Does Hearing Rehabilitation Mitigate the Association Between Hearing Loss and Cognitive Impairment?
Tóm tắt
Dementia is a highly prevalent and potentially devastating disease that has garnered considerable attention from public health researchers as a target for public policy. Given the multifactorial nature of its development and the lack of effective medical therapies, a common public health strategy for addressing this disease is to focus on its modifiable risk factors. Hearing loss is one such risk factor. The purpose of this review is to examine the role of hearing rehabilitation in modifying the association between hearing loss and cognitive impairment. Various studies have been conducted to analyze how hearing aid use may impact the relationship between hearing loss and cognitive impairment/dementia, including cross-sectional and retrospective cohort studies, prospective cohort studies, and randomized controlled trials (RCTs). This review discusses the role of hearing loss as a modifiable risk factor for cognitive impairment/dementia, proposed causal mechanisms between hearing loss and cognitive impairment, and studies at multiple levels of evidence examining the role of hearing rehabilitation in mitigating the association between hearing loss and cognitive impairment. Although more randomized controlled trials of hearing aid use are required to clarify whether hearing aid use attenuates cognitive impairment, the authors recommend consideration of hearing aid use as one measure to potentially lower the risk of cognitive impairment/dementia development or progression in at-risk populations.
Tài liệu tham khảo
Collaborators GDF. Estimation of the global prevalence of dementia in 2019 and forecasted prevalence in 2050: an analysis for the Global Burden of Disease Study 2019. The Lancet Public Health. 2022;7(2): e105.
• Livingston G, et al. Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. Lancet. 2020;396(10248):413–446. This paper is a review of 12 potentially modifiable risk factors for dementia, including hearing impairment.
Wimo A, et al. The worldwide economic impact of dementia 2010. Alzheimers Dement. 2013;9(1):1–11e3.
Wimo A, et al. The worldwide costs of dementia 2015 and comparisons with 2010. Alzheimers Dement. 2017;13(1):1–7.
Prince MJ, et al. World Alzheimer Report 2015-The global impact of dementia: an analysis of prevalence, incidence, cost and trends. 2015.
Lin FR, et al. Hearing loss and cognition in the Baltimore Longitudinal Study of Aging. Neuropsychology. 2011;25(6):763–70.
Tay T, et al. Sensory and cognitive association in older persons: findings from an older Australian population. Gerontology. 2006;52(6):386–94.
Lin FR. Hearing loss and cognition among older adults in the United States. J Gerontol A Biol Sci Med Sci. 2011;66(10):1131–6.
Valentijn SA, et al. Change in sensory functioning predicts change in cognitive functioning: results from a 6-year follow-up in the maastricht aging study. J Am Geriatr Soc. 2005;53(3):374–80.
Amieva H, et al. Death, depression, disability, and dementia associated with self-reported hearing problems: a 25-year study. J Gerontol A Biol Sci Med Sci. 2018;73(10):1383–9.
Lin FR, et al. Hearing loss and cognitive decline in older adults. JAMA Intern Med. 2013;173(4):293–9.
WHO. Global costs of unaddressed hearing loss and cost-effectiveness of interventions: a WHO report. 2017.
Goman AM, Lin FR. Prevalence of hearing loss by severity in the United States. Am J Public Health. 2016;106(10):1820–2.
Lin FR, et al. Hearing loss prevalence and risk factors among older adults in the United States. J Gerontol A Biol Sci Med Sci. 2011;66(5):582–90.
Chien W, Lin FR. Prevalence of hearing aid use among older adults in the United States. Arch Intern Med. 2012;172(3):292–3.
Thomson RS, et al. Hearing loss as a risk factor for dementia: a systematic review. Laryngoscope Investig Otolaryngol. 2017;2(2):69–79.
Chern A, Golub JS. Age-related hearing loss and dementia. Alzheimer Dis Assoc Disord. 2019;33(3):285–90.
Sweller J. Cognitive load theory. In: Psychology of learning and motivation. Elsevier; 2011. p. 37–76.
Shukla A, et al. Hearing loss, loneliness, and social isolation: a systematic review. Otolaryngol Head Neck Surg. 2020;162(5):622–33.
Ronnberg J, et al. The effect of functional hearing loss and age on long- and short-term visuospatial memory: evidence from the UK Biobank resource. Front Aging Neurosci. 2014;6:326.
Qian ZJ, et al. Hearing aid use is associated with better mini-mental state exam performance. Am J Geriatr Psychiatry. 2016;24(9):694–702.
Saji N, et al. Hearing impairment is associated with cognitive function in community-dwelling older adults: a cross-sectional study. Arch Gerontol Geriatr. 2021;93: 104302.
Bae S, et al. The role of social frailty in explaining the association between hearing problems and mild cognitive impairment in older adults. Arch Gerontol Geriatr. 2018;78:45–50.
Amieva H, et al. Self-reported hearing loss, hearing aids, and cognitive decline in elderly adults: a 25-year study. J Am Geriatr Soc. 2015;63(10):2099–104.
Maharani A, et al. Longitudinal relationship between hearing aid use and cognitive function in older Americans. J Am Geriatr Soc. 2018.
Curhan SG, et al. Longitudinal study of hearing loss and subjective cognitive function decline in men. Alzheimers Dement. 2019;15(4):525–33.
Mulrow CD, et al. Quality-of-life changes and hearing impairment a randomized trial. Ann Intern Med. 1990;113(3):188–94.
•• Sanders ME, et al. The effect of hearing aids on cognitive function: a systematic review. PLoS One. 2021:16(12):e0261207. This paper provides a thorough systematic review of existing evidence for hearing aid use as a method of slowing the progression of cognitive decline.
Cosetti MK, et al. Neurocognitive testing and cochlear implantation: insights into performance in older adults. Clin Interv Aging. 2016;11:603–13.
Sorrentino T, et al. Cognitive function and quality of life in older adult patients with cochlear implants. Int J Audiol. 2020;59(4):316–22.
Gurgel RK, et al. Evaluating the impact of cochlear implantation on cognitive function in older adults. Laryngoscope. 2022;132:S1–15.
Claes AJ, et al. Cognitive performance of severely hearing-impaired older adults before and after cochlear implantation: preliminary results of a prospective, longitudinal cohort study using the RBANS-H. Otol Neurotol. 2018;39(9):e765–73.