Can hearing handicap be linked to frailty? A cross-sectional study

ABSTRACT Purpose To investigate potential association between different types of frailty and hearing handicap in the older population. Methods A study was conducted on frailty among older adults in the context of social vulnerability. The study involved 229 participants who underwent physical, cog...

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Main Authors: Ruana Danieli da Silva Campos, Henrique Pott, Marisa Silvana Zazzetta, Fabiana de Souza Orlandi, Sofia Cristina Iost Pavarini, Ariene Angelini dos Santos-Orlandi, Isabela Thaís Machado de Jesus, Karina Gramani Say, Aline Cristina Martins Gratão, Letícia Pimenta Costa-Guarisco
Format: Article
Language:English
Published: Sociedade Brasileira de Fonoaudiologia 2025-02-01
Series:CoDAS
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2317-17822025000200302&lng=en&tlng=en
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author Ruana Danieli da Silva Campos
Henrique Pott
Marisa Silvana Zazzetta
Fabiana de Souza Orlandi
Sofia Cristina Iost Pavarini
Ariene Angelini dos Santos-Orlandi
Isabela Thaís Machado de Jesus
Karina Gramani Say
Aline Cristina Martins Gratão
Letícia Pimenta Costa-Guarisco
author_facet Ruana Danieli da Silva Campos
Henrique Pott
Marisa Silvana Zazzetta
Fabiana de Souza Orlandi
Sofia Cristina Iost Pavarini
Ariene Angelini dos Santos-Orlandi
Isabela Thaís Machado de Jesus
Karina Gramani Say
Aline Cristina Martins Gratão
Letícia Pimenta Costa-Guarisco
author_sort Ruana Danieli da Silva Campos
collection DOAJ
description ABSTRACT Purpose To investigate potential association between different types of frailty and hearing handicap in the older population. Methods A study was conducted on frailty among older adults in the context of social vulnerability. The study involved 229 participants who underwent physical, cognitive, and social frailty assessments. Physical frailty was assessed using Fried's Frailty Phenotype, while cognitive frailty was characterized by the presence of physical frailty and cognitive decline. The Makizako index was used to assess social frailty, and the HHIE-S questionnaire was applied to quantify hearing handicap. Participation restrictions related to hearing difficulties were explored in relation to the three types of frailty using logistic regression. Results Hearing handicap were found to be associated with physical, cognitive, and social frailties. However, in a multivariate binary logistic regression analysis, the emotional scale of HHIE-S was only a predictive factor for physical frailty, along with older age, lower education, and the presence of comorbidities. Age and the presence of comorbidities were the only associated explanatory variables for cognitive frailty. Social frailty was only associated with the presence of cognitive changes. Conclusion Hearing loss-related participation restrictions can be a significant challenge for older adults. Those who also have an emotional impairment, caused by hearing loss, are even more vulnerable to becoming frail or pre-frail. It’s important to prioritize the needs of this population and provide the necessary support to enhance their quality of life and prevent further decline.
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spelling doaj-art-7b95714f7fbf4737bf305ebeee0058b62025-08-20T02:15:34ZengSociedade Brasileira de FonoaudiologiaCoDAS2317-17822025-02-0137210.1590/2317-1782/e20240107enCan hearing handicap be linked to frailty? A cross-sectional studyRuana Danieli da Silva Camposhttps://orcid.org/0000-0002-9096-6663Henrique Potthttps://orcid.org/0000-0003-3126-2946Marisa Silvana Zazzettahttps://orcid.org/0000-0001-6544-767XFabiana de Souza Orlandihttps://orcid.org/0000-0002-5714-6890Sofia Cristina Iost Pavarinihttps://orcid.org/0000-0001-9359-8600Ariene Angelini dos Santos-Orlandihttps://orcid.org/0000-0002-3112-495XIsabela Thaís Machado de Jesushttps://orcid.org/0000-0002-3752-8867Karina Gramani Sayhttps://orcid.org/0000-0002-2451-8109Aline Cristina Martins Gratãohttps://orcid.org/0000-0002-8508-0251Letícia Pimenta Costa-Guariscohttps://orcid.org/0000-0002-2687-5310ABSTRACT Purpose To investigate potential association between different types of frailty and hearing handicap in the older population. Methods A study was conducted on frailty among older adults in the context of social vulnerability. The study involved 229 participants who underwent physical, cognitive, and social frailty assessments. Physical frailty was assessed using Fried's Frailty Phenotype, while cognitive frailty was characterized by the presence of physical frailty and cognitive decline. The Makizako index was used to assess social frailty, and the HHIE-S questionnaire was applied to quantify hearing handicap. Participation restrictions related to hearing difficulties were explored in relation to the three types of frailty using logistic regression. Results Hearing handicap were found to be associated with physical, cognitive, and social frailties. However, in a multivariate binary logistic regression analysis, the emotional scale of HHIE-S was only a predictive factor for physical frailty, along with older age, lower education, and the presence of comorbidities. Age and the presence of comorbidities were the only associated explanatory variables for cognitive frailty. Social frailty was only associated with the presence of cognitive changes. Conclusion Hearing loss-related participation restrictions can be a significant challenge for older adults. Those who also have an emotional impairment, caused by hearing loss, are even more vulnerable to becoming frail or pre-frail. It’s important to prioritize the needs of this population and provide the necessary support to enhance their quality of life and prevent further decline.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2317-17822025000200302&lng=en&tlng=enAgedFrailtyCognitionSocial SupportHearing Loss
spellingShingle Ruana Danieli da Silva Campos
Henrique Pott
Marisa Silvana Zazzetta
Fabiana de Souza Orlandi
Sofia Cristina Iost Pavarini
Ariene Angelini dos Santos-Orlandi
Isabela Thaís Machado de Jesus
Karina Gramani Say
Aline Cristina Martins Gratão
Letícia Pimenta Costa-Guarisco
Can hearing handicap be linked to frailty? A cross-sectional study
CoDAS
Aged
Frailty
Cognition
Social Support
Hearing Loss
title Can hearing handicap be linked to frailty? A cross-sectional study
title_full Can hearing handicap be linked to frailty? A cross-sectional study
title_fullStr Can hearing handicap be linked to frailty? A cross-sectional study
title_full_unstemmed Can hearing handicap be linked to frailty? A cross-sectional study
title_short Can hearing handicap be linked to frailty? A cross-sectional study
title_sort can hearing handicap be linked to frailty a cross sectional study
topic Aged
Frailty
Cognition
Social Support
Hearing Loss
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2317-17822025000200302&lng=en&tlng=en
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