Association between Sleep Duration and Presbycusis in Korean Adults: Korea National Health and Nutrition Examination Survey

Min Ju Kang,Youngin Lee,Yun Jin Kim,Sang Yeoup Lee,Jeong Gyu Lee,Yu Hyeon Yi,Young Hye Cho,Young Jin Tak,Eun Ju Park,Seung Hun Lee,Gyu Lee Kim,Jung In Choi,Young Jin Ra,Sae Rom Lee,Ryuk Jun Kwon,Soo M 대한가정의학회 2023 Korean Journal of Family Medicine Vol.44 No.2

Background: Sleep duration is associated with hearing loss, especially presbycusis, which is the most common type of hearing loss; however, there is limited evidence regarding this association among the Korean population. We aimed to determine the relationship between sleep duration and high-frequency hearing loss in Korean adults aged ≥40 years.Methods: We examined 5,547 Korean adults aged ≥40 years who completed audiometric tests and questionnaires regarding sleep duration during the 2010–2012 cycle of the Korea National Health and Nutrition Examination Sur-vey. Mild presbycusis was defined as >25 decibels (dB) and <40 dB, whereas moderate-to-severe presbycusis was defined as >40 dB pure tone averages at high frequencies (3,000, 4,000, and 6,000 Hz) for both ears. Additionally, the sleep duration was divided into quartiles. Odds ratios and 95% confidence intervals were estimated using mul-tivariable logistic regression after adjusting for covariates.Results: The prevalence of presbycusis in South Korean adults was 62.1%, of which 61.4% showed moderate to se-vere presbycusis. The incidence of moderate-to-severe, but not mild, presbycusis showed a significant positive cor-relation with sleep duration.Conclusion: Our findings suggest that sleep duration is associated with the prevalence of presbycusis.

한방 복합 치료 및 소리 재활 치료로 호전된 노인성 난청 치험 1례

제하경,민예은,오연주,강준혁,Jea, Ha-Kyung,Min, Ye-Eun,Oh, Yeon-Ju,Kang, Jun-Hyeok 대한한방안이비인후피부과학회 2021 한방안이비인후피부과학회지 Vol.34 No.3

Objectives : The purpose of this study is to report the case of a presbycusis patient whose hearing had improved. Methods : A 81-year-old male diagnosed with presbycusis were treated with Korean medical interventions (acupuncture combined with electromagnetic stimulation and pharmacoacupuncture) and Threshold sound conditioning(TSC) for 3 months. Pure tone audiometry(PTA) was performed for the evaluation. Results : The patient's hearing was improved from moderate to mild level according to the Classification of Hearing Loss(International Organization for Standardization, 1969). The average hearing were improved from 40.5 dB to 32.7dB on the left side, 46.9dB to 34.1dB on the right side. Conclusions : We observed an improvement in a presbycusis patient's hearing and hereby suggest the possibility of Korean medical treatment and TSC's ameliorating effect on sensorineural hearing loss as well as prebyscusis.

노화성 난청과 보청기 효과

최지선,정원호 대한의사협회 2011 대한의사협회지 Vol.54 No.9

Age-related hearing loss, or presbycusis, is the progressive hearing loss that occurs as people get older. With presbycusis, the hearing threshold is increased, especially at high frequencies and speech perception is decreased in noisy environments. In addition, presbycusis may have adverse effects on the cognitive, behavioral, and psychosocial functioning of the elderly. They may feel social isolation, depression, and loss of self-esteem. The pathophysiology of presbycusis is explained by age-related changes in the inner ear, the auditory system and the central nervous system. There is no single cause of presbycusis. It is a complex disease influenced by genetic, environmental, and psychosocial factors, as well as medical conditions. Hearing loss is one of the most common chronic conditions affecting the elderly. The population aged 65years and older is now increasing at a rapid rate. Approximately 40% of people over 75 years of age are suffering from hearing loss. Because presbycusis is permanent and irreversible, there is no specific treatment to restore hearing loss. Because hearing loss in the elderly is closely related with quality of life, prevention and hearing rehabilitation programs using hearing aids are very important. In an aging society like Korea, an increase in social costs is inevitable for the welfare of the elderly. In particular, prevention and rehabilitation programs for hearing loss will play important roles in this perspective.

