Abstract
Sensory impairments, mainly of vision and hearing, are prevalent among the older adults, and are the leading causes of disability in people aged 60 years and above around the world. However, epidemiological data on sensory impairments (prevalence, association with adverse health outcomes, risk and preventive factors, etc.) in community-dwelling older people are sparse in Japan. Using data from the Kurabuchi Study, a community-based prospective cohort study of adults aged 65 years or older, the author and colleagues estimated the prevalence of sensory impairments in this population. Vision and hearing impairments were associated with adverse health outcomes, such as depressive symptoms, dependence in activities of daily living, and early death. In addition, antioxidants, sunlight exposure, hyperglycaemia, and nutritional status were identified as possible risk or preventive factors for vision and/or hearing impairments. Further research is needed into whether the maintenance or improvement of sensory functions contributes to the extension of disability-free life expectancy.
Similar content being viewed by others
References
Ministry of Health, Labour and Welfare. Abridged life tables for Japan 2014. 2015. http://www.mhlw.go.jp/english/database/db-hw/lifetb14/index.html. Accessed 17 June 2016.
Hashimoto S, Kawado M, Seko R, Murakami Y, Hayashi M, Kato M, et al. Trends in disability-free life expectancy in Japan, 1995–2004. J Epidemiol. 2010;20:308–12.
World Health Organization. Global burden of disease. Part 3: disease incidence, prevalence and disability. Geneva: WHO; 2008.
Nishiwaki Y, Michikawa T, Eto N, Takebayashi T. Body mass index misclassification due to kyphotic posture in Japanese community-dwelling adults aged 65 years and older. J Gerontol A Biol Sci Med Sci. 2011;66:326–31.
Asakura K, Nishiwaki Y, Milojevic A, Michikawa T, Kikuchi Y, Nakano M, et al. The association of lifestyle factors with visible skin aging in older Japanese men and women. J Epidemiol. 2009;19:251–9.
Kashiwagi A, Kasuga M, Araki E, Oka Y, Hanafusa T, Ito H, et al. International clinical harmonization of glycated hemoglobin in Japan: From Japan Diabetes Society to National Glycohemoglobin Standardization Program values. Diabetol Int. 2012;3:8–10.
Hoyl MT, Alessi CA, Harker JO, Josephson KR, Pietruszka FM, Koelfgen M, et al. Development and testing of a five-item version of the Geriatric Depression Scale. J Am Geriatr Soc. 1999;47:873–8.
Lichtenstein MJ, Bess FH, Logan SA. Validation of screening tools for identifying hearing-impaired elderly in primary care. JAMA. 1988;259:2875–8.
Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW. Studies of illness in the aged. The index of ADL: a standardized measure of biological and psychosocial function. JAMA. 1963;185:914–9.
Koyano W, Shibata H, Nakazato K, Haga H, Suyama Y. Measurement of competence: reliability and validity of the TMIG Index of Competence. Arch Gerontol Geriatr. 1991;13:103–16.
Sheikh JI, Yesabage JA. Geriatric depression scale (GDS) recent evidence and development of a shorter vesion. Clin Gerontol. 1986;5:165–73.
Kawasaki R, Yasuda M, Song SJ, Hen SJ, Jonas JB, Wang JJ, et al. The prevalence of age-related macular degeneration in Asians: a systematic review and meta-analysis. Ophthalmology. 2010;117:921–7.
Oshima Y, Ishibashi T, Murata T, Tahara Y, Kiyohara Y, Kubota T. Prevalence of age related maculopathy in a representative Japanese population: the Hisayama study. Br J Ophthalmol. 2001;85:1153–7.
Kawasaki R, Wang JJ, Ji GJ, Taylor B, Oizumi T, Daimon M, et al. Prevalence and risk factors for age-related macular degeneration in an adult Japanese population: the Funagata study. Ophthalmology. 2008;115:1376–81, 1381 e1-2.
Bird AC, Bressler NM, Bressler SB, Chisholm IH, Coscas G, Davis MD, et al. An international classification and grading system for age-related maculopathy and age-related macular degeneration. The International ARM Epidemiological Study Group. Surv Ophthalmol. 1995;39:367–74.
Michikawa T, Ishida S, Nishiwaki Y, Kikuchi Y, Tsuboi T, Hosoda K, et al. Serum antioxidants and age-related macular degeneration among older Japanese. Asia Pac J Clin Nutr. 2009;18:1–7.
Mizutari K, Michikawa T, Saito H, Okamoto Y, Enomoto C, Takebayashi T, et al. Age-related hearing loss and the factors determining continued usage of hearing aids among elderly community-dwelling residents. PLoS One. 2013;8:e73622.
Harada S, Nishiwaki Y, Michikawa T, Kikuchi Y, Iwasawa S, Nakano M, et al. Gender difference in the relationships between vision and hearing impairments and negative well-being. Prev Med. 2008;47:433–7.
Michikawa T, Nishiwaki Y, Kikuchi Y, Nakano M, Iwasawa S, Asakura K, et al. Gender-specific associations of vision and hearing impairments with adverse health outcomes in older Japanese: a population-based cohort study. BMC Geriatr. 2009;9:50.
Saito H, Nishiwaki Y, Michikawa T, Kikuchi Y, Mizutari K, Takebayashi T, et al. Hearing handicap predicts the development of depressive symptoms after 3 years in older community-dwelling Japanese. J Am Geriatr Soc. 2010;58:93–7.
Lockwood AH, Salvi RJ, Burkard RF. Tinnitus. N Engl J Med. 2002;347:904–10.
