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Impact of a hearing intervention on the levels of leisure-time physical activity and T.V. viewing in older adults: results from a secondary analysis of the ACHIEVE trial

Martinez-Amezcua, Pablo; Zhang, Wuyang; Assi, Sahar; Gupta, Heramb; Twardzik, Erica; Huang, Alison R.; Reed, Nicholas S.; Deal, Jennifer A.; Arnold, Michelle L.; Burgard, Sheila; Chisolm, Theresa; Couper, David; Glynn, Nancy W.; Gmelin, Theresa; Goman, Adele M.; Gravens-Mueller, Lisa; Hayden, Kathleen M.; Mitchell, Christine M.; Pankow, James S.; Russell Pike, James; Schrack, Jennifer A.; Sanchez, Victoria A.; Sullivan, Kevin J.; Lin, Frank R.; Coresh, Josef

Authors

Pablo Martinez-Amezcua

Wuyang Zhang

Sahar Assi

Heramb Gupta

Erica Twardzik

Alison R. Huang

Nicholas S. Reed

Jennifer A. Deal

Michelle L. Arnold

Sheila Burgard

Theresa Chisolm

David Couper

Nancy W. Glynn

Theresa Gmelin

Lisa Gravens-Mueller

Kathleen M. Hayden

Christine M. Mitchell

James S. Pankow

James Russell Pike

Jennifer A. Schrack

Victoria A. Sanchez

Kevin J. Sullivan

Frank R. Lin

Josef Coresh



Abstract

Background
Age-related hearing loss is common among older adults and may influence physical activity and sedentary behaviors, such as TV viewing. This study examined whether a hearing intervention could affect these behaviors over three years.

Methods
977 participants (mean age of 76.8, 53.5% female, 11.5% Black), recruited from the ARIC study (n=238) and de novo (n=739) with hearing loss (pure-tone average=39.4 dB), were randomized to a hearing intervention or a health education control group. Physical activity, leisurely walking, and TV viewing were interrogated at baseline and three-year follow-up. We used regression models adjusted for demographic and hearing loss severity to examine the impact of the intervention on the change in the frequency of engaging in these activities.

Results
At baseline, 57.6% of participants engaged in moderate-to-vigorous physical activity (MVPA), 29.1% in high-frequency leisurely walking, and 46.8% in high-frequency TV viewing. Over three years, MVPA decreased to 48.8%, while leisurely walking and TV viewing increased. After three years, the hearing intervention group had similar odds of engaging in MVPA (ratio of odds ratios [ROR] = 1.03, 95% confidence interval [CI]: 0.93 to 1.14), leisurely walking (ROR = 1.04, 95% CI: 0.93 to 1.17), and TV viewing (ROR = 0.95, 95% CI: 0.87 to 1.02) compared to the control group. Results were consistent across recruitment sources (ARIC and de novo).

Conclusion
A hearing intervention did not significantly influence physical activity, walking, or TV viewing behaviors in older adults over three years. Additional strategies may be needed to change physical and sedentary behaviors in this population.

Citation

Martinez-Amezcua, P., Zhang, W., Assi, S., Gupta, H., Twardzik, E., Huang, A. R., Reed, N. S., Deal, J. A., Arnold, M. L., Burgard, S., Chisolm, T., Couper, D., Glynn, N. W., Gmelin, T., Goman, A. M., Gravens-Mueller, L., Hayden, K. M., Mitchell, C. M., Pankow, J. S., Russell Pike, J., …Coresh, J. (online). Impact of a hearing intervention on the levels of leisure-time physical activity and T.V. viewing in older adults: results from a secondary analysis of the ACHIEVE trial. Journals of Gerontology, Series A, https://doi.org/10.1093/gerona/glaf033

Journal Article Type Article
Acceptance Date Feb 10, 2025
Online Publication Date Feb 15, 2025
Deposit Date Feb 18, 2025
Publicly Available Date Feb 16, 2026
Journal Journals of Gerontology, Series A
Print ISSN 1079-5006
Electronic ISSN 1758-535X
Publisher Oxford University Press
Peer Reviewed Peer Reviewed
DOI https://doi.org/10.1093/gerona/glaf033
Keywords hearing aids, physical activity, hearing intervention, sedentarism
Public URL http://researchrepository.napier.ac.uk/Output/4116195