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Voice Disorders as Early Biomarkers of Cognitive Decline
Anthony G Russo1, Mary J Hawkshaw2, Robert T Sataloff3
1Drexel University College of Medicine, Philadelphia, Pennsylvania.
Diagnosed voice disorders significantly increase the risk of cognitive decline, potentially serving as an early biomarker. Early voice intervention may benefit cognitive health.
Area of Science:
- Neurology
- Otolaryngology
- Public Health
Background:
- Dementia affects over 57 million globally, with hearing loss identified as the largest modifiable risk factor.
- Voice abnormalities correlate with cognitive status and decline.
- This study is the first large-scale examination of diagnosed voice disorders as an independent risk factor for cognitive decline.
Purpose of the Study:
- To investigate the association between diagnosed voice disorders and incident cognitive decline.
- To compare the risk associated with voice disorders to that of hearing loss, a known dementia risk factor.
Main Methods:
- Utilized the TriNetX US Collaborative Health Network platform.
- Compared patients with diagnosed voice disorders to matched controls.
- Included a hearing loss cohort for comparative analysis.
Main Results:
- Voice disorders were associated with a significantly elevated risk of incident cognitive decline (HR=1.291).
- Hearing loss alone showed a slightly lower risk (HR=1.267).
- Voice disorders with hearing loss presented the highest risk (HR=2.038 vs. controls).
Conclusions:
- Diagnosed voice disorders are linked to an increased risk of cognitive decline, potentially stronger than hearing loss alone.
- Otolaryngology and primary care settings are potential points for cognitive assessment.
- Further research into early voice disorder treatment for cognitive benefits is warranted.
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