Voice and ageing: clinical, endoscopic and acoustic investigation

Pessin, Adriana Bueno Benito; Tavares, Elaine Lara Mendes; Gramuglia, Andrea Cristina Jóia; Carvalho, Lídia Raquel de; Martins, Regina

doi:10.1111/coa.12725

Cited by 39 publications

(31 citation statements)

References 16 publications

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“…The decrease in F 0 found in the literature is justified by the anatomic and hormonal changes taking place in the human larynx 8,12,19 , as age advances. Other studies, however, have not observed difference in F 0 values when comparing the voice of young and old women 24,25 , even though the F 0 is the acoustic parameter that changes most with aging 24 . In relation to the male population, most of the studies found do not point to acoustic changes in the voice of elderly men in relation to the younger ones 8,19,24,26 .…”

Section: Literature Reviewmentioning

confidence: 86%

“…Other studies, however, have not observed difference in F 0 values when comparing the voice of young and old women 24,25 , even though the F 0 is the acoustic parameter that changes most with aging 24 . In relation to the male population, most of the studies found do not point to acoustic changes in the voice of elderly men in relation to the younger ones 8,19,24,26 . Nevertheless, Dehqan et al 9 observed the increase of F 0 in elderly men when compared to adults, due to the reduction in muscle tissue affecting the male larynx in old age.…”

Section: Literature Reviewmentioning

confidence: 86%

“…With aging, the human voice goes through changes noticeable in F 0 , particularly in women. In general terms, in women, there is a decrease in F 0 measurements in the elderly population in relation to young women 8,19,23,24 . The decrease in F 0 found in the literature is justified by the anatomic and hormonal changes taking place in the human larynx 8,12,19 , as age advances.…”

Section: Literature Reviewmentioning

confidence: 95%

“…The main vocal complaints presented in the elderly population are hoarseness, difficulty to sing, and phonatory effort. The most frequent videolaryngoscopic findings are atrophy and arching of vocal folds, especially in older seniors 24 . These anatomic changes in vocal folds of the elderly may justify the changes in F 0 found in this population.…”

Section: Literature Reviewmentioning

confidence: 99%

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Acoustic characteristics of voice in different cycles of life: an integrative literature review

et al. 2019

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Purpose: to carry out an integrative literature review about the acoustic characteristics of healthy voice production, from childhood to old age. Methods: a bibliographic survey was conducted on the databases PubMed, SciELO, MEDLINE and LILACS, covering the last 10 years. Nineteen studies were found, meeting the proposed criteria, on acoustic measurements: F0 (fundamental frequency), jitter, shimmer and/or noise measurements, in males and females, with normal voices in their different stages of life. Results: the analysis showed that F0 is the most changing acoustic parameter as people grow up and grow old. Its values present gradual fall from childhood to old age in the female population, whereas among men such decrease lasts until adulthood. Jitter, shimmer and noise remain stable throughout childhood and adulthood, while shimmer and noise measurements increase in old age. In the literature, there is no consensus regarding increase of jitter measurements in the elderly. Conclusion: from childhood to old age, in both genders, vocal changes take place which are reflected, especially by F0. There is a scarcity of information on acoustics related to specific populations with ample age range, using the same methodology. The information in this study may guide future investigations aiming to understand natural changes occurring in the human voice, in addition to guiding in the clinical practice.

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Section: Literature Reviewmentioning

confidence: 86%

Section: Literature Reviewmentioning

confidence: 86%

Section: Literature Reviewmentioning

confidence: 95%

Section: Literature Reviewmentioning

confidence: 99%

See 2 more Smart Citations

Acoustic characteristics of voice in different cycles of life: an integrative literature review

et al. 2019

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“… 9 - 12 As for the vocal characteristics in the elderly, there is unstable voice, increase of the duration of articulatory pauses and speech rate reduction in voice; more breathy voice and of weak intensity, reduction of maximum phonation times. 13 - 16 Men and women may present anatomical differences in aging, such as edema in the female vocal folds, reducing the arch and incomplete glottal closure 9 and generate differences in vocal quality, as well as reduction in fundamental frequency in women 17 and an increase of such in men. 13 Vocal changes may be some of the factors that lead the elderly population to seek health services, noting, therefore, that the vocal conditions affect the overall quality of life of the elderly.…”

Section: Introductionmentioning

confidence: 99%

Influence of vocal and aerodynamics aspects on the voice-related quality of life of older adults

et al. 2020

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Influence of vocal and aerodynamics aspects on the voice-related quality of life of older adults The pursuit for quality of life urged a better understanding of aspects involved in ageing to minimize its consequences. Although many studies investigated older adults' voice, aspects affecting this population voice-related quality of life have not yet been explored. Objective: To investigate how aerodynamics and vocal aspects are associated with voice-related quality of life in older adults. Methodology: fifty-six older adults aged 60 years or above-39 women and 17 men-were evaluated. The following procedures were performed: application of the Voice-Related Quality of Life (V-RQOL) protocol; vocal assessment, including auditory-perceptual and acoustic analysis, from which we obtained fundamental frequency (F 0), standard deviation of fundamental frequency (SDF 0), shimmer, amplitude perturbation quotient (APQ), jitter, pitch period perturbation quotient (PPQ), and harmonics to noise ratio (HNR); aerodynamic assessment using a spirometer; and maximum phonation time (MPT) for /a/, /s/, /z/ and number counting. Results: older adults tend to present high V-RQOL scores. Among women, roughness, APQ, and HNR parameters were negatively correlated with V-RQOL, whereas F 0 was positively. We found no correlation between spirometry measurements and V-RQOL. MPT for /a/, /z/, and number counting was positively correlated with V-RQOL solely among men. Conclusion: Vocal roughness and acoustic parameters have a negative impact on the quality of life of older women. Respiratory aspects related to the available air support for speaking affected the most the voice-related quality of life of older men.

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Voice analysis results in individuals with Alzheimer's disease: How do age and cognitive status affect voice parameters?

Parlak,

Saylam,

Babademez

et al. 2023

Brain and Behavior

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BackgroundReports of acoustic changes in the voice in individuals with Alzheimer's disease (AD) and the relationship of acoustic changes with age and cognitive status are still limited.ObjectiveThis study aims to determine the changes in voice analysis results in AD, as well as the effects of age and cognitive status on voice parameters.MethodsThe study included 47 (AD: 30; healthy: 17) women with a mean age of 76.13 years. The acoustic voice parameters mean fundamental frequency (F0), relative average perturbation (RAP), jitter percent (Jitt), shimmer percent (Shim), and noise‐to‐harmonic ratio were detected. The mini‐mental state examination (MMSE) was utilized.ResultsF0, Shim, Jitt, and RAP values were found to be statistically significantly higher in individuals with AD compared to healthy individuals. There was a significant negative correlation between MMSE and F0, Jitt, RAP and Shim, and the MMSE score had a significant negative effect on F0, Jitt, and RAP (p < .05).ConclusionCognitive status was discovered to significantly impact the voice, with fundamental frequency and frequency and amplitude perturbations increasing as cognitive level decreases. In order to contribute to the therapy process for voice disorders, cognitive functions can be focused on in addition to voice therapy.

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Voice and ageing: clinical, endoscopic and acoustic investigation

Cited by 39 publications

References 16 publications

Acoustic characteristics of voice in different cycles of life: an integrative literature review

Acoustic characteristics of voice in different cycles of life: an integrative literature review

Influence of vocal and aerodynamics aspects on the voice-related quality of life of older adults

Voice analysis results in individuals with Alzheimer's disease: How do age and cognitive status affect voice parameters?

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