Evidence map›Paper›PMID 31558119›Full record

ArticleTrends in hearing

Effects of Age and Noise Exposure on Proxy Measures of Cochlear Synaptopathy.

Garreth Prendergast, Samuel Couth, Rebecca E Millman, Hannah Guest, Karolina Kluk, Kevin J Munro, Christopher J Plack

Abstract read
In one paragraph

Article in Trends in hearing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Efficacy of behavioral audiological tests in identifying cochlear synaptopathy: a systematic review.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2022
    Pooled it
  3. Article
  4. Article
  5. Mechanisms of auditory enhancement in younger and older adults.The Journal of the Acoustical Society of America · 2025
    Article
  6. Article
  7. Review
  8. Article
  9. Developing a Calibration Method to Minimize Variability in Auditory Evoked Potentials.Journal of the Association for Research in Otolaryngology : JARO · 2025
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Evidence for Loss of Activity in Low-Spontaneous-Rate Auditory Nerve Fibers of Older Adults.Journal of the Association for Research in Otolaryngology : JARO · 2022
    Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Garreth PrendergastManchester Centre for Audiology and Deafness, The University of Manchester, Manchester Academic Health Science Centre, UK.ORCID 0000-0002-7255-6708
Samuel CouthManchester Centre for Audiology and Deafness, The University of Manchester, Manchester Academic Health Science Centre, UK.ORCID 0000-0003-3635-863X
Rebecca E MillmanManchester Centre for Audiology and Deafness, The University of Manchester, Manchester Academic Health Science Centre, UK.
Hannah GuestManchester Centre for Audiology and Deafness, The University of Manchester, Manchester Academic Health Science Centre, UK.ORCID 0000-0002-4981-6663
Karolina KlukManchester Centre for Audiology and Deafness, The University of Manchester, Manchester Academic Health Science Centre, UK.
Kevin J MunroManchester Centre for Audiology and Deafness, The University of Manchester, Manchester Academic Health Science Centre, UK.ORCID 0000-0001-6543-9098
Christopher J PlackManchester Centre for Audiology and Deafness, The University of Manchester, Manchester Academic Health Science Centre, UK.

Funding

Medical Research Council MR/L003589/1
6 · The paper itself

Abstract

Although there is strong histological evidence for age-related synaptopathy in humans, evidence for the existence of noise-induced cochlear synaptopathy in humans is inconclusive. Here, we sought to evaluate the relative contributions of age and noise exposure to cochlear synaptopathy using a series of electrophysiological and behavioral measures. We extended an existing cohort by including 33 adults in the age range 37 to 60, resulting in a total of 156 participants, with the additional older participants resulting in a weakening of the correlation between lifetime noise exposure and age. We used six independent regression models (corrected for multiple comparisons), in which age, lifetime noise exposure, and high-frequency audiometric thresholds were used to predict measures of synaptopathy, with a focus on differential measures. The models for auditory brainstem responses, envelope-following responses, interaural phase discrimination, and the co-ordinate response measure of speech perception were not statistically significant. However, both age and noise exposure were significant predictors of performance on the digit triplet test of speech perception in noise, with greater noise exposure (unexpectedly) predicting better performance in the 80 dB sound pressure level (SPL) condition and greater age predicting better performance in the 40 dB SPL condition. Amplitude modulation detection thresholds were also significantly predicted by age, with older listeners performing better than younger listeners at 80 dB SPL. Overall, the results are inconsistent with the predicted effects of synaptopathy.

Indexed as

Acoustic StimulationAdultAge FactorsAudiometry, Pure-ToneAuditory ThresholdCochleaEvoked Potentials, Auditory, Brain StemFemaleHearing Loss, Noise-InducedHumansMaleMiddle AgedNoiseSpeech Perceptioncochlear synaptopathyhidden hearing lossnoise-induced hearing losspsychophysicsspeech in noise

Identifiers

PMID31558119
PMCPMC6767746

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.