Advertisement
Mayo Clinic Proceedings Home

Accelerometer-Assessed Physical Activity and Objectively Determined Dual Sensory Impairment in US Adults

      Abstract

      Objective

      To examine the association between hearing and vision impairment (with the focus on dual sensory impairment) and accelerometer-assessed physical activity (PA) in a national sample of US adults because limited research has examined this association.

      Patients and Methods

      Data from the cross-sectional 2003-2006 National Health and Nutrition Examination Survey were used. The data were evaluated between May 28, 2012, and March 27, 2013. To assess moderate- to vigorous-intensity PA, participants wore an accelerometer for at least 4 days. Hearing and visual acuity were objectively measured in the mobile examination center. After exclusions, 1445 participants provided complete data on the study variables. A negative binomial regression was used to examine the association between PA and dual sensory impairment.

      Results

      After adjusting for age, sex, race/ethnicity, education, body mass index, comorbidity index, cotinine level, C-reactive protein level, number of valid days of accelerometry, and accelerometer wear time, there was evidence of joint effects of vision and hearing on PA (incident rate ratio, 0.45; 95% CI, 0.29-0.68), indicating that participants experiencing both vision and hearing loss participated in less PA than would be expected based on their individual effects.

      Conclusion

      Adults with dual sensory impairment may be at increased risk for decreased PA. Possible strategies include, but are not limited to, teaching the patient how to make modifications to their indoor and outdoor environments, encouraging patients to engage in balance and resistance training, and advocating changes to public and private institutions to address common concerns.

      Abbreviations and Acronyms:

      BMI (body mass index), HPTA (high-frequency pure-tone average), IRR (incident rate ratio), LPTA (low-frequency pure-tone average), MVPA (moderate to vigorous physical activity), NHANES (National Health and Nutrition Examination Survey), PA (physical activity)
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Mayo Clinic Proceedings
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Warburton D.E.
        • Charlesworth S.
        • Ivey A.
        • Nettlefold L.
        • Bredin S.S.
        A systematic review of the evidence for Canada's Physical Activity Guidelines for Adults.
        Int J Behav Nutr Phys Act. 2010; 7: 39
      1. Humphreys BR, McLeod L, Ruseski JE. Physical activity and health outcomes: evidence from Canada [published online January 31, 2013]. Health Econ. http://dx.doi.org/10.1002/hec.2900.

