Exercise

The Surprising Benefits of Exercise on Hearing Loss

Hearing loss is a prevalent condition among older adults, significantly impacting their quality of life. While age-related hearing loss is often considered an inevitable consequence of aging, recent research has uncovered a link between auditory health and physical activity levels. The relationship is bidirectional. Not only can hearing loss lead to decreased exercise, but maintaining an active lifestyle may also play a role in mitigating hearing loss. 

These findings open up potential strategies for improving hearing health through lifestyle modifications. This article explores the intricate relationship between auditory loss and physical activity. Emphasizing how cardiovascular health, enhanced by regular physical activity, can influence hearing function.

The Vicious Cycle of Hearing Loss, Sedentary Behavior and Cardiovascular Disease

Hearing loss is not just an isolated sensory impairment; it has far-reaching consequences that can significantly impact an individual’s lifestyle, including their level of physical activity. Research has consistently shown that auditory loss is closely related to a lower level of physical activity, particularly among older adults. 

People with hearing impairments often experience social withdrawal due to communication difficulties. This isolation can lead to decreased motivation to participate in physical activities, especially social ones, such as group exercises or outdoor activities requiring interaction. Furthermore, hearing loss can increase the risk of accidents and injuries, as it impairs an individual’s ability to perceive environmental sounds that are crucial for spatial orientation and safety, such as traffic noises or verbal warnings. As a result, many with hearing loss may avoid physical activities, further contributing to a sedentary lifestyle.

The link between cardiovascular comorbidities and hearing loss adds another layer to this issue. Cardiovascular diseases are prevalent among the older population and have been shown to accelerate hearing deterioration. The cochlea, the hearing organ in the inner ear, relies on a steady and rich blood supply to function properly. Cardiovascular conditions can compromise this blood flow, leading to progressive hearing loss.

As physical activity declines, the likelihood of developing cardiovascular conditions increases, creating a vicious cycle: hearing loss leads to reduced physical activity, which, in turn, heightens the risk of cardiovascular diseases. These cardiovascular issues then further exacerbate hearing loss, perpetuating the cycle.

How Exercise Can Prevent Hearing Loss by Improving Cardiovascular Health

While hearing loss is often linked to reduced physical activity and the subsequent rise in cardiovascular issues, physical activity itself is a key determinant in mitigating the progression of hearing loss. Studies indicate that regular physical activity enhances cardiovascular health, supporting auditory function. 

Physical activity helps to maintain and improve cardiovascular health by enhancing blood circulation, which in turn supports the health of the cochlea. Regular exercise can slow down the progression of hearing loss by ensuring that the blood vessels supplying the inner ear remain healthy and functional. 

Another important aspect of physical activity is its impact on balance and coordination, which are often compromised in patients with hearing loss. Improved balance reduces the risk of falls and injuries, making physical activities less daunting for those with hearing impairments. This increased confidence in movement encourages more consistent participation in physical activities, creating a positive feedback loop that benefits cardiovascular and auditory health.

The interconnection between hearing health, exercise, and cardiovascular well-being highlights the complex challenges faced by those with hearing impairments and highlights the importance of a comprehensive approach to managing these interrelated conditions.
An often overlooked aspect of this approach is proper ear care. Ensuring ear health by avoiding excessive earwax removal or using cotton swabs can prevent blockages contributing to hearing loss. By integrating regular physical activity with attentive ear care, patients can take proactive steps to preserve their hearing and overall well-being.

Sources

Goodwin MV, Hogervorst E, Maidment DW. Physical activity interventions for adults with hearing loss: a systematic review. Speech, Language and Hearing. 2024 Jan 2;27(1):32–42. 

Kuo PL, Di J, Ferrucci L, Lin FR. Analysis of Hearing Loss and Physical Activity Among US Adults Aged 60-69 Years. JAMA Network Open. 2021 Apr 19;4(4):e215484. 

Martinez-Amezcua P, Dooley EE, Reed NS, Powell D, Hornikel B, Golub JS, et al. Association of Hearing Impairment and 24-Hour Total Movement Activity in a Representative Sample of US Adults. JAMA Network Open. 2022 Mar 18;5(3):e222983. 

Wattamwar K, Qian ZJ, Otter J, Leskowitz MJ, Caruana FF, Siedlecki B, et al. Association of Cardiovascular Comorbidities With Hearing Loss in the Older Old. JAMA Otolaryngology–Head & Neck Surgery. 2018 Jul 1;144(7):623–9.