Evidence map›Paper›PMID 42307283›Full record

ArticleRevista de saude publica2026

Hearing loss and postural balance performance in adults and the elderly in ELSA-Brazil.

Fernanda Yasmin Odila Maestri Miguel Padilha, Vitor Martins Guesser, Camila Maia Rabelo, Renata Rodrigues Moreira, Itamar de Souza Santos, Isabela M Bensenor, Paulo A Lotufo, Alessandra Giannella Samelli

Abstract read
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Article in Revista de saude publica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Fernanda Yasmin Odila Maestri Miguel PadilhaUniversidade de São Paulo. Faculdade de Medicina. Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional. São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0003-4780-5423
Vitor Martins GuesserUniversidade de São Paulo. Faculdade de Medicina. Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional. São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0003-1594-1711
Camila Maia RabeloUniversidade de São Paulo. Faculdade de Medicina. Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional. São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0001-5431-8071
Renata Rodrigues MoreiraUniversidade de São Paulo. Hospital Universitário. Serviço de Audiologia. São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0002-3524-8562
Itamar de Souza SantosUniversidade de São Paulo. Hospital Universitário. Centro de Pesquisa Clínica e Epidemiológica. São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0003-3212-8466
Isabela M BensenorUniversidade de São Paulo. Hospital Universitário. Centro de Pesquisa Clínica e Epidemiológica. São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0002-6723-5678
Paulo A LotufoUniversidade de São Paulo. Hospital Universitário. Centro de Pesquisa Clínica e Epidemiológica. São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0002-4856-8450
Alessandra Giannella SamelliUniversidade de São Paulo. Faculdade de Medicina. Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional. São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0002-7164-8942

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the association between hearing loss and postural balance in adults and the elderly participating in the Estudo Longitudinal da Saúde do Adulto (ELSA-Brazil - Longitudinal Study of Adult Health).

methodsCross-sectional study with data from the fourth wave (2020-2025) of ELSA-Brazil, in the center of São Paulo. Sociodemographic, clinical, and audiological variables were analyzed. Hearing loss was defined by the average of the tonal thresholds (> 25 dBHL) in different criteria: PTA (0.5 kHz-2kHz), speech-frequency PTA (0.5 kHz-4kHz), and high-frequency PTA (3 kHz-8kHz), considering the better and the worst hearing ear. Balance was assessed using the modified Romberg test, in four progressive conditions (eyes open on a firm surface, eyes closed on a firm surface, eyes open on a soft surface, and eyes closed on a soft surface), with a binary classification (pass/fail). The outcome was performance in the balance test.

resultsA total of 540 participants were assessed, mostly women, self-declared white, mean age of 63.1 years, mean Body Mass Index (BMI) of 28.4 kg/m2, with higher education and income between R$ 1,245.00 and R$ 3,319.00. The rate of balance failure was 13.3%. The prevalence of hearing loss ranged from 13.7% to 59.8%, depending on the criteria used. There was an association between hearing loss and worse performance in the balance test, especially for high-frequency PTA. In the logistic regression models, there was a significant association between the explanatory variable age and failure in the balance test. After excluding the age variable, there was an association for hearing loss, BMI, schooling, and income.

conclusionThere was an association between hearing loss and poorer balance performance. The highest proportion of failures was for the hearing loss criterion that included high frequencies. Age was the most relevant explanatory variable in balance test performance, in addition to hearing loss, schooling, income, and BMI, emphasizing the need for a multifactorial view of this function.

Indexed as

Hearing LossPostural BalanceAdultAgedAuditory AcuityBrazilCross-Sectional StudiesFemaleHumansLongitudinal StudiesMaleMiddle AgedSociodemographic FactorsSocioeconomic Factors

Identifiers

PMID42307283
PMCPMC13268289

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.