大脑缩与老年人主观和客观听力评估的关联
Kouki Tomida1, Kenji Harada1, Osamu Katayama1
1Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan.
Journal of the American Medical Directors Association
|February 6, 2026
概括
老年人的客观听力损失与大脑缩有关,特别是在海马体. 早期的听力评估可以帮助识别神经退行和认知衰退的风险.
科学领域:
- 老年学是指老年学的学科.
- 神经科学是一个神经科学.
- 听力学 听力学是指听力学.
背景情况:
- 听力障碍在老年人中很常见,可能与认知能力下降和大脑变化有关.
- 客观和主观听力评估与大脑缩之间的关系尚未完全理解.
研究的目的:
- 调查客观和主观听力评估,认知功能和社区老年人大脑缩之间的关联.
主要方法:
- 对709名65岁及以上的日本成年人进行的横截面观察队列研究.
- 听力损伤通过听力测试 (客观) 和自我报告问卷 (主观) 进行评估.
- 海马缩是主要的结果指标,使用二进制逻辑回归来分析.
主要成果:
- 客观听力障碍与海马缩显著相关.
- 与没有听力障碍的老年人相比,客观和主观听力障碍的老年人患海马缩的几率几乎翻了一番.
- 很大一部分参与者 (27.2%) 在没有主观意识的情况下有客观障碍.
结论:
- 客观和主观的听力评估对于识别听力缺陷和有神经退行风险的人来说至关重要.
- 将听力评估整合到常规老年医疗评估中,可以实现早期干预,以保持认知健康并减轻大脑缩.
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