Increases in the Rate of Age-Related Hearing Loss in the Older Old

Abstract

There is a significant increase in the rate of hearing loss in patients during the 10th decade of life compared with the 9th decade that represents a fundamental change in the mechanistic process of presbycusis. Despite the potential benefit of hearing aids, they remain underused in the older old. Use may be improved by changing the method of hearing rehabilitation counseling from a patient-initiated model to a chronic disease example.

Progression of Hearing Loss in the Aging Population: Repeated Auditory Measurements in the Rotterdam Study

“…In older adults, not only the effect of aging itself, but also a ceiling effect has been described: the more the loss of high-frequency hearing, the less the rate of progression, possibly because a maximum loss was being reached [Brant and Fozard, 1990;Wattamwar et al, 2017]. Therefore, we found more progression in the lower than in the higher frequencies.…”

Efficacy of a newly developed auditory–cognitive training system on speech recognition, central auditory processing and cognitive ability among older adults with normal cognition and with neurocognitive impairment

“…In view of multiple factors contributing to speech recognition difficulties, it is expected that hearing aid use alone cannot produce the listening skills required for communication . A more comprehensive rehabilitation approach, which includes auditory–cognitive training, might produce better results . Because the central nervous system, including the auditory system, retains its plasticity even in old age, training paradigms, which use brain plasticity‐based techniques, should at least partially restore diminished sensory and cognitive functions …”

“…7 A more comprehensive rehabilitation approach, which includes auditorycognitive training, might produce better results. 8 Because the central nervous system, including the auditory system, retains its plasticity even in old age, 9 training paradigms, which use brain plasticity-based techniques, should at least partially restore diminished sensory and cognitive functions. 10 Deficits in working memory and inhibitory control can impair speech comprehension in older adults.…”

Features of diagnostics and treatment of chronic heart failure in elderly and senile patients. Expert opinion of the Society of Experts in Heart Failure, Russian Association of Gerontologists, and Euroasian Association of Therapists

“…Предполагаемая распространенность двусторонней потери слуха на звуки с порогом слышимости более 25 дБ составляет 27 % среди пациентов в возрасте от 60 до 69 лет; 55 % от 70 до 79 лет и 79 % в 80 лет и старше [71]. Недавний отчет National Academies of Sciences, Engineering and Medicine США подтвердил, что слуховые § МНЕНИЕ ЭКСПЕРТОВ аппараты улучшают слух, но не способны полностью восстанавливать нормальные коммуникационные способности, особенно в условиях шума [72].…”