Hearing Impairment and Incident Dementia and Cognitive Decline in Older Adults: The Health ABC Study

Deal, Jennifer A.; Betz, Josh; Yaffe, Kristine; Harris, Tamara B.; Purchase-Helzner, Elizabeth; Satterfield, Suzanne; Pratt, Sheila; Govil, Nandini; Simonsick, Eleanor M.; Lin, Frank R.

doi:10.1093/gerona/glw069

Cited by 318 publications

(472 citation statements)

References 29 publications

(35 reference statements)

Supporting

Mentioning

429

Contrasting

Unclassified

Order By: Relevance

“…The previous studies of objective hearing loss used a pure tone audiometry test, whereas the current study used self‐reported hearing measures in the longitudinal analyses 6, 7, 11. Nevertheless, a significant positive association was found between the self‐reported and objective test measure in Wave 7.…”

Section: Discussioncontrasting

confidence: 58%

“…Separate analyses were conducted on self‐reported and objective hearing impairment. On the basis of the existing literature, it was decided a priori that age, sex, ethnicity, wealth, education, and hearing aid use were possible confounders 7, 11, 23. The following cardiovascular risk factors were also adjusted for: smoking status, diabetes mellitus, hypertension, and stroke.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Hearing Impairment and Incident Dementia: Findings from the English Longitudinal Study of Ageing

Davies

Cadar

Herbert

et al. 2017

J American Geriatrics Society

110

102

View full text Add to dashboard Cite

ObjectivesTo determine whether hearing loss is associated with incident physician‐diagnosed dementia in a representative sample.DesignRetrospective cohort study.SettingEnglish Longitudinal Study of Ageing.ParticipantsAdults aged 50 and older.MeasurementsCross‐sectional associations between self‐reported (n = 7,865) and objective hearing measures (n = 6,902) and dementia were examined using multinomial‐logistic regression. The longitudinal association between self‐reported hearing at Wave 2 (2004/05) and cumulative physician‐diagnosed dementia up to Wave 7 (2014/15) was modelled using Cox proportional hazards regression.ResultsAfter adjustment for potential confounders, in cross‐sectional analysis, participants who had self‐reported or objective moderate and poor hearing were more likely to have a dementia diagnosis than those with normal hearing (self‐reported: odds ratio OR = 1.6, 95% CI = 1.1–2.4 moderate hearing; OR = 2.6, 95% CI = 1.7–3.9 poor hearing, objective: OR = 1.6, 95% CI = 1.0–2.8 moderate hearing; OR = 4.4, 95% CI = 1.9–9.9 poor hearing). Longitudinally, the hazard of developing dementia was 1.4 (95% CI = 1.0–1.9) times as high in individuals who reported moderate hearing and 1.6 (95% CI = 1.1–2.0) times as high in those who reported poor hearing.ConclusionOlder adults with hearing loss are at greater risk of dementia than those with normal hearing. These findings are consistent with the rationale that correction of hearing loss could help delay the onset of dementia, or that hearing loss itself could serve as a risk indicator for cognitive decline.

show abstract

Section: Discussioncontrasting

confidence: 58%

Section: Methodsmentioning

confidence: 99%

Hearing Impairment and Incident Dementia: Findings from the English Longitudinal Study of Ageing

Davies

Cadar

Herbert

et al. 2017

J American Geriatrics Society

110

102

View full text Add to dashboard Cite

show abstract

“…The 6-year follow-up data indicated that participants with hearing loss displayed a 30%-40% accelerated rate of cognitive decline as compared to those with normal hearing. Additionally, a subsequent analysis of the 9-year follow-up data found that the participants with moderate to severe hearing loss had a greater risk of incident dementia [8].…”

Section: Hearing Loss Prevalencementioning

confidence: 98%

“…Participants in the Health ABC study were asked about HA use at the 5-year interval [7,8]. Based on the responses, the researchers did not find that HA use was significantly associated with a lower rate of cognitive decline over 6 or 9 years.…”

Section: Meredith Anderson Roothmentioning

confidence: 99%

The Prevalence and Impact of Vision and Hearing Loss in the Elderly

Rooth

2017

North Carolina Medical Journal

View full text Add to dashboard Cite

show abstract

“…Older people are a different cohort of patients, as the deterioration of various organs has a detrimental effect on vision, hearing, mobility, renal function, cerebral function and cognition. [4][5][6] All of these factors individually or in combination can contribute to a final management plan.…”

Section: Epidemiology Comorbidities and Frailtymentioning

confidence: 99%

Expert Opinion Percutaneous Coronary Intervention in Older People: Does Age Make a Difference?

Omar

Belder

2016

Interventional Cardiology Review

View full text Add to dashboard Cite

As many people are living longer, much older patients are now commonly being seen in clinical practice. The management of coronary disease in this group presents formidable challenges. We review the epidemiology of coronary disease in this population and report on the burden of comorbidity, influence of frailty, problems with polypharmacy, interactions and compliance for the older patient. We discuss the management of stable and acute coronary syndromes, the specific anatomical challenges of the older coronary artery, the outcomes of the limited number of trials involving older patients, and review the guidelines available.

show abstract

Hearing Impairment and Incident Dementia and Cognitive Decline in Older Adults: The Health ABC Study

Abstract: HI is associated with increased risk of developing dementia in older adults. Randomized trials are needed to determine whether treatment of hearing loss could postpone dementia onset in older adults.

Cited by 318 publications

References 29 publications

Hearing Impairment and Incident Dementia: Findings from the English Longitudinal Study of Ageing

Hearing Impairment and Incident Dementia: Findings from the English Longitudinal Study of Ageing

The Prevalence and Impact of Vision and Hearing Loss in the Elderly

Expert Opinion Percutaneous Coronary Intervention in Older People: Does Age Make a Difference?

Contact Info

Product

Resources

About