ArticleBMC geriatrics2021
Effects of hearing impairment and hearing aid use on the incidence of cognitive impairment among community-dwelling older adults: evidence from the Taiwan Longitudinal Study on Aging (TLSA).
Article in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Is there benefit from the use of cochlear implants and hearing aids in cognition for older adults? A systematic review.Frontiers in epidemiology · 2022Pooled it
- Dementia and hearing loss: from risk to mechanisms and management.Frontiers in dementia · 2026Review
- Cognitive function trajectories and influencing factors in Chinese older adults with self-reported hearing impairment: findings from CHARLS 2013-2020.BMC geriatrics · 2025Article
- Hearing loss and cognitive impairment among older adults: findings from the China health and retirement longitudinal study.BMC public health · 2025Article
- Persistent depressive symptom trajectory is associated with cognitive impairment: a population-based longitudinal study of aging in Taiwan.BMC geriatrics · 2025Article
- Results from AD-HEARING (ADherence to and adjustment of HEARING aids in clinical routine care as preventive dementia strategy): a prospective 6-month follow-up study on cognition and psychological well-being.Frontiers in psychiatry · 2025Article
- Predictive value of serum d-serine level for hearing impairment in uremic patients.Renal failure · 2023Article
- Do hearing loss interventions prevent dementia?Zeitschrift fur Gerontologie und Geriatrie · 2023Review
- The relationship between physical activity trajectories and frailty: a 20-year prospective cohort among community-dwelling older people.BMC geriatrics · 2022Article
- The association between visual trajectories and cognitive impairment: insights from the Taiwan Longitudinal Study on Aging.Aging clinical and experimental research · 2022Article
- Development and Assessment of the Validity and Reliability of the Short-Form Life Satisfaction Index (LSI-SF) among the Elderly Population.Journal of personalized medicine · 2022Article
- Effect of hearing loss on cognitive function in patients with mild cognitive impairment: A prospective, randomized, and controlled study.Frontiers in aging neuroscience · 2022Article
- Multidimensional Determinants of Well-Being Among Community-Dwelling Older Adults During the Early Stage of the COVID-19 Pandemic in Taiwan.Gerontology & geriatric medicineArticle
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7 authors.
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Abstract
backgroundPrevious studies have reported associations between hearing impairment (HI) and cognitive impairment, but the evidence is not conclusive while considering concurrent geriatric syndromes. Especially, evidence from previous studies rarely came from Asian studies. This study aimed to evaluate the independent effects of HI and hearing aid use on the incidence of cognitive impairment while considering most geriatric confounders.
methodsThis population-based, propensity-score matched cohort study used cohort from Waves IV-VII (1999-2011) survey of the Taiwan Longitudinal Study on Aging (TLSA). Cognitive impairment was identified based on Short Portable Mental Status Questionnaire (SPMSQ) scores. The hazard ratio (HR) was calculated using the Cox proportional hazard regression adjusting for age, sex, comorbidities, socioeconomic status, Center for Epidemiologic Studies Depression (CES-D) scores, the instrumental activities of daily living scale, mobility condition and quality of life. In addition, social support and participation were also considered as confounders in the analysis. To assess the robustness of our findings, we conducted a sensitivity analysis designed to access unmeasured confounding factors by calculating E-values.
resultsAfter 1:1 propensity-score matching, we included 709 participants in both the HI and non-HI groups with a mean age of 73.4 years and 39.4% of participants were female. The mean follow-up was 8.9 ± 3.9 years. The HI group had a higher incidence of cognitive impairment than the non-HI group (74.5% vs. 69.1%, respectively), with an adjusted HR of 1.16 (95% confidence interval [CI], 1.03-1.32) based on a 12-year follow up. The E-value was 1.45 for the estimate, which provided evidence for this study's robustness. Although, a subgroup analysis showed that hearing aid use was associated with lower incidences of cognitive impairment (66.3% vs. 75.6%) when compared to non-users in the HI group, the adjusted HR of 0.82 (95% CI, 0.61-1.09) revealed no significant differences.
conclusionsHI was an independent risk factor of incident cognitive impairment on top of concurrent geriatric syndromes. Early HI detection may thus be effective for preventing cognitive decline. Further studies are needed to evaluate the effect of hearing aid use on the prevention of cognitive decline.
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