{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:43:36Z","timestamp":1787773416418,"version":"build-2784847793"},"reference-count":37,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2014,4,29]],"date-time":"2014-04-29T00:00:00Z","timestamp":1398729600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"crossref","award":["K23DC011279"],"award-info":[{"award-number":["K23DC011279"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Eleanor Schwartz Charitable Foundation"},{"name":"Triological Society\/American College of Surgeons Clinician Scientist"},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100005262","name":"National Center for Health Statistics","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100005262","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2014,5]]},"abstract":"\n Objectives<\/jats:title>\n To determine whether hearing impairment, defined by using objective audiometry, is associated with multiple categories of self\u2010reported physical functioning in a cross\u2010sectional, nationally representative sample of older adults.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Multivariate secondary analysis of cross\u2010sectional data.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n \n The 2005\u201306 and 2009\u201310 cycles of the\n N<\/jats:styled-content>\n ational\n H<\/jats:styled-content>\n ealth and\n N<\/jats:styled-content>\n utrition\n E<\/jats:styled-content>\n xamination\n S<\/jats:styled-content>\n urvey.\n <\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n \n Adults aged 70 and older who completed audiometric testing (\n N<\/jats:styled-content>\n \u00a0=\u00a01,669).\n <\/jats:p>\n <\/jats:sec>\n \n Measurements<\/jats:title>\n Hearing was measured using pure\u2010tone audiometry. Physical functioning was assessed using a structured interview.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n In a model adjusted for age and demographic and cardiovascular risk factors, greater hearing impairment (per 25 dB hearing level (\n HL<\/jats:styled-content>\n )) was associated with greater odds of physical disability in activities of daily living (odds ratio (\n OR<\/jats:styled-content>\n )\u00a0=\u00a01.4, 95% confidence interval (\n CI<\/jats:styled-content>\n )\u00a0=\u00a01.1\u20131.9), instrumental activities of daily living (\n OR<\/jats:styled-content>\n \u00a0=\u00a01.6, 95% CI\u00a0=\u00a01.2\u20132.2), leisure and social activities (\n OR<\/jats:styled-content>\n \u00a0=\u00a01.5, 95%\n CI<\/jats:styled-content>\n \u00a0=\u00a01.1\u20132.0), lower extremity mobility (\n OR<\/jats:styled-content>\n \u00a0=\u00a01.4, 95%\n CI<\/jats:styled-content>\n \u00a0=\u00a01.1\u20131.7), general physical activities (\n OR<\/jats:styled-content>\n \u00a0=\u00a01.3, 95%\n CI<\/jats:styled-content>\n \u00a0=\u00a01.1\u20131.6), work limitation (\n OR<\/jats:styled-content>\n \u00a0=\u00a01.4, 95%\n CI<\/jats:styled-content>\n \u00a0=\u00a01.0\u20131.9), walking limitation (\n OR<\/jats:styled-content>\n \u00a0=\u00a01.6, 95%\n CI<\/jats:styled-content>\n \u00a0=\u00a01.3\u20132.0), and limitation due to memory or confusion (\n OR<\/jats:styled-content>\n \u00a0=\u00a01.4, 95%\n CI<\/jats:styled-content>\n \u00a0=\u00a01.1\u20131.8). Hearing impairment was not associated with limitations in amount or type of work done (\n OR<\/jats:styled-content>\n \u00a0=\u00a01.2, 95%\n CI<\/jats:styled-content>\n \u00a0=\u00a01.0\u20131.6).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Hearing impairment in older adults is independently associated with greater disability and limitations in multiple self\u2010reported categories of physical functioning.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jgs.12800","type":"journal-article","created":{"date-parts":[[2014,4,29]],"date-time":"2014-04-29T11:03:15Z","timestamp":1398769395000},"page":"850-856","source":"Crossref","is-referenced-by-count":98,"title":["Association Between Hearing Impairment and Self\u2010Reported Difficulty in Physical Functioning"],"prefix":"10.1111","volume":"62","author":[{"given":"David S.","family":"Chen","sequence":"first","affiliation":[{"name":"Center on Aging and Health Johns Hopkins Medical Institutions Baltimore Maryland"},{"name":"School of Medicine Johns Hopkins University Baltimore Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7925-012X","authenticated-orcid":false,"given":"Dane J.","family":"Genther","sequence":"additional","affiliation":[{"name":"Center on Aging and Health Johns Hopkins Medical Institutions Baltimore Maryland"},{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Johns Hopkins University Baltimore Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Betz","sequence":"additional","affiliation":[{"name":"Center on Aging and Health Johns Hopkins Medical Institutions Baltimore Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank R.","family":"Lin","sequence":"additional","affiliation":[{"name":"Center on Aging and Health Johns Hopkins Medical Institutions Baltimore Maryland"},{"name":"School of Medicine Johns Hopkins University Baltimore Maryland"},{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Johns Hopkins University Baltimore Maryland"},{"name":"Department of Geriatric Medicine Johns Hopkins University Baltimore Maryland"},{"name":"Department of Epidemiology Johns Hopkins University Baltimore Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,4,29]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2011.506"},{"key":"e_1_2_6_3_1","first-page":"299","article-title":"Hearing impairment and cognitive decline among older adults","volume":"73","author":"Lin FR","year":"2013","journal-title":"JAMA Intern Med"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archneurol.2010.362"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0014802"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0963-7214.2005.00356.x"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.WNL.0000147473.04043.B3"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2012.1993"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afl107"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1989.tb05870.x"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/25.3.621"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1999.tb07432.x"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/40.3.320"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0b013e31803126b6"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2008.05.006"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2009.02553.x"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/gln015"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afr155"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1999.tb01286.x"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/089826439200400108"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2004.52554.x"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronj\/48.6.M261"},{"key":"e_1_2_6_23_1","unstructured":"Centers for Disease Control and Prevention.National Centers for Health Statistics. 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