Socioeconomic disparities in depression risk: Limitations of the moderate effect of physical activity changes in Korea

PLoS ONE, Journal Year: 2025, Volume and Issue: 20(2), P. e0314930 - e0314930

Published: Feb. 4, 2025

This study investigates the influence of changes in physical activity (PA) patterns on depression risk across different socioeconomic statuses (SES) Korea. Utilizing National Health Insurance Data (NHID) from over 1.2 million individuals during 2013–2016, we matched medical aid beneficiaries with health insurance beneficiaries, excluding those prior or incomplete PA data. Changes moderate-to-vigorous (MVPA) were categorized into 16 groups, and incidence was tracked 2019 to 2021. After adjustment, consistently showed higher risks compared enrollees same change patterns. For inactive, 1.68 times (aOR, 1.68; 95% CI, 1.37–2.05). Those who increased inactivity 3–4 per week had a 3.33 3.33; 1.72–6.43). Additionally, 2.64 for increasing 1–2 ≥5 2.64; 1.35–5.15), 2.83 engaging 2.83; 1.35–5.94). Across overall patterns, faced risks, increases 1.80 activity, continuous inactivity, 1.34 decreased However, very active group, no significant difference observed between two groups. Limitations include potential bias self-reported NHIS data not fully capturing severity. The findings underscore impact SES mental health, high levels potentially mitigating SES-related risk.

Language: Английский

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Cognitive Function and Psychological Well-being in Older Adults with Sensorineural Hearing Loss: An Egyptian Perspective

Clinical Epidemiology and Global Health, Journal Year: 2025, Volume and Issue: unknown, P. 102008 - 102008

Published: March 1, 2025

Language: Английский

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Association of Metabolic Dysfunction‐Associated Steatotic Liver Disease With Sudden Sensorineural Hearing Loss Among Older Adults

Laryngoscope Investigative Otolaryngology, Journal Year: 2025, Volume and Issue: 10(3)

Published: May 10, 2025

ABSTRACT Objectives This study examined the association between metabolic dysfunction‐associated steatotic liver disease (MASLD) and risk of sudden sensorineural hearing loss (SSNHL) in elderly individuals. Methods A population‐based cohort using Korean National Health Insurance Service‐Senior included 189,623 individuals aged 65 older, categorized as non‐SLD or MASLD. Cox proportional hazards regression Fine‐Gray subdistribution hazard models were used to evaluate SSNHL Ménière's disease, considering all‐cause mortality a competing event. Results Baseline characteristics showed that MASLD participants had higher dysfunction markers, including elevated body mass index, waist circumference, blood pressure, compared group. During 9 years follow‐up, 3803 events occurred group, with an incidence rate 2.44 per 1000 person‐years. After inverse probability treatment weighting, was associated significantly increased (adjusted ratio: 1.05, 95% CI: 1.00–1.10; p = 0.039; 1.06, 1.01–1.11; 0.016). Conclusion is SSNHL. provides evidence supporting influence on auditory health, warranting further investigation into liver‐ear axis. Level Evidence Step 3 (Level 3*)—Cohort study.

Language: Английский

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Depression in middle-aged and older adults with hearing loss: the use and construction of a nomogram tool

Frontiers in Public Health, Journal Year: 2024, Volume and Issue: 12

Published: Dec. 11, 2024

Objective This study aims to explore the influencing factors of depressive symptoms in middle-aged and older adult patients with hearing loss construct a nomogram risk prediction model. Methods A total 2,729 from community were selected as subjects. Single-factor multifactorial stepwise logistic regression analyses used screen factors. Based on these predictive factors, model was constructed. The model’s efficacy validated using area under receiver operating characteristic curve (AUC) 1,000 bootstrap resamples. Results Multifactorial analysis revealed that age, gender, pain, cognitive abilities, daily living sleep duration, self-rated health status are main for symptoms. constructed demonstrated good calibration (χ 2 = 3.367, p 0.909), an AUC value 0.741 (95% CI: 0.723–0.759), sensitivity 0.683, showing discriminative ability accuracy. Conclusion incidence is relatively high among individuals loss. developed this can effectively identify who at provides strong empirical support early detection, diagnosis, intervention

