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Joint Association of Hard of Hearing and Handgrip Strength with Falls in the Older Adults: A Cross-sectional Analysis of Data from the Korean Longitudinal Study of Aging
Korean J Sports Med 2024;42:31-37
Published online March 1, 2024;  https://doi.org/10.5763/kjsm.2024.42.1.31
© 2024 The Korean Society of Sports Medicine.

Xiaonan Ma1, Soomin Lee1, Yeon Soo Kim1,2

1Department of Physical Education, College of Education, Seoul National University, Seoul, 2Institute of Sport Science, Seoul National University, Seoul, Korea
Correspondence to: Yeon Soo Kim
Institute of Sport Science, Seoul National University, 1 Gwanak-ro, Gwanak-gu, Seoul 08826, Korea
Tel: +82-2-880-7794, Fax: +82-2-872-2867, E-mail: kys0101@snu.ac.kr
Received August 1, 2023; Revised November 8, 2023; Accepted November 16, 2023.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Purpose: This study aimed to confirm the joint association of hard of hearing and handgrip strength with falls among Koreans aged 65 years and above.
Methods: This cross-sectional study was based on the 2020 Korean Longitudinal Study of Aging data and included 4,372 participants who completed a falls-related questionnaire. Grip strength was measured, and hearing status was self-reported. Multivariate logistic regression assessed associations between hearing status, handgrip strength, and falls. Analyses were adjusted for variables such as age, sex, body mass index, education level, and medical history.
Results: The study found a significant association between being hard of hearing and increased odds of falls (odds ratio [OR], 2.73; 95% confidence interval [CI], 1.56–4.78). Additionally, individuals with low handgrip strength had higher odds of falls (OR, 1.70; 95% CI, 0.88–3.31) than those with normal handgrip strength. Among individuals who were hard of hearing, the group with normal handgrip strength showed 28% lower odds of falls (OR, 0.72; 95% CI, 0.18–2.87), although this result did not reach statistical significance.
Conclusion: These findings highlight the high fall odds associated with being hard of hearing and suggest that handgrip strength may have a potential protective effect in individuals aged 65 years and older. Our study contributes to an increased understanding of risk factors for falls in older adults and emphasizes the need to address sensory impairment and muscle strength in prevention efforts. Future studies must validate and extend these findings to improve quality of life and reduce fall-related injuries in older adults.
Keywords : Aged, Accidental falls, Hand strength, Hearing loss
꽌 濡

븳援쓽 怨좊졊솕뒗 꽭怨꾩쟻쑝濡 鍮좊Ⅴ寃 吏꾪뻾릺怨 엳쑝硫 怨좊졊씤援 鍮꾩쨷 袁몄븯寃 利앷븯뿬 2025뀈뿉뒗 20.6%濡 珥덇퀬졊 궗쉶濡 吏꾩엯븷 寃껋쑝濡 삁긽맂떎. 65꽭 씠긽쓽 怨좊졊씤援щ뒗 2035뀈뿉 30%媛 珥덇낵븷 寃껋쑝濡 쟾留앸릺怨 엳떎1. 끂솕뿉 뵲瑜 嫄닿컯 愿젴 臾몄젣뒗 떊泥댁쟻쑝濡 떎뼇븯寃 굹굹硫 듅엳 洹쇰젰 媛먯냼뒗 끂씤쓽 끂뇿 뿀빟븿쓣 굹궡뒗 吏몴濡 궗슜릺湲곕룄 븳떎. 삉븳 떊泥댄솢룞(physical activity)쓣 媛먯냼떆耳 룆由쎌쟻씤 씪긽깮솢씠 뼱젮썙吏怨 궣쓽 吏덉씠 궙븘吏꾨떎2. 떊泥댁쓽 쟾諛섏쟻씤 洹쇰젰씠 궙 끂씤 蹂댄뻾쓽 뼱젮씠 엳쓣 닔 엳쑝硫 꽦蹂 援щ텇 뾾씠 굺긽쓽 쐞뿕씠 3諛 넂 寃껋쑝濡 굹궗떎3. 2020뀈 끂씤떎깭議곗궗뿉 뵲瑜대㈃ 65꽭 씠긽 끂씤쓽 굺긽瑜좎 42.2%濡 끂씤 씤援ъ쓽 젅諛 媛源뚯씠 굺긽 寃쏀뿕씠 엳뒗 寃껋쑝濡 굹궗떎4. 뿰졊, 룞諛 吏덊솚, 굺긽 寃쏀뿕, 蹂댄뻾, 씤吏옣븷, 洹쇨낏寃⑷퀎 臾몄젣 洹몃━怨 泥媛곴낵 媛숈 떊寃쎄퀎 諛 媛먭컖湲곕뒫쓽 궙 긽샇옉슜씠 끂씤쓽 굺긽 썝씤쓽 궡옱쟻 슂씤씠씪怨 븣젮졇 엳떎5.

