Analyzing the factors influencing speech recognition ability in patients with age-related hearing loss.
10.13201/j.issn.2096-7993.2025.07.010
- Author:
Weiguo ZHANG
1
;
Shudong YU
1
Author Information
1. Department of Otolaryngology Head and Neck Surgery，Provincial Hospital Affiliated to Shandong First Medical University，Jinan，250021，China.
- Publication Type:Journal Article
- Keywords:
age-related hearing loss;
cognitive impairment;
maximum speech recognition score;
presbycusis
- MeSH:
Humans;
Case-Control Studies;
Middle Aged;
Male;
Female;
Aged;
Speech Perception;
Cognition;
Presbycusis/physiopathology*;
Adult;
Hearing Loss
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2025;39(7):657-666
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore various factors influencing speech recognition ability in patients with age-related hearing loss（ARHL） and to investigate the correlation between speech recognition ability and cognitive function. Methods:This case-control study enrolled 150 ARHL patients（experimental group） and 132 normal-hearing controls. Participants underwent relevant assessments of auditory function, cognitive function, and tinnitus severity. Various statistical analyses were performed to evaluate the results. Results:①The PBmax and MoCA scores were significantly lower in the ARHL group compared to the control group（P<0.05）. ②PBmax in the ARHL group was significantly influenced by multiple factors（P<0.05）. ③Negative correlations were observed between PBmax in the ARHL group and age, degree of hearing loss, duration of the disease, duration of the worst hearing loss, smoking status, and tinnitus severity（P<0.05）, while positive correlations were found between PBmax and education level, occupation type, frequency of verbal communication, and cognitive function level（P<0.05）. ④Higher education level, frequent verbal communication, and high cognitive function level were protective factors for PBmax in ARHL patients（P<0.05）, whereas the other factors were independent risk factors（P<0.05）. ⑤A significant correlation was found between PBmax and MoCA scores in the ARHL group, and this correlation between cognitive function and speech recognition ability remained significant across different degrees of hearing loss（<0.05）. Conclusion:Speech recognition ability in ARHL patients is influenced by multiple factors. Cognitive function demonstrates a robust, bidirectional association with speech recognition ability, even after adjusting for hearing loss severity.
