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Hearing aid use and gender differences in the auditory-cognitive cascade in the oldest old

Roberta Vella Azzopardi, Ingo Beyer, Kaat De Raedemaeker, Ina Foulon, Sofie Vermeiren, Mirko Petrovic (UGent) , Nele Van Den Noortgate (UGent) , Ivan Bautmans, Ellen Gorus and [missing] on behalf of the Gerontopole Brussels Study group
(2023) AGING & MENTAL HEALTH. 27(1). p.184-192
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Abstract
Objectives This study analyzed cognitive differences between hearing-aid (HA) and non-HA users. We hypothesized that HA-use attenuates the auditory-cognitive cascade, thereby, the latter is more conspicuous in non-HA users. Since hearing impairment (HI) shows male predominance, we hypothesized gender differences within the auditory-cognitive relationship. Methods Non-frail community-dwellers >= 80 years were assessed for HI (pure tone audiogram-PTA; speech reception threshold-SRT) and global and domain-specific cognitive impairments (Mini-Mental State Examination-MMSE; Montreal Cognitive Assessment-MOCA; Reaction Time Test-RT1-4). Pearson and partial correlations (correcting for age and PTA) assessed auditory-cognitive associations within gender and HA subgroups. Fisher's z test compared correlations between HA and non-HA users. Results 126 participants (age range 80-91 years) were included. HA-use prevalence was 21%. HA-users were older with worse HI (mean PTA 49.5dBHL). HA-users exhibited no significant auditory (PTA, SRT) and cognitive (MMSE, MOCA, RT1- RT4) correlations. Male non-HA users, displayed a significant association between HI and global cognition, processing speed, selective and alternating attention. Significant differences were noted between MMSE and PTA and SRT (z-score 2.28, 3.33, p = 0.02, <0.01, respectively) between HA and non-HA users. Conclusion Male non-HA users displayed an association between HI and global and domain-specific (processing speed; selective and alternating attention) cognitive decline. Associations between global cognition and HI were significantly different between HA and non-HA users. This may be partially attributable to underlying subgroups sample sizes and statistical power disparity. If larger scale longitudinal or interventional studies confirm these findings, timely HI assessment and management may be the cornerstone for delaying cognitive decline.
Keywords
presbycusis, cognitive ageing, hearing aid, processing speed, attention, central auditory processing, RISK-FACTORS, SPEECH, ADULTS, PERFORMANCE, HEALTH, ASSOCIATION, VARIABILITY, IMPAIRMENT, SMOKING, FRAILTY

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MLA
Vella Azzopardi, Roberta, et al. “Hearing Aid Use and Gender Differences in the Auditory-Cognitive Cascade in the Oldest Old.” AGING & MENTAL HEALTH, vol. 27, no. 1, 2023, pp. 184–92, doi:10.1080/13607863.2021.2007355.
APA
Vella Azzopardi, R., Beyer, I., De Raedemaeker, K., Foulon, I., Vermeiren, S., Petrovic, M., … on behalf of the Gerontopole Brussels Study group, [missing]. (2023). Hearing aid use and gender differences in the auditory-cognitive cascade in the oldest old. AGING & MENTAL HEALTH, 27(1), 184–192. https://doi.org/10.1080/13607863.2021.2007355
Chicago author-date
Vella Azzopardi, Roberta, Ingo Beyer, Kaat De Raedemaeker, Ina Foulon, Sofie Vermeiren, Mirko Petrovic, Nele Van Den Noortgate, Ivan Bautmans, Ellen Gorus, and [missing] on behalf of the Gerontopole Brussels Study group. 2023. “Hearing Aid Use and Gender Differences in the Auditory-Cognitive Cascade in the Oldest Old.” AGING & MENTAL HEALTH 27 (1): 184–92. https://doi.org/10.1080/13607863.2021.2007355.
Chicago author-date (all authors)
Vella Azzopardi, Roberta, Ingo Beyer, Kaat De Raedemaeker, Ina Foulon, Sofie Vermeiren, Mirko Petrovic, Nele Van Den Noortgate, Ivan Bautmans, Ellen Gorus, and [missing] on behalf of the Gerontopole Brussels Study group. 2023. “Hearing Aid Use and Gender Differences in the Auditory-Cognitive Cascade in the Oldest Old.” AGING & MENTAL HEALTH 27 (1): 184–192. doi:10.1080/13607863.2021.2007355.
Vancouver
1.
Vella Azzopardi R, Beyer I, De Raedemaeker K, Foulon I, Vermeiren S, Petrovic M, et al. Hearing aid use and gender differences in the auditory-cognitive cascade in the oldest old. AGING & MENTAL HEALTH. 2023;27(1):184–92.
IEEE
[1]
R. Vella Azzopardi et al., “Hearing aid use and gender differences in the auditory-cognitive cascade in the oldest old,” AGING & MENTAL HEALTH, vol. 27, no. 1, pp. 184–192, 2023.
@article{8732207,
  abstract     = {{Objectives This study analyzed cognitive differences between hearing-aid (HA) and non-HA users. We hypothesized that HA-use attenuates the auditory-cognitive cascade, thereby, the latter is more conspicuous in non-HA users. Since hearing impairment (HI) shows male predominance, we hypothesized gender differences within the auditory-cognitive relationship. Methods Non-frail community-dwellers >= 80 years were assessed for HI (pure tone audiogram-PTA; speech reception threshold-SRT) and global and domain-specific cognitive impairments (Mini-Mental State Examination-MMSE; Montreal Cognitive Assessment-MOCA; Reaction Time Test-RT1-4). Pearson and partial correlations (correcting for age and PTA) assessed auditory-cognitive associations within gender and HA subgroups. Fisher's z test compared correlations between HA and non-HA users. Results 126 participants (age range 80-91 years) were included. HA-use prevalence was 21%. HA-users were older with worse HI (mean PTA 49.5dBHL). HA-users exhibited no significant auditory (PTA, SRT) and cognitive (MMSE, MOCA, RT1- RT4) correlations. Male non-HA users, displayed a significant association between HI and global cognition, processing speed, selective and alternating attention. Significant differences were noted between MMSE and PTA and SRT (z-score 2.28, 3.33, p = 0.02, <0.01, respectively) between HA and non-HA users. Conclusion Male non-HA users displayed an association between HI and global and domain-specific (processing speed; selective and alternating attention) cognitive decline. Associations between global cognition and HI were significantly different between HA and non-HA users. This may be partially attributable to underlying subgroups sample sizes and statistical power disparity. If larger scale longitudinal or interventional studies confirm these findings, timely HI assessment and management may be the cornerstone for delaying cognitive decline.}},
  author       = {{Vella Azzopardi, Roberta and Beyer, Ingo and De Raedemaeker, Kaat and Foulon, Ina and Vermeiren, Sofie and Petrovic, Mirko and Van Den Noortgate, Nele and Bautmans, Ivan and Gorus, Ellen and on behalf of the Gerontopole Brussels Study group, [missing]}},
  issn         = {{1360-7863}},
  journal      = {{AGING & MENTAL HEALTH}},
  keywords     = {{presbycusis,cognitive ageing,hearing aid,processing speed,attention,central auditory processing,RISK-FACTORS,SPEECH,ADULTS,PERFORMANCE,HEALTH,ASSOCIATION,VARIABILITY,IMPAIRMENT,SMOKING,FRAILTY}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{184--192}},
  title        = {{Hearing aid use and gender differences in the auditory-cognitive cascade in the oldest old}},
  url          = {{http://doi.org/10.1080/13607863.2021.2007355}},
  volume       = {{27}},
  year         = {{2023}},
}
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