2019, Number 4
<< Back Next >>
An Med Asoc Med Hosp ABC 2019; 64 (4)
Hearing loss and cognitive impairment in the elderly
Aragón-Torres JA, Weinberger FP, Milla HK, Rodríguez-Valero M
Language: Spanish
References: 22
Page: 265-269
PDF size: 169.22 Kb.
ABSTRACT
Background: One third of older people have hearing loss, in Mexico 67% of people over 60 have it, in the United Kingdom 50%. Soon hearing loss will be one of the most frequent diseases. On the other hand, cognitive impairment affects millions of people, causing disability and dependence. It has been shown that hearing loss induces changes in brain function and structure, accelerating cognitive impairment.
Objective: Describe the frequency of hearing loss in Mexican older people with and without a diagnosis of dementia and evaluate its association with cognitive impairment.
Material and methods: Cases: adults over 65 with Alzheimer’s disease, unspecified dementia and dementia. Controls: healthy older people. Tests: Mini-Mental State Examination, Montreal Cognitive Assessment, tonal audiometry, Hearing Handicap Inventory for the Elderly-Screening. Analysis: descriptive, association and qualitative; identifying average, standard deviation and percentages, using Statistical Package for the Social Sciences. Statistical test: odds ratio.
Results: Ten cases and 17 controls were studied. There is no statistically significant difference between age, sex, schooling, education degree or occupation. Half of the patients with cognitive impairment presented moderate to severe hearing loss. There is an association between the degree of hearing loss and the degree of cognitive impairment in the MMSE (p = 0.009) a greater hearing loss is related to a greater cognitive impairment.
Conclusions: Hearing loss is considered a modifiable risk factor for cognitive impairment. In the studied population was found a high frequency of cognitive impairment.
REFERENCES
Dawes P, Cruickshanks K, Moore D, Edmondson-Jones M, McCormack A, Fortnum H et al. Cigarette smoking, passive smoking, alcohol consumption, and hearing loss. JARO. 2014; 15 (4): 663-674.
Sergeyenko Y, Lall K, Liberman MC, Kujawa SG. Age-related cochlear synaptopathy: an early-onset contributor to auditory functional decline. J Neurosci. 2013; 33 (34): 13686-13694.
Pedraza-García Z, Delgado-Solís M. El déficit de audición en la tercera edad. Rev Fac Med UNAM. 2008; 51: 91-95.
Global costs of unaddressed hearing loss and cost-effectiveness of interventions: a WHO report, 2017. Geneva: World Health Organization; 2017. Licence: CC BY-NC-SA 3.0 IGO.
Gurgel RK, Ward PD, Schwartz S, Norton MC, Foster NL, Tschanz JT. Relationship of hearing loss and dementia: a prospective, population-based study. Otol Neurotol. 2014; 35 (5): 775-781.
Lin F, Ferrucci L, An Y, Goh J, Doshi J, Metter E et al. Association of hearing impairment with brain volume changes in older adults. Neuroimage. 2014; 90: 84-92.
Selkoe D, Hardy J. The amyloid hypothesis of Alzheimer’s disease at 25 years. EMBO. 2016; 8 (6): 595-608.
Loureiro C, García C, Adana L, Yacelga T, Rodríguez-Lorenzana A, Maruta C. Uso del test de evaluación cognitiva de Montreal (MoCA) en América Latina: revisión sistemática. iNeuro. 2018; 66 (12): 397.
Aguilar-Navarro S, Mimenza-Alvarado A, Palacios-García A, Samudio-Cruz A, Gutiérrez-Gutiérrez L, Ávila-Funes J. Validez y confiabilidad del MoCA (Montreal Cognitive Assessment) para el tamizaje del deterioro cognoscitivo en México. Revista Colombiana de Psiquiatría. 2018; 47 (4): 237-243.
Lichtenstein M, Hazuda H. Cross-cultural adaptation of the hearing handicap inventory for the elderly-screening version (HHIE-S) for use with Spanish-Speaking Mexican Americans. J Am Geriatr Soc. 1998; 46 (4): 492-498.
Ventry IM, Weinstein BE. The hearing handicap inventory for the elderly: a new tool. Ear Hear. 1982; 3: 128-134.
Dawes P. Hearing interventions to prevent dementia. HNO. 2019; 67 (3): 165-171.
Hardy CJ, Marshall CR, Golden HL, Clark CN, Mummery CJ, Griffiths TD et al. Hearing and dementia. J Neurol. 2016; 263 (11): 2339-2354.
Panza F, Solfrizzi V, Seripa D, Imbimbo BP, Capozzo R, Quaranta N et al. Age-related hearing impairment and frailty in Alzheimer’s disease: interconnected associations and mechanisms. Front Aging Neurosci. 2015; 7: 113.
Loughrey DG, Kelly ME, Kelley GA, Brennan S, Lawlor BA. Association of age-related hearing loss with cognitive function, cognitive impairment, and dementia: a systematic review and meta-analysis. JAMA Otolaryngol Head Neck Surg. 2018; 144 (2): 115-126.
Livingston G, Somerlad A, Orgeta V, Costafreda SG, Huntley J, Ames D et al. Dementia prevention, intervention, and care. Lancet. 2017; 390: 2673-734.
Estrada-González JG, Morales-Cadena GM, Dorado-Berumen OA, Fonseca-Chávez MG. Estado funcional y cognitivo de los adultos mayores relacionado con el grado de hipoacusia. An Orl Mex. 2018, 63 (1): 11-14.
Lin FR. Hearing loss and cognition among older adults in the United States. J Gerontol. 2011; 66 (10): 1131-1136.
Ciesielska N, Sokołowski R, Mazur E, Podhorecka M, Polak A, Kędziora K. Is the Montreal Cognitive Assessment (MoCA) test better suited than the Mini-Mental State Examination (MMSE) in mild cognitive impairment (MCI) detection among people aged over 60? Meta-analysis. Psychiatr. 2016; 50: 1039- 1052.
Uchida Y, Sugiura S, Nishita Y, Saji N, Sone M, Ueda H. Age-related hearing loss and cognitive decline - The potential mechanisms linking the two. Auris Nasus Larynx. 2019; 46 (1): 1-9.
Dawes P, Wolski L, Himmelsbach I, Regan J, Leroi I. Interventions for hearing and vision impairment to improve outcomes for people with dementia: a scoping review. Int Psychogeriatr. 2019; 31 (2): 203-221.
Mosnier I, Vanier A, Bonnard D, Lina-Granade G, Truy E, Bordure P et al. Long-term cognitive prognosis of profoundly deaf older adults after hearing rehabilitation using cochlear implants. J Am Geriatr Soc. 2018; 66 (8): 1553-1561.