70岁时的外周听力损失预测大脑缩和相关的认知变化
Thomas D Parker1,2,3, Chris Hardy2, Sarah Keuss2
1Department of Brain Sciences, Imperial College London, London, UK.
Journal of neurology, neurosurgery, and psychiatry
|April 3, 2024
概括
听力损失与老年人的加速脑缩和认知衰退有关. 这些影响似乎独立于阿尔茨海默氏症和脑血管疾病标志物,表明不同的痴呆风险路径.
科学领域:
- 神经科学是一个神经科学.
- 老年学是一门学科.
- 听力学 听力学是指听力学.
背景情况:
- 听力损失是痴呆的潜在可修改的风险因素.
- 听力,神经退行和认知衰退之间的相互作用尚未完全理解.
- 阿尔茨海默病和脑血管疾病对这些关系的影响需要澄清.
研究的目的:
- 调查听力障碍与随后的大脑缩和认知衰退之间的关联.
- 确定这些关联是否独立于阿尔茨海默病和脑血管病理.
主要方法:
- 分析了287名成年人 (平均年龄70.6岁) 的数据,进行了基线听力测量和后续认知/成像评估.
- 听力障碍定义为纯音调平均>25dB在更好的耳朵.
- 结构性MRI和临床前阿尔茨海默氏症认知复合物用于评估大脑体积变化和认知,并对β-粉样蛋白和白质超强度进行调整.
主要成果:
- 在287名参与者中,有111人有听力障碍.
- 听力障碍与更快的全脑缩率相关.
- 更糟糕的听力预测了更快的海马缩;更快的全脑缩预测了更大的认知变化,独立于阿尔茨海默氏症和脑血管标志物.
结论:
- 听力损失可能通过与阿尔茨海默氏症和脑血管疾病分开的机制导致痴呆风险.
- 研究结果表明,有不同的途径将听力障碍与神经退行和认知衰退联系起来.
- 这突出了听力健康作为痴呆症预防策略的潜在目标.
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