数：10

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