Hearing loss and physical functioning among adults with heart failure: Data from NHANES

Michael F. Cosiano, Deanna Jannat-Khah, Frank R. Lin, Parag Goyal, Michael McKee, Madeline R. Sterling

Research output: Contribution to journalArticlepeer-review


Background: Hearing loss (HL) is associated with poor physical functioning among older adults, yet this association has not been examined in heart failure (HF), a disease in which both hearing loss and poor physical functioning are highly prevalent. We investigated whether this association exists in HF since HL represents a potentially modifiable risk factor for poor physical functioning. Methods: We studied adults aged ≥70 years with self-reported HF in the National Health and Nutrition Examination Survey (NHANES). HL was assessed and categorized using pure-tone averages. Activities of daily living (ADLs), instrumental ADLs (IADLs), leisure and social activities (LSA), lower extremity mobility (LEM), and general physical activity (GPA) were assessed. Multiple imputation was used to examine the association. Results: One hundred eighty-one participants comprised our population. Those with ≥ moderate HL had more difficulty with ADLs (37.0% vs 24.0%, p=0.02), IADLs (36.0% vs 23.0%, p=0.05), and LEM (37.3% vs 20.0%, p=0.009), compared to participants with none or mild HL. In multivariable models, ≥ moderate HL was significantly associated with difficulty in physical functioning across four of the five domains: ADLs: PR: 1.71 (95% CI: 1.07–2.72); IADLs: PR: 1.71 (1.24–2.34); LEM: PR: 1.51 (1.01–2.26); and GPA: PR: 1.19 (1.00–1.41). Conclusion: Among older adults with HF, moderate or greater HL was associated with a higher prevalence of difficulty with ADLs, IADLs, and LEM, compared to mild or no HL.

Original languageEnglish (US)
Pages (from-to)635-643
Number of pages9
JournalClinical interventions in aging
StatePublished - 2020


  • Hearing loss
  • Heart failure
  • Physical functioning
  • Prevalence

ASJC Scopus subject areas

  • Geriatrics and Gerontology


Dive into the research topics of 'Hearing loss and physical functioning among adults with heart failure: Data from NHANES'. Together they form a unique fingerprint.

Cite this