Association between hearing loss and physical performance in patients on maintenance hemodialysis
- Author:
Weifeng FAN
1
;
Xiaojing ZHONG
;
Qing WU
;
Lihong ZHANG
;
Zhenhao YANG
;
Yong GU
;
Qi GUO
;
Xiaoyu CHEN
;
Chen YU
;
Kun ZHANG
;
Wei DING
;
Hualin QI
;
Junli ZHAO
;
Liming ZHANG
;
Suhua ZHANG
;
Jianying NIU
Author Information
- Publication Type:Original Article
- From:Kidney Research and Clinical Practice 2024;43(3):358-368
- CountryRepublic of Korea
- Language:EN
- Abstract: The correlation between hearing loss (HL) and physical performance in patients receiving maintenance hemodialysis (MHD) remains poorly investigated. This study explored the association between HL and physical performance in patients on MHD. Methods: This multicenter cross-sectional study was conducted between July 2020 and April 2021 in seven hemodialysis centers in Shanghai and Suzhou, China. The hearing assessment was performed using pure-tone average (PTA). Physical performance was assessed using the Timed Up and Go Test (TUGT), handgrip strength, and gait speed. Results: Finally, 838 adult patients (male, 516 [61.6%]; 61.2 ± 2.6 years) were enrolled. Among them, 423 (50.5%) had mild to profound HL (male, 48.6% and female, 53.4%). Patients with HL had poorer physical performance than patients without HL (p < 0.001). TUGT was positively correlated with PTA (r = 0.265, p < 0.001), while handgrip strength and gait speed were negatively correlated with PTA (r = –0.356, p < 0.001 and r = –0.342, p < 0.001, respectively). Physical performance in patients aged <60 years showed significant dose-response relationships with HL. After adjusting for confounders, the odds ratios (95% confidence intervals) for HL across the TUGT quartiles (lowest to highest) were 1.00 (reference), 1.15 (0.73–1.81), 1.69 (1.07–2.70), and 2.87 (1.69–4.88) (p for trend = 0.005). Conclusion: Lower prevalence of HL was associated with a faster TUGT and a stronger handgrip strength in patients on MHD.
