scholarly journals Associations Between Self-Reported Sensory Impairment and Risk of Cognitive Decline and Impairment in the Health and Retirement Study Cohort

2019 ◽  
Vol 75 (6) ◽  
pp. 1230-1242 ◽  
Author(s):  
Asri Maharani ◽  
Piers Dawes ◽  
James Nazroo ◽  
Gindo Tampubolon ◽  
Neil Pendleton ◽  
...  
Keyword(s):  
Cognitive Decline ◽  
Visual Impairment ◽  
Hearing Impairment ◽  
Health And Retirement Study ◽  
Study Cohort ◽  
Sensory Impairment ◽  
Cox Proportional Hazard ◽  
Adjusted Incidence ◽  
Retirement Study ◽  
Dual Sensory Impairment

Abstract Objectives We aimed to determine whether self-assessed single (hearing or visual) and dual sensory (hearing and visual) impairments are associated with cognitive decline and incident possible cognitive impairment, no dementia (CIND) and probable dementia. Method Data were drawn from the 1996–2014 surveys of the Health and Retirement Study (HRS), involving 19,618 respondents who had no probable dementia and who were aged 50 years or older at the baseline. We used linear mixed models to test the association between self-assessed sensory impairment and cognitive decline followed by a Cox proportional hazard model to estimate the relative risk of incident possible CIND and probable dementia associated with the presence of sensory impairment. Results Respondents with self-assessed single and dual sensory impairment performed worse in cognitive tests than those without sensory impairment. The fully adjusted incidence of developing possible CIND was 17% higher for respondents with hearing impairment than those without hearing impairment. Respondents with visual impairment had 35% and 25% higher risk for developing possible CIND and probable dementia, respectively, than those without visual impairment. Respondents with dual sensory impairment at baseline were 38% and 26% more likely to develop possible CIND and probable dementia, respectively, than those with no sensory impairment. Discussion Self-assessed sensory impairment is independently associated with cognitive decline and incident possible CIND and probable dementia. Further studies are needed to identify the mechanism underlying this association and to determine whether treatment of sensory impairment could ameliorate cognitive decline and delay the onset of dementia among older adults.

Dual Sensory Impairment and Cognitive Impairment in the Korean Longitudinal Elderly Cohort

Neurology ◽  
2021 ◽  
pp. 10.1212/WNL.0000000000011845
Author(s):  
Gihwan Byeon ◽  
Gyu han Oh ◽  
Jin Hyeong Jhoo ◽  
Jae-Won Jang ◽  
Jong Bin Bae ◽  
...  
Keyword(s):  
Cognitive Decline ◽  
Hearing Impairment ◽  
Cognitive Aging ◽  
Sensory Function ◽  
Self Report ◽  
Sensory Impairment ◽  
Dementia Prevalence ◽  
Dementia Incidence ◽  
Elderly Cohort ◽  
Dual Sensory Impairment

Objective:To investigate the effects of single sensory impairment (SSI; visual or auditory) or dual sensory impairment (DSI; visual and auditory) on dementia and longitudinal changes of neuropsychological test scores.Methods:In this nationwide, prospective, community-based elderly cohort study, Korean Longitudinal Study on Cognitive Aging and Dementia (KLOSCAD), 6,520 elderly individuals (58-101 year) representing the general population were included. We defined visual and auditory sensory impairment via self-report questionnaire: 932 had a normal sensory function, 2957 had a SSI, and 2631 had a DSI. Demographic and clinical variables including cognitive outcomes were evaluated every two years over six years. Through logistic regression, Cox regression, and linear mixed model analysis, the relationship between SSI or DSI and dementia prevalence, dementia incidence, and change in neuropsychological scores were evaluated.Results:At baseline, DSI was significantly associated with increased dementia prevalence compared to normal sensory function (OR=2.17, 95% CI [1.17–4.02]), but SSI was not (OR=1.27, 95% CI [0.66–2.41]). During the 6-year follow-up, the incidence of dementia was significantly higher in the DSI group than in the normal sensory function (HR=1.9, 95% CI [1.04–3.46]), and neuropsychological scores significantly decreased (β=-0.87, 95% CI [-1.17–-0.58]).Conclusions:Our results suggest that coexisting visual and hearing impairments facilitate dementia prevalence, dementia incidence, and cognitive decline, but visual or hearing impairment alone do not. Additionally, visual and hearing impairment may lead to dementia or cognitive decline independent of Alzheimer’s pathology.

