Fragility and Presbycusis




The process of aging is as diverse as the physical and mental condition of elderly people. There are many people who enjoy their faculties and mobility, social interactions, intellectual performance, leisure and sports fully at a very old age. They have become a model, guiding the new healthcare approach to manage aging.

Chapter 0

Summary. Introduction


The World Health Organization (WHO) defines active aging as "the process of optimizing opportunities for health, participation, and security in order to enhance quality of life as people age", allowing individuals to "realize their potential for physical, social, and mental well-being throughout the life course".

Chapter 1

Age-related hearing loss: Presbycusis


Age-related hearing loss, also known as presbycusis, is a decrease in hearing ability that happens with age to most people. It is one of the most common conditions suffered by older people.

Chapter 2

Vertigo in older people and age-related balance disorders


The most correct term to refer to physiological changes to the vestibule caused by age is presby-vestibulopathy (PVP). The diagnosis is based on the clinical record and the clinical and otoneurologic examination.

Chapter 3

Association between age-related hearing loss and balance disorder


Older people tend to have hearing and balance issues, and they tend to fall. Identifying modifiable risk factors linked to falls in older people is extremely important for public health.

Chapter 4

Predisposing factors linked to presbycusis and balance disorders


Definition of medical aspects: Telomeres and aging. Link between the Size of Telomeres and the Risk of Age-Related Hearing Loss. Metabolic risk factors: high blood pressure, diabetes and hyperlipidemia.

Chapter 5

Non-hearing consequences associated with presbycusis and balance disorders


Definition of medical aspects: Social isolation, depression and cognitive impairment.

Chapter 6

The positive impact for the elderly of early intervention in hearing loss and balance disorders. Clinical and socio-economic aspects.


In most cases, family and friends are more aware of the problem than the patient. It would seem cautious for healthcare professionals to screen for one of the most prevalent chronic diseases affecting older people, but unfortunately, this is not done.

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