The effect of aging and asymmetrical hearing on speech discrimination.
Journal
Communications medicine
ISSN: 2730-664X
Titre abrégé: Commun Med (Lond)
Pays: England
ID NLM: 9918250414506676
Informations de publication
Date de publication:
21 Aug 2024
21 Aug 2024
Historique:
received:
04
08
2023
accepted:
02
08
2024
medline:
22
8
2024
pubmed:
22
8
2024
entrez:
21
8
2024
Statut:
epublish
Résumé
Speech discrimination (SpD) is exacerbated by hearing loss, but the relationship between pure-tone audiometry (PTA) and SpD is poorly described and understood in the aging process. It is also unclear whether severity of left-right (L-R) differences in PTA threshold disproportionately affects SpD. We conducted a retrospective cross-sectional study of a broad age range (10-99 years) of patients in Japan. Demographic data, SpD, and PTA threshold data were collected for each patient and side (L-R). We evaluated the association between chronological age and overall SpD, and SpD according to severity of PTA-threshold difference for ear pairs. Asymmetries in L-R PTA thresholds were stratified into four equally spaced categories: <10dB L-R difference to ≥40 dB L-R difference. Among the 2760 eligible participants, data from 5508 ears are analyzed. Overall SpD gradually decreases with age, with SpD scores in the oldest groups being significantly worse (Kruskal-Wallis followed by Dunn's test; p < 0.0001) than those of the youngest group. Comparison of worse-hearing ears to better-hearing ears within the same severity of hearing impairment reveals significant differences on SpD in ears that have moderate or severe hearing impairment (p < 0.0001). Post-hoc analysis identifies significant differences in SpD between the worse-hearing ears and the better-hearing ears that have hearing differences of 20 dB or more. SpD is dramatically affected by age and asymmetrical hearing. Therefore, appropriate audiological interventions should be proactively considered according to an individual's hearing level, age, and difference in L-R hearing levels. The ability to understand speech is impacted by hearing loss. Pure-tone hearing tests are commonly used to test hearing. The relationship between pure-tone hearing tests and speech perception tests during aging is poorly understood. It is also unclear whether severity of differences in hearing between the ears affect speech perception. We evaluated the association between chronological age and speech perception score, as well as speech perception score according to severity of hearing difference between ears, in a large dataset from Japan. We found speech perception is dramatically affected by age and the presence of asymmetrical hearing. Our results suggest that appropriate audiological interventions should be proactively considered according to an individual’s hearing level, age, and whether they have asymmetrical hearing.
Sections du résumé
BACKGROUND
BACKGROUND
Speech discrimination (SpD) is exacerbated by hearing loss, but the relationship between pure-tone audiometry (PTA) and SpD is poorly described and understood in the aging process. It is also unclear whether severity of left-right (L-R) differences in PTA threshold disproportionately affects SpD.
METHODS
METHODS
We conducted a retrospective cross-sectional study of a broad age range (10-99 years) of patients in Japan. Demographic data, SpD, and PTA threshold data were collected for each patient and side (L-R). We evaluated the association between chronological age and overall SpD, and SpD according to severity of PTA-threshold difference for ear pairs. Asymmetries in L-R PTA thresholds were stratified into four equally spaced categories: <10dB L-R difference to ≥40 dB L-R difference.
RESULTS
RESULTS
Among the 2760 eligible participants, data from 5508 ears are analyzed. Overall SpD gradually decreases with age, with SpD scores in the oldest groups being significantly worse (Kruskal-Wallis followed by Dunn's test; p < 0.0001) than those of the youngest group. Comparison of worse-hearing ears to better-hearing ears within the same severity of hearing impairment reveals significant differences on SpD in ears that have moderate or severe hearing impairment (p < 0.0001). Post-hoc analysis identifies significant differences in SpD between the worse-hearing ears and the better-hearing ears that have hearing differences of 20 dB or more.
CONCLUSIONS
CONCLUSIONS
SpD is dramatically affected by age and asymmetrical hearing. Therefore, appropriate audiological interventions should be proactively considered according to an individual's hearing level, age, and difference in L-R hearing levels.
The ability to understand speech is impacted by hearing loss. Pure-tone hearing tests are commonly used to test hearing. The relationship between pure-tone hearing tests and speech perception tests during aging is poorly understood. It is also unclear whether severity of differences in hearing between the ears affect speech perception. We evaluated the association between chronological age and speech perception score, as well as speech perception score according to severity of hearing difference between ears, in a large dataset from Japan. We found speech perception is dramatically affected by age and the presence of asymmetrical hearing. Our results suggest that appropriate audiological interventions should be proactively considered according to an individual’s hearing level, age, and whether they have asymmetrical hearing.
Autres résumés
Type: plain-language-summary
(eng)
The ability to understand speech is impacted by hearing loss. Pure-tone hearing tests are commonly used to test hearing. The relationship between pure-tone hearing tests and speech perception tests during aging is poorly understood. It is also unclear whether severity of differences in hearing between the ears affect speech perception. We evaluated the association between chronological age and speech perception score, as well as speech perception score according to severity of hearing difference between ears, in a large dataset from Japan. We found speech perception is dramatically affected by age and the presence of asymmetrical hearing. Our results suggest that appropriate audiological interventions should be proactively considered according to an individual’s hearing level, age, and whether they have asymmetrical hearing.