Abstract P288: Association Between Vision Impairment and Cognitive Decline in Older Adults With Stroke: Health and Retirement Study

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Kimberly Hreha ◽  
Brian Downer ◽  
Joshua R Ehrlich ◽  
Giulio Taglialatela
Keyword(s):  
Older Adults ◽  
Cognitive Function ◽  
Cognitive Decline ◽  
Visual Impairment ◽  
Vision Impairment ◽  
Health And Retirement Study ◽  
Stroke Survivors ◽  
Fair Poor ◽  
Retirement Study ◽  
Good Vision

Introduction: Nearly 800,000 people in the United States sustain a stroke each year. Up to 60% of stroke survivors have visual impairments and/or ocular deficits, which may negatively impact functional performance, quality of life, and increase the risk for depression. Poor vision has been associated with cognitive decline in older adults, but little is known if vision impairment is a risk factor for cognitive decline among older adults who have survived a stroke. The purpose of this study was to evaluate the association between vision impairment and cognitive decline among stroke survivors and compare the cognitive trajectories of stroke survivors with and without visual impairment. Methods: We used data from four waves (2010-2016) of the Health and Retirement Study to investigate the cognitive health of stroke survivors with and without visual impairment. Vision (excellent-very good [ref], good, fair-poor) and stroke diagnosis were self-reported. Cognition was measured using the Telephone Interview for Cognitive Status. Linear mixed effects regression was used to model the association between overall, near, and far vision and change in cognitive function, adjusting for confounders. Results: The final sample included 1,475 stroke survivors. A majority were female (55.6%) and white (66.3%) and the mean age was 71.0 (11.7). Fair-poor overall ( B =-1.30, p <0.01), near ( B =-1.53, p <0.001), and far ( B =-1.27, p <0.001) vision, as well as good near ( B =-0.82, p <0.001) and far ( B =-0.48, p <0.05) vision were associated with significantly lower baseline cognitive function compared to excellent-very good vision. The association between self-rated vision and cognition decline was not statistically significant. Conclusions: We found that people with worst vision had lower cognitive functioning but not greater cognitive decline than stroke survivors with excellent-to-very good vision. Further research should investigate if specific types of vision impairment potentiate the risk of cognitive impairment and dementia in stroke survivors.

O4-05-05: Race/ethnic differences in cognitive decline: Results from the health and retirement study

2008 ◽  
Vol 4 ◽  
pp. T194-T195
Author(s):  
Kala M. Mehta ◽  
Lisa L. Barnes ◽  
Roland J. Thorpe ◽  
Eliseo Perez-Stable ◽  
Kenneth E. Covinsky ◽  
...  
Keyword(s):  
Cognitive Decline ◽  
Ethnic Differences ◽  
Health And Retirement Study ◽  
Retirement Study

scholarly journals Effects of self-reported hearing or vision impairment on depressive symptoms: a population-based longitudinal study

2018 ◽  
Vol 28 (03) ◽  
pp. 343-355 ◽  
Author(s):  
J. H. Han ◽  
H. J. Lee ◽  
J. Jung ◽  
E.-C. Park
Keyword(s):  
Depressive Symptoms ◽  
Longitudinal Study ◽  
Hearing Impairment ◽  
Age Groups ◽  
Estimating Equation ◽  
Population Based ◽  
Vision Impairment ◽  
Sensory Impairment ◽  
Related Factors ◽  
Dual Sensory Impairment

