Skip directly to search Skip directly to A to Z list Skip directly to page options Skip directly to site content

NIOSHTIC-2 Publications Search

Search Results

Impairments in hearing and vision impact on mortality in older people: the AGES-Reykjavik Study.

Authors
Fisher-D; Li-C-M; Chiu-MS; Themann-CL; Petersen-H; Jonasson-F; Jonsson-PV; Sverrisdottir-JE; Garcia-M; Harris-TB; Launer-LJ; Eiriksdottir-G; Gudnason-V; Hoffman-HJ; Cotch-MF
Source
Age Ageing 2014 Jan; 43(1):69-76
NIOSHTIC No.
20043578
Abstract
Objective: to examine the relationships between impairments in hearing and vision and mortality from all-causes and cardiovascular disease (CVD) among older people. Design: population-based cohort study. Participants: the study population included 4,926 Icelandic individuals, aged >= 67 years, 43.4% male, who completed vision and hearing examinations between 2002 and 2006 in the Age, Gene/Environment Susceptibility-Reykjavik Study (AGES-RS) and were followed prospectively for mortality through 2009. Methods: participants were classified as having 'moderate or greater' degree of impairment for vision only (VI), hearing only (HI), and both vision and hearing (dual sensory impairment, DSI). Cox proportional hazard regression, with age as the time scale, was used to calculate hazard ratios (HR) associated with impairment and mortality due to all-causes and specifically CVD after a median follow-up of 5.3 years. Results: the prevalence of HI, VI and DSI were 25.4, 9.2 and 7.0%, respectively. After adjusting for age, significantly (P < 0.01) increased mortality from all causes, and CVD was observed for HI and DSI, especially among men. After further adjustment for established mortality risk factors, people with HI remained at higher risk for CVD mortality [HR: 1.70 (1.27-2.27)], whereas people with DSI remained at higher risk of all-cause mortality [HR: 1.43 (1.11-1.85)] and CVD mortality [HR: 1.78 (1.18-2.69)]. Mortality rates were significantly higher in men with HI and DSI and were elevated, although not significantly, among women with HI. Conclusions: older men with HI or DSI had a greater risk of dying from any cause and particularly cardiovascular causes within a median 5-year follow-up. Women with hearing impairment had a non-significantly elevated risk. Vision impairment alone was not associated with increased mortality.
Keywords
Hearing-impairment; Hearing-loss; Hearing; Hearing-disorders; Vision-disorders; Visual-motor-performance; Cardiovascular-disease; Cardiovascular-system-disease; Cardiovascular-system; Cardiovascular-system-disorders; Cardiovascular-function; Age-groups; Humans; Men; Women; Demographic-characteristics; Author Keywords: AGES-Reykjavik study; hearing; vision; dual sensory impairment; all-cause mortality; cardiovascular disease mortality; older people
CODEN
AANGAH
Publication Date
20140101
Document Type
Journal Article
Email Address
diana.fisher@nih.gov
Fiscal Year
2014
NTIS Accession No.
NTIS Price
Identifying No.
M012014
Issue of Publication
1
ISSN
0002-0729
NIOSH Division
DART
Priority Area
Construction; Manufacturing
Source Name
Age and Ageing
State
MD; OH
TOP