Department of Exercise Science, Donna and Allan Lansing School of Nursing and Health Sciences, Bellarmine University, Louisville, KY.
Mayo Clin Proc. 2013 Jul;88(7):690-6. doi: 10.1016/j.mayocp.2013.04.008. Epub 2013 Jun 7.
To examine the association between hearing and vision impairment (with the focus on dual sensory impairment) and accelerometer-assessed physical activity (PA) in a national sample of US adults because limited research has examined this association.
Data from the cross-sectional 2003-2006 National Health and Nutrition Examination Survey were used. The data were evaluated between May 28, 2012, and March 27, 2013. To assess moderate- to vigorous-intensity PA, participants wore an accelerometer for at least 4 days. Hearing and visual acuity were objectively measured in the mobile examination center. After exclusions, 1445 participants provided complete data on the study variables. A negative binomial regression was used to examine the association between PA and dual sensory impairment.
After adjusting for age, sex, race/ethnicity, education, body mass index, comorbidity index, cotinine level, C-reactive protein level, number of valid days of accelerometry, and accelerometer wear time, there was evidence of joint effects of vision and hearing on PA (incident rate ratio, 0.45; 95% CI, 0.29-0.68), indicating that participants experiencing both vision and hearing loss participated in less PA than would be expected based on their individual effects.
Adults with dual sensory impairment may be at increased risk for decreased PA. Possible strategies include, but are not limited to, teaching the patient how to make modifications to their indoor and outdoor environments, encouraging patients to engage in balance and resistance training, and advocating changes to public and private institutions to address common concerns.
研究美国成年人中听力和视力障碍（重点是双重感觉障碍）与加速度计评估的身体活动（PA）之间的关联，因为有限的研究已经研究了这种关联。
使用来自横断面 2003-2006 年全国健康和营养检查调查的数据。数据于 2012 年 5 月 28 日至 2013 年 3 月 27 日进行评估。为了评估中等至剧烈强度的 PA，参与者佩戴加速度计至少 4 天。在移动检查中心客观测量听力和视力。排除后，1445 名参与者提供了研究变量的完整数据。使用负二项回归检验 PA 与双重感觉障碍之间的关联。
调整年龄、性别、种族/民族、教育程度、体重指数、合并症指数、可替宁水平、C 反应蛋白水平、加速度计有效天数和加速度计佩戴时间后，有证据表明视力和听力对 PA 有共同影响（发病率比，0.45；95%CI，0.29-0.68），表明同时患有视力和听力损失的参与者参与的 PA 比根据他们的个体影响预期的要少。
双重感觉障碍的成年人可能面临 PA 减少的风险增加。可能的策略包括但不限于，教患者如何对室内和室外环境进行修改，鼓励患者进行平衡和阻力训练，并倡导公共和私营机构进行变革，以解决常见问题。
