Does cognitive function in older adults with hearing impairment improve by hearing aid use?

2005 ◽  
Vol 44 (5) ◽  
pp. 265-271 ◽  
Author(s):  
S. A. H. van Hooren ◽  
L. J. C. Anteunis ◽  
S. A. M. Valentijn ◽  
H. Bosma ◽  
R. W. H. M. Ponds ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Function ◽  
Hearing Impairment ◽  
Hearing Aid ◽  
Hearing Aid Use

scholarly journals Hearing aid use and cognition in older adults: Can we delay decline or even improve cognitive function?

2020 ◽  
Vol 16 (S10) ◽  
Author(s):  
Julia Sarant ◽  
David Harris ◽  
Peter Busby ◽  
Paul T Maruff ◽  
Adrian Schembri ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Function ◽  
Hearing Aid ◽  
Hearing Aid Use

scholarly journals Screening of Cognitive Function and Hearing Impairment in Older Adults: A Preliminary Study

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Lena Lar Nar Wong ◽  
Joannie Ka Yin Yu ◽  
Shaina Shing Chan ◽  
Michael Chi Fai Tong
Keyword(s):  
Older Adults ◽  
Cognitive Function ◽  
Hearing Impairment ◽  
Hearing Aids ◽  
Hearing Aid ◽  
Stepwise Multiple Regression ◽  
Auditory Thresholds ◽  
Hearing Devices ◽  
Preliminary Study ◽  
State Examination

Background. Previous research has found that hearing loss is associated with poorer cognitive function. The question is that when a hearing impairment is being compensated for by appropriately fitted monaural hearing aids, special precautions are still needed when screening cognitive function in older adults.Objective. This research examined cognitive function in elderly hearing aid users who used monaural hearing aids and whether the presence of a hearing impairment should be accounted for when screening cognitive function in these individuals.Methods. Auditory thresholds, sentence reception thresholds, and self-reported outcomes with hearing aids were measured in 34 older hearing aid users to ensure hearing aids were appropriately fitted. Mini-Mental State Examination (MMSE) results obtained in these participants were then compared to normative data obtained in a general older population exhibiting similar demographic characteristics. Stepwise multiple regression analyses were used to examine the effects of demographic and auditory variables on MMSE scores.Conclusions. Results showed that, even with appropriately fitted hearing aids, cognitive decline was significant. Besides the factors commonly measured in the literature, we believed that auditory deprivation was not being fully compensated for by hearing aids. Most importantly, screening of cognitive function should take into account the effects of hearing impairment, even when hearing devices have been appropriately fitted.

scholarly journals The Effect of Hearing Aid Use on Cognition in Older Adults: Can We Delay Decline or Even Improve Cognitive Function?

2020 ◽  
Vol 9 (1) ◽  
pp. 254 ◽  
Author(s):  
Julia Sarant ◽  
David Harris ◽  
Peter Busby ◽  
Paul Maruff ◽  
Adrian Schembri ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Hearing Loss ◽  
Executive Function ◽  
Speech Perception ◽  
Cognitive Function ◽  
Hearing Aid ◽  
Visual Learning ◽  
Hearing Aid Use

Hearing loss is a modifiable risk factor for dementia in older adults. Whether hearing aid use can delay the onset of cognitive decline is unknown. Participants in this study (aged 62–82 years) were assessed before and 18 months after hearing aid fitting on hearing, cognitive function, speech perception, quality of life, physical activity, loneliness, isolation, mood, and medical health. At baseline, multiple linear regression showed hearing loss and age predicted significantly poorer executive function performance, while tertiary education predicted significantly higher executive function and visual learning performance. At 18 months after hearing aid fitting, speech perception in quiet, self-reported listening disability and quality of life had significantly improved. Group mean scores across the cognitive test battery showed no significant decline, and executive function significantly improved. Reliable Change Index scores also showed either clinically significant improvement or stability in executive function for 97.3% of participants, and for females for working memory, visual attention and visual learning. Relative stability and clinically and statistically significant improvement in cognition were seen in this participant group after 18 months of hearing aid use, suggesting that treatment of hearing loss with hearing aids may delay cognitive decline. Given the small sample size, further follow up is required.

