López-García I, Sánchez-Paz LC, Pineda-Cásarez F, Durán-Ortiz M, Garza-Castañeda RR

Language: Spanish
References: 23
Page: 24-28
PDF size: 196.07 Kb.

ABSTRACT

Objective: To determine the prevalence of dementia syndrome and cognitive impairment in the elderly with hearing loss.
Materials and Methods: An observational, cross-sectional, descriptive study was performed in a third level hospital in Mexico City among adults ≥ 60 years with hearing loss. Participants were evaluated in the Otorhinolaryngology Service to identify the presence of dementia syndrome with the Phototest and cognitive impairment with the MoCA test. Statistical analysis was performed in SPSS v.26 with descriptive and inferential tests.
Results: A total of 47 older adults were included, of which 7 had mild hearing loss, 14 moderate, 17 severe, and 9 profound. The median MoCA score was 23 (18-26), 19.5 (15-25), 20 (16-23), and 21 (13-22) in patients with mild, moderate, severe, and profound hearing loss, respectively (p = 0.192). The Phototest score was 40 (38-49), 38.5 (27-43), 41 (34-43), and 37(32-38) in patients with mild, moderate, severe, and profound hearing loss, respectively (p = 0.475). The overall prevalence of cognitive impairment among patients with hearing loss was of 83%, and dementia syndrome of 6.4%.
Conclusions: The prevalence of cognitive impairment was high among patients with hearing loss and higher than that reported in the literature. Meanwhile, dementia was less frequent than in other reports.

REFERENCES

1. Sheffield AM, Smith RJH. The epidemiology of deafness.Cold Spring Harb Perspect Med 2019; 9 (9). doi: 10.1101/cshperspect.a033258.

2. Haile LM, Kamenov K, Briant PS, Orji AU, Steinmetz JD,Abdoli A, et al. Hearing loss prevalence and years lived withdisability, 1990-2019: Findings from the Global Burden ofDisease Study 2019. Lancet 2021; 397 (10278): 996-1009.https://doi.org/10.1016/S0140-6736(21)00516-X.

3. Díaz C, Goycoolea M, Cardemil F. Hipoacusia: trascendencia,incidencia y prevalencia. Rev Méd Clín Las Condes2016; 27 (6): 731-9.

4. Patel R, McKinnon BJ. Hearing loss in the elderly. ClinGeriatr Med 2018; 34 (2): 163-74. doi: 10.1016/j.cger.2018.01.001.

5. Powell DS, Oh ES, Reed NS, Lin FR, Deal JA. Hearing loss andcognition: What we know and where we need to go. FrontAging Neurosci 2022; 13: 1-18. https://doi.org/10.3389/fnagi.2021.769405.

6. Liu CM, Lee CTC. Association of hearing loss with dementia.JAMA Netw Open 2019; 2 (7). doi: 10.1001/jamanetworkopen.2019.8112.

7. Erwin DZ, Chen P. Hearing loss in the elderly. StatPearls2022.

8. Chien W, Lin FR. Prevalence of hearing aid use among olderadults in the United States. Arch Intern Med 2012; 172 (3):292-3. doi: 10.1001/archinternmed.2011.1408.

9. Lin FR, Thorpe R, Gordon-Salant S, Ferrucci L. Hearingloss prevalence and risk factors among older adults in theUnited States. J Gerontol A Biol Sci Med Sci 2011; 66A (5):582-90. doi: 10.1093/gerona/glr002.

10. Sharma RK, Chern A, Golub JS. Age-related hearing lossand the development of cognitive impairment and late-lifedepression: A scoping overview. Semin Hear 2021; 42 (1):10-25. doi: 10.1055/s-0041-1725997.

11. Flint P, Haughey B, Lund V, Robbins K, Regan-Thomas J,Lesperance M, et al. Cummings Otolaryngology - InternationalEdition: Head and neck surgery. 2020; 7: 1323-44.

12. Aguilar-Navarro SG, Mimenza-Alvarado AJ, Palacios-GarcíaAA, Samudio-Cruz A, Gutiérrez-Gutiérrez LA, Ávila-FunesJA. Validity and reliability of the Spanish version of theMontreal Cognitive Assessment (MoCA) for the detectionof cognitive impairment in Mexico. Rev Colomb Psiquiatr2018; 47 (4): 237-43. doi: 10.1016/j.rcp.2017.05.003.

13. Carnero-Pardo C, Sáez-Zea C, Montiel Navarro L, del Saz P,Feria-Vilar I, Pérez-Navarro M, et al. Utilidad diagnósticadel Test de las Fotos (Fototest) en deterioro cognitivo ydemencia. Neurol 2007; 22 (10): 860-9.

14. Gates GA, Anderson ML, McCurry SM, Feeney MP, LarsonEB. Central auditory dysfunction as a harbinger ofAlzheimer’s dementia. Arch Otolaryngol Head Neck Surg2011; 137 (4): 390-5. doi: 10.1001/archoto.2011.28.

15. Yuan J, Sun Y, Sang S, Pham JH, Kong WJ. The risk ofcognitive impairment associated with hearing functionin older adults: a pooled analysis of data from elevenstudies. Sci Rep 2018; 8 (1): 1-10. doi: 10.1038/s41598-018-20496-w.

16. Amieva H, Ouvrard C, Meillon C, Rullier L, Dartigues JF.Death, depression, disability, and dementia associatedwith self-reported hearing problems: A 25-year study. JGerontol A Biol Sci Med Sci 2018; 73 (10): 1383-9. doi:10.1093/gerona/glx250.

17. Estrada-González JG, Morales-Cadena GM, Dorado-Berumen ÓA, Fonseca-Chávez MG, Estrada-González JG,Morales-Cadena GM, et al. Estado funcional y cognitivo delos adultos mayores con hipoacusia en el Hospital Españolde México. Rev Sanid Milit 2018; 72 (1): 15-8.

18. Yuan J, Sun Y, Sang S, Pham JH, Kong WJ. The risk of cognitiveimpairment associated with hearing function in olderadults: a pooled analysis of data from eleven studies. SciRep 2018; 8: 1. doi: 10.1038/s41598-018-20496-w.

19. Peña OH, Peña OH. Prevalencia del síndrome demencialcon alteraciones auditivas. Rev Cubana OtorrinolaringolCir Cabeza Cuello 2019; 3 (2).

20. Deal JA, Betz J, Yaffe K, Harris T, Purchase-Helzner E, SatterfieldS, et al. Hearing impairment and incident dementiaand cognitive decline in older adults: The Health ABCStudy. J Gerontol A Biol Sci Med Sci 2017; 72 (5): 703. doi:10.1093/gerona/glw069.

21. Livingston G, Sommerlad A, Orgeta V, Costafreda SG, HuntleyJ, Ames D, et al. Dementia prevention, intervention,and care. Lancet 2017; 390 (10113): 2673-734. https://doi.org/10.1016/S0140-6736(20)30367-6.

22. Chern A, Golub JS. Age-related hearing loss and dementia.Alzheimer Dis Assoc Disord 2019; 33 (3): 285-90. doi:10.1097/WAD.0000000000000325.

23. Fortunato S, Forli F, Guglielmi V, de Corso E, PaludettiG, Berrettini S, et al. A review of new insights on theassociation between hearing loss and cognitive decline inageing. Acta Otorhinolaryngol Ital 2016; 36 (3): 155-66.doi: 10.14639/0392-100X-993.