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Main outcome measures were self\u2010reported leisure time physical activity and accelerometer\u2010measured physical activity. Both were quantified using minutes of moderate\u2010intensity physical activity and categorized as inactive, insufficiently active, or sufficiently active. Ordinal logistic regression analyses were conducted and adjusted for demographic and cardiovascular risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Individuals with moderate or greater hearing impairment had greater odds than those with normal hearing of being in a lower category of physical activity as measured according to self\u2010report (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      \u00a0=\u00a01.59, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      \u00a0=\u00a01.11\u20132.28) and accelerometry (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      \u00a0=\u00a01.70, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      \u00a0=\u00a00.99\u20132.91). Mild hearing impairment was not associated with level of physical activity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Moderate or greater hearing impairment in older adults is associated with lower levels of physical activity independent of demographic and cardiovascular risk factors. Future research is needed to investigate the basis of this association and whether hearing rehabilitative interventions could affect physical activity in older adults.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.12938","type":"journal-article","created":{"date-parts":[[2014,7,15]],"date-time":"2014-07-15T15:36:05Z","timestamp":1405438565000},"page":"1427-1433","source":"Crossref","is-referenced-by-count":118,"title":["Association Between Hearing Impairment and Lower Levels of Physical Activity in Older Adults"],"prefix":"10.1111","volume":"62","author":[{"given":"Fiona E.","family":"Gispen","sequence":"first","affiliation":[{"name":"School of Medicine Johns Hopkins University Baltimore Maryland"},{"name":"Center on Aging and Health Johns Hopkins Medical Institutions Baltimore Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David S.","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Medicine Johns Hopkins University Baltimore Maryland"},{"name":"Center on Aging and Health Johns Hopkins Medical Institutions Baltimore Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"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 School of Medicine Johns Hopkins University 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":"Department of Otolaryngology\u2014Head and Neck Surgery School of Medicine Johns Hopkins University Baltimore Maryland"},{"name":"Department of Geriatric Medicine School of Medicine Johns Hopkins University Baltimore Maryland"},{"name":"Department of Mental Health School of Medicine Johns Hopkins University Baltimore Maryland"},{"name":"Department of Epidemiology School of Medicine Johns Hopkins University Baltimore Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,7,15]]},"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","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1999.tb01286.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/40.3.320"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2009.02553.x"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2012.10.006"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0014802"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0963-7214.2005.00356.x"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.WNL.0000147473.04043.B3"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1990.tb01595.x"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2013.05.007"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/56.suppl_2.89"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyr112"},{"key":"e_1_2_6_14_1","unstructured":"U.S. Department of Health and Human Services.Physical Activity Guidelines for Americans: Appendix 1. 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