초기 노인성 난청자에서 인지장애가 일상생활 듣기 어려움에 미치는 영향

이수정 한국노년학회 2018 한국노년학 Vol.38 No.1

Everyday hearing handicap caused by presbycusis ultimately reduces quality of life in older adults. The aim of this study was to explore effects of cognitive impairment on self-reported hearing handicap in older adults with early-stage presbycusis. We compared K-HHIE scores between 40 elderly subjects with mild cognitive impairment (MCI) and age- and hearing-threshold matched 40 cognitively normal elderly (CNE) subjects. The results are as follows: 1) The MCI group scored significantly higher than the CNE group on the social/situational and emotional sections, and in total. 2) The MCI group scored significantly higher than the CNE group on all four subscales, and the most significant group difference was on the first subscale relating to interpersonal relationships and social handicaps. 3) Both groups scored highest on the item 8 (problems hearing whispering sounds) and item 15 (problems hearing TV or radio sounds). Besides those two items, the MCI group also scored high on the item 21 (problems hearing in a restaurant), item 6 (problems hearing when attending a party), item 3 (avoiding groups of people), and item 20 (personal or social restrictions). Our findings suggest that, among older adults with early-stage presbycusis, older adults with cognitive impairment tend to report greater everyday hearing handicap than their peers with normal cognitive function. Especially, they show significant problems hearing in background noise or multi-talker situations, which cause social restrictions and social/emotional loneliness. 노인성 난청은 일상생활 속 듣기 어려움(hearing handicap)을 유발함으로써 노년기 삶의 질을 저하시킨다. 본 연구에서는 초기 노인성 난청을 보이는 경도인지장애 노년층 40명과, 평균 연령 및 청력을 일치시킨 정상 노년층 40명을 대상으로 K-HHIE 설문을 실시하여 일상생활에서 느끼는 주관적 듣기 어려움 정도를 비교해보고자 하였다. 연구 결과, 첫째, K-HHIE의 사회적/상황적 점수, 정서적 점수, 그리고 총점에서 경도인지장애 노년층 집단이 정상 노년층 집단에 비해 유의하게 높은 점수를 나타내었다. 둘째, K-HHIE의 4개 요인 모두에서 경도인지장애 노년층 집단이 정상 노년층 집단에 비해 유의하게 높은 점수를 보였고, 특히 요인 1(대인관계 및 사회성)에서 집단 간 차이가 두드러졌다. 셋째, 집단에 따라 K-HHIE 문항별 평균 점수가 높은 상위 항목들을 비교한 결과, 경도인지장애 노년층과 정상 노년층 모두 8번 항목(작은 소리 듣기 어려움)과 15번 항목(TV 시청 불편함)에서 가장 많은 어려움을 호소하였으며, 특히, 경도인지장애 노년층은 요인 1에 해당하는 항목인 21번(식당에서 듣기 어려움)과 6번(모임 참석 시 듣기 어려움), 3번(대인기피), 20번(사회생활 제한) 항목들에서 높은 점수를 나타내었다. 본 연구는 초기 노인성 난청자 중에서도 인지장애가 있을수록 일상생활에서 더 많은 듣기 어려움을 호소하며, 특히 다화자 상황이나 배경 소음이 있는 상황에서의 듣기 어려움이 두드러지고, 이는 노년층의 사회활동을 제한시킬 뿐만 아니라 대인기피 등과 같은 정서적 문제를 야기할 수 있음을 확인하였다는 점에서 그 의의가 있다.

가상현실(Virtual Reality) 기반 노인난청의 청능훈련프로그램 사례연구

탁평곤,이상희,김규종,김주홍 학습자중심교과교육학회 2023 학습자중심교과교육연구 Vol.23 No.16

Objectives In this study, a virtual reality (VR) auditory training program, which was created to provide experiences similar to reality through computer software and hardware with the development of technology according to the 4th industry, was conducted with auditory training for 6 weeks (1 session per week) for two elderly people with hearing loss, and the change in word recognition and sentence comprehension ability was investigated. Methods For this purpose, 6 sessions of auditory training programs using virtual reality contents (eating out, go on a trip, making phone calls, watching radio, talking in public transportation (subway), using public institutions (hospital)) were provided for 6 weeks (1 session per week). The effects of the auditory training program, word recognition and sentence comprehension tests were conducted before-and-after implementing the program. Results The results of the virtual reality-based auditory training program for two elderly people with hearing loss are as follows: First, presbycusis A and B showed improved scores in word recognition as auditory training sessions were repeated, and training was effective even under difficult hearing conditions with noise. Second, when the pre-test and post-test values were compared, there was no significant difference in the change in word and sentence recognition of the two presbycusis. Conclusions This study focused on improving listening ability by conducting a daily life-oriented virtual reality auditory training program for the elderly with hearing loss. In addition, it is meaningful in that it provides motivation for hearing ability through auditory training to the elderly who have worn hearing aids for a long time and the necessity of systematic auditory training.

