Hearing Loss and Cognition in the Baltimore Longitudinal Study of Aging

Frank R. Lin, Luigi Ferrucci, E. Metter, Yang An, Alan B. Zonderman, Susan M. Resnick

Research output: Contribution to journalArticle

228 Citations (Scopus)

Abstract

Objective: To determine the relationship between hearing loss and cognitive function as assessed with a standardized neurocognitive battery. We hypothesized a priori that greater hearing loss is associated with lower cognitive test scores on tests of memory and executive function. Method: A cross-sectional cohort of 347 participants ≥55 years in the Baltimore Longitudinal Study of Aging without mild cognitive impairment or dementia had audiometric and cognitive testing performed in 1990-1994. Hearing loss was defined by an average of hearing thresholds at 0.5, 1, 2, and 4 kHz in the better-hearing ear. Cognitive testing consisted of a standardized neurocognitive battery incorporating tests of mental status, memory, executive function, processing speed, and verbal function. Regression models were used to examine the association between hearing loss and cognition while adjusting for confounders. Results: Greater hearing loss was significantly associated with lower scores on measures of mental status (Mini-Mental State Exam), memory (Free Recall), and executive function (Stroop Mixed, Trail Making B). These results were robust to analyses accounting for potential confounders, nonlinear effects of age, and exclusion of individuals with severe hearing loss. The reduction in cognitive performance associated with a 25 dB hearing loss was equivalent to the reduction associated with an age difference of 6.8 years. Conclusion: Hearing loss is independently associated with lower scores on tests of memory and executive function. Further research examining the longitudinal association of hearing loss with cognitive functioning is needed to confirm these cross-sectional findings.

Original languageEnglish (US)
Pages (from-to)763-770
Number of pages8
JournalNeuropsychology
Volume25
Issue number6
DOIs
StatePublished - Nov 1 2011
Externally publishedYes

Fingerprint

Baltimore
Hearing Loss
Cognition
Longitudinal Studies
Executive Function
Hearing
Intelligence Tests
Ear
Dementia

All Science Journal Classification (ASJC) codes

  • Neuropsychology and Physiological Psychology

Cite this

Lin, F. R., Ferrucci, L., Metter, E., An, Y., Zonderman, A. B., & Resnick, S. M. (2011). Hearing Loss and Cognition in the Baltimore Longitudinal Study of Aging. Neuropsychology, 25(6), 763-770. https://doi.org/10.1037/a0024238

Hearing Loss and Cognition in the Baltimore Longitudinal Study of Aging. / Lin, Frank R.; Ferrucci, Luigi; Metter, E.; An, Yang; Zonderman, Alan B.; Resnick, Susan M.

In: Neuropsychology, Vol. 25, No. 6, 01.11.2011, p. 763-770.

Research output: Contribution to journalArticle

Lin, FR, Ferrucci, L, Metter, E, An, Y, Zonderman, AB & Resnick, SM 2011, 'Hearing Loss and Cognition in the Baltimore Longitudinal Study of Aging', Neuropsychology, vol. 25, no. 6, pp. 763-770. https://doi.org/10.1037/a0024238
Lin, Frank R. ; Ferrucci, Luigi ; Metter, E. ; An, Yang ; Zonderman, Alan B. ; Resnick, Susan M. / Hearing Loss and Cognition in the Baltimore Longitudinal Study of Aging. In: Neuropsychology. 2011 ; Vol. 25, No. 6. pp. 763-770.
@article{5ebda0d1d2754101a945f20d80a275d4,
title = "Hearing Loss and Cognition in the Baltimore Longitudinal Study of Aging",
abstract = "Objective: To determine the relationship between hearing loss and cognitive function as assessed with a standardized neurocognitive battery. We hypothesized a priori that greater hearing loss is associated with lower cognitive test scores on tests of memory and executive function. Method: A cross-sectional cohort of 347 participants ≥55 years in the Baltimore Longitudinal Study of Aging without mild cognitive impairment or dementia had audiometric and cognitive testing performed in 1990-1994. Hearing loss was defined by an average of hearing thresholds at 0.5, 1, 2, and 4 kHz in the better-hearing ear. Cognitive testing consisted of a standardized neurocognitive battery incorporating tests of mental status, memory, executive function, processing speed, and verbal function. Regression models were used to examine the association between hearing loss and cognition while adjusting for confounders. Results: Greater hearing loss was significantly associated with lower scores on measures of mental status (Mini-Mental State Exam), memory (Free Recall), and executive function (Stroop Mixed, Trail Making B). These results were robust to analyses accounting for potential confounders, nonlinear effects of age, and exclusion of individuals with severe hearing loss. The reduction in cognitive performance associated with a 25 dB hearing loss was equivalent to the reduction associated with an age difference of 6.8 years. Conclusion: Hearing loss is independently associated with lower scores on tests of memory and executive function. Further research examining the longitudinal association of hearing loss with cognitive functioning is needed to confirm these cross-sectional findings.",
author = "Lin, {Frank R.} and Luigi Ferrucci and E. Metter and Yang An and Zonderman, {Alan B.} and Resnick, {Susan M.}",
year = "2011",
month = "11",
day = "1",
doi = "10.1037/a0024238",
language = "English (US)",
volume = "25",
pages = "763--770",
journal = "Neuropsychology",
issn = "0894-4105",
publisher = "American Psychological Association Inc.",
number = "6",