泥媛곸옣븷瑜 媛吏 끂씤 굺긽 쑀蹂묐쪧씠 넂떎뒗 뿰援щ 솗씤븷 닔 엳뿀떎. 깮由ы븰쟻 湲곗쟾뿉 뵲씪 끂솕濡 쟾젙湲곌쓽 蹂묐━븰쟻 臾몄젣媛 諛쒖깮빐 뼱吏읆利앹쓣 쑀諛쒗븯硫, 씠뿉 뵲씪 젙긽쟻씤 蹂댄뻾씠 뼱젮썙吏嫄곕굹 怨듦컙씤떇 뒫젰씠 媛먯냼븯뿬 꽆뼱吏먯씠 諛쒖깮븷 닔 엳떎6. 삉븳 泥媛곸옣븷瑜 媛吏 끂씤 씪긽깮솢쓽 겙 遺덊렪븿肉 븘땲씪 궗쉶쟻 怨좊┰, 移섎ℓ, 슦슱利 벑쓽 떎뼇븳 臾몄젣뿉 쁺뼢쓣 誘몄튂硫 궗留앸쪧源뚯 利앷떆궗 닔 엳떎7-10. 꽑뻾뿰援ъ뿉꽌뒗 씠윭븳 媛먭컖湲곕뒫쓽 븯媛 떊泥 湲곕뒫 媛쒖꽑뿉 쁺뼢쓣 以 닔 엳뒗 슂씤뿉 빐꽌 뙆븙븯쑝硫, 洹몄쨷뿉꽌룄 떊泥 洹쇰젰쓣 몴븯뒗 븙젰(handgrip strength)怨쇱쓽 뿰愿꽦쓣 솗씤븯떎11. Lee 벑12쓽 뿰援ъ뿉꽌 泥媛곸뿉 臾몄젣媛 엳뒗 끂씤 궙 븙젰쓣 媛吏怨 엳뿀쑝硫, 씠윭븳 媛먭컖옣븷뒗 씤吏 湲곕뒫 븯쓽 쐞뿕쓣 넂씠誘濡 븙젰 媛뺥솕 슫룞怨 媛숈 洹쇰젰슫룞쓣 떎떆븳떎硫 끂씤쓽 씤吏 湲곕뒫 媛쒖꽑뿉 쁺뼢쓣 誘몄튌 닔 엳떎 븯떎. 삉븳 泥媛곸옣븷瑜 媛吏 끂씤 끂뇿 쐞뿕씠 63% 利앷븯硫, 留ㅻ뀈 씠濡 씤븳 굺긽쓽 쐞뿕씠 9.7% 利앷븳떎怨 蹂닿퀬븯떎13. 븙젰쓽 긽깭뿉 뵲瑜 吏덈퀝쓽 쑀蹂묐쪧怨 궗留앸쪧룄 솗씤븷 닔 엳뿀쑝硫14, 끂씤쓽 궙 븙젰씠 굺긽 諛쒖깮怨 뿰愿씠 엳뼱 怨⑥젅 쐞뿕씠 利앷븳떎뒗 뿰援щ 솗씤븯떎15. 洹몃윭굹 씠쟾 뿰援щ 醫낇빀븳 寃곌낵, 泥媛 긽깭 븙젰 닔以씠 굺긽怨 뼱뼡 뿰愿꽦씠 엳뒗吏뿉 븳 뿰援щ뒗 솗씤븯湲 뼱젮썱떎.

蹂 뿰援ъ뿉꽌뒗 以묐뀈 諛 怨좊졊옄쓽 쟾諛섏쟻씤 궗쉶 寃쎌젣쟻 긽깭 嫄닿컯 긽깭瑜 룷愿꾪븯뿬 議곗궗븳 援媛 떒쐞쓽 몴쟻씤 뙣꼸 옄猷뚯씤 怨좊졊솕뿰援ы뙣꼸議곗궗(Korean Longitudinal Study of Ageing, KLoSA) 옄猷뚮 遺꾩꽍븯떎. 씠 옄猷뚮뒗 65꽭 씠긽 끂씤뿉寃 二쇰줈 굹굹뒗 굺긽 寃쏀뿕怨 洹쇰젰 吏몴瑜 솗씤븷 닔 엳뒗 븙젰쓣 議곗궗븯쑝誘濡 蹂 뿰援 紐⑹쟻怨 遺빀븯떎. 씠 뿰援ъ쓽 紐⑹쟻 泥媛 긽깭 븙젰 닔以蹂 굺긽 쑀蹂묐쪧怨쇱쓽 뿰愿꽦쓣 뙆븙븯뒗 寃껋쑝濡, 씠瑜 넻빐 泥媛곸쓽 뼱젮(hard of hearing)쓣 媛吏 65꽭 씠긽쓽 끂씤뱾쓽 굺긽 삁諛⑹쓣 쐞븳 湲곗큹쟻씤 옄猷뚮 젣怨듯븯怨좎옄 븳떎.

