Hearing loss and cognition in the Busselton Baby Boomer cohort: An epidemiological study

Bucks, Romola S.; Dunlop, Patrick D.; Schmulian, Dunay; Brennan‐Jones, Christopher G.; Hunter, Michael; Wesnes, Keith; Eikelboom, Robert H.

doi:10.1002/lary.25896

Cited by 32 publications

(33 citation statements)

References 38 publications

(45 reference statements)

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“…In the Busselton Healthy Ageing Study of Australia, the Cognitive Drug Research computerized assessment system was used and cognitive scores were derived by factor analysis: namely, for quality of episodic secondary memory, quality of working memory, speed of memory, continuity of attention and power of attention. In their results, hearing loss according to pure-tone averages was not a predictor of cognitive performance in any domain (Bucks et al, 2016). …”

Section: Discussionmentioning

confidence: 94%

The Longitudinal Impact of Hearing Impairment on Cognition Differs According to Cognitive Domain

Uchida

Nishita

Tange

et al. 2016

Front. Aging Neurosci.

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Identification and modification of the risk factors for cognitive decline throughout the adult life span are priority subjects in a progressively aging society; however, much remains to be learned. The aim of this study was to understand whether changes in cognitive function can be affected by hearing impairment (HI) and whether the impact of HI differs depending on the cognitive domain. A total of 1109 individuals aged 60–79 years at baseline who participated in the Longitudinal Study of Aging at the National Institute for Longevity Sciences (NILS-LSA) was followed up for a maximum of 13.3 years. Cognitive function was evaluated using four subtests of the Japanese Wechsler Adult Intelligence Scale-Revised Short Forms (JWAIS-R-SF): namely, Information, Similarities, Picture Completion, and the Digit Symbol Substitution subtests. The HI was defined as a pure-tone average of the better ear >25 dB. A longitudinal analysis of 4437 observations obtained during a follow-up period of approximately 12 years was performed. We estimated linear changes in subtest scores by HI status, using the time-varying mixed-effects regression model, which included fixed terms for the intercept, HI status at baseline, time (years elapsed since baseline) and an HI × time interaction term adjusted for age at baseline, sex, education, and other possible confounders. There were significant main effects of HI on the scores of the four subtests after adjustment. The HI × time interaction was significant for the scores of the Information (p = 0.001) and Digit Symbol Substitution subtests (p = 0.001). The scores of the HI group declined faster in the Information and Digit Symbol Substitution subtests compared to those in the no-HI group. The model-predicted 12-year slope using a mean baseline age (68.7 years) indicated no significant decline in the individuals without HI at baseline for the Information and Similarities subtests, however, this tolerance was lost in the individuals with HI. In conclusion, the present observation showed that the impact of HI on cognition was longitudinally significant and implied that the effect differs according to cognitive domain.

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Section: Discussionmentioning

confidence: 94%

The Longitudinal Impact of Hearing Impairment on Cognition Differs According to Cognitive Domain

Uchida

Nishita

Tange

et al. 2016

Front. Aging Neurosci.

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“…Impairments on measures of executive functioning have been previously reported in ARHL cohorts (Gates et al, 1996(Gates et al, , 2010Lin et al, 2013). ARHL is also associated with slower processing speeds (Clark, 1960;Anstey et al, 2001;Valentijn et al, 2005;Lindenberger and Ghisletta, 2009;Lin, 2011;Lin et al, 2011Lin et al, , 2013Gallacher et al, 2012;Deal et al, 2015Deal et al, , 2017Bucks et al, 2016) and deficits in working memory (Anstey and Smith, 1999;Hofer et al, 2003;MacDonald et al, 2004;Harrison Bush et al, 2015;Bucks et al, 2016) relative to NH adults. In our study auditory speech perception and cognitive performance was significantly associated with visual cross-modal re-organization, such that earlier latencies (considered a marker of visual crossmodal recruitment of auditory cortex for visual processing) was associated with poorer auditory speech perception and cognitive performance.…”

Section: Mechanisms Of Cortical Visual Cross-modal Neuroplasticity Inmentioning

confidence: 88%

Cortical Neuroplasticity and Cognitive Function in Early-Stage, Mild-Moderate Hearing Loss: Evidence of Neurocognitive Benefit From Hearing Aid Use

Glick

Sharma

2020

Front. Neurosci.