Evaluation of Age-Related Hearing Loss

Jong Woo Chung 대한청각학회 2013 Journal of Audiology & Otology Vol.17 No.2

Age-related hearing loss (presbycusis) is characterized by an increased hearing threshold and poor speech understanding in a noisy environment, slowed central processing of acoustic information, and impaired localization of sound sources. Presbycusis seriously affects the older people’s quality of life. Particularly, hearing loss in the elderly contributes to social isolation, depression, and loss of self-esteem. Current amplification methods related to auditory rehabilitation can provide improved communication ability to users. But, simple auditory rehabilitation is ineffective in managing the central auditory processing disorder and the psychosocial problem of presbycusis. The evaluation of central auditory processing disorder and psychosocial disorder in presbycusis should not be overlooked while providing auditory rehabilitation.

노인성난청의 보청기 사용 및 청능훈련의 필요성에 관한 실태조사

이상희(Lee, Sang-hee),정승희(Jung, Seung-hee) 한국청각·언어장애교육학회 2020 한국청각·언어장애교육연구 Vol.11 No.1

The purpose of this study is to provide basic information for the development of aural rehabilitation programs through surveys on the use of hearing aids and the need of auditory training for the presbycusis. A questionnaire survey was conducted for the presbycusis over 60 who live in Seoul, Gyeonggi-do, Chungcheong-do, Gyeongsang-do, and Gangwon-do and have difficulty hearing loss. The results of the statistically processed research according to the research problem are summarized as follows. First, the senior citizen with hearing aid showed the higher perception on the hearing aide that the senior citizen without hearing aid. The result shows that the senior citizen with the hearing loss over medium level and with the use of hearing aid presented the high satisfaction on the effective sue of hearing aid. Second, in the perception on the need of auditory training program according to the experience of hearing aid and the level of hearing loss, the senior citizen with hearing aid showed higher perception in the use of hearing aid, and the senior citizen with the hearing loss over medium level showed high perception in the auditory training than the citizen without using hearing aid. Third, in the correlation between the use of hearing aid in the senior citizen with the hearing aid and the need of auditory training, the meaningful relationship was appeared. From the result, it expects that the senior citizen with hearing loss may restore positive confidence through the systematic auditory training. Based on these results, the discussion and the implication for the further study were suggested. 본 연구는 노인성난청 대상으로 보청기 사용 및 청능훈련의 필요성에 관한 실태조사를 통하여 청능재활 프로그램 개발에 기초자료를 제공하고자 한다. 서울, 경기도, 충청도, 경상도, 강원도에 거주하고, 난청 어려움을 겪고 있는 60세 이상 노인을 대상으로 설문조사를 실시하였다. 연구 문제에 따라 통계 처리한 연구 결과를 요약하면 다음과 같다. 첫째, 보청기를 착용한 노인이 보청기를 미착용한 노인에 비하여 보청기에 대한 인식이 높고, 청력손실 정도가 중도 이상인 노인이 보청기에 대한 인식이 높은 것으로 나타났다. 둘째, 보청기 착용 유무와 청력손실 정도에 따른 청능훈련 필요성 인식에 관한 실태는 보청기를 착용한 노인이 보청기 사용에 대한 인식이 높고, 중도 이상에 해당하는 노인이 보청기를 미착용한 노인보다 청능훈련에 대한 인식이 높은 것으로 나타났다. 셋째, 보청기를 착용한 노인의 보청기 사용과 청능훈련 간의 필요성은 서로 상관관계가 있는 것으로 나타났다. 이러한 연구 결과를 바탕으로 후속연구에 대해 제언하였다.

노인성 난청 환자의 가족 관계적 요인과 건강행태가 우울에 미치는 영향: 2020년 노인실태조사를 근거로

전해옥(Hae Ok Jeon) 한국산학기술학회 2023 한국산학기술학회논문지 Vol.24 No.10

본 연구의 목적은 한국의 노인성 난청 환자를 대상으로 가족 관계적 요인과 건강행태가 우울에 미치는 영향을 파악하는 것이다. 본 연구는 보건복지부와 한국보건사회연구원이 수행한 2020년 노인실태조사의 원시 자료를 이용한 2차 분석연구이다. 2020년 노인실태조사는 표본 추출된 조사지역에 거주하는 65세 이상 노인에 대한 일대일 직접 면접조사방법으로 수행되었으며, 조사 기간은 2020년 9월 14일-11월 20일까지였다. 연구대상자는 의사에 의해 노인성 난청을 진단받은 대상자 중, 주요 종속변수인 우울에 응답한 한국 노인 229명이었다. 노인성 난청 환자의 우울에 영향을 미치는 요인을 파악하기 위하여, 단계적 회귀분석을 시행한 결과, 배우자의 건강상태가 가장 큰 영향요인이었고, 의사처방 약의 종류 수, 거주유형, 배우자와의 관계 만족도, 운동 수행, 청력으로 인한 일상생활의 불편감 순으로 유의한 영향요인으로 파악되었고, 설명력은 약 49%였다. 그러므로 노인성 난청 환자를 대상으로 신체적, 심리적 건강관리 전략을 마련하기 위해, 청력 손실에 대한 적절한 보조적 관리뿐만 아니라, 우울과 같은 심리적 건강에 영향을 줄 수 있는 다양한 요인이 고려될 필요가 있다. 특히, 배우자 관련 가족 관계적 요인과 운동과 같은 건강 행태적 요인을 고려하여 노인성 난청 환자의 우울 간호를 계획한다면 도움이 될 것이다. This study aimed to identify the impacts of family relational factors and health behaviors on depression in Korean elderly patients with presbycusis. This study is a secondary analysis based on raw data extracted from the 2020 National Survey of Older Koreans conducted by the Korean Ministry of Health and Welfare and the Korea Institute for Health and Social Affairs. The subjects of this study were 229 subjects with a doctors diagnosis of presbycusis that provided details on depression. Spouse health status was found to influence depression most followed in decreasing order by the number of types of prescribed medications, living arrangements, satisfaction with the spousal relationship, exercise, and inconvenience in daily life due to hearing impediment were identified as significant influencing factors with an explanatory power of about 49%. Therefore, when considering a physical and psychological health management strategy for elderly patients with presbycusis, factors that can affect psychological health, such as depression, should also be considered. In particular, it seems that considerations of spouse-related family relationships and health-behavioral factors would aid nursing care for elderly presbycusis patients with depression.

