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Hearing Loss and Dementia: A Population-Based Cohort Study.
Keshinisuthan Kirubalingam1, Paul Nguyen2, Daniel Newsted3
1Queen's University School of Medicine, Otolaryngology Head and Neck Surgery, Kingston, Ontario, Canada, kkirubalingam@qmed.ca.
Dementia and Geriatric Cognitive Disorders
|May 26, 2023
Summary
Hearing loss (HL) increases dementia risk. Adults with hearing aids had a 10% higher risk of dementia diagnosis, with risk increasing over time and with bilateral devices.
Area of Science:
- Gerontology
- Epidemiology
- Neuroscience
Background:
- Hearing loss (HL) is a significant modifiable risk factor for dementia.
- Understanding the link between HL and dementia is crucial for public health strategies.
Purpose of the Study:
- To investigate the association between hearing loss and the incidence of dementia diagnosis.
- To analyze the risk of dementia in individuals using hearing amplification devices (HADs).
Main Methods:
- A population-based cohort study utilized administrative healthcare databases.
- Matched controls were used for comparison with 257,285 HAD claimants and 1,005,010 controls.
- Cox regression analysis assessed dementia incidence and risk factors.
Main Results:
- Dementia incidence was higher in HAD claimants (19.51/1000 person-years) versus controls (14.15/1000 person-years).
- Adjusted analyses revealed a 10% increased dementia risk in HAD claimants (HR: 1.10).
- Dose-response and exposure-response gradients were observed for bilateral HADs and over time.
Conclusions:
- Adults with hearing loss exhibit an elevated risk of dementia diagnosis.
- Further research into the impact of hearing interventions on dementia risk is warranted.
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