Hearing Loss, Control, and Demographic Factors Influencing Hearing Aid Use Among Older Adults

1998 ◽  
Vol 41 (3) ◽  
pp. 527-537 ◽  
Author(s):  
Dean C. Garstecki ◽  
Susan F. Erler
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Hearing Aids ◽  
Psychological Control ◽  
Hearing Aid ◽  
Demographic Factors ◽  
Ego Strength ◽  
Hearing Sensitivity ◽  
Hearing Aid Use ◽  
Hearing Handicap

Preference for non-use of hearing aids among older adults who are candidates for amplification remains to be explained. Clinical studies have examined the contribution of consumer attitudes, behaviors, and life circumstances to this phenomenon. The present study extends the interests of earlier investigators in that it examines psychological control tendencies in combination with hearing loss and demographic variables among older adults who elected to accept (adherents) or ignore (nonadherents) advice from hearing professionals to acquire and use hearing aids. One hundred thirty-one individuals participated by completing measures of hearing, hearing handicap, psychological control, depression, and ego strength. Participants were asked to provide demographic information and personal opinions regarding hearing aid use. Adherence group and gender differences were noted on measures of hearing sensitivity, psychological control, and demographic factors. Female adherents demonstrated greater hearing loss and poorer word recognition ability but less hearing handicap, higher internal locus of control, higher ego strength, and fewer depressive tendencies than female nonadherents. They reported demographic advantages. Female adherents assumed responsibility for effective communication. Although male adherents and nonadherents did not differ significantly demographically, male adherents were more accepting of their hearing loss, took responsibility for communication problems, and found hearing aids less stigmatizing. Implications for clinical practice and future clinical investigations are identified and discussed. Results are expected to be of interest to clinicians, clinical investigators, and health care policymakers.

Hearing Aid Use and Mild Hearing Impairment: Learnings from Big Data

2017 ◽  
Vol 28 (08) ◽  
pp. 731-741 ◽  
Author(s):  
Barbra H. B. Timmer ◽  
Louise Hickson ◽  
Stefan Launer
Keyword(s):  
Hearing Impairment ◽  
Large Scale ◽  
Personal Information ◽  
Hearing Aid ◽  
Total Sample ◽  
British Society ◽  
Hearing Aid Use ◽  
Listening Environments ◽  
And Gender ◽  
The Right

AbstractPrevious research, mostly reliant on self-reports, has indicated that hearing aid (HA) use is related to the degree of hearing impairment (HI). No large-scale investigation of the relationship between data-logged HA use and HI has been conducted to date.This study aimed to investigate if objective measures of overall daily HA use and HA use in various listening environments are different for adults with mild HI compared to adults with moderate HI.This retrospective study used data extracted from a database of fitting appointments from an international group of HA providers. Only data from the participants’ most recent fitting appointment were included in the final dataset.A total of 8,489 bilateral HA fittings of adults over the age of 18 yr, conducted between January 2013 and June 2014, were included. Participants were subsequently allocated to HI groups, based on British Society of Audiology and American Speech-Language-Hearing Association audiometric descriptors.Fitting data from participating HA providers were regularly transferred to a central server. The data, with all personal information except age and gender removed, contained participants’ four-frequency average (at 500, 1000, 2000, and 4000 Hz) as well as information on HA characteristics and usage. Following data cleaning, bivariate and post hoc statistical analyses were conducted.The total sample of adults’ average daily HA use was 8.52 hr (interquartile range [IQR] = 5.49–11.77) in the left ear and 8.51 hr (IQR = 5.49–11.72) in the right ear. With a few exceptions, there were no statistical differences between hours of HA use for participants with mild HI compared to those with moderate impairment. Across all mild and moderate HI groups, the most common overall HA usage was between 8 and 12 hr per day. Other factors such as age, gender, and HA style also showed no relationship to hours of use. HAs were used, on average, for 7 hr (IQR = 4.27–9.96) per day in quiet and 1 hr (IQR = 0.33–1.41) per day in noisy listening situations.Clinical populations with mild HI use HAs as frequently as those with a moderate HI. These findings support the recommendation of HAs for adults with milder degrees of HI.

