Self-reported hearing measures can predict risk of falling and balance problems

Abstract Introduction Falls in the elderly are a major source of injury that can result in disability and hospitalization. Early detection of balance deterioration and the risk of falling is thus crucial to preventive care. Older adults with hearing loss are 2.4 times more likely to experience falls...

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Main Authors: Hanna Putter-Katz, Niza Horev, Erez Yaakobi, Ella Been
Format: Article
Language:English
Published: Nature Portfolio 2025-05-01
Series:Communications Medicine
Online Access:https://doi.org/10.1038/s43856-025-00878-8
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author Hanna Putter-Katz
Niza Horev
Erez Yaakobi
Ella Been
author_facet Hanna Putter-Katz
Niza Horev
Erez Yaakobi
Ella Been
author_sort Hanna Putter-Katz
collection DOAJ
description Abstract Introduction Falls in the elderly are a major source of injury that can result in disability and hospitalization. Early detection of balance deterioration and the risk of falling is thus crucial to preventive care. Older adults with hearing loss are 2.4 times more likely to experience falls than their normal-hearing peers. This study explored the utility of a self-reported hearing measure (The Amsterdam Inventory for Auditory Disability and Handicap—AIADH) as a predictor of balance problems and the risk of falling. Methods A sample of 148 individuals (18–90 years) completed two objective hearing tests (Standard Pure-Tone Audiometry and Words-in-Noise), one self-reported hearing inventory—AIADH, one balance test—Timed Up and Go, and the Activity-Specific Balance Confidence Scale that self-reports balance. The analysis included correlation and regression analyses, moderation, sensitivity, and specificity analyses. Results The findings suggest that AIADH constitutes a good predictor of a decline in balance and an increased risk of falling, which complements objective hearing measures in adults aged forty and over. Prediction accuracy rises with age. The findings also reveal that out of all the AIADH subscales, the detection subscale is the best predictor of balance problems and risk of falling. Conclusions Thus, using an available self-report hearing inventory can be a useful and potentially cost-effective tool for the early detection of balance problems and hearing deterioration. Health authorities should consider incorporating this type of evaluation as a remote screening tool for large populations at risk.
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spelling doaj-art-a4bc36be8b1941d9a504726979ff2d962025-08-20T03:53:58ZengNature PortfolioCommunications Medicine2730-664X2025-05-015111110.1038/s43856-025-00878-8Self-reported hearing measures can predict risk of falling and balance problemsHanna Putter-Katz0Niza Horev1Erez Yaakobi2Ella Been3Department of Communication Sciences and Disorders, Faculty of Health Professions, Ono Academic CollegeDepartment of Communication Sciences and Disorders, Faculty of Health Professions, Ono Academic CollegeFaculty of Business Administration, Ono Academic CollegeDepartment of Communication Sciences and Disorders, Faculty of Health Professions, Ono Academic CollegeAbstract Introduction Falls in the elderly are a major source of injury that can result in disability and hospitalization. Early detection of balance deterioration and the risk of falling is thus crucial to preventive care. Older adults with hearing loss are 2.4 times more likely to experience falls than their normal-hearing peers. This study explored the utility of a self-reported hearing measure (The Amsterdam Inventory for Auditory Disability and Handicap—AIADH) as a predictor of balance problems and the risk of falling. Methods A sample of 148 individuals (18–90 years) completed two objective hearing tests (Standard Pure-Tone Audiometry and Words-in-Noise), one self-reported hearing inventory—AIADH, one balance test—Timed Up and Go, and the Activity-Specific Balance Confidence Scale that self-reports balance. The analysis included correlation and regression analyses, moderation, sensitivity, and specificity analyses. Results The findings suggest that AIADH constitutes a good predictor of a decline in balance and an increased risk of falling, which complements objective hearing measures in adults aged forty and over. Prediction accuracy rises with age. The findings also reveal that out of all the AIADH subscales, the detection subscale is the best predictor of balance problems and risk of falling. Conclusions Thus, using an available self-report hearing inventory can be a useful and potentially cost-effective tool for the early detection of balance problems and hearing deterioration. Health authorities should consider incorporating this type of evaluation as a remote screening tool for large populations at risk.https://doi.org/10.1038/s43856-025-00878-8
spellingShingle Hanna Putter-Katz
Niza Horev
Erez Yaakobi
Ella Been
Self-reported hearing measures can predict risk of falling and balance problems
Communications Medicine
title Self-reported hearing measures can predict risk of falling and balance problems
title_full Self-reported hearing measures can predict risk of falling and balance problems
title_fullStr Self-reported hearing measures can predict risk of falling and balance problems
title_full_unstemmed Self-reported hearing measures can predict risk of falling and balance problems
title_short Self-reported hearing measures can predict risk of falling and balance problems
title_sort self reported hearing measures can predict risk of falling and balance problems
url https://doi.org/10.1038/s43856-025-00878-8
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