Cognitive and auditory aspects in elderly people with hearing loss and using sound amplification devices
Keywords:Hearing loss; Elderly; Cognition; Noise; Hearing aids.
The increase in the number of elderly people in the population is remarkable. During aging, new difficulties arise, such as the decline of auditory and cognitive abilities. Much has been shown about the relationship between hearing loss and cognitive decline. Among the main consequences of this association are the difficulty in understanding speech, especially in noisy environments, and, therefore, increased listening effort. One intervention that has been shown to be effective is the use of a sound amplification device (SAD). The objective was to investigate auditory and cognitive aspects in elderly people with hearing loss. Fifty-six elderly people were evaluated at the beginning of the SAD adaptation process. The survey was carried out on the day of fitting and three procedures were performed: assessment of speech recognition in noise (SRN), with and without SAD, to calculate the Benefit, cognitive screening (CS) and subjective assessment of listening effort. It was observed that 32.1% of the individuals studied had results suggestive of cognitive impairment. Through regression models, it was observed that the Benefit average increases when the Best Ear Average value increases, the SRN Sound Level (SL) average without SAD decreases when the CS total score increases, and the SRN SL average without SAD increases as age increases. It was concluded that, with aging, worse is the performance on the CS, which may mean a worse performance on the SRN test. However, the use of SAD enables a better performance in the SRN test.
Alhanbali, S., Dawes P, Lloyd, S., & Munro, K. J. (2017). Self-Reported Listening-Related Effort and Fatigue in Hearing-Impaired Adults. Ear Hear, 38(1):e39–e48.
Bussab, W. O., & Morettin, P. A. (2017). Estatística Básica. (9a ed.), Editora Saraiva.
Cerny, L., Vokral, J., & Dlouha, O. Influence of age on speech intelligibility in babble noise. Acta Neurobiol Exp (Wars), 78(2):140-7.
Costa, M. J. (1998). Listas de sentenças em português: apresentação e estratégias de aplicação na audiologia. Santa Maria: Pallotti.
Damasceno, A, Delicio, A. M, Mazo, D. F. C, Zullo, J. F. D., Scherer, P., Ng R. T. Y., & Damasceno, B. P. (2005). Validation of the Brazilian version of mini-test CASI-S. Arq Neuro-Psiquiatria, 63(2b):416-21.
Dawes, P., Emsley R., Cruickshanks K. J., Moore D. R., Fortnum H., Edmondson-Jones M., & Munro K. J. (2015). Hearing Loss and Cognition: The Role of Hearing Aids, Social Isolation and Depression. PLOS ONE, 10(3):e0119616.
Degeest S., Keppler H., & Corthals P. (2015). The effect of age on listening effort. J Speech Lang Hear Res., 58(5):1592-600.
Dubno J. R., Dirks D. D., & Morgan D. E. (1984). Effects of age and mild hearing loss on speech recognition in noise. J Acoust Soc Am., 76(1):87-96.
Fetoni A. R., Picciotti P. M., Paludetti G., & Troiani D. (2011). Pathogenesis of presbycusis in animal models: a review. Exp. Gerontol., 46:413-25.
Giroud N, Lemke U, Reich P, Matthes K L & Meyer M. (2017). The impact of hearing aids and age-related hearing loss on auditory plasticity across three months - An electrical neuroimaging study. Hear Res., 353:162-75.
Gonsalez E C M & Almeida K. (2015). Adaptação cultural do questionário Speech, Spatial and Qualities of Hearing Scale (SSQ) para o Português Brasileiro. ACR., 20(3):215-24.
Henriques M O & Costa M J. (2011). Reconhecimento de sentenças no ruído, em campo livre, em indivíduos com e sem perda auditiva. Rev CEFAC, 13(6):1040-7.
Kutner M H, Nachtsheim C J, Neter J & Li W. (2004). Applied Linear statistical Models. New York: McGraw – Hill Companies.
Lin F R, Metter E J, O’Brien R J, Resnick S M, Zonderman A B & Ferrucci L. (2011). Hearing Loss and Incident Dementia. Arch Neurol., 68(2):214-20.
Lin F R, YafFe K, Xia J, Xue Q L, Harris T B, Purchase-Helzner E, Satterfield S, Ayonayon H N, Ferrucci L, Simonsick E M, Newman A B, Ives D, Elam J, Cummings S R, Nevitt M C, Rubin S M & Garcia M E. (2013). Hearing Loss and Cognitive Decline Among Older Adults. JAMA Intern Med., 173:293-9.
Loughrey D G, Kelly M E, Kelley G A, Brennan S & Lawlor B A. (2018). Association of Age-Related Hearing Loss With Cognitive Function, Cognitive Impairment, and Dementia: A Systematic Review and Meta-analysis. JAMA Otolaryngol Head Neck Surg., 144(2):115-26.
Mathers C, Smith A & Concha M. (2000). Global Burden of Hearing Loss in the Year 2000.
Meister H, Rählmann S, Walger M, Margolf-Hackl S, & Kießling J. (2015). Hearing aid fitting in older persons with hearing impairment: the influence of cognitive function, age, and hearing loss on hearing aid benefit. Clin Interv Aging. 10:435-43.
Mick P, Parfyonov M, Wittich W, Phillips N, & Pichora-Fuller M K. (2018). Associations between sensory loss and social networks, participation, support, and loneliness: Analysis of the Canadian Longitudinal Study on Aging. Can Fam Physician. 64(1):e33-e41
Mick P, Reed M, & Pichora-Fuller M. (2015) Hearing, Cognition, and Healthy Aging: Social and Public Health Implications of the Links between Age-Related Declines in Hearing and Cognition.. Seminars in Hearing. 36(03):122-39.
Nixon G, Sarant J Z, Tomlin D, Dowell R. T (2019). he relationship between peripheral hearing loss and higher order listening function on cognition in older Australians. Int J Audiol. 58(12):933-44.
Ohlenforst B, Zekveld A A, Jansma E P, Wang Y, Naylor G, Lorens A, Lunner T, Kramer S E. (2017). Effects of Hearing Impairment and Hearing Aid Amplification on Listening Effort: A Systematic Review. Ear Hear. 38(3):267-81.
Presacco A, Simon J Z, & Anderson S. (2019). Speech-in-noise representation in the aging midbrain and cortex: Effects of hearing loss. (2019). PLoS ONE. 14(3):e0213899.
Ray J, Popli G, & Fell G. (2018). Association of Cognition and Age-Related Hearing Impairment in the English Longitudinal Study of Ageing. (2018). JAMA Otolaryngol Head Neck Surg. 144(10):876-82.
Rudner M, Rönnberg J, & Lunner T. (2011). Working memory supports listening in noise for persons with hearing impairment. (2011). J Am Acad Audiol. 22(3):156-67.
Teng E L, Hasegawa K, Homma A, Imai Y, Larson E, Graves A, White L R. (2004). The Cognitive Abilities Screening Instrument (CASI): A Practical Test for Cross-Cultural Epidemiological Studies of Dementia. Intern Psychogeriatr. 6(1):45-58.
WHO (2011). Global Health and Aging. https://nacoesunidas.org/acao/pessoas-idosas/
WHO (2012). WHO Global Estimates on Prevalence of Hearing Loss: Mortality and Burden of Diseases and Prevention of Blindness and Deafness. (fonte TNR 8 – espaço simples -justificado)
How to Cite
Copyright (c) 2023 Bianca Valeri; Ana Claudia Fiorini
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.