周围和中央听力功能障碍,心脏代谢多病症和社区老年人的认知表现:一个横截面研究
Jian Ruan1, Xiuhua Hu2, Min Zhang2
1Department of Otorhinolaryngology Head and Neck Surgery, Huadong Hospital Affiliated with Fudan University, Shanghai, China.
Frontiers in neuroscience
|February 2, 2026
概括
心脏代谢多病症 (CMM) 和听力损失,特别是高频听力损失 (HPTA),与老年人的认知能力下降有关. CMM可能会调解HPTA对认知功能的影响,这表明结合干预是有益的.
科学领域:
- 老年学和认知神经科学
- 心脏病学和听力学.
背景情况:
- 与年龄相关的听力损失和心脏代谢多病症 (CMM) 在老年人中很普遍,并且与认知障碍独立相关.
- 心脏代谢性疾病是与年龄相关的听力损失的已知的风险因素,这表明这些疾病之间可能存在潜在的相互作用.
研究的目的:
- 检查CMM和各种类型的听力损失 (低频/高频,中央听力处理功能障碍) 对认知功能的独立和联合影响.
- 研究CMM在与年龄相关的听力损失和认知表现之间的关系中的潜在调解作用.
主要方法:
- 一项涉及508名社区居民,没有痴呆症的老年人的横截面研究.
- 通过SNR评估低频 (LPTA) 和高频听力损失 (HPTA),通过SNR评估中央听力处理功能障碍 (CAPD),并进行全面的神经心理测试.
- 统计分析包括对独立和联合效应进行调整后勤回归,并使用R包"调解"进行调解分析.
主要成果:
- CMM显示了与全球认知表现和执行功能的独立关联.
- 中央听觉处理功能障碍 (CAPD) 与全球认知有关,而高频听力损失 (HPTA) 与注意力/执行功能有关.
- 观察到CMM和HPTA对执行功能的显著联合影响,CMM调解了HPTA对全球认知的影响的16.17%.
结论:
- 在老年人中,CMM和CAPD与全球认知功能有显著的关联.
- CMM和HPTA在执行功能上表现出联合作用,CMM可能会调解HPTA对认知表现的影响.
- 针对长 (与年龄相关的听力损失) 和CMM的综合干预措施可能对延缓认知衰退至关重要.
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