보청기 착용이 노인성 난청인의 어음지각과 삶의 질에 미치는 효과

박미혜,박주홍 한국청각언어재활학회 2017 Audiology and Speech Research Vol.13 No.4

Purpose: This study aims to investigate the effects of wearing a hearing aid on the speech perception and hearing handicap index of the elderly with presbycusis. Methods: This study examined whether there were differences in the scores of consonant and sentence perception and hearing handicap index according to age and degree of hearing loss with 34 the elderly with presbycusis. Results: First, there was a significant difference in consonant perception before and after wearing a hearing aids. However, there was a significant difference in consonant perception according to the degrees of hearing loss while there was no significant difference according to age. Second, there was a significant difference in the score of sentence perception before and after wearing a hearing aid. In addition, there was a significant difference in the score of sentence perception according to age and the degree of hearing loss, too. Third, there was a significant difference in hearing handicap index before and after wearing a hearing aid. In addition, there was a significant difference in hearing handicap index according to age and the degree of hearing loss. Conclusion: It is noted that wearing a hearing aid has positive effects on speech perception and hearing handicap index of the elderly with presbycusis, and it is concluded that even in patients with presbycusis, the effects of hearing aids increase in those who are relatively younger with less hearing loss.

노인 청각선별을 위한 순음 가청 역치를 이용한 Ling test 유용성 평가

홍효성(Hyo Seong Hong),허승덕(Seung Deok Heo) 한국언어치료학회 2016 한국언어치료학회 학술발표대회 논문집 Vol.2016 No.12

Purpose: Hearing loss is one of the common problems for geriatric population in an aging society. Early detection of hearing loss, diagnosis and rehabilitation for hearing loss are important for the health of the elderly. Smartphone and application can be help for early detection of hearing loss. Elderly people are blunt in using their hands, which makes them avoiding complicated steps, so it"s more advantageous if it is able to make applications simpler. Because Ling 6 test is so simple that it is used in hearing screening in infants and young children, and daily checks for hearing impaired person. This study evaluate the effectiveness of application_based Ling 6 (app_Ling 6) test for the elderly"s hearing screening by using pure tone hearing threshold level (HTL). Method: 41-elderly (82 ears), who are more than 65-year of age and lived in Daegu and Geoje area were participated. Hearing screening was performed at a place where the noise level was less than 50 ㏈(A), and Tympanogram, app_Ling 6, and pure tone screening (PTS) was examined. The results were obtained which was the correct response rate at app_Ling 6, and HTL of 2 PTAs, 2 ㎑, 4 ㎑ at PTS. Comparisons among tests were analyzed by paired t-test (IBM SPSS Statistics 22). Results: In terms of the type of tympanogram, type A was observed 73 ears, and type B in 9 ears. The correct response rate was 96.64% of /a/, 89.02% of /i/, 51.21% of /u/, 36.58% of /m/, 12.19% of /s/, 67.07% of /sh/, respectively. HTL was 34.39 ± 16.42 dB HL for 2 PTAs, 37.07 ± 17.05 dB HL for 2 ㎑ and 47.56 ± 17.82 dB HL for 4 ㎑ respectively. 6 phonemes of app_Ling 6 test showed a significant relationship with the HTL of 2 PTAs, 2 ㎑ and 4 ㎑ (p= .000). Conclusions: The app_Ling 6 test can be used comfortably and easily in a in a friendly environment as a tool for early detection of hearing loss of presbycusis. In addition to that, because family members and geriatric care workers can implement the test easily, it would be helpful to increase the effects of hearing detection.