Language: Английский

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Vision and hearing problems and psychosocial outcomes: longitudinal evidence from the German Ageing Survey

Social Psychiatry and Psychiatric Epidemiology, Journal Year: 2023, Volume and Issue: 59(5), P. 879 - 886

Published: Nov. 18, 2023

Abstract Purpose To examine whether changes in vision and hearing problems are associated with psychosocial outcomes (in terms of depressive symptoms, loneliness, perceived social isolation). Methods We used longitudinal data from the nationally representative German Ageing Survey, which covers individuals aged 43 years over (wave 6 wave 7, 7108 observations mean age 67.5 years, SD 10.2 years). The 6-item De Jong Gierveld tool was to quantify Bude Lantermann isolation, Center for Epidemiologic Studies Depression Scale (15-item version) symptoms. Self-rated reading newspaper due self-rated difficulties recognizing known people on street were problems. In addition, telephone groups more than four Results Adjusting various confounders, regressions showed that onset major referring one knows increases loneliness ( β = 0.17, p < .01) symptoms 1.90, 0.05). Moreover, some isolation 0.06, 0.01). Additionally, 0.43, Conclusion Our study can contribute differently factors. Delaying sensory impairment may result favorable factors later life.

Language: Английский

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Association of hearing loss and risk of depression: a systematic review and meta-analysis

Frontiers in Neurology, Journal Year: 2024, Volume and Issue: 15

Published: Oct. 21, 2024

Background Previous studies have suggested a possible link between hearing loss and the risk of depression. However, strength this association remains uncertain across varying follow-up periods, age groups, cohort studies, longitudinal study designs. Methods We conducted an extensive literature search PubMed, Embase, Cochrane Library databases to retrieve pertinent studies. The quality observational was assessed using Newcastle–Ottawa Scale. Synthesis meta-analysis odds ratios (ORs) along with corresponding 95% confidence intervals (CIs) were performed Stata 14.0. Funnel plot analysis Egger’s regression test utilized assess potential publication bias. Results This comprised 24 2007 2024, sample sizes ranging from 548 254,466 participants. Among these participants, 24,304 had experienced depression events. pooling shows that is associated increased (OR = 1.35; 95%CI: 1.27–1.44). In subgroup analysis, retrospective exhibited slightly higher compared prospective 1.43; CI: 1.30–1.58). There are differences in among young, middle-aged, older individuals, adults facing 1.33, 1.21–1.45). Additionally, sudden sensorineural (SSNHL) group non-SSNHL 1.62; 1.27–2.07). Furthermore, cohorts time ≥ 5 years, those &lt;5 years 1.39; 1.26–1.54). Conclusion Our increases These findings provide evidence should be recognized as independent factor for Clinical trial registration https://www.crd.york.ac.uk/PROSPERO/ , identifier: CRD42024502043.

Language: Английский

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Effects of Economic Status on Changes in Social Networks and Mental Health after Using Hearing Aids

The Laryngoscope, Journal Year: 2023, Volume and Issue: 134(5), P. 2387 - 2394

Published: Nov. 21, 2023

Objectives Hearing impairment affects social networks and mental health. aids (HA) can improve these deficits. However, their effects might be affected by various factors such as economic status (ES). This study aimed to identify how ES could moderate the of HA on networks, depressive mood, cognition. Methods A prospective cohort for new users was established classified into two groups based ES: a low group (LES group) medium high (MHES group). Audiological examination, Lubben network scale‐18 (LSNS‐18), Short form Geriatric Depression Score, Mini‐Mental State Examination in Korean version CERAD Assessment Packet, surveys satisfaction with were conducted before at six months after wearing HA. Results Post‐HA application LSNS‐18 scores not improved LES whereas they revealed significant improvement MHES ( p = 0.003). The showed lower score 0.020) its change 0.042) than group. Additionally, patients moods better improvements those 0.048). cognition significantly different between groups. Conclusions did relationships Comprehensive multidirectional support well hearing rehabilitation may important LES. Level Evidence 3 (Nonrandomized controlled cohort/follow‐up study) Laryngoscope , 134:2387–2394, 2024

Language: Английский

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Hearing loss, depression, and cognition in younger and older adult CI candidates