Identifiants
pubmed: 39169210
doi: 10.1038/s43856-024-00587-8
pii: 10.1038/s43856-024-00587-8
doi:
Types de publication
Journal Article
Langues
eng
Pagination
166Subventions
Organisme : MEXT | Japan Society for the Promotion of Science (JSPS)
ID : 21K09574
Organisme : MEXT | Japan Society for the Promotion of Science (JSPS)
ID : 24K02599
Informations de copyright
© 2024. The Author(s).
Références
World Health Organization. The World Report on Hearing. 2021.
Livingston, G. et al. Dementia prevention, intervention, and care: 2020 report of the lancet commission. Lancet 396, 413–446 (2020).
doi: 10.1016/S0140-6736(20)30367-6
pubmed: 32738937
pmcid: 7392084
Pronk, M. et al. Prospective effects of hearing status on loneliness and depression in older persons: identification of subgroups. Int. J. Audiol. 50, 887–896 (2011).
doi: 10.3109/14992027.2011.599871
pubmed: 21929374
Legris, E. et al. Assessment of auditory discrimination in hearing-impaired patients. Eur. Ann. Otorhinolaryngol. Head. Neck Dis. 135, 335–339 (2018).
doi: 10.1016/j.anorl.2018.04.004
pubmed: 29709388
Gordon-Salant, S. Hearing loss and aging: new research findings and clinical implications. J. Rehabil. Res Dev. 42, 9–24 (2005).
doi: 10.1682/JRRD.2005.01.0006
pubmed: 16470462
Neal, K., McMahon, C. M., Hughes, S. E. & Boisvert, I. Listening-based communication ability in adults with hearing loss: a scoping review of existing measures. Front Psychol. 13, 786347 (2022).
doi: 10.3389/fpsyg.2022.786347
pubmed: 35360643
pmcid: 8960922
Gates, G. A. & Mills, J. H. Presbycusis. Lancet 366, 1111–1120 (2005).
doi: 10.1016/S0140-6736(05)67423-5
pubmed: 16182900
Jerger, J. Audiological findings in aging. Adv. Otorhinolaryngol. 20, 115–124 (1973).
pubmed: 4710504
Magalhães, A. T. M. & Gómez, M. V. S. G. Speech discrimination index in presbycusis. Int. Arch. Otorhinolaryngol. 11, 169–174 (2007).
Choi, J. et al. Effect of aging on speech discrimination. J. Audio. Otol. 26, 198–201 (2022).
doi: 10.7874/jao.2022.00304
Maeda, Y. et al. Relationship between pure-tone audiogram findings and speech perception among older Japanese persons. Acta Otolaryngol. 138, 140–144 (2018).
doi: 10.1080/00016489.2017.1378435
pubmed: 28933573
GBD 2019 Hearing Loss Collaborators. Hearing loss prevalence and years lived with disability, 1990–2019: Findings from the Global Burden of Disease Study 2019. Lancet 397, 996–1009 (2021).
doi: 10.1016/S0140-6736(21)00516-X
McDaid, D., Park, A.-L. & Chadha, S. Estimating the global costs of hearing loss. Int. J. Audiol. 60, 162–170 (2021).
doi: 10.1080/14992027.2021.1883197
pubmed: 33590787
World Health Assembly, 70. (2017). Prevention of deafness and hearing loss. World Health Organization. https://apps.who.int/iris/handle/10665/275682 (accessed Jan 29, 2023).
Brant, L. J. & Fozard, J. L. Age changes in pure-tone hearing thresholds in a longitudinal study of normal human aging. J. Acoust. Soc. Am. 88, 813–820 (1990).
doi: 10.1121/1.399731
pubmed: 2212307
Sharma, R. K., Lalwani, A. K. & Golub, J. S. Prevalence and severity of hearing loss in the older old population. JAMA Otolaryngol. Head. Neck Surg. 146, e200900 (2020).
doi: 10.1001/jamaoto.2020.0900
Homans, N. C. et al. Prevalence of age-related hearing loss, including sex differences, in older adults in a large cohort study. Laryngoscope 127, 725–730 (2017).
doi: 10.1002/lary.26150
pubmed: 27377351
Wasano, K., Kaga, K. & Ogawa, K. Patterns of hearing changes in women and men from denarians to nonagenarians. Lancet Reg. Health-West. Pac. 9, 100131 (2021).
pubmed: 34327440
pmcid: 8315603
Wasano, K., Nakagawa, T. & Ogawa, K. Prevalence of hearing impairment by age: 2nd to 10th decades of life. Biomedicines 10, 1431 (2022).
doi: 10.3390/biomedicines10061431
pubmed: 35740452
pmcid: 9220865
Ferguson, M. A., Nakano, K. & Jayakody, D. M. P. Clinical assessment tools for the detection of cognitive impairment and hearing loss in the ageing population: a scoping review. Clin. Inter. Aging 18, 2041–2051 (2023).
