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A Preliminary Study Investigating the Association Between Hearing Acuity and a Screening Cognitive Tool
Siti Zamratol-Mai Sarah Mukari1, Wan Syafira Ishak1,2, Nashrah Maamor1,2
11 Institute of Ear, Hearing and Speech, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, Kuala Lumpur, Malaysia.
Low-frequency hearing loss, but not high-frequency loss, is minimally associated with general cognitive status in younger older adults. Further research is needed to confirm the lack of association between high-frequency hearing and cognition.
Area of Science:
- Gerontology
- Audiology
- Cognitive Science
Background:
- Inconsistent associations between hearing and cognition in older adults.
- Unclear if early high-frequency hearing loss impacts cognitive function.
- Need to differentiate hearing loss by frequency for cognitive associations.
Purpose of the Study:
- Determine the association between global cognitive status and low-frequency (0.5, 1, 2 kHz) versus high-frequency (4, 8 kHz) pure tone average (PTA).
- Investigate cognitive associations in different age and hearing status cohorts.
Main Methods:
- 307 adults aged 60+ years participated.
- Hearing assessed via pure tone audiometry.
- Cognition measured using the Mini Mental State Examination (MMSE).
Main Results:
- Low-frequency PTA significantly but minimally predicted MMSE scores.
- This association was significant only in the younger age group (60-69 years).
- No significant relationship found between high-frequency PTA and cognition across any cohort.
Conclusions:
- Low-frequency hearing is minimally related to general cognitive status, particularly in younger older adults.
- High-frequency hearing loss shows no significant association with cognition in this study.
- Further research with comprehensive cognitive tests is recommended to confirm findings on high-frequency hearing.
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