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Hearing Loss and Cognitive Function in Early Old Age: Comparing Subjective and Objective Hearing Measures

INTRODUCTION: Population-based research has consistently shown that people with hearing loss are at greater risk of cognitive impairment. We aimed to explore the cross-sectional association of both subjective and objective hearing measures with global and domain-specific cognitive function. We also...

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Autores principales: Hoff, Maria, Skoog, Johan, Bodin, Timothy Hadarsson, Tengstrand, Tomas, Rosenhall, Ulf, Skoog, Ingmar, Sadeghi, André
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10273901/
https://www.ncbi.nlm.nih.gov/pubmed/36516784
http://dx.doi.org/10.1159/000527930
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author Hoff, Maria
Skoog, Johan
Bodin, Timothy Hadarsson
Tengstrand, Tomas
Rosenhall, Ulf
Skoog, Ingmar
Sadeghi, André
author_facet Hoff, Maria
Skoog, Johan
Bodin, Timothy Hadarsson
Tengstrand, Tomas
Rosenhall, Ulf
Skoog, Ingmar
Sadeghi, André
author_sort Hoff, Maria
collection PubMed
description INTRODUCTION: Population-based research has consistently shown that people with hearing loss are at greater risk of cognitive impairment. We aimed to explore the cross-sectional association of both subjective and objective hearing measures with global and domain-specific cognitive function. We also examined the influence of hearing aid use on the relationship. METHODS: A population-based sample (n = 1,105, 52% women) of 70-year-olds that were representative of the inhabitants of the city of Gothenburg, Sweden completed a detailed cognitive examination, pure-tone audiometry, and a questionnaire regarding perceived hearing problems. A subsample (n = 247, 52% women) also completed a test of speech-recognition-in-noise (SPRIN). Multiple linear regression analyses were conducted to explore the association of hearing with cognitive function, adjusting for sex, education, cardiovascular factors, and tinnitus. RESULTS: Global cognitive function was independently associated with the better ear pure-tone average across 0.5–4 kHz (PTA4, β = −0.13, 95% CI, −0.18, −0.07), the better ear SPRIN score (β = 0.30, 95% CI, 0.19, 0.40), but not with the self-reported hearing measure (β = −0.02, 95% CI, −0.07, 0.03). Both verbally loaded and nonverbally loaded tasks, testing a variety of cognitive domains, contributed to the association. Hearing aid users had better global cognitive function than nonusers with equivalent hearing ability. The difference was only significant in the mild hearing loss category. DISCUSSION: In a population-based sample of 70-year-old persons without dementia, poorer hearing was associated with poorer global and domain-specific cognitive function, but only when hearing function was measured objectively and not when self-reported. The speech-in-noise measure showed the strongest association. This highlights the importance of including standardized hearing tests and controlling for hearing status in epidemiological geriatric research. More research is needed on the role that hearing aid use plays in relation to age-related cognitive declines.
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spelling pubmed-102739012023-06-17 Hearing Loss and Cognitive Function in Early Old Age: Comparing Subjective and Objective Hearing Measures Hoff, Maria Skoog, Johan Bodin, Timothy Hadarsson Tengstrand, Tomas Rosenhall, Ulf Skoog, Ingmar Sadeghi, André Gerontology Clinical Section: Research Article INTRODUCTION: Population-based research has consistently shown that people with hearing loss are at greater risk of cognitive impairment. We aimed to explore the cross-sectional association of both subjective and objective hearing measures with global and domain-specific cognitive function. We also examined the influence of hearing aid use on the relationship. METHODS: A population-based sample (n = 1,105, 52% women) of 70-year-olds that were representative of the inhabitants of the city of Gothenburg, Sweden completed a detailed cognitive examination, pure-tone audiometry, and a questionnaire regarding perceived hearing problems. A subsample (n = 247, 52% women) also completed a test of speech-recognition-in-noise (SPRIN). Multiple linear regression analyses were conducted to explore the association of hearing with cognitive function, adjusting for sex, education, cardiovascular factors, and tinnitus. RESULTS: Global cognitive function was independently associated with the better ear pure-tone average across 0.5–4 kHz (PTA4, β = −0.13, 95% CI, −0.18, −0.07), the better ear SPRIN score (β = 0.30, 95% CI, 0.19, 0.40), but not with the self-reported hearing measure (β = −0.02, 95% CI, −0.07, 0.03). Both verbally loaded and nonverbally loaded tasks, testing a variety of cognitive domains, contributed to the association. Hearing aid users had better global cognitive function than nonusers with equivalent hearing ability. The difference was only significant in the mild hearing loss category. DISCUSSION: In a population-based sample of 70-year-old persons without dementia, poorer hearing was associated with poorer global and domain-specific cognitive function, but only when hearing function was measured objectively and not when self-reported. The speech-in-noise measure showed the strongest association. This highlights the importance of including standardized hearing tests and controlling for hearing status in epidemiological geriatric research. More research is needed on the role that hearing aid use plays in relation to age-related cognitive declines. S. Karger AG 2023-06 2022-12-14 /pmc/articles/PMC10273901/ /pubmed/36516784 http://dx.doi.org/10.1159/000527930 Text en Copyright © 2022 by The Author(s). Published by S. Karger AG, Basel https://creativecommons.org/licenses/by/4.0/This article is licensed under the Creative Commons Attribution 4.0 International License (CC BY). Usage, derivative works and distribution are permitted provided that proper credit is given to the author and the original publisher.
spellingShingle Clinical Section: Research Article
Hoff, Maria
Skoog, Johan
Bodin, Timothy Hadarsson
Tengstrand, Tomas
Rosenhall, Ulf
Skoog, Ingmar
Sadeghi, André
Hearing Loss and Cognitive Function in Early Old Age: Comparing Subjective and Objective Hearing Measures
title Hearing Loss and Cognitive Function in Early Old Age: Comparing Subjective and Objective Hearing Measures
title_full Hearing Loss and Cognitive Function in Early Old Age: Comparing Subjective and Objective Hearing Measures
title_fullStr Hearing Loss and Cognitive Function in Early Old Age: Comparing Subjective and Objective Hearing Measures
title_full_unstemmed Hearing Loss and Cognitive Function in Early Old Age: Comparing Subjective and Objective Hearing Measures
title_short Hearing Loss and Cognitive Function in Early Old Age: Comparing Subjective and Objective Hearing Measures
title_sort hearing loss and cognitive function in early old age: comparing subjective and objective hearing measures
topic Clinical Section: Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10273901/
https://www.ncbi.nlm.nih.gov/pubmed/36516784
http://dx.doi.org/10.1159/000527930
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