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Association of dual sensory impairment with changes in life space: A longitudinal study with two-year follow-up

  • Kouki Tomida
    Correspondence
    Corresponding author at: Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, 7-430 Morioka-cho, Obu City, Aichi 474-8511, Japan.
    Affiliations
    Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan
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  • Sangyoon Lee
    Affiliations
    Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan
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  • Seongryu Bae
    Affiliations
    Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan
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  • Keitaro Makino
    Affiliations
    Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan

    Japan Society for the Promotion of Science, Chiyoda-ku, Tokyo, Japan
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  • Ippei Chiba
    Affiliations
    Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan
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  • Kenji Harada
    Affiliations
    Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan
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  • Osamu Katayama
    Affiliations
    Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan

    Japan Society for the Promotion of Science, Chiyoda-ku, Tokyo, Japan
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  • Masanori Morikawa
    Affiliations
    Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan
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  • Hiroyuki Shimada
    Affiliations
    Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan
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      Highlights

      • Dual sensory impairment (impairment of vision and hearing) predicts reduced life-space mobility.
      • It may reduce life-space mobility and limit instrumental daily living activities.
      • It may limit cognitive, social, and productive activities.
      • Active life in older adults can be maintained with the early evaluation and treatment of dual sensory impairment.

      Abstract

      Objectives

      Dual sensory impairment (DSI) of hearing and vision in older adults may limit lifestyle activities of daily living and contribute to a reduced life space. This study aimed to investigate how DSI is associated with specific lifestyle activities and predicts changes in mobility in life space.

      Study design

      Participants comprised 4214 older adults (52.3 % female, mean age 75.8 years) who met the study's inclusion criteria. The participants were divided into three groups according to the number of sensory impairments: (1) no sensory impairment (NSI), (2) single sensory impairment (SSI), and (3) DSI.

      Main outcome measure

      We investigated the association between DSI and specific lifestyle activities at baseline. The Active Mobility Index (AMI) was used to assess life-space. Two years later, the association between DSI and life-space mobility was verified using multinomial logistic regression analysis.

      Results

      DSI was more likely to have limited people's instrumental activities of daily living and cognitive, social, and productive activities at baseline (P < 0.05). In the adjusted model with potential covariates, people with DSI had a lower life-space score at 2 years than people with NSI (odds ratio [OR] = 1.40, 95 % confidence interval [CI]: 1.01–1.95), but the difference was not significant for SSI (OR = 0.98, 95 % CI: 0.78–1.24).

      Conclusions

      This study suggested that DSI was a factor that limited various activities and narrowed the life-space mobility of older adults. Prevention of DSI may be important for community-dwelling older adults to maintain a more active lifestyle.

      Abbreviations:

      ADL (activities of daily living), BMI (body mass index), CI (confidence interval), DSI (dual sensory impairment), GDS (Geriatric Depression Scale), HHIE-S (Hearing Handicap Inventory for the Elderly and Adults-Screening), HI (hearing impairment), MMSE (Mini-Mental State Examination), NSI (normal hearing and vision), OR (odds ratio), SSI (single sensory impairments), VI (visual impairment)

      Keywords

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