Frontiers in Neurology, Journal Year: 2023, Volume and Issue: 14

Published: Oct. 13, 2023

Background and Aim Hearing loss in old age is associated with cognitive decline depression. Our study aimed to investigate the relationship between hearing loss, decline, secondary depressive symptoms a sample of younger older cochlear implant candidates profound severe loss. Methods This part larger cohort designated provide information on baseline data before CI. Sixty-one from adulthood onwards (&gt;18 years) were enrolled this study. All had symmetrical sensorineural both ears (four-frequency threshold difference no more than 20 dB, PTA). Individuals primary affective disorders, psychosis, below-average intelligence, poor German language skills, visual impairment, medical diagnosis potential impact cognition (e.g., neurodegenerative diseases,) excluded. Four-frequency thresholds (dB, PTA, better ear) collected. Using Abbreviated Profile Aid Benefit, we assessed subjective noise. Clinical subclinical Beck Depression Inventory (BDI II). Cognitive status was neurocognitive test battery. Results findings revealed significant negative association noise (APHAB subscale “Background Noise”) BDII. However, did not observe any link thresholds, depression, cognition. Additionally, differences emerged (25–54 subjects (55–75 years). Unexpectedly, further unplanned analyses unveiled correlations quiet environments (APHAB) performance [phonemic fluency (Regensburg Word Fluency), flexibility (TMTB), nonverbal episodic memory (Nonverbal Learning Test), as well aversive/loud sounds (APHAB)], [semantic word (RWT), inhibition (Go/Nogo) depression]. Duration speech recognition at (Freiburg Monosyllables) related depression performance. Conclusion Impact mood appears be independent, suggesting distinct aspects These results underscore importance considering only conventional audiometric measures like but also variables abilities during verbal communication everyday life, noisy settings.

Language: Английский

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Unilateral cochlear implantation in elderly patients: assessment of the auditory and non-auditory functions of patients

Meditsinskiy sovet = Medical Council, Journal Year: 2024, Volume and Issue: 18, P. 88 - 95

Published: Nov. 12, 2024

Introduction. One of the few ways to rehabilitate profound hearing loss in elderly patients is cochlear implantation. A number studies have been published assessing effect unilateral implantation on cognitive function patients, but results mixed. Aim. Evaluation impact auditory and non-auditory functions patients. Materials methods . The study included 50 senile (mean age 67.16 ± 3.5 years). RBANS-H, HI-MoCA tests were used assess function. Quality life, depression anxiety levels assessed by HADS, SF-36. Auditory was pure tone audiometry, speech SSQ, HISQUI19. Results. showed improvement with without residual hearing. There also an quality a decrease both groups. When function, statistically significant differences between groups remained during for sound indicator (SSQ test), while other parameters did not difference at end study. In addition, reveal vestibular dysfunction Conclusions. Unilateral CI as method rehabilitation impairments has demonstrated its high effectiveness.

Language: Английский

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Audiological profile of patients with type 2 diabetes mellitus

South African Journal of Communication Disorders, Journal Year: 2024, Volume and Issue: 71(1)

Published: July 31, 2024

Background: South Africa shows a high prevalence of type 2 diabetes with reported association auditory dysfunction. Objectives: To describe the audiological profile adults this metabolic condition. Method: Employing descriptive research design, 35 individuals diabetes, selected through purposive sampling, underwent basic assessment in addition to extended high-frequency (EHF) audiometry, distortion product otoacoustic emissions (DPOAE) testing and neurological brainstem response (ABR) test. Results: This study revealed 31.4% hearing loss 81.8% being sensorineural nature. Poor thresholds were observed at 16 kHz ( n = 19; 54.3%), 18 24; 68.6%) 20 30; 85.7%) right ear 20; 57.1%), left ear. Absent DPOAEs 6 51.7%) 8 17; 48.6%) 29; 82.9%) ear, possibly indicating that specifically targets higher frequency hearing. The ABR results delayed absolute latency wave III bilaterally (right –69%; – 51%), suggesting an impact disease on retro-cochlear pathways. Conclusion: Hearing should be recognised as comorbidity accompanying which indicates need for routine comprehensive assessments facilitate early detection intervention. Contribution: present findings have implications audiology clinical protocols; related health policies patient education.

Language: Английский

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