The Effect of Cochlear Implants on Cognitive Function in Older Adults: Initial Baseline and 18-Month Follow Up Results for a Prospective International Longitudinal Study.

age cochlear implants cognitive decline education executive function hearing loss speech perception visual attention

Journal

Frontiers in neuroscience
ISSN: 1662-4548
Titre abrégé: Front Neurosci
Pays: Switzerland
ID NLM: 101478481

Informations de publication

Date de publication:
2019
Historique:
received: 15 12 2018
accepted: 15 07 2019
entrez: 21 8 2019
pubmed: 21 8 2019
medline: 21 8 2019
Statut: epublish

Résumé

In older adults, hearing loss is independently associated with an increased rate of cognitive decline, and has been identified to be a modifiable risk factor for dementia. The mechanism underlying the cognitive decline associated with hearing loss is not understood, but it is known that the greater the hearing loss, the faster the rate of decline. It is unknown whether remediation of hearing loss with hearing devices can delay cognitive decline. This 5-year international longitudinal study is investigating the impact of cochlear implants on cognitive function in older people with severe-profound hearing loss, and whether remediation of hearing loss could delay the onset of cognitive impairment. This is the first study to examine the major primary risk factors associated with dementia in the same cohort. Participants were assessed before cochlear implantation and 18 months later using an identical battery including a visually presented cognitive assessment tool (Cogstate battery) that is highly sensitive to small changes in cognition and suitable for use with people with hearing loss. Hearing and speech perception ability were assessed in sound-treated conditions by an audiologist, and a range of questionnaire tools was administered to assess self-perceived ease of listening, quality of life, physical activity, diet, social and emotional loneliness, isolation, anxiety, and depression. A detailed medical health history was taken. Pre-operatively, despite the small initial sample size (

Identifiants

pubmed: 31427915
doi: 10.3389/fnins.2019.00789
pmc: PMC6687844
doi:

Types de publication

Journal Article

Langues

eng

Pagination

789

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Auteurs

Julia Sarant (J)

Department of Audiology and Speech Pathology, The University of Melbourne, Melbourne, VIC, Australia.

David Harris (D)

Department of Economics, The University of Melbourne, Melbourne, VIC, Australia.

Peter Busby (P)

Department of Audiology and Speech Pathology, The University of Melbourne, Melbourne, VIC, Australia.

Paul Maruff (P)

Cogstate Ltd., Melbourne, VIC, Australia.

Adrian Schembri (A)

Cogstate Ltd., Melbourne, VIC, Australia.

Richard Dowell (R)

Department of Audiology and Speech Pathology, The University of Melbourne, Melbourne, VIC, Australia.

Robert Briggs (R)

The Royal Victorian Eye and Ear Hospital, Melbourne, VIC, Australia.

Classifications MeSH