老年人听力损失和认知衰退之间的关联:系统性审查与元分析研究研究
Débora Conceição Santos de Oliveira1, Isaac Suzart Gomes-Filho2, Edna Maria Araújo2
1Health Sciences Center, Federal University of Recôncavo of Bahia, Bahia, Brazil.
PloS one
|November 9, 2023
概括
听力损失与老年人的认知能力下降有关. 虽然这种关联在黑人中看起来更强烈,但需要进一步的研究来证实这一发现.
科学领域:
- 老年学是指老年学的学科.
- 流行病学 流行病学
- 神经科学是一个神经科学.
背景情况:
- 听力损失越来越被认为是老年人认知能力下降的潜在危险因素.
- 了解种族/肤色对这种关联的影响对于有针对性的干预至关重要.
研究的目的:
- 系统地审查和评估关于老年人听力损失和认知衰退之间的联系的科学证据.
- 调查种族/肤色是否改变了这种关系.
主要方法:
- 在多个电子数据库 (MedLine/PubMed,科学网,Scopus,虚拟健康图书馆,MedRkiv) 进行了系统的搜索,直到2022年8月.
- 选择了具有流行病学设计的符合条件的研究,提取数据,并使用纽卡斯尔-太华尺度评估质量.
- 使用随机效应模型进行了元分析,以估计相关性和异质性.
主要成果:
- 在5207个已识别的记录中,包括了18项研究,共计19551人.
- 在老年人中,听力损失和认知能力下降之间发现了统计学意义上的关联 (β = -0.13; 95%CI = -0.23至 -0.04; I2 = 98.70%).
- 对于黑人个人来说,关联的大小更大 (β = -0.64;95%CI = -3.36至2.07;I2 = 95.65%),但这一发现在统计学上并不重要.
结论:
- 这一系统性审查证实了老年人听力损失和认知能力下降之间的显著关系.
- 这些发现表明,黑人个人中这种关联的规模可能会增加,这需要进一步调查.
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