Study on the relationship between age-related hearing loss and cognitive impairment
10.3760/cma.j.issn.1673-0860.2019.02.003
- VernacularTitle: 老年性听力损失与认知障碍的相关研究
- Author:
Tongxiang DIAO
1
;
Qiuhong HAN
2
;
Haijun SHAN
3
;
Xiaoqin WU
3
;
Yunjuan LIN
3
;
Qiang LI
1
;
Genghui WANG
1
;
Yuanyuan JING
1
;
Xin MA
1
;
Ming SHEN
4
;
Lisheng YU
1
;
Lin HAN
1
;
Yixu WANG
1
Author Information
1. Department of Otorhinolaryngology, Peking University People′s Hospital, Beijing 100044, China
2. Department of Otorhinolaryngology, Qinhuangdao Workers′ Hospital, Qinhuangdao 066200, China
3. Department of Otorhinolaryngology, Peking University International Hospital, Beijing 102206, China
4. Department of Neurology, Peking University People′s Hospital, Beijing 100044, China
- Publication Type:Journal Article
- Keywords:
Hearing loss;
Cognition disorders;
Aged
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2019;54(2):110-115
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the correlation between age-related hearing loss and cognitive impairment.
Methods:201 elderly patients, who were admitted to the Department of Otorhinolaryngology of Peking University People′s Hospital from March 1, 2017 to March 31, 2017, were evaluated with hearing screening and the Montreal Cognitive Assessment Scale. Among them, 101 were female and 100 were male, aged 60-90 years old. Taking the cognitive level as the dependent variable, and taking the age, sex, education, occupation, marital status, residence, and average hearing loss (average hearing threshold of 500, 1 000, 2 000, and 4 000 Hz), as well as the length of conscious hearing loss as the independent variables, the single factor analysis and multivariate linear regression analysis were used to screen the main factors affecting the cognitive level of the elderly.
Results:Of the 201 elderly patients, 39 had normal hearing, 65 had mild hearing loss, 80 had moderate hearing loss, 16 had severe hearing loss, and 1 had profound hearing loss. The average degree of hearing loss was the influencing factor of cognitive impairment, and it mainly affected the directional force and abstract ability in the cognitive domains (P<0.05); The age, self-reported hearing loss, years of education, marital status, past ear diseases, and hypertension were relatively independent factors that affected the cognitive level(P<0.05).
Conclusions:Age-related hearing loss is the risk factor for the cognitive impairment, especially for abstraction and orientation, in the elderly. The self-reported hearing loss is an independent risk factor for cognitive impairment.
