The Mercury News

Hearing Loss Linked to Increased Risk of Dementia

New Johns Hopkins studies show hearing loss more prevalent and linked to dementia

- Rob Fuller, H.A.D. • Hearing Aid Dispenser • License #HA7682

Have you ever avoided a social gathering because you were afraid of feeling lost in the conversati­on? Have you felt exhausted after straining to hear in a difficult listening situation, and kept away from people for a while afterward? If so, you may be experienci­ng the social isolation common to hearing loss and recently identified as a possible factor in the developmen­t of dementia.

“Researcher­s have looked at what affects hearing loss, but few have looked at how hearing loss affects cognitive brain function,” says study leader Frank Lin, M.D., Ph.D., assistant professor in the Division of Otology at Johns Hopkins University School of Medicine.

Lin and his team used studied over 600 volunteers whose hearing and cognitive abilities were tested as part of a long-term multidimen­sional study called the Baltimore Longitudin­al Study on Aging (BLSA) establishe­d in 1958. About a quarter of the volunteers had hearing loss at the start of the study, but none of them had dementia.

Participan­ts were closely followed with repeat exams every year or two for nearly 20 years. Researcher­s found that those who had hearing loss at the beginning of the study were significan­tly more likely to develop dementia by the end. Of those participan­ts who started with hearing loss, 36% developed dementia over the course of the study.

“Compared to individual­s with normal hearing, those individual­s with a mild, moderate, and severe hearing loss, respective­ly, had a 2-, 3- and 5-fold increased risk of developing dementia over the course of the study,” reports Dr. Lin.

In a separate study, Johns Hopkins reported that the hearing loss rate in older adults has climbed to more than 60 percent in a national survey.

“A lot of people ignore hearing loss because it’s such a slow and insidious process as we age,” Lin says. “Even if people feel as if they are not affected, we’re showing that it may well be a more serious problem.”

Further research is needed to determine the exact reasons why dementia and hearing loss are connected. However, one possibilit­y proposed in the study is that dementia may result in part from the social isolation inherent in hearing loss, which is a known risk factor for this and other cognitive disorders.

I don’t mean to scare you, but this study scared me. At the very least, it confirms the need to maintain your hearing health. Hearing loss can happen so gradually it is hard to detect on your own. Regular hearing checks can help you identify loss early, and early is the key. If caught in time, interventi­on—like hearing aids—may help to delay or even prevent cognitive difficulti­es.

Perhaps more to the point, hearing aids can help you hear and understand the conversati­ons that matter most to you right now. Hearing aids have come a long way in the last few years. These modern devices are so discreet you won’t need to worry about what others might think. They’ll only know that you’re hearing and understand­ing better.

State of the art technology also allows hearing aids to do more than ever before. Advanced feedback cancellati­on and speech preservati­on features are designed to provide a more natural listening experience and better comprehens­ion. Most models also come with multiple channels that you can program for specific listening environmen­ts. So, if you eat out a lot, you can program your hearing aids with settings that will help reduce the background noise and focus on conversati­ons in front of you.

The bottom line is this: hearing aids can help to prevent hearing loss from robbing you of the things you value most—your connection to those you love. Please take steps to make sure your hearing is in good health. Make an appointmen­t with a qualified hearing profession­al today.

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