뿰援 諛⑸쾿

1. 뿰援 긽

蹂 뿰援ъ뿉꽌뒗 젣二쇰룄瑜 젣쇅븳 쟾 吏뿭뿉꽌 嫄곗<븯怨 엳뒗 씤援 10,254紐낆쓣 긽쑝濡 痢≪젙븯쑝硫 2006뀈遺꽣 2뀈 媛꾧꺽쑝濡 쁽옱 2020뀈 8李 옄猷뚭퉴吏 닔吏 셿猷뚰븯떎. 8李 議곗궗 룞븞 湲곗〈 뙣꼸 몴蹂 쑀吏쑉 77.1%濡, 5李 떆湲 異붽 떊洹 뙣꼸쓣 룷븿븯뿬 珥 6,488紐낃낵 궗留앹옄 512紐낆쑝濡 蹂닿퀬릺怨 엳떎16. 蹂 뿰援ъ뿉꽌뒗 8李 뜲씠꽣瑜 씠슜븯뿬 65꽭 씠긽 긽옄濡 理쒓렐 2뀈 룞븞 굺긽 寃쏀뿕뿉 쓳떟븳 옄瑜 룷븿븯쑝硫, 寃곗륫移섍 엳嫄곕굹 쓳떟븯吏 븡 옄瑜 젣쇅븳 珥 4,372紐낆쓽 옄猷뚮 遺꾩꽍븯떎(Fig. 1). 蹂 뿰援щ뒗 꽌슱븰援 깮紐낆쑄由ъ쐞썝쉶쓽 떖쓽 硫댁젣 듅씤쓣 諛쏄퀬 닔뻾븯떎(No. E2307/003-001).

Fig. 1. Flowchart of the selection of the study subjects. KLoSA, Korean Longitudinal Study of Ageing.

2. 痢≪젙 蹂씤

1) 泥媛

泥媛곸쓽 뼱젮쓣 솗씤븯湲 쐞븳 꽕臾 臾명빆쑝濡 “泥젰쓽 뼱젮씠 엳뒗媛?”씪뒗 吏덈Ц뿉 5젏 泥숇룄瑜 씠슜븯쑝硫, 蹂댁껌湲곕 李⑹슜븯怨 엳뒗 긽옄씪硫 蹂댁껌湲곕 李⑹슜븳 긽깭뿉꽌 떟蹂븯떎. 꽑뻾뿰援щ 李멸퀬븯뿬 “留ㅼ슦 醫뗭쓬”, “醫뗭쓬”, “蹂댄넻”쑝濡 떟븯硫 泥젰쓽 뼱젮씠 뾾뒗 寃껋쑝濡 뙋떒븯뿬 젙긽쑝濡 遺꾨쪟븯쑝硫, “굹겏”, “留ㅼ슦 굹겏”씠씪怨 떟蹂븯硫 泥젰쓽 뼱젮씠 엳뒗 寃껋쑝濡 蹂닿퀬 鍮꾩젙긽쑝濡 援щ텇븯떎12.

2) 븙젰

븙젰 븙젰怨(NO6103; Tanita)瑜 씠슜븯뿬 닕젴맂 議곗궗썝씠 痢≪젙븯떎. 李몄뿬옄쓽 븙젰 痢≪젙 媛뒫 뿬遺瑜 솗씤븳 썑 삤瑜몄넀, 쇊넀 媛곴컖 몢 踰덉뵫 痢≪젙븯뿬 珥 꽕 踰덉쓽 寃곌낵瑜 솗씤븯떎. 븙젰 痢≪젙 떆뿉 젙硫댁쓣 諛붾씪蹂 긽깭뿉꽌 떊泥댁쓽 愿젅씠 援щ윭吏吏 븡룄濡 떎 렪 긽깭뿉꽌 痢≪젙븯떎. 蹂 뿰援ъ뿉꽌뒗 珥 꽕 踰 痢≪젙쓽 룊洹좉컪쓣 궗슜븯쑝硫, 끂씤쓣 긽쑝濡 븯湲 븣臾몄뿉 븘떆븘 洹쇨컧냼利 吏꾨떒洹몃9(Asian Working Group for Sarcopenia)쓽 湲곗쓣 쟻슜븯떎. 궓옄뒗 28 kg, 뿬꽦 18 kg 誘몃쭔씤 寃쎌슦 궙 븙젰쓣 媛吏怨 엳뒗 寃껋쑝濡 젙쓽븯怨17 긽옄뱾쓣 젙긽 삉뒗 궙 븙젰쑝濡 遺꾨쪟븯떎.

3) 굺긽

굺긽 寃쏀뿕쓽 쑀臾대 솗씤븯湲 쐞븯뿬 “씠쟾 議곗궗 씠썑뿉(2뀈媛) 굺긽 寃쏀뿕씠 엳뒗媛?” 꽕臾 臾명빆뿉 븯뿉 “삁”, “븘땲슂”濡 떟蹂븳 몢 吏묐떒쓣 솗씤븯떎.