Aims.The aims of this study were to investigate the effects of either hearing, vision or dual sensory impairment on depressive symptoms and to identify subgroups that are vulnerable and significantly affected.Methods.Data from the 2006–2014 Korean Longitudinal Study of Aging (KLoSA) were used and a total of 5832 individuals were included in this study. Depressive symptoms were assessed using the Center for Epidemiologic Studies Depression (CES-D10) scale. Sensory impairment was assessed according to the levels of self-reported hearing or vision, which were categorised as either good (excellent, very good or good) or poor (fair or poor). The changes in hearing or vision from records of previous survey were investigated. Changes from good to poor, which indicates new onset, were defined as hearing impairment or vision impairment. Interactions of changes in hearing and vision were considered in the analysis. Dual sensory impairment was indicated when hearing impairment and vision impairment both developed at the same time. Demographic, socioeconomic and health-related factors were considered as potential confounders and were adjusted for in the generalised estimating equation model.Results.Individuals with hearing impairment demonstrated significantly more severe depressive symptoms [β = 0.434, standard errors (s.e.) = 0.097, p &lt; 0.001] than those who had good hearing. Those with vision impairment also showed significantly elevated depressive symptoms (β = 0.253, s.e. = 0.058, p &lt; 0.001) than those with good vision. When the interactions between hearing and vision were considered, participants with dual sensory impairment showed significantly more severe depressive symptoms (β = 0.768, s.e. = 0.197, p &lt; 0.001) than those with good hearing and vision. The effect of a single and dual sensory impairment on depressive symptoms was significant in both sexes and across age groups, except for vision impairment in male participants.Conclusions.Hearing, vision and dual sensory impairment are significantly associated with depressive symptoms. Our results suggest that treatment or rehabilitation of either hearing or vision impairment would help prevent depression.

scholarly journals Dual sensory impairment: The association between glaucomatous vision loss and hearing impairment and function

PLoS ONE ◽  
2018 ◽  
Vol 13 (7) ◽  
pp. e0199889 ◽  
Author(s):  
Lucy I. Mudie ◽  
Varshini Varadaraj ◽  
Prateek Gajwani ◽  
Beatriz Munoz ◽  
Pradeep Ramulu ◽  
...  
Keyword(s):  
Hearing Impairment ◽  
Vision Loss ◽  
Sensory Impairment ◽  
And Function ◽  
Dual Sensory Impairment

scholarly journals COGNITIVE AND HEARING IMPAIRMENTS IN OLDER ADULTS: EVIDENCE FROM THE HEALTH AND RETIREMENT STUDY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S77-S77
Author(s):  
Jessica S West ◽  
Scott Lynch
Keyword(s):  
Older Adults ◽  
Sex Differences ◽  
Cognitive Impairment ◽  
Cognitive Decline ◽  
Hearing Impairment ◽  
Cognitive Impairments ◽  
Hearing Impairments ◽  
The Relationship ◽  
Retirement Study ◽  
Over Time

Abstract As the number of older adults increases, increased prevalence of cognitive and sensory impairments pose growing public health challenges. Research on the relationship between hearing impairment and cognition, however, is minimal and has yielded mixed results, with some studies finding that hearing impairment is associated with cognitive decline, and others reporting that the association is weak or non-existent. Most of this research has been conducted outside of the U.S., and the few U.S.-based longitudinal studies have relied mostly on small, non-representative samples involving short follow-up periods. Further, despite known gendered patterns in cognitive and hearing impairments, no studies to date have examined whether the relationship between the two varies by gender. Our study addresses these weaknesses in the literature by utilizing nine waves of the Health and Retirement Study (1998-2014; n=14,169), a large, nationally representative, longitudinal study that facilitates examination of long-term interrelationships between hearing and cognitive impairments. In this study, we use autoregressive latent trajectory (ALT) methods to model: 1) the relationship between hearing impairment and cognitive decline, and 2) sex differences in the relationship. ALT models enable us to determine whether hearing impairment and cognitive impairment are associated, net of their common tendency simply to co-trend with age. Results indicate that hearing and cognitive impairments are strongly interrelated processes that trend together over time. Moreover, hearing impairment has an increasing impact on cognitive impairment across age while the effect of cognitive impairment on hearing impairment levels out over time. Sex differences in these patterns are discussed.

scholarly journals Antidepressant Use and Cognitive Decline: The Health and Retirement Study

2015 ◽  
Vol 128 (7) ◽  
pp. 739-746 ◽  
Author(s):  
Jane S. Saczynski ◽  
Allison B. Rosen ◽  
Ryan J. McCammon ◽  
Kara Zivin ◽  
Susan E. Andrade ◽  
...  
Keyword(s):  
Cognitive Decline ◽  
Health And Retirement Study ◽  
Antidepressant Use ◽  
Retirement Study
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