doi: 10.2147/CIA.S409114
Vannson, N. et al. Speech-in-noise perception in unilateral hearing loss: relation to pure-tone thresholds and brainstem plasticity. Neuropsychologia 102, 135–143 (2017).
doi: 10.1016/j.neuropsychologia.2017.06.013
pubmed: 28623107
Blumenfeld, V. G., Bergman, M. & Millner, E. Speech discrimination in an aging population. J. Speech Hear Res. 12, 210–217 (1969).
doi: 10.1044/jshr.1201.210
pubmed: 5779907
Japan Audiological Society. The practice of audiologic test. Tokyo: Nanzando; 2017.
Olusanya, B. O., Davis, A. C. & Hoffman, H. J. Hearing loss grades and the. Bull. World Health Organ 97, 725–728 (2019).
doi: 10.2471/BLT.19.230367
pubmed: 31656340
pmcid: 6796665
Huang, A. R., Jiang, K., Lin, F. R., Deal, J. A. & Reed, N. S. Hearing loss and dementia prevalence in older adults in the US. JAMA 329, 171–173 (2023).
doi: 10.1001/jama.2022.20954
pubmed: 36625819
pmcid: 9856835
Cetin, B., Uguz, F., Erdem, M. & Yildirim, A. Relationship between quality of life, anxiety and depression in unilateral hearing loss. J. Int. Adv. Otol. 6, 252–257 (2010).
Japan Audiological Society. Speech audiometry. Audiol. Jpn 46, 621–637 (2023).
Kurioka, T., Sano, H., Furuki, S. & Yamashita, T. Effects of the conductive component of hearing loss on speech discrimination ability. J. Int. Adv. Otol. 16, 93–97 (2020).
doi: 10.5152/iao.2020.7870
pubmed: 32209519
pmcid: 7224440
School Health and Safety Act. https://elaws.e-gov.go.jp/document?lawid=333AC0000000056 (accessed Jan 25, 2024).
Industrial Safety and Health Act. https://elaws.e-gov.go.jp/document?lawid=347AC0000000057 (accessed Jan 25, 2024).
Speech understanding and aging. Working Group on Speech Understanding and Aging. Committee on Hearing, Bioacoustics, and Biomechanics, Commission on Behavioral and Social Sciences and Education, National Research Council. J. Acoust. Soc. Am. 83, 859–895 (1988).
Silverman, C. A. et al. Auditory deprivation in adults with asymmetric, sensorineural hearing impairment. J. Am. Acad. Audio. 17, 747–762 (2006).
doi: 10.3766/jaaa.17.10.6
Silverman, C. A. & Emmer, M. B. Auditory deprivation and recovery in adults with asymmetric sensorineural hearing impairment. J. Am. Acad. Audio. 4, 338–346 (1993).
Silman, S., Gelfand, S. A. & Silverman, C. A. Late-onset auditory deprivation: effects of monaural versus binaural hearing aids. J. Acoust. Soc. Am. 76, 1357–1362 (1984).
doi: 10.1121/1.391451
pubmed: 6512097
Chia, E. M. et al. Hearing impairment and health-related quality of life: the Blue Mountains Hearing Study. Ear Hear 28, 187–195 (2007).
doi: 10.1097/AUD.0b013e31803126b6
pubmed: 17496670
Suen, J. J. et al. Prevalence of asymmetric hearing among adults in the United States. Otol. Neurotol. 42, e111–e113 (2021).
doi: 10.1097/MAO.0000000000002931
pubmed: 33332857
pmcid: 9186817
Zobay, O., Naylor, G., Saunders, G. H. & Dillard, L. K. Fitting a hearing aid on the better ear, worse ear, or both: associations of hearing-aid fitting laterality with outcomes in a large sample of US veterans. Trends Hear 27, 23312165231195987 (2023).
doi: 10.1177/23312165231195987
pubmed: 37615317
pmcid: 10467180
Mahmoudi, E. et al. Can Hearing Aids Delay Time to Diagnosis of Dementia, Depression, or Falls in Older Adults? J. Am. Geriatr. Soc. 67, 2362–2369 (2019).
doi: 10.1111/jgs.16109
pubmed: 31486068
World Health Organization. World report on hearing, 2021. https://www.who.int/publications/i/item/9789240020481 (accessed Jan 29, 2023).
Chisolm, T. H. et al. A systematic review of health-related quality of life and hearing aids: final report of the American academy of audiology task force on the health-related quality of life benefits of amplification in adults. J. Am. Acad. Audio. 18, 151–183 (2007).
doi: 10.3766/jaaa.18.2.7
Raymond, M. J. et al. Association of cognitive impairment screening scores with improvements in speech recognition and quality of life after cochlear implantation. JAMA Otolaryngol. Head. Neck Surg. 149, 344–351 (2023).
doi: 10.1001/jamaoto.2022.4825
pubmed: 36729460
pmcid: 9896371