4) 怨듬웾

뿰援 긽옄쓽 씤援 궗쉶쟻 듅꽦쓣 뙆븙븯怨 醫낆냽怨 룆由쎈씤쓽 愿怨꾩뿉꽌 옞옱쟻씤 쁺뼢쓣 以 닔 엳뒗 蹂씤쓣 蹂댁젙븯湲 쐞빐 떎쓬怨 媛숈 蹂씤쓣 솗씤븯떎. 뿰졊怨 떊泥댁쭏웾吏닔(body mass index)뒗 뿰냽삎 蹂씤쓣 궗슜븯쑝硫 꽦蹂꾩 궓꽦怨 뿬꽦쓣 援щ텇븯떎. 援먯쑁 닔以 珥덈벑븰援 議몄뾽 삉뒗 씠븯, 以묓븰援 議몄뾽, 怨좊벑븰援 議몄뾽 삉뒗 씠긽쓽 꽭 踰붿<濡 遺꾨쪟뻽떎. 寃고샎 긽깭뒗 湲고샎(샎씤 以, 蹂꾧굅, 씠샎, 궗蹂 삉뒗 떎醫) 삉뒗 誘명샎쑝濡 굹댋쑝硫 씉뿰怨 쓬二 뿬遺瑜 솗씤븯떎. 삉븳 긽옄媛 쁽옱 븪怨 엳뒗 룞諛 吏덊솚쓣 솗씤븯湲 쐞빐 쓽궗쓽 吏꾨떒쓣 諛쏆 怨좏삁븬, 떦눊蹂, 떖삁愿吏덊솚, 뇤삁愿吏덊솚, 愿젅뿼 諛 瑜섎쭏떚뒪 吏덊솚쓽 씠솚 닔瑜 빀궛븯뿬 솗씤븯떎. 븪怨 엳뒗 룞諛 吏덊솚씠 븯굹룄 뾾뒗 긽깭, 븯굹씤 긽깭, 洹몃━怨 몢 媛 씠긽씤 긽깭쓽 꽭 洹몃9쑝濡 援щ텇븯떎. 洹쒖튃쟻씤 슫룞 긽깭瑜 솗씤븯湲 쐞빐꽌 二 1쉶 씠긽 슫룞 뿬遺瑜 솗씤븯뿬 ‘삁’, 삉뒗 ‘븘땲슂’濡 遺꾨쪟븯떎.

3. 옄猷 遺꾩꽍 諛⑸쾿

紐⑤뱺 遺꾩꽍 슒떒 媛以묒튂瑜 쟻슜븯쑝硫 STATA SE 17 (Stata Corp.)쓣 솢슜븯뿬 옄猷뚮 遺꾩꽍븯떎. 넻怨꾩쟻 쑀쓽 닔以 p<0.05 湲곗쑝濡 븯떎. 李멸옄쓽 씤援ы넻怨꾩쟻 듅꽦쓣 굹궡湲 쐞빐 뿰냽삎 蹂씤 룊洹좉낵 몴以렪李⑤ 씠슜븯뿬 젣떆뻽쑝硫, 踰붿<삎 蹂씤 긽옄 닔 異붿젙맂 鍮꾩쑉(weighted %)濡 젣떆뻽떎. 吏묐떒 媛 李⑥씠뒗 뿰냽삎 蹂씤쓽 寃쎌슦 遺꾩궛遺꾩꽍(analysis of variance), 踰붿<삎 蹂씤 移댁씠젣怨 遺꾩꽍(chi-square test)쓣 궗슜븯뿬 솗씤븯떎. 떎蹂웾 濡쒖뒪떛 쉶洹 遺꾩꽍(multivariate logistic regression analysis)쓣 궗슜븯뿬 泥媛 긽깭뿉 뵲瑜 굺긽 寃쏀뿕쓽 듅궛鍮(odds ratios, ORs) 諛 95% 떊猶곌뎄媛(confidence intervals, CIs)쓣 솗씤븯쑝硫 븙젰 닔以뿉 뵲瑜 굺긽쓽 OR 諛 95% CI瑜 궛異쒗뻽떎. 泥媛 긽깭 븙젰 닔以뿉 뵲씪 寃고빀遺꾩꽍(joint analysis)쓣 닔뻾븯怨 굺긽쓽 OR 諛 95% CI瑜 怨꾩궛븯떎.

