Independent and joint associations of vision and hearing impairments with arthritis: Findings from a population-based study

IF 2.5 4区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatrics & Gerontology International Pub Date : 2025-08-28 DOI:10.1111/ggi.70156

Xue Wang, Huaxin Si, Yanyan Li, Jiaqi Yu, Wendie Zhou, Hejing Chen, Cuili Wang

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引用次数: 0

Abstract

Aim

Sensory impairments (SIs), encompassing both vision impairment (VI) and hearing impairment (HI), frequently co-occur in middle-aged and older adults and are linked to various neurodegenerative conditions. This study aimed to explore both the independent and joint associations of VI and HI with the prevalence and incidence of arthritis in this population.

Methods

A total of 17 154 individuals were included in the cross-sectional analysis, with 6946 having 10-year longitudinal data available. We assessed the cross-sectional association of VI and HI with prevalent arthritis using logistic regression and analyzed the longitudinal association with incident arthritis events using Cox proportional hazards models.

Results

VI and HI were both associated with a higher likelihood of prevalent arthritis (VI: odds ratio [OR], 1.64; 95% confidence interval [CI], 1.49–1.81; HI: OR, 1.44; 95% CI, 1.34–1.56). Compared with those with no SI, those with VI only (OR, 1.58; 95% CI, 1.39–1.80), HI only (OR, 1.50; 95% CI, 1.39–1.80), and dual sensory impairment (DSI) (OR, 2.03; 95% CI, 1.80–2.29) had a higher risk of prevalent arthritis. Individuals with VI (hazard ratio [HR], 1.13; 95% CI, 1.01–1.26) or HI (HR, 1.20; 95% CI, 1.09–1.32) had increased risk of incident arthritis, with those having DSI at the highest risk (HR, 1.25; 95% CI, 1.10–1.43).

Conclusions

Our findings highlight the importance of incorporating vision and hearing screenings into routine health check-ups, as early identification of impairments could significantly enhance the effectiveness of arthritis prevention strategies. Geriatr Gerontol Int 2025; 25: 1370–1378.

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查看原文本刊更多论文

视力和听力障碍与关节炎的独立和联合关联：一项基于人群的研究结果。

目的：感觉障碍（si），包括视力障碍（VI）和听力障碍（HI），经常在中老年人中共同发生，并与各种神经退行性疾病有关。本研究旨在探讨VI和HI与该人群关节炎患病率和发病率的独立和联合关联。方法：共纳入17 154人进行横断面分析，其中6946人有10年的纵向资料。我们使用logistic回归评估了VI和HI与流行关节炎的横断面关联，并使用Cox比例风险模型分析了与关节炎事件的纵向关联。结果：VI和HI都与较高的流行关节炎的可能性相关（VI：优势比[OR]， 1.64； 95%可信区间[CI]， 1.49-1.81; HI: OR, 1.44; 95% CI, 1.34-1.56）。与没有SI的患者相比，仅患有VI （OR, 1.58; 95% CI, 1.39-1.80）、仅患有HI （OR, 1.50; 95% CI, 1.39-1.80）和双重感觉障碍（DSI）（OR, 2.03; 95% CI, 1.80-2.29）的患者患普遍关节炎的风险更高。VI患者（风险比[HR]， 1.13; 95% CI, 1.01-1.26）或HI患者（风险比[HR]， 1.20; 95% CI, 1.09-1.32）发生关节炎的风险增加，其中DSI患者风险最高（风险比，1.25;95% CI, 1.10-1.43）。结论：我们的研究结果强调了将视力和听力筛查纳入常规健康检查的重要性，因为早期识别损伤可以显著提高关节炎预防策略的有效性。Geriatr Gerontol 2025；••: ••-••.

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Geriatrics & Gerontology International 医学-老年医学

CiteScore

5.50

自引率

6.10%

发文量

189

审稿时长

4-8 weeks

期刊介绍： Geriatrics & Gerontology International is the official Journal of the Japan Geriatrics Society, reflecting the growing importance of the subject area in developed economies and their particular significance to a country like Japan with a large aging population. Geriatrics & Gerontology International is now an international publication with contributions from around the world and published four times per year.