American journal of audiology · 2026
Changes in Cardiovascular Health and Hearing Loss in the Older Population.
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Yévenes-Briones Humberto, Caballero Francisco Félix, Rey-Martinez Jorge, Martinez-Amezcua Pablo, Banegas José R, Guallar-Castillón Pilar, Rodríguez-Artalejo Fernando, Lopez-Garcia Esther
Аннотация
PURPOSE: The relation between cardiovascular health and hearing loss (HL) is unclear. This study examined the association between changes in cardiovascular health and HL in a well-characterized cohort of older adults.
METHOD: The Seniors-ENRICA-2 study is a cohort study of community-dwelling individuals aged 65 years or older. A total of 980 participants were examined longitudinally. Changes in cardiovascular health were evaluated through the Life's Essential 8 (LE8), which contains eight metrics: diet, physical activity, nicotine exposure, sleep health, body mass index, blood lipids, blood glucose, and blood pressure. HL was defined as pure-tone average (PTA) > 15 dB-aHL in the better ear for standard frequency (0.5, 1, and 2 kHz), speech frequency (0.5, 1, 2, and 4 kHz), and high frequency (3, 4, and 8 kHz). Analyses were performed with logistic regression models adjusted for the main confounders.
RESULTS: Over a median follow-up of 2.38 (SD = 0.27) years and after adjustment for potential confounders, including sociodemographic factors, lifestyle characteristics, cognitive impairment, and comorbidities, an association was observed between an increase of ≥ 4% in the LE8 score and HL in speech frequency (OR [95% confidence interval] = 0.57 [0.37, 0.89]) and high-frequency PTA (0.56 [0.33, 0.96]). No association was observed for the standard PTA. Among all the metrics included, diet and physical activity showed greater impact on the association.
CONCLUSION: Greater adherence to behaviors and health factors such as those included in the LE8 score was associated with lower prevalence of HL in older adults.
SUPPLEMENTAL MATERIAL: https://doi.org/10.23641/asha.31158406.
METHOD: The Seniors-ENRICA-2 study is a cohort study of community-dwelling individuals aged 65 years or older. A total of 980 participants were examined longitudinally. Changes in cardiovascular health were evaluated through the Life's Essential 8 (LE8), which contains eight metrics: diet, physical activity, nicotine exposure, sleep health, body mass index, blood lipids, blood glucose, and blood pressure. HL was defined as pure-tone average (PTA) > 15 dB-aHL in the better ear for standard frequency (0.5, 1, and 2 kHz), speech frequency (0.5, 1, 2, and 4 kHz), and high frequency (3, 4, and 8 kHz). Analyses were performed with logistic regression models adjusted for the main confounders.
RESULTS: Over a median follow-up of 2.38 (SD = 0.27) years and after adjustment for potential confounders, including sociodemographic factors, lifestyle characteristics, cognitive impairment, and comorbidities, an association was observed between an increase of ≥ 4% in the LE8 score and HL in speech frequency (OR [95% confidence interval] = 0.57 [0.37, 0.89]) and high-frequency PTA (0.56 [0.33, 0.96]). No association was observed for the standard PTA. Among all the metrics included, diet and physical activity showed greater impact on the association.
CONCLUSION: Greater adherence to behaviors and health factors such as those included in the LE8 score was associated with lower prevalence of HL in older adults.
SUPPLEMENTAL MATERIAL: https://doi.org/10.23641/asha.31158406.