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Updated: Oct 8, 2025

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Published on: March 24, 2023
The effect of hearing aids on cognitive function: A systematic review
Maxime E Sanders1, Ellen Kant1, Adriana L Smit1,2
1Department of Otorhinolaryngology and Head & Neck Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Hearing aids may benefit executive function in individuals with hearing loss, but evidence is mixed. More research is needed to confirm the impact of hearing aids on cognitive function and dementia risk.
Area of Science:
- Neuroscience
- Gerontology
- Public Health
Background:
- Dementia affects 50 million globally, projected to triple by 2050.
- Hearing loss is the largest modifiable risk factor for dementia.
- Mechanisms linking hearing loss and cognitive decline require further understanding.
Purpose of the Study:
- To systematically review literature on hearing aid interventions for cognitive function.
- To examine evidence for hearing aids in treating deteriorating cognitive function.
Main Methods:
- Searched PubMed, Cochrane Library, Embase, and grey literature (1990-2020).
- Included 17 longitudinal studies with 3526 participants without dementia at baseline.
- Cognitive tests were grouped by DSM-V domains; meta-analysis was not feasible due to data heterogeneity.
Main Results:
- Hearing aids showed the most benefit in executive function (6/11 studies improved).
- Three of five studies indicated improvement in brief mental status screening.
- Complex attention showed the least benefit, with 8/9 studies showing no significant effect.
Conclusions:
- Evidence on hearing aids' effect on cognition is controversial.
- Further research, including randomized clinical trials with standardized assessments and longer follow-up, is warranted.
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