scholarly journals Exploring How Hearing, Vision, and Cognition Affect Older Adults’ Driving Exposure Patterns

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 617-617
Author(s):  
Jonathon Vivoda ◽  
Lisa Molnar ◽  
David Eby ◽  
Jennifer Zakrajsek ◽  
Nicole Zanier ◽  
...  
Keyword(s):  
Older Adults ◽  
Visual Acuity ◽  
Longitudinal Research ◽  
Hearing Aid ◽  
Lower Percentage ◽  
Hearing Aid Use ◽  
Exposure Patterns ◽  
Trail Making ◽  
Objectively Measured ◽  
Aging Drivers

Abstract Better information is needed about how declines in sensory and cognitive function affect older drivers. This study assessed how hearing loss affects engagement in four challenging driving patterns. Data from the AAA Longitudinal Research on Aging Drivers study was used, including objectively-measured driving; three measures of hearing: reported hearing aid use, self-rated hearing, and the Whisper Test; visual acuity (Tumbling E); and cognition (Trail Making B). Failing the Whisper Test in both ears was related to significantly lower percentage of trips (%trips) at night, on freeways, and during rush hour, but a higher %trips >15 miles. Hearing aid use and self-rated hearing were not associated with any driving differences. Worse vision was related to a lower %trips >15 miles, while worse cognition was associated with a lower %trips at night, on freeways, and during rush hour. The Whisper Test interacted with cognition for rush hour trips.

scholarly journals Socioeconomic differences in hearing among middle-aged and older adults: cross-sectional analyses using the Health Survey for England

BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e019615 ◽  
Author(s):  
Shaun Scholes ◽  
Jane Biddulph ◽  
Adrian Davis ◽  
Jennifer S. Mindell
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Health Survey ◽  
Hearing Aids ◽  
Hearing Aid ◽  
Community Dwelling ◽  
Middle Aged ◽  
Cross Sectional ◽  
Hearing Aid Use ◽  
Health Survey For England

BackgroundHearing loss impacts on cognitive, social and physical functioning. Both hearing loss and hearing aid use vary across population subgroups. We examined whether hearing loss, and reported current hearing aid use among persons with hearing loss, were associated with different markers of socioeconomic status (SES) in a nationally representative sample of community-dwelling middle-aged and older adults.MethodsHearing was measured using an audiometric screening device in the Health Survey for England 2014 (3292 participants aged 45 years and over). Hearing loss was defined as >35 dB HL at 3.0 kHz in the better-hearing ear. Using sex-specific logistic regression modelling, we evaluated the associations between SES and hearing after adjustment for potential confounders.Results26% of men and 20% of women aged 45 years and over had hearing loss. Hearing loss was higher among men in the lowest SES groups. For example, the multivariable-adjusted odds of hearing loss were almost two times as high for those in the lowest versus the highest income tertile (OR 1.77, 95% CI 1.15 to 2.74). Among those with hearing loss, 30% of men and 27% of women were currently using a hearing aid. Compared with men in the highest income tertile, the multivariable-adjusted odds of using a hearing aid nowadays were lower for men in the middle (OR 0.50, 95% CI 0.25 to 0.99) and the lowest (OR 0.47, 95% CI 0.23 to 0.97) income tertiles. Associations between SES and hearing were weaker or null among women.ConclusionsWhile the burden of hearing loss fell highest among men in the lowest SES groups, current hearing aid use was demonstrably lower. Initiatives to detect hearing loss early and increase the uptake and the use of hearing aids may provide substantial public health benefits and reduce socioeconomic inequalities in health.

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