Hearing loss is associated with poorer physical function and lower physical activity.


This association is potentially through factors such as reduced auditory awareness, cognition decline, and poorer social and mental health. Hearing intervention could potentially improve these factors for a positive effect on maintaining physical function and physical activity, and may represent a novel approach to preserving physical function and health in older adults.

In secondary analyses, ACHIEVE researchers characterize the effect of best-practice hearing intervention on physical function and physical activity outcomes over a 3-year period in 70–84-year-old adults with mild to moderate hearing loss and without substantial cognitive impairment. 

Additional studies

Hearing intervention reduced falls. Older woman using earbuds and a cane pauses along a path

Study participants who received hearing aids reported an average of 27% fewer falls over the course of 3 years.

Effects of hearing intervention on falls in older adults: Findings from a secondary analysis of the ACHIEVE randomised controlled trial. Goman AM, Tan N, Pike JR, et al., Lancet Public Health. 2025 June;10:e492-502P

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Hearing intervention alone may not be enough to increase physical activity and preserve mobility in older adults.

Hearing intervention did not appreciably attenuate 3-year declines in physical activity compared in older adults with hearing loss, suggesting alternative strategies beyond hearing treatment may be needed. 

Effects of hearing intervention on physical activity measured by accelerometry: A secondary analysis of the ACHIEVE Study. Schrack JA, Wanigatunga AA, Glynn NW, et al. J Am Geriatr Soc. 2025 Mar 24. doi: 10.1111/jgs.19435. PMID: 40126980; PMCID: PMC.   

Hearing intervention did not significantly influence physical activity, walking, or TV viewing behaviors. The head and shoulders of a white-haired older man are seen from the back. He is watching television.

After 3 years, the hearing intervention group had similar odds of engaging in moderate-to-vigorous physical activity, leisurely walking, and TV viewing compared with the control group. Results were consistent across recruitment sources (ARIC and de novo).

Impact of a hearing intervention on the levels of leisure-time physical activity and T.V. viewing in older adults: Results from a secondary analysis of the ACHIEVE trial. Martinez-Amezcua P, Zhang W, Assi S, et al.   J Gerontol A Biol Sci Med Sci. 2025 May 5;80(6):glaf033. doi: 10.1093.gerona/glaf033. PMID: 39953975. PMCID: PMC. 

Hearing intervention may reduce fatigue.An older man holds his glasses in his hand and rubs his eyes. He appears to be fatigued.

In study participants, researchers observed a beneficial effect of hearing intervention on fatigue over 3 years. 

Effect of Hearing Intervention Versus Health Education Control on Fatigue: A Secondary Analysis of the ACHIEVE Study. Bessen SY, Zhang W, Huang AR, et al. J Gerontol A Biol Sci Med Sci. Nov 1 2024;79(11):glae193. doi:10.1093/gerona/glae193