Michikawa T, Nishiwaki Y, Saito H, Mizutari K, Takebayashi T. Tinnitus preceded depressive symptoms in community-dwelling older Japanese: a prospective cohort study. Prev Med. 2013;56:333–6.
Yamada M, Nishiwaki Y, Michikawa T, Takebayashi T. Impact of hearing difficulty on dependence in activities of daily living (ADL) and mortality: a 3-year cohort study of community-dwelling Japanese older adults. Arch Gerontol Geriatr. 2011;52:245–9.
Yamada M, Nishiwaki Y, Michikawa T, Takebayashi T. Self-reported hearing loss in older adults is associated with future decline in instrumental activities of daily living but not in social participation. J Am Geriatr Soc. 2012;60:1304–9.
Chew EY. Nutrition effects on ocular diseases in the aging eye. Invest Ophthalmol Vis Sci. 2013;54:ORSF42-7.
Chole RA, Quick CA. Estimate of vitamin A in the guinea pig cochlea. Ann Otol Rhinol Laryngol. 1978;87:380–2.
Lefebvre PP, Malgrange B, Staecker H, Moonen G, Van de Water TR. Retinoic acid stimulates regeneration of mammalian auditory hair cells. Science. 1993;260:692–5.
Michikawa T, Nishiwaki Y, Kikuchi Y, Hosoda K, Mizutari K, Saito H, et al. Serum levels of retinol and other antioxidants for hearing impairment among Japanese older adults. J Gerontol A Biol Sci Med Sci. 2009;64:910–5.
Michikawa T, Nishiwaki Y, Asakura K, Hillebrand G, Miyamoto K, Ono M, et al. Sunlight exposure may be a risk factor of hearing impairment: a community-based study in Japanese older men and women. J Gerontol A Biol Sci Med Sci. 2013;68:96–103.
Horikawa C, Kodama S, Tanaka S, Fujihara K, Hirasawa R, Yachi Y, et al. Diabetes and risk of hearing impairment in adults: a meta-analysis. J Clin Endocrinol Metab. 2013;98:51–8.
Michikawa T, Mizutari K, Saito H, Takebayashi T, Nishiwaki Y. Glycosylated hemoglobin level is associated with hearing impairment in older Japanese: the Kurabuchi Study. J Am Geriatr Soc. 2014;62:1231–7.
Gopinath B, Schneider J, Flood VM, McMahon CM, Burlutsky G, Leeder SR, et al. Association between diet quality with concurrent vision and hearing impairment in older adults. J Nutr Health Aging. 2014;18:251–6.
Spankovich C, Le Prell CG. Healthy diets, healthy hearing: National Health and Nutrition Examination Survey, 1999–2002. Int J Audiol. 2013;52:369–76.
Michikawa T, Nakamura T, Imamura H, Mizutari K, Saito H, Takebayashi T, et al. Markers of overall nutritional status and incident hearing impairment in community-dwelling older Japanese: the Kurabuchi Study. J Am Geriatr Soc. 2016;64:480–5.
Michikawa T, Nishiwaki Y, Takebayashi T. Are you conscious of any age-related taste impairment? Prevalence of and factors associated with taste impairment in Japan. J Am Geriatr Soc. 2011;59:951–3.
Hoffman HJ, Cruickshanks KJ, Davis B. Perspectives on population-based epidemiological studies of olfactory and taste impairment. Ann N Y Acad Sci. 2009;1170:514–30.
Gopinath B, Anstey KJ, Kifley A, Mitchell P. Olfactory impairment is associated with functional disability and reduced independence among older adults. Maturitas. 2012;72:50–5.
Schubert CR, Carmichael LL, Murphy C, Klein BE, Klein R, Cruickshanks KJ. Olfaction and the 5-year incidence of cognitive impairment in an epidemiological study of older adults. J Am Geriatr Soc. 2008;56:1517–21.
Michikawa T, Nishiwaki Y, Okamura T, Asakura K, Nakano M, Takebayashi T. The taste of salt measured by a simple test and blood pressure in Japanese women and men. Hypertens Res. 2009;32:399–403.
Acknowledgments
The author is grateful to Professor Toru Takebayashi (Department of Preventive Medicine and Public Health, School of Medicine, Keio University, Tokyo, Japan), and Professor Yuji Nishiwaki (Department of Environmental and Occupational Health, School of Medicine, Toho University, Tokyo, Japan), as well as to all the other researchers and staff in the Kurabuchi Study Group. Also, I would like to express my gratitude to the Health and Welfare Division, Kurabuchi Branch Office, Takasaki City Hall, Gunma Prefecture, Japan for its cooperation and support. Finally, the author thanks the Japan Society of Hygiene and the Editorial Board of the Environment Health and Preventive Medicine for commissioning this article. These studies were supported by Grants-in-Aid from the Ministry of Education, Culture, Sports, Science and Technology, Japan (Nos. 19390166, 19500692, 21300281, 21390193, and 24390156) and from the Ministry of Health, Labour, and Welfare, Japan (H19-Kankaku-005). They were also supported by the Uehara Memorial Foundation.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The author declares no conflict of interest.
Ethical approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Rights and permissions
About this article
Cite this article
Michikawa, T. Prevalence, adverse health, and risk factors in association with sensory impairments: data from a prospective cohort study of older Japanese. Environ Health Prev Med 21, 403–409 (2016). https://doi.org/10.1007/s12199-016-0574-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12199-016-0574-7