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The Association between Untreated and Treated Hearing Loss and Cognitive Performance in Men and Women Aged 60–96 Years : Data from the Swedish “Good Aging in Skåne” Population Study

Lundgren, Paula LU ; Elmståhl, Sölve LU and Ekström, Henrik LU (2024) In Journal of Clinical Medicine 13(8).
Abstract

Background/Objectives: Recent decades have witnessed a sharp increase in research investigating the association between hearing loss and cognitive impairment. Few previous studies have stratified for sex when investigating this issue, where results were inconsistent and require further clarification. Thus, the objective was to investigate the association between self-reported hearing loss and levels of cognitive impairment, stratified for sex. Methods: In this cross-sectional study, data were collected from 2001 to 2016. The study sample consisted of 5075 individuals, 2325 (45.8%) men, mean age 68.3 years, and 2750 (54.2%) women, mean age 70.0 years. Multiple variate ordinal regression models were constructed and adjusted for age,... (More)

Background/Objectives: Recent decades have witnessed a sharp increase in research investigating the association between hearing loss and cognitive impairment. Few previous studies have stratified for sex when investigating this issue, where results were inconsistent and require further clarification. Thus, the objective was to investigate the association between self-reported hearing loss and levels of cognitive impairment, stratified for sex. Methods: In this cross-sectional study, data were collected from 2001 to 2016. The study sample consisted of 5075 individuals, 2325 (45.8%) men, mean age 68.3 years, and 2750 (54.2%) women, mean age 70.0 years. Multiple variate ordinal regression models were constructed and adjusted for age, marital status, education, physical activity, depressive mood, hypertension, stroke, diabetes, and use of sedatives to investigate associations between groups of self-reported untreated and treated hearing loss and those reporting no hearing loss in relation to levels of cognitive impairment assessed by the Mini-Mental State Examination scale. Results: In men, treated hearing loss was associated with levels of cognitive impairment, odds ratio (OR) = 1.64, 95% confidence interval (CI) = 1.14–2.36. In women, both untreated hearing loss, (OR = 1.45, CI 1.07–1.98) and treated hearing loss (OR= 1.46, CI 1.06–2.04) were associated with levels of cognitive impairment. Conclusions: Hearing loss was found to be associated with cognitive impairment despite hearing aid use as well as awareness amongst physicians. The introduction of screening programs for hearing loss in older adults could be a crucial step for earlier identification of individuals at higher risk of developing cognitive impairment and dementia.

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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
cognitive impairment, older adults, treated hearing loss, untreated hearing loss
in
Journal of Clinical Medicine
volume
13
issue
8
article number
2415
publisher
MDPI AG
external identifiers
  • pmid:38673688
  • scopus:85191477278
ISSN
2077-0383
DOI
10.3390/jcm13082415
language
English
LU publication?
yes
id
45290152-f1bf-4fed-ade3-6def2cad1f35
date added to LUP
2025-01-13 15:39:23
date last changed
2025-07-15 06:18:08
@article{45290152-f1bf-4fed-ade3-6def2cad1f35,
  abstract     = {{<p>Background/Objectives: Recent decades have witnessed a sharp increase in research investigating the association between hearing loss and cognitive impairment. Few previous studies have stratified for sex when investigating this issue, where results were inconsistent and require further clarification. Thus, the objective was to investigate the association between self-reported hearing loss and levels of cognitive impairment, stratified for sex. Methods: In this cross-sectional study, data were collected from 2001 to 2016. The study sample consisted of 5075 individuals, 2325 (45.8%) men, mean age 68.3 years, and 2750 (54.2%) women, mean age 70.0 years. Multiple variate ordinal regression models were constructed and adjusted for age, marital status, education, physical activity, depressive mood, hypertension, stroke, diabetes, and use of sedatives to investigate associations between groups of self-reported untreated and treated hearing loss and those reporting no hearing loss in relation to levels of cognitive impairment assessed by the Mini-Mental State Examination scale. Results: In men, treated hearing loss was associated with levels of cognitive impairment, odds ratio (OR) = 1.64, 95% confidence interval (CI) = 1.14–2.36. In women, both untreated hearing loss, (OR = 1.45, CI 1.07–1.98) and treated hearing loss (OR= 1.46, CI 1.06–2.04) were associated with levels of cognitive impairment. Conclusions: Hearing loss was found to be associated with cognitive impairment despite hearing aid use as well as awareness amongst physicians. The introduction of screening programs for hearing loss in older adults could be a crucial step for earlier identification of individuals at higher risk of developing cognitive impairment and dementia.</p>}},
  author       = {{Lundgren, Paula and Elmståhl, Sölve and Ekström, Henrik}},
  issn         = {{2077-0383}},
  keywords     = {{cognitive impairment; older adults; treated hearing loss; untreated hearing loss}},
  language     = {{eng}},
  number       = {{8}},
  publisher    = {{MDPI AG}},
  series       = {{Journal of Clinical Medicine}},
  title        = {{The Association between Untreated and Treated Hearing Loss and Cognitive Performance in Men and Women Aged 60–96 Years : Data from the Swedish “Good Aging in Skåne” Population Study}},
  url          = {{http://dx.doi.org/10.3390/jcm13082415}},
  doi          = {{10.3390/jcm13082415}},
  volume       = {{13}},
  year         = {{2024}},
}