A Preliminary Study Investigating the Association Between Hearing Acuity and a Screening Cognitive Tool

Mukari, Siti Zamratol Mai Sarah; Ishak, Wan Syafira; Maamor, Nashrah; Hashim, Wan Fazlina Wan

doi:10.1177/0003489417727547

Cited by 7 publications

(10 citation statements)

References 26 publications

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“…A cross‐sectional study conducted in community‐dwelling older adults in Australia, for example, revealed minimal but significant associations between visual impairment and hearing impairment with MMSE scores . Similarly, a cross‐sectional study in Malaysia found a minimal but significant association between hearing acuity and MMSE scores . In contrast, a longitudinal study did not report significant associations between sensory impairment and subsequent reduction in MMSE scores after adjusting for age, sex, and other potential confounders.…”

Section: Discussionsupporting

confidence: 87%

“…25 Similarly, a cross-sectional study in Malaysia found a minimal but significant association between hearing acuity and MMSE scores. 26 In contrast, a longitudinal study did not report significant associations between sensory impairment and subsequent reduction in MMSE scores after adjusting for age, sex, and other potential confounders. In the present study, we found that hearing loss alone and DSI were significantly independently associated with MMSE scores after controlling for multiple potential confounders.…”

Section: Discussionmentioning

confidence: 89%

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The impact of sensory impairment on cognitive performance, quality of life, depression, and loneliness in older adults

Harithasan

Mukari

Ishak

et al. 2019

Int J Geriat Psychiatry

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Objectives The objective of this study was to evaluate the relationship between sensory impairment (hearing loss only, vision loss only, and dual sensory impairment [DSI]) and depression, loneliness, quality of life, and cognitive performance in older adults. Methods A total of 229 community‐dwelling older adults aged 60 years or older participated in this study. Variables were measured using the Geriatric Depression Scale (GDS‐15), Revised University of California at Los Angeles Loneliness Scale (R‐UCLA), Satisfaction with Life Scale (SWLS), and Mini‐Mental State Examination (MMSE). Results There was an independent association between DSI and quality of life (P < .05) and between DSI and hearing loss alone and cognitive function (P < .05) in older adults. In addition, higher education was associated with better quality of life and cognitive function. Conclusions DSI is a significant factor affecting the quality of life and cognitive function in older adults. Sociodemographic factors such as education play an important role in improving quality of life and cognitive function. Thus, increasing the awareness of this disability is important to ensure that older adults receive the necessary support services and rehabilitation to improve their level of independence.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 89%

The impact of sensory impairment on cognitive performance, quality of life, depression, and loneliness in older adults

Harithasan

Mukari

Ishak

et al. 2019

Int J Geriat Psychiatry

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“…Another assumed that hypertension may damage not only the inner ear but also the primary auditory cortex [37]. However, a Malaysia study showed that high-frequencies PTA (4 kHz and 8 kHz) was not signi cantly related to cognition [38]. The reason may be due to our subgroup analysis that was performed using gender.…”

Section: Discussionmentioning

confidence: 86%

“…The di culty of speech perception in quiet background is the most prominent feature of SFHL in older adults. A previous study demonstrated that older adults with HL showed reduced recruitment of the articulatory motor cortex during listening to speech at 0.5 to 4 kHz versus whom with normal hearing [38]. The older adults with HL were also damaged in speech perception in noise background.…”

Section: Discussionmentioning

confidence: 95%

Gender-Specific Associations of Speech-Frequency Hearing Loss, High-Frequency Hearing Loss, and Cognitive Impairment Among Older Community Dwellers in China