        • Agrawal Y.
        • Platz E.A.
        • Niparko J.K.
        Prevalence of hearing loss and differences by demographic characteristics among US adults: data from the National Health and Nutrition Examination Survey, 1999-2004.
        Arch Intern Med. 2008; 168: 1522-1530
        • Congdon N.
        • O'Colmain B.
        • Klaver C.C.
        • et al.
        Causes and prevalence of visual impairment among adults in the United States.
        Arch Ophthalmol. 2004; 122: 477-485
        • Troiano R.P.
        • Berrigan D.
        • Dodd K.W.
        • Masse L.C.
        • Tilert T.
        • McDowell M.
        Physical activity in the United States measured by accelerometer.
        Med Sci Sports Exerc. 2008; 40: 181-188
        • Loprinzi P.D.
        • Cardinal B.J.
        • Gilham B.
        Association between cardiorespiratory fitness and hearing sensitivity.
        Am J Audiol. 2012; 21: 33-40
        • Willis J.R.
        • Jefferys J.L.
        • Vitale S.
        • Ramulu P.Y.
        Visual impairment, uncorrected refractive error, and accelerometer-defined physical activity in the United States.
        Arch Ophthalmol. 2012; 130: 329-335
        • Loprinzi P.D.
        • Smit E.
        • Pariser G.
        Association among depression, physical functioning, and hearing and vision impairment in adults with diabetes.
        Diabetes Spectrum. 2013; 26: 6-15
        • Schneider J.M.
        • Gopinath B.
        • McMahon C.M.
        • Leeder S.R.
        • Mitchell P.
        • Wang J.J.
        Dual sensory impairment in older age.
        J Aging Health. 2011; 23: 1309-1324
        • Richman J.
        • Lorenzana L.L.
        • Lankaranian D.
        • et al.
        Importance of visual acuity and contrast sensitivity in patients with glaucoma.
        Arch Ophthalmol. 2010; 128: 1576-1582
        • Scilley K.
        • Jackson G.R.
        • Cideciyan A.V.
        • Maguire M.G.
        • Jacobson S.G.
        • Owsley C.
        Early age-related maculopathy and self-reported visual difficulty in daily life.
        Ophthalmology. 2002; 109: 1235-1242
        • Niskar A.S.
        • Kieszak S.M.
        • Holmes A.
        • Esteban E.
        • Rubin C.
        • Brody D.J.
        Prevalence of hearing loss among children 6 to 19 years of age: the Third National Health and Nutrition Examination Survey.
        JAMA. 1998; 279: 1071-1075
        • Niskar A.S.
        • Kieszak S.M.
        • Holmes A.E.
        • Esteban E.
        • Rubin C.
        • Brody D.J.
        Estimated prevalence of noise-induced hearing threshold shifts among children 6 to 19 years of age: the Third National Health and Nutrition Examination Survey, 1988-1994, United States.
        Pediatrics. 2001; 108: 40-43
        • Shargorodsky J.
        • Curhan S.G.
        • Curhan G.C.
        • Eavey R.
        Change in prevalence of hearing loss in US adolescents.
        JAMA. 2010; 304: 772-778
        • Loprinzi P.D.
        • Kohli M.
        Effect of physical activity and sedentary behavior on serum PSA levels: results from the National Health and Nutrition Examination Survey (NHANES) (2003-2006).
        Mayo Clin Proc. 2013; 88: 11-21
        • Charlson M.E.
        • Pompei P.
        • Ales K.L.
        • MacKenzie C.R.
        A new method of classifying prognostic comorbidity in longitudinal studies: development and validation.
        J Chronic Dis. 1987; 40: 373-383
        • Quan H.
        • Li B.
        • Couris C.M.
        • et al.
        Updating and validating the Charlson comorbidity index and score for risk adjustment in hospital discharge abstracts using data from 6 countries.
        Am J Epidemiol. 2011; 173: 676-682
      2. Summary of revisions for the 2010 Clinical Practice Recommendations.
        Diabetes Care. 2010; 33: S3
      3. Diagnosis and classification of diabetes mellitus.
        Diabetes Care. 2010; 33: S62-S69
        • Si Q.
        • Yu K.
        • Cardinal B.J.
        • et al.
        Promoting exercise behavior among Chinese youth with hearing loss: a randomized controlled trial based on the transtheoretical model.
        Psychol Rep. 2011; 109: 896-906
        • Capella-McDonnall M.
        The need for health promotion for adults who are visually impaired.
        J Visual Impair Blind. 2007; 101: 133-145
        • Weitzman D.M.
        An aerobic walking program to promote physical fitness in older blind adults.
        J Visual Impair Blind. 1985; 79: 97-99
        • Ponchillia S.V.
        • Powell L.L.
        • Felski K.A.
        • Nicklawski M.T.
        The effectiveness of aerobic exercise instruction for totally blind women.
        J Vis Impair Blind. 1992; 86: 174-177
        • Rimmer J.H.
        Building inclusive physical activity communities for people with vision loss.
        J Vis Impair Blind. 2006; 100: 863-865
        • Ramulu P.Y.
        • Chan E.S.
        • Loyd T.L.
        • Ferrucci L.
        • Friedman D.S.
        Comparison of home and away-from-home physical activity using accelerometers and cellular network-based tracking devices.
        J Phys Act Health. 2012; 9: 809-817
        • Wang M.Y.
        • Rousseau J.
        • Boisjoly H.
        • et al.
        Activity limitation due to a fear of falling in older adults with eye disease.
        Invest Ophthalmol Vis Sci. 2012; 53: 7967-7972
        • Rimmer J.H.
        • Ainsworth B.E.
        • Young D.R.
        • La Monte M.
        Promoting inclusive physical activity communities for people with disabilities.
        Res Digest. 2008; 9: 1-8
        • Rimmer J.H.
        • Schiller W.J.
        Future directions in exercise and recreational technology for people with spinal cord injury and other disabilities: perspectives from the Rehabilitation Engineering Research Center on Recreational Technologies and Exercise Physiology for People with Disabilities.
        Top Spinal Cord Inj Rehabil. 2006; 11: 82-93
        • Lin F.R.
        • Ferrucci L.
        Hearing loss and falls among older adults in the United States.
        Arch Intern Med. 2012; 172: 369-371
        • Stevens J.A.
        A CDC Compendium of Effective Fall Interventions.
        2nd ed. Centers for Disease Control and Prevention, Atlanta, GA2010
        • Bruce D.G.
        • Devine A.
        • Prince R.L.
        Recreational physical activity levels in healthy older women: the importance of fear of falling.
        J Am Geriatr Soc. 2002; 50: 84-89
        • Swenor B.K.
        • Ramulu P.Y.
        • Willis J.R.
        • Friedman D.
        • Lin F.R.
        The prevalence of concurrent hearing and vision impairment in the United States.
        JAMA Intern Med. 2013; 173: 312-313