Hearing loss and cognition in the Busselton Baby Boomer cohort: an epidemiological study

Bucks, Romola S., Dunlop, Patrick D., Taljaard, Dunay Schmulian, Brennan-Jones, Christopher G., Hunter, Michael, Wesnes, Keith and Eikelboom, Robert H. (2016) Hearing loss and cognition in the Busselton Baby Boomer cohort: an epidemiological study. Laryngoscope, 126 10: 2367-2375. doi:10.1002/lary.25896

Author Bucks, Romola S.
Dunlop, Patrick D.
Taljaard, Dunay Schmulian
Brennan-Jones, Christopher G.
Hunter, Michael
Wesnes, Keith
Eikelboom, Robert H.
Title Hearing loss and cognition in the Busselton Baby Boomer cohort: an epidemiological study
Journal name Laryngoscope   Check publisher's open access policy
ISSN 1531-4995
Publication date 2016-10-01
Sub-type Article (original research)
DOI 10.1002/lary.25896
Open Access Status Not yet assessed
Volume 126
Issue 10
Start page 2367
End page 2375
Total pages 9
Place of publication Hoboken, NJ United States
Publisher John Wiley & Sons
Language eng
Subject 2733 Otorhinolaryngology
Abstract Objectives/Hypothesis: To determine the relationship between peripheral hearing loss (HL) in baby boomers (better-ear measure) and cognitive function, taking into account the impact of depression or cognitive reserve on this relationship and exploring binaural hearing. Study Design: A prospective, epidemiology study. Methods: Data from 1,969 participants aged 45 to 66 years were collected in the Busselton Healthy Ageing Study. Participants were assessed using pure-tone air-conduction thresholds at octave frequencies (250; 500; 1,000; 2,000; 4,000; and 8,000 Hz). Hearing loss was grouped using 1) pure-tone averages across 4 frequencies (500 to 4000Hz) in the better ear (BE4FA) or 2) latent profile analysis (LPA) using all thresholds from both ears. Cognition was tested with the Cognitive Drug Research System, verbal fluency, and National Adult Reading Test (premorbid-IQ). Regression was used to determine the impact of HL relative to no HL on age and education-adjusted cognition, controlling for mood, sex, and premorbid-IQ. Results: According to BE4FA, 4.7% had mild (26–40 dB) HL; 0.8% had moderate (41–60 dB) HL; and 0.3% had severe (61–80 dB) HL. Based on the LPA, 20.5% had high-frequency HL; 7.8% had mid- to high-frequency HL; and 1.9% had significant HL across all frequencies. The HL group was not a predictor of cognitive performance in any domain using BE4FA and explained just 0.5% and 0.4% of variance in continuity-of-attention and speed-of-memory retrieval using LPA. Critically, those with the worst hearing did not differ cognitively from those with the best. Conclusion: Hearing loss is not an important determinant of contemporaneous attention, memory, or executive function in middle-aged adults once age, education, depression, cognitive reserve, and sex are controlled. Level of Evidence: 4. Laryngoscope, 126:2367–2375, 2016.
Keyword Aging
Hearing impairment
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
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School of Health and Rehabilitation Sciences Publications
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Created: Fri, 16 Mar 2018, 14:35:41 EST