Self-Reported Hearing Loss, Hearing Aids, and Cognitive Decline in Elderly Adults: A 25-Year Study
Version of Record online: 20 OCT 2015
© 2015, Copyright the Authors Journal compilation © 2015, The American Geriatrics Society
Journal of the American Geriatrics Society
Volume 63, Issue 10, pages 2099–2104, October 2015
How to Cite
J Am Geriatr Soc 63:2099–2104, 2015.
- Issue online: 20 OCT 2015
- Version of Record online: 20 OCT 2015
- ARMA (Bordeaux)
- Mutuelle Générale de l'Education Nationale
- Mutualité Sociale Agricole
- Novartis Pharma (France)
- SCORInsurance (France)
- Caisse Nationale d'Assurance Maladie des Travailleurs Salariés
- Conseil Général de la Dordogne
- Conseil Général de la Gironde
- Conseil Régional d'Aquitaine
- Fondation de France
- France Alzheimer (Paris)
- GIS Longévité
- Institut National de la Santé et de la Recherche Médicale
- hearing loss;
- hearing aids;
- cognitive decline;
To investigate the association between hearing loss, hearing aid use, and cognitive decline.
Prospective population-based study.
Data gathered from the Personnes Agées QUID study, a cohort study begun in 1989–90.
Individuals aged 65 and older (N = 3,670).
At baseline, hearing loss was determined using a questionnaire assessing self-perceived hearing loss; 137 subjects reported major hearing loss, 1,139 reported moderate problems (difficulty following the conversation when several persons talk at the same time or in a noisy background), and 2,394 reported no hearing trouble. Cognitive decline was measured using the Mini-Mental State Examination (MMSE), administered at follow-up visits over 25 years.
Self-reported hearing loss was significantly associated with lower baseline MMSE score (β = −0.69, P < .001) and greater decline during the 25-year follow-up period (β = −0.04, P = .01) independent of age, sex, and education. A difference in the rate of change in MMSE score over the 25-year follow-up was observed between participants with hearing loss not using hearing aids and controls (β = −0.06, P < .001). In contrast, subjects with hearing loss using a hearing aid had no difference in cognitive decline (β = 0.07, P = .08) from controls.
Self-reported hearing loss is associated with accelerated cognitive decline in older adults; hearing aid use attenuates such decline.