ArticleFrontiers in aging neuroscience2021
The Longitudinal Association of Subclinical Hearing Loss With Cognition in the Health, Aging and Body Composition Study.
Article in Frontiers in aging neuroscience, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 24 citations in OpenAlex.
- Characterizing Music Engagement and Reward in Individuals Across a Spectrum of Hearing Loss and Rehabilitation.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026Article
- Music Enjoyment in Hearing Loss: Beyond Auditory Perception.Brain sciences · 2026Review
- Development and Validation of an Interpretable Machine Learning Model Based on Routine Blood Biomarkers: For Predicting Age-Related Hearing Loss.Diagnostics (Basel, Switzerland) · 2026Article
- Preserving music reward in age-related hearing loss through training and adaptation.BMC geriatrics · 2026Article
- The Association of Dysphagia with Social Isolation, Mental Health, and Cognition in Older Adults.Dysphagia · 2026Article
- Prediction of hearing aid cognitive outcomes in age-related hearing loss.Frontiers in aging neuroscience · 2025Article
- Cognitive processing speed improvement after cochlear implantation.Frontiers in aging neuroscience · 2024Article
- Prevalence of Subclinical Hearing Loss in the United States.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2023Article
- Association Between Hearing Loss and Multiple Negative Emotional States in the US Hispanic Population.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2023Article
- Cochlear dysfunction as an early biomarker of cognitive decline in normal hearing and mild hearing loss.Alzheimer's & dementia (Amsterdam, Netherlands)Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives: To examine the longitudinal association between subclinical hearing loss (SCHL) and neurocognitive performance. Design: Longitudinal analyses were conducted among 2,110 subjects who underwent audiometric testing in a US multi-centered epidemiologic cohort study. The primary exposure was better ear hearing (pure tone average). SCHL was defined as hearing ≤ 25 dB. The primary outcome was neurocognitive performance, measured by Digit Symbol Substitution Test (DSST), Modified Mini Mental State Examination (3MS), and CLOX1. Linear mixed models were performed to assess the longitudinal association between hearing and cognitive performance, adjusting for covariates. Models were fit among all individuals and among individuals with SCHL only. Results: Among 2,110 participants, mean (SD) age was 73.5 (2.9) years; 52.3% were women. Mean (SD) better ear pure tone average was 30.0 (13.1) dB. Mean follow-up was 9.1 years (range 3-16). Among all participants, worse hearing was associated with significantly steeper cognitive decline measured by the DSST [0.054-point/year steeper decrease per 10 dB worse hearing, 95% confidence interval (CI): 0.026-0.082] and 3MS (0.044-point/year steeper decrease per 10 dB worse hearing, CI: 0.026-0.062), but not CLOX1. Among those with SCHL, worse hearing was associated with significantly steeper cognitive performance decline as measured by DSST (0.121-point/year steeper decrease per 10 dB worse hearing, CI: 0.013-0.228), but not CLOX1 or 3MS. Conclusion: Among those with SCHL, worse hearing was associated with steeper cognitive performance declines over time as measured by DSST. The relationship between hearing loss and cognition may begin at earlier levels of hearing loss than previously recognized.
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