ArticleBMC geriatrics2022
Cognitive decline, sensory impairment, and the use of audio-visual aids by long-term care facility residents.
Article in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.
- The association between the MIND diet and cognitive health in middle-aged and older adults: A systematic review.The journal of nutrition, health & aging · 2025Pooled it
- The association between dual sensory impairment and dementia: a meta-analysis and systematic review of the literature.Age and ageing · 2025Pooled it
- Permanent cognitive or physical impairment after transfer from long-term care to acute care: a retrospective cohort study.Age and ageing · 2026Article
- Severity of dual sensory loss and cognitive impairment in institutionalized older adults: a cross-sectional study in Galicia.BMC geriatrics · 2026Article
- Navigating Cognitive Screening and Service Delivery for Sensory Impairment in Occupational Therapy.Canadian journal of occupational therapy. Revue canadienne d'ergotherapie · 2026Article
- Association of visual and hearing impairments with all-cause mortality in older adults in China.BMC geriatrics · 2025Article
- Impact of functional level on cognitive function in adults aged 45 and older than 45 years in the Korean Longitudinal Study of Aging.Australasian journal on ageing · 2025Article
- Article
- Development of a predictive model for loss of functional and cognitive abilities in long-term care home residents: a protocol.BMJ open · 2025Article
- From Nature to Treatment: The Impact of Pterostilbene on Mitigating Retinal Ischemia-Reperfusion Damage by Reducing Oxidative Stress, Inflammation, and Apoptosis.Life (Basel, Switzerland) · 2024Article
- Prediction Model for Cognitive Impairment among Disabled Older Adults: A Development and Validation Study.Healthcare (Basel, Switzerland) · 2024Article
- Strategies used during the cognitive evaluation of older adults with dual sensory impairment: a scoping review.Age and ageing · 2024Article
- Identifying predictors of cognitive decline in long-term care: a scoping review.BMC geriatrics · 2023Article
- Visual and cognitive functioning among older adults with low vision before vision rehabilitation: A pilot study.Frontiers in psychology · 2023Article
- Association between self-reported sensory impairments and low cognitive performance in older adults: A cross-sectional study based on National Health and Nutrition Examination Survey (NHANES).Journal of Alzheimer's disease reportsArticle
- Cognitive decline, dual sensory loss and the use of visual aids in elderly - A narrative review.Oman journal of ophthalmologyReview
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHearing and vision impairments and the use of audio-visual aids are associated with cognitive decline in community-dwelling older people, but effects in long-term care facilities (LFCF) are unclear. We hypothesize that visual and hearing impairment are associated with cognitive decline and these relationships are mediated by using visual and hearing aids.
methodsSecondary data analysis of a longitudinal study was conducted in the 7 government-subsidized LTCF operated by one of the largest non-governmental organizations in Hong Kong using data between 2005 and 2016. Eligible residents were ≥ 60 years of age without severe cognitive impairment at baseline who had stayed in the facilities for more than 3 years. All variables were measured by using the Minimum Data Set-Resident Assessment Instrument Version 2.0, Hong Kong version. The outcome was cognitive decline. Predictors were visual and hearing impairments. Mediators were the use of visual and hearing aids. General linear models were employed to test the hypotheses.
resultsResults for 2,233 residents were analyzed, with a mean age of 82.1 ± 8.2 years and a mean follow-up period of 4.4 ± 0.8 years. Results showed that those who had visual impairment (p = 0.004) and hearing impairments (p = 0.022) had a higher risk of cognitive decline. Using hearing aids (coefficient = 0.0186, p < 0.05) positively mediates the effect of hearing impairment on cognitive decline. Using visual aids (coefficient = -0.0881, p < 0.05) negatively mediates the effects of visual impairment on cognitive decline.
conclusionIn LTCF, hearing and visual impairments are associated with a higher risk of cognitive decline. Hearing aids often-users were associated with a higher risk of cognitive decline. LTCF residents with visual impairment did not use visual aids. Use of visual aids demonstrated potential effects in slowing cognitive decline. A future study with a larger and more diverse sample with attention to quality of devices is proposed to confirm its effects.
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