寃 怨

씠 뿰援ъ뿉꽌뒗 뿰졊, 꽦蹂, 寃고샎 긽깭, 룞諛 吏덊솚 諛 洹쒖튃쟻 슫룞뿉꽌 굺긽 寃쏀뿕쓽 쑀臾댁뿉 뵲瑜 쑀쓽誘명븳 李⑥씠媛 엳뿀떎. 룊洹 뿰졊 74꽭(몴以렪李 7.72)씤 4,372紐낆쓽 李멸옄媛 룷븿릺뿀쑝硫 굺긽쓣 寃쏀뿕븳 궗엺씠 寃쏀뿕븯吏 븡 궗엺蹂대떎 빟 4궡 留롮 寃껋쑝濡 솗씤릱떎(Table 1). 蹂 뿰援ъ뿉꽌 뿬꽦쓽 李몄뿬옄媛 56.1%瑜 李⑥븯쑝硫 궓꽦蹂대떎 뿬꽦(70.3%)씠 굺긽 寃쏀뿕씠 留롮븯떎. 룞諛 吏덊솚 굺긽 寃쏀뿕씠 엳怨 씠솚 닔 2媛 씠긽씤 궗엺씠 61.7%濡 媛옣 留롮븯떎. 삉븳 洹쒖튃쟻쑝濡 슫룞븯吏 븡 李멸옄 以 74.1%媛 굺긽 寃쏀뿕씠 엳뒗 寃껋쑝濡 굹궗떎.

Table 1 . Baseline characteristics of the study population

CharacteristicOverallFallp-value
NoYes
No. of subjects4,3724,271101
Age (yr)74.0±7.7273.9±7.7177.2±7.740.0003
Sex0.0116
Male1,824 (43.9)1,796 (44.3)28 (29.7)
Female2,548 (56.1)2,475 (55.7)73 (70.3)
Body mass index23.5±2.9823.5±2.9623.4±3.500.7238
Educational level0.0989
Elementary school or below2,200 (43.7)2,133 (43.4)67 (57.0)
Middle school763 (18.3)751 (18.4)12 (18.0)
High school or above1,409 (38.0)1,387 (38.3)22 (25.0)
Marital status0.0005
Married2,971 (69.2)2,918 (69.7)53 (50.0)
Unmarried1,401 (30.8)1,353 (30.3)48 (50.0)
Smoking0.4291
No4,101 (92.3)4,006 (92.2)95 (94.5)
Yes271 (7.7)265 (7.8)6 (5.5)
Alcohol0.2741
No3,331 (73.1)3,247 (73.0)84 (79.0)
Yes1,041 (26.9)1,024 (27.0)17 (21.1)
No. of comorbidities0.0002
01,077 (27.1)1,064 (27.5)13 (10.8)
11,428 (32.1)1,399 (32.2)29 (27.5)
≥21,867 (40.9)1,808 (40.4)59 (61.7)
Regular physical activity*0.0042
No2,644 (57.4)2,568 (57.0)76 (74.1)
Yes1,728 (42.6)1,703 (43.0)25 (25.9)

Values were presented as number only, mean±standard deviation, or number (weighted %).

*Participants who engaged in physical activity more than once a week.



뿰졊怨 꽦蹂꾩쓣 蹂댁젙븳 紐⑤뜽 1뿉꽌뒗 泥젰쓽 뼱젮씠 엳뒗 吏묐떒 泥젰쓽 뼱젮씠 뾾뒗 吏묐떒蹂대떎 굺긽怨쇱쓽 뿰愿꽦씠 2.73諛 뜑 넂븯쑝硫(OR, 2.73; 95% CI, 1.56–4.78) 吏묐떒 媛꾩뿉 쑀쓽븳 李⑥씠媛 엳뿀떎(p<0.0001). 삉븳 븙젰씠 궙 궗엺뱾 젙긽 븙젰쓣 媛吏 궗엺뱾蹂대떎 굺긽쓣 寃쏀뿕븷 솗瑜좎씠 1.70 諛 뜑 넂븯떎(OR, 1.70; 95% CI, 0.88–3.31). 鍮꾨줉 씠 寃곌낵媛 쑀쓽誘명븳 닔以뿉 룄떖븯吏뒗 紐삵뻽吏留, 쑀蹂 쐞뿕씠 젏李 而ㅼ뒗 寃껋쑝濡 굹궗떎. 紐⑤뜽 2뒗 떊泥댁쭏웾吏닔, 援먯쑁 닔以, 寃고샎 긽깭, 씉뿰怨 쓬二 긽깭, 洹쒖튃쟻씤 슫룞 諛 룞諛 吏덊솚쓣 異붽濡 蹂댁젙뻽쑝硫 紐⑤뜽 1怨 鍮꾩듂븳 寃쏀뼢쓣 蹂댁떎(Table 2).

Table 2 . Association of falls according to hard of hearing and handgrip strength

VariableNo. of subjectsNo. of casesFall, OR (95% CI)
Model 1*Model 2
Hard of hearing
No3,810751.00 (Reference)1.00 (Reference)
Yes562262.73 (1.56−4.78)2.30 (1.24−4.27)
p for trend<0.0001<0.0001
Handgrip strength
Normal2,072241.00 (Reference)1.00 (Reference)
Low1,351331.70 (0.88−3.31)1.32 (0.68−2.56)
p for trend0.05320.0163

OR: odds ratios, CI: confidence intervals.

*Adjusted for age, sex; additionally adjusted for body mass index, education level, marital status, smoking and alcohol consumption status, physical activity, and medical history.



