Hearing-impaired elderly people have smaller social networks: A population-based aging study

Ogawa, T.; Uchida, Yuzo; Nishita, Yukiko; Tange, Chikako; Sugiura, Saiko; Nakada, Takafumi; Suzuki, Hirokazu; Otsuka, Rei; Ando, Fujiko; Shimokata, Hiroshi

doi:10.1016/j.archger.2019.03.004

Cited by 45 publications

(28 citation statements)

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“…In addition, we recently reported from the NILS-LSA that the social network size in older individuals with a hearing impairment was significantly smaller than those in individuals without hearing impairment by a cross-sectional analysis of the convoy model, which is an index of social relations. 16 The convoy model has been widely used since 1980. 17 A hierarchical mapping procedure using a diagram of concentric circles has been used to assess social networks and supportive relationships.…”

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confidence: 99%

A Multi-Institutional Study of Older Hearing Aids Beginners—A Prospective Single-Arm Observation on Executive Function and Social Interaction

Uchida

Mise

Suzuki

et al. 2021

Journal of the American Medical Directors Association

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Age-related hearing impairment hearing aid digit symbol substitution test (DSST) convoy model hearing handicap inventory for the elderly (HHIE) a b s t r a c t Objectives: To obtain new insights into research questions on how executive function and social interaction would be observed to change after the introduction of hearing aids (HAs) in older people with hearing impairment. Design: Multi-institutional prospective single-arm observational study. Setting and Participants: Outpatients with complaints of hearing difficulty who visited HA clinics between October 18, 2017, and June 30, 2019, in 7 different university hospitals in Japan. Methods: The inclusion criteria of the study named Hearing-Aid Introduction for Hearing-Impaired Seniors to Realize a Productive Aging SocietydA Study Focusing on Executive Function and Social Activities Study (HA-ProA study) were age !60 years and no history of HA use. A series of multi-institution common evaluations including audiometric measurements, the digit symbol substitution test to assess executive functions, convoy model as an index of social relations, and hearing handicap inventory for the elderly (HHIE) were performed before (pre-HA) and after 6 months of the HA introduction (post-HA). Results: Out of 127 enrollments, 94 participants completed a 6-month follow-up, with a mean age of 76.9 years. The digit symbol substitution test score improved significantly from 44.7 at baseline to 46.1 atThe funding sources had no role in the study design or conduct of the study; in the collection, management, analysis, or interpretation of the data; in the writing of the manuscript; or the decision to submit.

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confidence: 99%

A Multi-Institutional Study of Older Hearing Aids Beginners—A Prospective Single-Arm Observation on Executive Function and Social Interaction

Uchida

Mise

Suzuki

et al. 2021

Journal of the American Medical Directors Association

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“…One potential way in modifying the association of hearing loss with cognitive decline and dementia may be through increased participation in activities. Previous studies indicated that older adults with hearing loss were more likely to have smaller social networks [26]. Since the relationship between hearing loss and cognitive impairment may be mediated by social isolation or loneliness [24], efforts to improve the social networks of hearing-impaired older adults may be beneficial in preventing cognitive decline.…”

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confidence: 99%

Hearing loss and cognitive function among Chinese older adults: the role of participation in leisure activities

et al. 2020

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Background: Hearing loss, a highly prevalent sensory impairment affecting older adults, is a risk factor for cognition decline. However, there were very limited studies on this association in low-resource countries. This study aimed to assess the association between self-reported hearing loss and cognitive decline, and whether engagement in leisure activities moderated this association among older adults in China. Methods: Data were obtained from two waves of the nationally representative survey of China Longitudinal Healthy Longevity Survey (CLHLS) between 2011/12-2014. Eight thousand eight hundred forty-four individuals aged 65 years old or above with a dichotomized measure of self-reported hearing status were included. Modified Mini-Mental Examination (MMSE) was used to measure global cognition. Fixed-effects models were used to estimate whether leisure activity engagement moderated the association of self-perceived hearing loss with global cognitive change in the overall sample and sex subsamples. Results: Self-reported hearing loss was associated with cognitive impairment, with an odds ratio of 2.48 [1.22, 5.06]. Sex difference in the association of hearing loss and cognitive impairment was not found. Self-reported hearing loss was associated with cognitive decline, with 8% increase in risk compared with those with normal hearing. Frequent engagement in leisure activities moderated the association between hearing loss and cognitive decline for the whole and male samples. Conclusion: Hearing loss was associated with cognitive decline, and leisure activities engagement moderated the association among males rather than females.

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Section: Introductionmentioning

confidence: 99%

Hearing loss and cognitive function among Chinese older adults: The role of participation in leisure activities

Gao

Armstrong

Deal

et al. 2020

Preprint

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Background Hearing loss, a highly prevalent sensory impairment affecting older adults, is a risk factor for cognition decline. However, there were very limited studies on this association in low-resource countries. This study aimed to assess the association between self-reported hearing loss and cognitive decline, and whether engagement in leisure activities moderated this association among older adults in China.Methods Data were obtained from two waves of the nationally representative survey of China Longitudinal Healthy Longevity Survey (CLHLS) between 2011/12-2014. 8,844 individuals aged 65 years old or above with a dichotomized measure of self-reported hearing status were included. Modified Mini-Mental Examination (MMSE) was used to measure global cognition. Fixed-effects models were used to estimate whether leisure activity engagement moderated the association of self-perceived hearing loss with global cognitive change in the overall sample and sex subsamples.Results Self-reported hearing loss was associated with cognitive impairment, with an odds ratio of 2.48 [1.22, 5.06]. Sex difference in the association of hearing loss and cognitive impairment was not found. Self-reported hearing loss was associated with cognitive decline, with 8% [-1.22, -0.39] increase in risk compared with those with normal hearing. Frequent engagement in leisure activities moderated the association between hearing loss and cognitive decline for the whole and male samples.Conclusion Hearing loss was associated with cognitive decline, and leisure activities engagement moderated the association among males rather than females.

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Hearing-impaired elderly people have smaller social networks: A population-based aging study

Cited by 45 publications

References 41 publications

A Multi-Institutional Study of Older Hearing Aids Beginners—A Prospective Single-Arm Observation on Executive Function and Social Interaction

A Multi-Institutional Study of Older Hearing Aids Beginners—A Prospective Single-Arm Observation on Executive Function and Social Interaction

Hearing loss and cognitive function among Chinese older adults: the role of participation in leisure activities

Hearing loss and cognitive function among Chinese older adults: The role of participation in leisure activities

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