}

TY - JOUR

T1 - Hearing Loss and Cognition in the Baltimore Longitudinal Study of Aging

AU - Lin, Frank R.

AU - Ferrucci, Luigi

AU - Metter, E.

AU - An, Yang

AU - Zonderman, Alan B.

AU - Resnick, Susan M.

PY - 2011/11/1

Y1 - 2011/11/1

N2 - Objective: To determine the relationship between hearing loss and cognitive function as assessed with a standardized neurocognitive battery. We hypothesized a priori that greater hearing loss is associated with lower cognitive test scores on tests of memory and executive function. Method: A cross-sectional cohort of 347 participants ≥55 years in the Baltimore Longitudinal Study of Aging without mild cognitive impairment or dementia had audiometric and cognitive testing performed in 1990-1994. Hearing loss was defined by an average of hearing thresholds at 0.5, 1, 2, and 4 kHz in the better-hearing ear. Cognitive testing consisted of a standardized neurocognitive battery incorporating tests of mental status, memory, executive function, processing speed, and verbal function. Regression models were used to examine the association between hearing loss and cognition while adjusting for confounders. Results: Greater hearing loss was significantly associated with lower scores on measures of mental status (Mini-Mental State Exam), memory (Free Recall), and executive function (Stroop Mixed, Trail Making B). These results were robust to analyses accounting for potential confounders, nonlinear effects of age, and exclusion of individuals with severe hearing loss. The reduction in cognitive performance associated with a 25 dB hearing loss was equivalent to the reduction associated with an age difference of 6.8 years. Conclusion: Hearing loss is independently associated with lower scores on tests of memory and executive function. Further research examining the longitudinal association of hearing loss with cognitive functioning is needed to confirm these cross-sectional findings.

AB - Objective: To determine the relationship between hearing loss and cognitive function as assessed with a standardized neurocognitive battery. We hypothesized a priori that greater hearing loss is associated with lower cognitive test scores on tests of memory and executive function. Method: A cross-sectional cohort of 347 participants ≥55 years in the Baltimore Longitudinal Study of Aging without mild cognitive impairment or dementia had audiometric and cognitive testing performed in 1990-1994. Hearing loss was defined by an average of hearing thresholds at 0.5, 1, 2, and 4 kHz in the better-hearing ear. Cognitive testing consisted of a standardized neurocognitive battery incorporating tests of mental status, memory, executive function, processing speed, and verbal function. Regression models were used to examine the association between hearing loss and cognition while adjusting for confounders. Results: Greater hearing loss was significantly associated with lower scores on measures of mental status (Mini-Mental State Exam), memory (Free Recall), and executive function (Stroop Mixed, Trail Making B). These results were robust to analyses accounting for potential confounders, nonlinear effects of age, and exclusion of individuals with severe hearing loss. The reduction in cognitive performance associated with a 25 dB hearing loss was equivalent to the reduction associated with an age difference of 6.8 years. Conclusion: Hearing loss is independently associated with lower scores on tests of memory and executive function. Further research examining the longitudinal association of hearing loss with cognitive functioning is needed to confirm these cross-sectional findings.

UR - http://www.scopus.com/inward/record.url?scp=82855177770&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=82855177770&partnerID=8YFLogxK

U2 - 10.1037/a0024238

DO - 10.1037/a0024238

M3 - Article

VL - 25

SP - 763

EP - 770

JO - Neuropsychology

JF - Neuropsychology

SN - 0894-4105

IS - 6

ER -