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Hearing Impairment and Risk of Depression in Older Adults in Health ABC
Whether hearing impairment (HI) is associated with depressive symptoms remains disputed for older adults, in part due to varying definition employed, use of subjective hearing measures, or cross-sectional analysis. We studied 1936 men and women (mean age 74.1 years, 41.7% black race) enrolled in the...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7742594/ http://dx.doi.org/10.1093/geroni/igaa057.1509 |
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author | Powell, Danielle Betz, Joshua Yaffe, Kristine Kritchevsky, Stephen Strotmeyer, Elsa Simonsick, Eleanor Lin, Frank Deal, Jennifer |
author_facet | Powell, Danielle Betz, Joshua Yaffe, Kristine Kritchevsky, Stephen Strotmeyer, Elsa Simonsick, Eleanor Lin, Frank Deal, Jennifer |
author_sort | Powell, Danielle |
collection | PubMed |
description | Whether hearing impairment (HI) is associated with depressive symptoms remains disputed for older adults, in part due to varying definition employed, use of subjective hearing measures, or cross-sectional analysis. We studied 1936 men and women (mean age 74.1 years, 41.7% black race) enrolled in the prospective Health, Aging and Body Composition study Hearing thresholds at 500-4000 Hz were averaged to create a pure tone average (PTA) and HI was defined using clinical cutpoints in the better-hearing ear. Depression was measured using the Center for Epidemiologic Studies Depression Scale (CES-D) or the CES-D 10, a revised 10 question scale depending on visit. Linear mixed effects models with random intercepts and slopes were used to estimate difference in rates of change in depressive symptomatology by hearing status over nine years. Cox proportional hazard models were used to examine the association between HI and incident depression defined as change in CES-D score >=10 points. In models adjusted for demographic and clinical covariates, participants with HI demonstrated a higher baseline prevalence of depressive symptoms compared to those with normal hearing (20.7% vs. 8.4%).Rates of change did not differ by HI status. Participants with moderate or greater HI had an increased risk of 9-year incident depression (HR=1.28, 95% CI: 1.00-1.62) compared to participants with normal hearing. HI is associated with increased risk of incident depression and a greater overall prevalence of depression compared to normal hearing, underscoring the importance of further research on whether rehabilitative therapies can mitigate this association. |
format | Online Article Text |
id | pubmed-7742594 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-77425942020-12-21 Hearing Impairment and Risk of Depression in Older Adults in Health ABC Powell, Danielle Betz, Joshua Yaffe, Kristine Kritchevsky, Stephen Strotmeyer, Elsa Simonsick, Eleanor Lin, Frank Deal, Jennifer Innov Aging Abstracts Whether hearing impairment (HI) is associated with depressive symptoms remains disputed for older adults, in part due to varying definition employed, use of subjective hearing measures, or cross-sectional analysis. We studied 1936 men and women (mean age 74.1 years, 41.7% black race) enrolled in the prospective Health, Aging and Body Composition study Hearing thresholds at 500-4000 Hz were averaged to create a pure tone average (PTA) and HI was defined using clinical cutpoints in the better-hearing ear. Depression was measured using the Center for Epidemiologic Studies Depression Scale (CES-D) or the CES-D 10, a revised 10 question scale depending on visit. Linear mixed effects models with random intercepts and slopes were used to estimate difference in rates of change in depressive symptomatology by hearing status over nine years. Cox proportional hazard models were used to examine the association between HI and incident depression defined as change in CES-D score >=10 points. In models adjusted for demographic and clinical covariates, participants with HI demonstrated a higher baseline prevalence of depressive symptoms compared to those with normal hearing (20.7% vs. 8.4%).Rates of change did not differ by HI status. Participants with moderate or greater HI had an increased risk of 9-year incident depression (HR=1.28, 95% CI: 1.00-1.62) compared to participants with normal hearing. HI is associated with increased risk of incident depression and a greater overall prevalence of depression compared to normal hearing, underscoring the importance of further research on whether rehabilitative therapies can mitigate this association. Oxford University Press 2020-12-16 /pmc/articles/PMC7742594/ http://dx.doi.org/10.1093/geroni/igaa057.1509 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of The Gerontological Society of America. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Abstracts Powell, Danielle Betz, Joshua Yaffe, Kristine Kritchevsky, Stephen Strotmeyer, Elsa Simonsick, Eleanor Lin, Frank Deal, Jennifer Hearing Impairment and Risk of Depression in Older Adults in Health ABC |
title | Hearing Impairment and Risk of Depression in Older Adults in Health ABC |
title_full | Hearing Impairment and Risk of Depression in Older Adults in Health ABC |
title_fullStr | Hearing Impairment and Risk of Depression in Older Adults in Health ABC |
title_full_unstemmed | Hearing Impairment and Risk of Depression in Older Adults in Health ABC |
title_short | Hearing Impairment and Risk of Depression in Older Adults in Health ABC |
title_sort | hearing impairment and risk of depression in older adults in health abc |
topic | Abstracts |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7742594/ http://dx.doi.org/10.1093/geroni/igaa057.1509 |
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