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Age-related hearing loss (ARHL) is associated with cognitive decline as well as structural and functional brain changes. However, the mechanisms underlying neurocognitive deficits in ARHL are poorly understood and it is unclear whether clinical treatment with hearing aids may modify neurocognitive outcomes. To address these topics, cortical visual evoked potentials (CVEPs), cognitive function, and speech perception abilities were measured in 28 adults with untreated, mild-moderate ARHL and 13 agematched normal hearing (NH) controls. The group of adults with ARHL were then fit with bilateral hearing aids and re-evaluated after 6 months of amplification use. At baseline, the ARHL group exhibited more extensive recruitment of auditory, frontal, and pre-frontal cortices during a visual motion processing task, providing evidence of cross-modal re-organization and compensatory cortical neuroplasticity. Further, more extensive cross-modal recruitment of the right auditory cortex was associated with greater degree of hearing loss, poorer speech perception in noise, and worse cognitive function. Following clinical treatment with hearing aids, a reversal in cross-modal reorganization of auditory cortex by vision was observed in the ARHL group, coinciding with gains in speech perception and cognitive performance. Thus, beyond the known benefits of hearing aid use on communication, outcomes from this study provide evidence that clinical intervention with well-fit amplification may promote more typical cortical organization and functioning and provide cognitive benefit.

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“…The use of standard decibel cut-off criteria in audiological and epidemiological research is widespread, with the definition of disabling hearing loss in children being ≥30dB according to the World Health Organization [18] and ≥40dB according to many national newborn hearing screening programs [19]. These cut-offs are useful for statistical analyses but are arbitrary in nature and can be of limited practical or clinical use as they give no indication of the level of impairment experienced by an individual [20]. Moog et al [21] also highlighted that studies examining the outcomes of children within a specific early intervention program may be subject to selection bias and may not represent the psychosocial characteristics of the entire population of children with severe or profound hearing loss.…”

mentioning

confidence: 99%

Mental health problems among 4–17-year-olds with hearing problems: results from a nationally representative study

Hancock

Brenann-Jones

Vithiatharan

et al. 2017

Hearing, Balance and Communication

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Objective: This study aimed to characterise the risk of mental health problems among a representative sample of 6,310 4-17 year olds, 147 of whom had parent-reported hearing problems. Methods:The study used data from the Young Minds Matter survey. The Diagnostic Interview Schedule for Children (DISC-IV) assessed prevalence of mood, anxiety and behavioural disorders. The Strengths and Difficulties Questionnaire (SDQ) assessed social and emotional problems. Logistic regression models were used to estimate odds of having mental health problems adjusting for child factors (speech and language problems, global health, age and gender), family factors (family structure, parent income, education, financial strain and psychological distress) and school-related factors (bullying, school liking, school absence). Results:In unadjusted analyses children and young people with hearing problems had substantially higher odds of most mental health problems. Hearing problems were not associated with any mental health problem among 4-11 year olds after adjusting for other child factors. After adjustments for child, family and school-related factors, 12-17 year olds with a hearing problem remained at greater risk of social phobia and generalised anxiety (DISC-IV), and of peer and emotional problems (SDQ). Conclusions:Clinicians caring for children and young people with hearing problems should be alert for heightened risk of specific mental health problems based on age and the nature of hearing problems. Understanding a wider range of correlates associated with the higher prevalence of mental health problems may allow health professionals to be more informed about the nature of mental health problems that are comorbid to hearing problems.

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Hearing loss and cognition in the Busselton Baby Boomer cohort: An epidemiological study

Cited by 32 publications

References 38 publications

The Longitudinal Impact of Hearing Impairment on Cognition Differs According to Cognitive Domain

The Longitudinal Impact of Hearing Impairment on Cognition Differs According to Cognitive Domain

Cortical Neuroplasticity and Cognitive Function in Early-Stage, Mild-Moderate Hearing Loss: Evidence of Neurocognitive Benefit From Hearing Aid Use

Mental health problems among 4–17-year-olds with hearing problems: results from a nationally representative study

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