Abstract des Autors

Purpose: The purpose of this study was to examine the association between objectively measured physical activity and hearing sensitivity among a nationally representative sample of U.S. adults with diabetes. Method: Data from the 2003-2006 National Health and Nutrition Examination Survey were used. One hundred eighty-four U.S. adults with diabetes wore an ActiGraph 7164 accelerometer and had their hearing function objectively assessed. A negative binomial logistic regression was used to examine the association between moderate-to-vigorous physical activity (MVPA) and hearing sensitivity. Results were adjusted for age, gender, race/ethnicity, education, body mass index, comorbidity index, marital status, cotinine, homocysteine, high-density lipoprotein cholesterol, glycohemoglobin (HbA1c), C-reactive protein, microalbuminuria, noise exposure, and vision impairment. Results: Compared to those with hearing within normal limits, results showed that participants with mild hearing loss and moderate or greater hearing loss, respectively, engaged in 93 percent fewer minutes of MVPA (incident rate ratio = 0.07; 95 percent CI [0.01, 0.60]) and 94 percent fewer minutes of MVPA (incident rate ratio = 0.06; 95 percent CI [0.01, 0.54]). Conclusion: Adults with diabetes who have greater hearing impairment are less physically active. Future research is needed to determine the direction of causality. Verf.-Referat