{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T00:01:55Z","timestamp":1793836915063,"version":"4.6.1"},"reference-count":92,"publisher":"American Medical Association (AMA)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Otolaryngol Head Neck Surg"],"published-print":{"date-parts":[[2025,5,1]]},"abstract":"<jats:sec id=\"ab-ooi250005-4\">\n                    <jats:title>Importance<\/jats:title>\n                    <jats:p>Falls constitute a significant public health concern worldwide and have been associated with increased morbidity and mortality across all ages. Identifying potentially modifiable risk factors for falls is a key public health priority. Literature surrounding the association between hearing loss (HL) and falls remains inconclusive.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-ooi250005-5\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To conduct a systematic review and meta-analysis to comprehensively synthesize evidence surrounding the impact of HL on falls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-ooi250005-6\">\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>PubMed, Embase, and Cochrane Library from database inception through April 9, 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-ooi250005-7\">\n                    <jats:title>Study Selection<\/jats:title>\n                    <jats:p>Observational studies investigating the association between HL and falls were selected. Only studies reporting covariate-adjusted estimates were included to minimize confounding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-ooi250005-8\">\n                    <jats:title>Data Extraction and Synthesis<\/jats:title>\n                    <jats:p>Two independent reviewers evaluated studies for eligibility, extracted data, and assessed the risk of bias of included studies. Using a random-effects model, adjusted estimates were pooled in meta-analyses. Heterogeneity was evaluated using subgroup and sensitivity analyses, and publication bias was assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-ooi250005-9\">\n                    <jats:title>Main Outcomes and Measures<\/jats:title>\n                    <jats:p>The cross-sectional odds and longitudinal risk of falls among patients with HL compared with those without HL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-ooi250005-10\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 5\u202f071\u202f935 participants were included from 27 studies; approximately 49.2% of participants were female, and 14 studies were conducted in Asia, 7 in North America, 3 in Europe, and 3 in Oceania, represented by Australia. Patients with HL exhibited an increased cross-sectional odds of falls (odds ratio, 1.51; 95% CI, 1.37-1.67;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200964%) and longitudinal risk of falls (risk ratio, 1.17; 95% CI, 1.06-1.29;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200969%) than those without HL. Further stratification by self-reported or validated hearing assessments, fall reporting duration, continent, community-dwelling adults, and studies adjusting for other sensory deficits identified as fall risk factors by the World Falls Guideline did not change significance. These results remained robust to sensitivity analyses, and publication bias was absent.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-ooi250005-11\">\n                    <jats:title>Conclusions and Relevance<\/jats:title>\n                    <jats:p>This systematic review and meta-analysis found that overall, HL may be a risk factor for falls. With a rapidly aging global population, it is crucial to acknowledge the public health concerns surrounding falls and consider if HL could be a potentially modifiable risk factor. Nonetheless, further randomized clinical trials are needed to elucidate any benefit of treating HL on fall prevention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1001\/jamaoto.2025.0056","type":"journal-article","created":{"date-parts":[[2025,3,20]],"date-time":"2025-03-20T17:05:20Z","timestamp":1742490320000},"page":"485","source":"Crossref","is-referenced-by-count":30,"title":["Hearing Loss and Falls"],"prefix":"10.1001","volume":"151","author":[{"given":"Brian Sheng Yep","family":"Yeo","sequence":"first","affiliation":[{"name":"Yong Loo Lin School of Medicine, National University of Singapore, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa Yee Jueen","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Singapore General Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jia 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