泥젰쓽 뼱젮씠 엳怨 븙젰씠 젙긽씤 吏묐떒 泥젰쓽 뼱젮씠 엳怨 븙젰씠 궙 吏묐떒蹂대떎 굺긽 쑀蹂묐쪧씠 28% 궙 寃껋쑝濡 굹궗떎. 떒, 씠 寃곌낵媛 쑀쓽誘명븳 닔以쓣 굹궡吏 븡븯떎. 泥젰쓽 뼱젮씠 엳吏 븡쑝硫 븙젰씠 젙긽씤 吏묐떒 泥젰쓽 뼱젮씠 엳怨 븙젰씠 궙 吏묐떒蹂대떎 굺긽 쑀蹂묐쪧씠 75% 궙븯떎. 泥젰쓽 뼱젮씠 뾾怨 븙젰씠 궙 吏묐떒 泥젰쓽 뼱젮씠 엳怨 븙젰씠 궙 吏묐떒蹂대떎 굺긽 쑀蹂묐쪧씠 73% 궙븯떎. 泥젰쓽 뼱젮씠 뾾쑝硫 젙긽쟻씤 븙젰쓣 媛吏怨 엳뒗 吏묐떒씠 굺긽 쑀蹂묐쪧씠 뜑 궙 寃껋쑝濡 굹궗떎(p=0.0001) (Fig. 2).

Fig. 2. Joint associations of handgrip strength and hard of hearing with falls. Adjusted for age, sex, body mass index, education level, marital status, smoking and alcohol consumption status, physical activity, and medical history. OR: odds ratio, CI: confidence interval, HGS: handgrip strength, HoH: hard of hearing.
怨 李

蹂 뿰援щ뒗 끂씤쓽 굺긽 寃쏀뿕怨 泥媛 諛 븙젰 닔以 궗씠쓽 愿젴꽦쓣 솗씤븯湲 쐞빐 닔뻾븯쑝硫, 泥젰쓽 뼱젮씠 엳뒗 끂씤 吏묐떒씠 泥젰쓽 뼱젮씠 뾾뒗 吏묐떒蹂대떎 굺긽 쑀蹂묐쪧씠 넂 寃껋쓣 솗씤븯떎. 븙젰씠 궙 吏묐떒뿉꽌룄 굺긽 쑀蹂묐쪧씠 긽쟻쑝濡 넂븯쑝굹, 씠뒗 쑀쓽誘명븳 寃곌낵濡 씠뼱吏吏 븡븯떎. 洹몃윭굹 怨듬웾쓣 議곗젙븳 寃곌낵 吏묐떒 媛꾩뿉 쑀쓽븳 李⑥씠瑜 솗씤븷 닔 엳뿀떎. 븙젰 닔以씠 궙怨 泥젰쓽 뼱젮쓣 媛吏 吏묐떒쓣 湲곗쑝濡 굺긽 쑀蹂묐쪧쓣 솗씤븳 寃곌낵, 泥젰쓽 뼱젮씠 엳吏留 븙젰 닔以 젙긽씤 吏묐떒뿉꽌뒗 굺긽 쑀蹂묐쪧씠 湲됯꺽븳 李⑥씠濡 뜑 궙븯떎. 삉븳 쑀쓽븳 寃곌낵뒗 븘땲吏留, 븙젰씠 젙긽씤 寃쎌슦뿉뒗 굺긽 쑀蹂묐쪧씠 뜑 궙븯떎.

2021뀈뿉 벑濡앸맂 옣븷씤 쁽솴 議곗궗 寃곌낵뿉 뵲瑜대㈃ 泥媛곸옣븷媛 몢 踰덉㎏濡 留롮븯쑝硫, 2015뀈쓽 10.1%뿉꽌 2019뀈뿉뒗 15.6%濡 利앷븯뒗 寃껋쑝濡 굹궗떎18. 쁽솴議곗궗 寃곌낵뿉 뵲瑜대㈃ 泥媛 臾몄젣瑜 媛吏 씤援ш 젏李 利앷븯怨 엳뒗 寃껋쓣 븣 닔 엳怨, 珥덇퀬졊 궗쉶濡쒖쓽 쟾솚뿉 뵲씪 끂씤뱾쓽 씪긽깮솢뿉꽌쓽 뼱젮씠 而ㅼ쭏 寃껋쑝濡 삁痢〓맂떎. 洹몃윭誘濡 泥젰쓽 뼱젮쓣 媛吏怨 엳뒗 끂씤 嫄닿컯븳 끂썑瑜 쐞빐 洹쇰젰쓽 以묒슂꽦怨 洹쇰젰슫룞쓽 븘슂꽦뿉 빐 씤吏븯怨 엳뼱빞 븳떎.