Wang

Han

et al. 2021

Preprint

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Objectives The purpose of this study was to investigate the relationship between speech-frequency hearing loss (SFHL), high-frequency hearing loss (HFHL), and cognitive impairment (CI). Then to determine whether there are any differences in gender among older community dwellers in China. Methods This study involved 1,012 adults aged ≥ 60 years (428 male; average age, 72.61 ± 5.51 years). The participants had their hearing and cognition measured using pure tone audiometry and Mini Mental State Examination (MMSE), respectively. We used the audiometric definition of hearing loss (HL) adopted by the World Health Organization (WHO). Speech-frequencies were measured as 0.5 kHz, 1 kHz, 2 kHz, and 4 kHz; high-frequencies were measured as 4 kHz and 8 kHz. Pure tone average (PTA) was measured as hearing sensitivity. Results Our studies demonstrated a 37.6% prevalence of HL in males and a 36.0% prevalence of HL in females. Adjusted for confounding variables, the results from a multivariate analysis showed that SFHL was associated with CI in females (OR = 2.400, 95% Confidence Interval = 1.313–4.385) and males (OR = 2.189, 95% Confidence Interval = 0.599–2.944). However, HFHL was associated with CI only in females (OR = 2.943, 95% Confidence Interval = 1.505–5.754). HL was associated with poorer cognitive scores (P < 0.05). “Registration” (P < 0.05) in MMSE was associated with speech- and high-frequency hearing sensitivity. Conclusion The associations between HL and CI varied according to gender in older community-dwellers, suggesting that different mechanisms are involved in the etiology of HL. Moreover, hearing sensitivity was negatively associated with cognition scores; therefore, early screening for HL and CI among older community-dwelling adults is advised.

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“… 31 , 61 Although proven to be sensitive enough to screen for dementia illness, these tests might not be suitable to detect slight cognitive changes in aging subjects with otherwise normal cognitive properties. 62 This might explain why Sonnet et al could not detect any neurocognitive improvement in 16 CI recipients aged between 65 and 80 years at 6 months after implantation. 36 …”

Section: Discussionmentioning

confidence: 98%

Can cochlear implantation improve neurocognition in the aging population?

Völter¹,

Götze²,

Dazert³

et al. 2018

CIA

101

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IntroductionThe relationship between cognition and the ability to hear is well known. Due to changes in demographics, the number of people with sensorineural hearing loss and cognitive impairment is increasing. The aim of this study was to identify the impact of hearing rehabilitation via cochlear implantation on cognitive decline among the aging population.Patients and methodsThis prospective study included 60 subjects aged between 50 and 84 years (mean 65.8 years, SD=8.9) with a severe to profound bilateral hearing impairment. A computer-based evaluation of short- and long-term memory, processing speed, attention, working memory and inhibition was performed prior to surgery as well as 6 and 12 months after cochlear implantation. Additionally, speech perception at 65 and 80 dB (Freiburger monosyllabic speech test) as well as disease-related (Nijmegen Cochlear Implant Questionnaire) and general (WHOQOL-OLD) quality of life were assessed.ResultsSix months postimplantation, speech perception, quality of life and also neurocognitive abilities significantly increased. The most remarkable improvement after 6 months was detected in executive functions such as attention (p<0.001), inhibition (p=0.025) and working memory (n-back: p=0.002; operation span task: p=0.008), followed by delayed recall (p=0.03). In contrast, long-term memory showed a significant change of performance only after 12 months (p=0.021). After 6 months, most cognitive domains remained stable, except working memory assessed by the operation span task, which significantly improved between 6 and 12 months (p<0.001). No correlation was found between cognitive results and duration of deafness, speech perception or quality of life.ConclusionCochlear implantation does not only lead to better speech perception and quality of life, but has also been shown to improve cognitive skills in hearing impaired adults aged 50 years or more. These effects seem to be independent of each other.

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A Preliminary Study Investigating the Association Between Hearing Acuity and a Screening Cognitive Tool

Cited by 7 publications

References 26 publications

The impact of sensory impairment on cognitive performance, quality of life, depression, and loneliness in older adults

The impact of sensory impairment on cognitive performance, quality of life, depression, and loneliness in older adults

Gender-Specific Associations of Speech-Frequency Hearing Loss, High-Frequency Hearing Loss, and Cognitive Impairment Among Older Community Dwellers in China

Can cochlear implantation improve neurocognition in the aging population?

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