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Hearing Loss and Dementia: Risk Factor, Early Marker, or Both?
Ljiljana Cvorovic1,2, Ana Jotic1,2, Bojana Bukurov1,2
1Faculty of Medicine, University of Belgrade, 11000 Beograd, Serbia.
Healthcare (Basel, Switzerland)
|June 26, 2026
Summary
Age-related hearing loss is linked to cognitive decline and dementia risk in older adults. Early hearing intervention may help maintain brain health and quality of life.
Area of Science:
- Gerontology
- Neuroscience
- Public Health
Background:
- Hearing loss and dementia are prevalent in older adults, posing a public health challenge.
- Epidemiological studies show a consistent link between age-related hearing loss and cognitive dysfunction, including dementia.
- The precise nature of the hearing loss-dementia relationship requires further elucidation.
Purpose of the Study:
- To provide a structured overview of current evidence on the relationship between hearing loss and cognitive decline.
- To explore mechanistic pathways, clinical implications, and intervention effectiveness.
- To highlight hearing loss as a potential modifiable risk factor and early marker for cognitive impairment.
Main Methods:
- Narrative review of epidemiological findings, mechanistic pathways, and clinical implications.
- Analysis of evidence linking hearing loss severity to cognitive decline and dementia risk.
- Evaluation of intervention studies, including hearing rehabilitation and neuroplasticity.
Main Results:
- Hearing loss is associated with accelerated cognitive decline and increased dementia risk, with a dose-response relationship.
- Proposed mechanisms include increased cognitive load, brain structural/functional changes, social isolation, and shared risk factors.
- Hearing rehabilitation improves quality of life, but consistent cognitive decline reduction is not yet proven in the general population; potential benefits may exist in high-risk groups.
Conclusions:
- Hearing loss may be a modifiable risk factor and an early indicator of cognitive decline.
- Early identification and management of hearing impairment are crucial for cognitive and brain health in older adults.
- Timely intervention is important, as delayed treatment may reduce rehabilitation effectiveness due to auditory deprivation.
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