씠뿉 蹂 뿰援ъ뿉꽌룄 泥젰쓽 뼱젮씠 엳뒗 끂씤쓽 굺긽 쑀蹂묐쪧쓣 솗씤븯쑝硫 꽑뻾뿰援ъ뿉꽌 뼵湲됲븳 諛붿 쑀궗븳 寃곌낵瑜 솗씤븯떎. 떖媛곹븳 泥媛곸옣븷瑜 媛吏怨 엳뒗 끂씤 留ㅻ뀈 굺긽 쐞뿕씠 9.7% 利앷븯뒗 寃껋쑝濡 굹궗떎13. 삉븳 옄湲곕낫怨 꽕臾몄瑜 넻븳 議곗궗 뿰援ъ뿉꽌뒗 泥젰쓽 뼱젮씠 엳뒗 끂씤씠 굺긽쑝濡 씤븳 遺긽씠 1.6諛 넂떎怨 븯떎19. 씠泥섎읆 꽑뻾뿰援щ 넻빐 끂씤쓽 泥媛 臾몄젣媛 굺긽쓽 쑀蹂묒쓣 넂씪 닔 엳떎뒗 寃껋쓣 븣 닔 엳뿀떎. 삉 떎瑜 뿰援ъ뿉꽌룄 떖媛곹븳 泥媛 臾몄젣瑜 媛吏怨 엳뒗 吏묐떒씠 泥媛곸쓽 臾몄젣媛 뾾嫄곕굹 媛踰쇱슫 臾몄젣瑜 媛吏怨 엳뒗 吏묐떒怨 鍮꾧탳뻽쓣 븣 뜑 넂 굺긽 쑀蹂묐쪧쓣 媛吏怨 엳떎怨 蹂닿퀬븯뿬 蹂 뿰援ъ 쑀궗븳 寃곌낵瑜 솗씤븷 닔 엳뿀떎20. Cöster 벑21쓽 뿰援ъ뿉꽌뒗 뒪썾뜶 궓꽦쓣 긽쑝濡 븙젰怨 굺긽쓽 愿젴꽦쓣 蹂댁븯쑝硫 쇊넀怨 삤瑜몄넀쓽 븙젰 긽깭뿉 뵲瑜 굺긽쓽 쑀蹂묐쪧뿉 愿빐 꽕紐낇븯떎. Noh Lim22쓽 뿰援щ뒗 2012 援誘쇱떎깭議곗궗 뜲씠꽣瑜 솢슜븯뿬 꽦蹂꾩뿉 뵲씪 븙젰怨 굺긽 몢젮씠 떎瑜 닔 엳떎뒗 媛꽕쓣 꽭썱쑝硫, 궙 븙젰쓣 媛吏 寃쎌슦 뿬꽦 끂씤씠 궓꽦 끂씤蹂대떎 뜑 넂 굺긽 몢젮쓣 蹂댁씤떎怨 젣떆븯떎. 꽑뻾뿰援щ 醫낇빀빐 蹂대㈃ 끂씤쓽 泥媛 긽깭 끂씤쓽 굺긽怨쇱쓽 뿰愿꽦씠 엳쑝硫 븙젰 닔以 굺긽怨 굺긽뿉 븳 몢젮뿉 쁺뼢쓣 誘몄튂뒗 寃껋쑝濡 솗씤릺뿀떎. 泥媛곸쓽 긽깭 븙젰쓽 닔以뿉 뵲씪 媛곴컖 굺긽怨쇱쓽 뿰愿꽦씠 엳뿀쑝硫 꽑뻾뿰援 寃곌낵 鍮꾧탳빐 蹂댁븯쓣 븣 鍮꾩듂븳 寃쏀뼢쓣 蹂댁떎. 삉븳 泥젰쓽 뼱젮씠 엳뒗 끂씤 븙젰 긽깭뿉 뵲씪꽌룄 씤吏옣븷 쑀蹂묐쪧쓣 넂씤떎怨 븯떎12. 洹몃쭔겮 끂씤쓽 泥媛 臾몄젣媛 떊泥댁쟻 諛 떖由ъ쟻 臾몄젣濡쒓퉴吏 씠뼱吏 닔 엳떎. 泥媛 臾몄젣 굺긽쓽 뿰愿꽦뿉 븳 泥닿퀎쟻 臾명뿄 怨좎같怨 硫뷀 遺꾩꽍 뿰援ъ뿉꽌뒗 泥媛 臾몄젣媛 굺긽쓽 쐞뿕씠 넻怨꾩쟻쑝濡 쑀쓽븯寃 利앷븯뒗 뜲뿉 뿰愿꽦씠 엳뒗 寃껋쑝濡 遺꾩꽍븯떎23. 留덉갔媛吏濡 븙젰 以묐뀈怨 끂씤쓽 궗留앸쪧怨 愿젴씠 엳怨 떖룓吏덊솚, 븫, 紐⑤뱺 썝씤쓽 궗留앸쪧怨 넂 愿젴꽦씠 엳뼱, 留롮 꽑뻾뿰援ъ뿉꽌 끂씤쓽 븙젰 以묒슂꽦쓣 媛뺤“븯怨 엳떎14,24,25. 씠 쇅뿉룄 Lee 벑26쓽 뿰援ъ뿉 뵲瑜대㈃, 6二쇨컙 떆媛 썕젴怨 븯吏 洹쇰젰쓣 씠슜븳 泥댁쨷 씠룞 썕젴씠 끂씤쓽 洹좏삎 뒫젰 뼢긽뿉 쁺뼢쓣 誘몄낀쑝硫 굺긽 쐞뿕쓣 삁諛⑺븷 닔 엳떎 븯떎. 洹쇰젰 諛 洹좏삎 썕젴씠 끂씤쓽 媛먭컖湲곌쓣 媛뺥솕븯뿬 굺긽 쐞뿕 媛먯냼뿉 以묒슂븳 슂씤쑝濡 옉슜븳 寃껋쑝濡 뙋떒맂떎. 洹몃윭誘濡 蹂 뿰援ъ뿉꽌뒗 泥젰쓽 뼱젮씠 엳뒗 끂씤쓽 븙젰 닔以뿉 뵲瑜 굺긽 쑀蹂묐쪧쓣 솗씤븯怨좎옄 븯떎.

