Brazilian Journal of Otorhinolaryngology

Frailty linked to new hearing loss in adults aged 45 and older

Moderate and severe frailty were linked to 66% and 141% higher odds of developing hearing loss, respectively, compared with the study’s reference group.

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In adults aged 45 and older, an observational cohort analysis linked higher frailty to developing hearing loss. Researchers analysed data from 2011 to 2020 and calculated a frailty index, a score of accumulated health problems. Moderate and severe frailty remained associated with higher odds of hearing loss after accounting for other factors.

The relationship was nonlinear, meaning it did not follow a simple straight-line pattern. Researchers identified a threshold around a frailty index of 0.29. Adding the score to conventional risk factors improved prediction. A separate Mendelian randomization analysis, which used genetic differences to examine the relationship, also supported a link between frailty and hearing loss.

Why it matters

Frailty assessment may help identify hearing-loss risk earlier as people age and guide targeted prevention efforts.

Caveats

The observational and genetic analyses did not test whether reducing frailty prevents hearing loss. The abstract did not report the cohort size, specify the reference group or explain how hearing loss was measured.