title: Association between accelerometer-assessed physical activity and objectively measured hearing sensitivity among U.S. adults with diabetes.
abstract: OBJECTIVE
  The purpose of this study was to examine the association between objectively measured physical activity and hearing sensitivity among a nationally representative sample of U.S. adults with diabetes.
  
  
  METHODS
  Data from the 2003-2006 National Health and Nutrition Examination Survey were used. One hundred eighty-four U.S. adults with diabetes wore an ActiGraph 7164 accelerometer and had their hearing function objectively assessed. A negative binomial logistic regression was used to examine the association between moderate-to-vigorous physical activity (MVPA) and hearing sensitivity. RESULTS were adjusted for age, gender, race/ethnicity, education, body mass index, comorbidity index, marital status, cotinine, homocysteine, high-density lipoprotein cholesterol, glycohemoglobin (HbA1c), C-reactive protein, microalbuminuria, noise exposure, and vision impairment.
  
  
  RESULTS
  Compared to those with hearing within normal limits, results showed that participants with mild hearing loss and moderate or greater hearing loss, respectively, engaged in 93% fewer minutes of MVPA (incident rate ratio = 0.07; 95% CI [0.01, 0.60]) and 94% fewer minutes of MVPA (incident rate ratio = 0.06; 95% CI [0.01, 0.54]).
  
  
  CONCLUSIONS
  Adults with diabetes who have greater hearing impairment are less physically active. Future research is needed to determine the direction of causality.
authors.affiliation: a Bellarmine University.
authors.forename: Paul D
authors.initials: PD
authors.lastname: Loprinzi
authors.forename: Ben
authors.initials: B
authors.lastname: Gilham
authors.forename: Bradley J
authors.initials: BJ
authors.lastname: Cardinal
mesh_terms: D061725:Accelerometry; D000328:Adult; D001301:Audiometry, Pure-Tone; D003920:Diabetes Mellitus / Q000453:epidemiology*; D005260:Female; D006306:Health Surveys; D034381:Hearing Loss / Q000175:diagnosis / Q000453:epidemiology*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D012720:Severity of Illness Index; D013997:Time Factors; D014481:United States / Q000453:epidemiology
keywords: National Health and Nutrition Examination Survey (NHANES); accelerometry; epidemiology; exercise