Hearing Loss and Dementia: Where to From Here?

被引:12
作者
Dawes, Piers [1 ,2 ]
Munro, Kevin J. [2 ]
机构
[1] Univ Queensland, Ctr Hearing Res, Sch Hlth & Rehabil Sci, Brisbane, Qld, Australia
[2] Univ Manchester, Manchester Ctr Audiol & Deafness, Manchester, England
关键词
Dementia; Hearing aids; Hearing loss; OLDER-ADULTS; COGNITIVE DECLINE; AGE; ASSOCIATION; IMPAIRMENT; PREVENTION; PROGRAM; LIFE;
D O I
10.1097/AUD.0000000000001494
中图分类号
R36 [病理学]; R76 [耳鼻咽喉科学];
学科分类号
100104 ; 100213 ;
摘要
Victorian era psychologists were the first to comment on associations between sensory and cognitive function. More recently, hearing loss has been shown as a marker of risk for dementia. However, it is not known whether this association represents a causal impact of hearing loss, nor whether treating hearing loss may help prevent dementia. Most studies on relationships between hearing loss and cognitive outcomes are observational, are at risk of confounding, and cannot reach conclusions about causation. A recent high quality randomized controlled trial, relatively uncommon in audiology, reported no impact of a comprehensive hearing intervention in mitigating cognitive decline in older adults. Although secondary analysis revealed potential benefits in a sub-sample of adults, this finding may be spurious. Encouraging policymakers, patients, and other health care practitioners to address hearing loss in terms of dementia prevention may be inappropriate on the grounds of both relevance at individual level and lack of clear evidence of benefit. In addition, advocating need to address hearing loss in terms of mitigating dementia risk may reduce the importance of addressing hearing loss in its own right. Linking hearing loss to dementia risk may also exacerbate the stigma of hearing loss, inadvertently discouraging people from seeking help for hearing. We suggest that treating hearing loss may have important benefits in preventing or delaying diagnosis of dementia via improving orientation and functioning in daily life, without changing the underlying pathology. Rather than linking hearing loss to dementia risk, we suggest a positive message focusing on the known benefits of addressing hearing loss in terms of improved communication, quality of life, and healthy aging.
引用
收藏
页码:529 / 536
页数:8
相关论文
共 70 条
[11]  
Dawes P, 2023, Z GERONTOL GERIATR, V56, P261, DOI 10.1007/s00391-023-02178-z
[12]   Hearing Assessment and Rehabilitation for People Living With Dementia [J].
Dawes, Piers ;
Littlejohn, Jenna ;
Bott, Anthea ;
Brennan, Siobhan ;
Burrow, Simon ;
Hopper, Tammy ;
Scanlan, Emma .
EAR AND HEARING, 2022, 43 (04) :1089-1102
[13]   Interventions for hearing and vision impairment to improve outcomes for people with dementia: a scoping review [J].
Dawes, Piers ;
Wolski, Lucas ;
Himmelsbach, Ines ;
Regan, Jemma ;
Leroi, Iracema .
INTERNATIONAL PSYCHOGERIATRICS, 2019, 31 (02) :203-221
[14]   Hearing Loss and Cognition: The Role of Hearing Aids, Social Isolation and Depression [J].
Dawes, Piers ;
Emsley, Richard ;
Cruickshanks, Karen J. ;
Moore, David R. ;
Fortnum, Heather ;
Edmondson-Jones, Mark ;
McCormack, Abby ;
Munro, Kevin J. .
PLOS ONE, 2015, 10 (03)
[15]  
Deal Jennifer A, 2018, Alzheimers Dement (N Y), V4, P499, DOI 10.1016/j.trci.2018.08.007
[16]   Hearing Impairment and Incident Dementia and Cognitive Decline in Older Adults: The Health ABC Study [J].
Deal, Jennifer A. ;
Betz, Josh ;
Yaffe, Kristine ;
Harris, Tamara ;
Purchase-Helzner, Elizabeth ;
Satterfield, Suzanne ;
Pratt, Sheila ;
Govil, Nandini ;
Simonsick, Eleanor M. ;
Lin, Frank R. .
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 2017, 72 (05) :703-709
[17]   Adoption, use and non-use of hearing aids: a robust estimate based on Welsh national survey statistics [J].
Dillon, Harvey ;
Day, John ;
Bant, Sarah ;
Munro, Kevin J. .
INTERNATIONAL JOURNAL OF AUDIOLOGY, 2020, 59 (08) :567-573
[18]   Clinical and neurocognitive aspects of hallucinations in Alzheimer's disease [J].
El Haj, Mohamad ;
Roche, Jean ;
Jardri, Renaud ;
Kapogiannis, Dimitrios ;
Gallouj, Karim ;
Antoine, Pascal .
NEUROSCIENCE AND BIOBEHAVIORAL REVIEWS, 2017, 83 :713-720
[19]   The Two Faces of Fear: A History of Hard-Hitting Public Health Campaigns Against Tobacco and AIDS [J].
Fairchild, Amy Lauren ;
Bayer, Ronald ;
Green, Sharon H. ;
Colgrove, James ;
Kilgore, Elizabeth ;
Sweeney, Monica ;
Varma, Jay K. .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2018, 108 (09) :1180-1186
[20]   Hearing aids for mild to moderate hearing loss in adults [J].
Ferguson, Melanie A. ;
Kitterick, Padraig T. ;
Chong, Lee Yee ;
Edmondson-Jones, Mark ;
Barker, Fiona ;
Hoare, Derek J. .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2017, (09)