蹂 뿰援щ뒗 KLoSA 옄猷뚮 씠슜븯뿬 끂씤 굺긽뿉 뵲瑜 泥媛 긽깭 븙젰 닔以쓽 寃고빀 遺꾩꽍쓣 닔뻾븳 泥 뿰援щ줈, 泥젰쓽 뼱젮씠 엳怨 븙젰씠 궙 吏묐떒怨 鍮꾧탳빐 蹂댁븯쓣 븣 泥젰쓽 뼱젮씠 엳吏留 븙젰 닔以씠 젙긽씤 吏묐떒뿉꽌 굺긽 쑀蹂묐쪧씠 궙 寃껋쑝濡 솗씤븯떎. 洹몃윭굹 蹂 뿰援щ뒗 듅젙 떆湲곕쭔쓣 꽑깮븳 슒떒뿰援ъ씠誘濡 洹 寃곌낵뒗 굺긽 삁痢≪뿉 궗슜븷 닔뒗 뾾떎. KLoSA쓽 1李 議곗궗쓽 李몄뿬옄뒗 10,254紐낆씠硫 8李④퉴吏 異붿쟻맂 李몄뿬옄뒗 6,488紐낆쑝濡, 씠 以 4,372紐낅쭔 긽쑝濡 븯湲 븣臾몄뿉 옄猷 遺꾩꽍 궗슜븳 몴蹂 닔媛 쟻떎뒗 븳怨꾨룄 엳떎. 씠뿉 뵲씪 몴蹂몄쓽 렪뼢쓣 理쒖냼솕븯湲 쐞빐 蹂 뿰援ъ뿉꽌뒗 媛以묒튂瑜 솢슜븯떎. 삉븳 븙젰쓣 젣쇅븳 떎瑜 蹂닔쓽 뜲씠꽣뒗 꽕臾몄濡 떎떆븯湲 븣臾몄뿉 李몄뿬옄 쉶긽 렪뼢씠 諛쒖깮븷 닔 엳떎.

蹂 뿰援ъ뿉꽌뒗 泥젰쓽 뼱젮씠 엳뒗 끂씤쓽 굺긽 뿬遺瑜 솗씤븯怨, 넂 븙젰 닔以씠 궙 굺긽 쑀蹂묐쪧뿉 뿰愿꽦쓣 蹂댁떎怨 빐꽍븯떎. 뵲씪꽌 泥젰쓽 뼱젮씠 엳뜑씪룄 븙젰쓣 뼢긽븿쑝濡쒖뜥 끂씤쓽 굺긽 쐞뿕쓣 理쒖냼솕븷 닔 엳쓣 寃껋쑝濡 깮媛곹븳떎. 洹몃윭誘濡 끂씤쓽 떊泥닿굔媛 긽깭瑜 씠瑜 떆씪 궡뿉 뙆븙븷 닔 엳뼱빞 븯硫, 媛쒖씤쓽 洹쇰젰 媛뺥솕瑜 쐞븳 슫룞 봽濡쒓렇옩쓽 議곌린 媛쒖엯씠 븘슂븷 寃껋쑝濡 뙋떒맂떎. 븯吏留 썑냽 뿰援щ 넻빐 굺긽 삁痢≪뿉 쁺뼢쓣 以 닔 엳뒗 쐞뿕 슂씤뿉 븳 愿젴꽦쓣 寃利앺빐빞 븯硫, 뜑 留롮 몴蹂 닔瑜 닔吏묓븯뿬 뿰援ы븷 븘슂媛 엳떎.

Conflict of Interest

No potential conflicts of interest relevant to this article was reported.

Author Contributions

Conceptualization: XM, SL. Data curation, Formal analysis, Visualization: XM. Project administration: YSK. Writing-original draft: XM, SL. Writing-review & editing: YSK, SL.

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