{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T15:08:44Z","timestamp":1788966524798,"version":"build-2803163510"},"reference-count":42,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,10,12]],"date-time":"2021-10-12T00:00:00Z","timestamp":1633996800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Age\u2010related hearing loss (ARHL) is considered a risk factor for cognitive impairment and falls. The association may be modulated by gait performance because ARHL is related to mobility decline, which strongly contributes to cognitive impairment and falls. We investigated the interactive effects of gait and ARHL on global cognition and falls among older adults.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The auditory acuity of 810 community\u2010dwelling older adults was measured using a pure\u2010tone average of hearing thresholds at 1,000 and 4,000\u2009Hz in the better\u2010hearing ear. Participants were then stratified as follows: normal hearing, \u226425\u2009dB; mild hearing loss (HL), &gt;25 and \u226440\u2009dB; and moderate to severe HL, &gt;40\u2009dB. Gait speed was assessed as an indicator of gait performance and fall occurrence within the previous year. Global cognition was determined using the Montreal Cognitive Assessment (MoCA) test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 320 (39.5%) and 233 (28.8%) participants had mild and moderate to severe HL, respectively. Hierarchical multiple and logistic regression analyses showed interactions between gait performance and moderate hearing loss on both global cognition and the occurrence of falls. Specifically, older adults with moderate hearing loss who walked slowly showed lower MoCA scores and a higher incidence of falls, whereas those with decent gait speed did not show such a tendency.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our results suggest that poor gait performance might modulate the effects of ARHL, leading to cognitive decline and falls. Poor cognitive performance and falls may be prevalent in older adults with ARHL, especially in those with slower gait and moderate hearing loss.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>3 <jats:italic>Laryngoscope<\/jats:italic>, 132:857\u2013863, 2022<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.29898","type":"journal-article","created":{"date-parts":[[2021,10,16]],"date-time":"2021-10-16T03:03:02Z","timestamp":1634353382000},"page":"857-863","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Gait and Age\u2010Related Hearing Loss Interactions on Global Cognition and Falls"],"prefix":"10.1002","volume":"132","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3475-9686","authenticated-orcid":false,"given":"Ryota","family":"Sakurai","sequence":"first","affiliation":[{"name":"Research Team for Social Participation and Community Health Tokyo Metropolitan Institute of Gerontology  Itabashi\u2010ku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisashi","family":"Kawai","sequence":"additional","affiliation":[{"name":"Research Team for Human Care Tokyo Metropolitan Institute of Gerontology  Itabashi\u2010ku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuichi","family":"Yanai","sequence":"additional","affiliation":[{"name":"Aging Neuroscience Research Team Tokyo Metropolitan Institute of Gerontology  Itabashi\u2010ku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroyuki","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Research Team for Social Participation and Community Health Tokyo Metropolitan Institute of Gerontology  Itabashi\u2010ku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susumu","family":"Ogawa","sequence":"additional","affiliation":[{"name":"Research Team for Social Participation and Community Health Tokyo Metropolitan Institute of Gerontology  Itabashi\u2010ku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirohiko","family":"Hirano","sequence":"additional","affiliation":[{"name":"Research Team for Promoting Independence and Mental Health Tokyo Metropolitan Institute of Gerontology  Itabashi\u2010ku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazushige","family":"Ihara","sequence":"additional","affiliation":[{"name":"Department of Social Medicine Hirosaki University Graduate School of Medicine  Hirosaki city Aomori Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masatoki","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Tokyo Metropolitan Geriatric Hospital  Itabashi\u2010ku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hunkyung","family":"Kim","sequence":"additional","affiliation":[{"name":"Research Team for Promoting Independence and Mental Health Tokyo Metropolitan Institute of Gerontology  Itabashi\u2010ku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuichi","family":"Obuchi","sequence":"additional","affiliation":[{"name":"Research Team for Human Care Tokyo Metropolitan Institute of Gerontology  Itabashi\u2010ku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshinori","family":"Fujiwara","sequence":"additional","affiliation":[{"name":"Research Team for Social Participation and Community Health Tokyo Metropolitan Institute of Gerontology  Itabashi\u2010ku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,10,12]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tins.2020.07.005"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archoto.2011.28"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2002.50114.x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/archneurol.2010.362"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25927"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2011.728"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2012.04209.x"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.12982"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000000717"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2019.04.021"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-24233-6_4"},{"key":"e_1_2_6_13_1","unstructured":"Canada Go.Facts on hearing limitations. 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