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Hearing, cognition, and healthy aging: Social and public health implications of the links between age-related declines in hearing and cognition.
Open accessAbstract
Sensory input provides the signals used by the brain when listeners understand speech and participate in social activities with other people in a range of everyday situations. When sensory inputs are diminished, there can be short-term consequences to brain functioning, and long-term deprivation can affect brain neuroplasticity. Indeed, the association between hearing loss and cognitive declines in older adults is supported by experimental and epidemiologic evidence, although the causal mechanisms remain unknown. These interactions of auditory and cognitive aging play out in the challenges confronted by people with age-related hearing problems when understanding speech and engaging in social interactions. In the present article, we use the World Health Organization's International Classification of Functioning, Disability and Health and the Selective Optimization with Compensation models to highlight the importance of adopting a healthy aging perspective that focuses on facilitating active social participation by older adults. First, we examine epidemiologic evidence linking ARHL to cognitive declines and other health issues. Next, we examine how social factors influence and are influenced by auditory and cognitive aging and if they may provide a possible explanation for the association between ARHL and cognitive decline. Finally, we outline how audiologists could reposition hearing health care within the broader context of healthy aging.
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Metadata
- Authors
- Mick, P., Reed, M., & Pichora-Fuller, M.
- Affiliations
- University of British Columbia (CA)
- Baycrest Academy for Research and Education (CA)
- University Health Network (CA)
- Venue
- Seminars in Hearing
- Publisher
- Georg Thieme Verlag KG
- Published
- 2015-07-09
- Volume
- 36
- Issue
- 03
- Pages
- 122-139
- ISSN
- 0734-0451 (ISSN-L)
- 1098-8955
- PMC
- PMC4906310
- OpenAlex
- W2404559385
- Cited by
- 138
- References
- 179
- Citations by year
- 2026: 15 · 2025: 19 · 2024: 16 · 2023: 18 · 2022: 12 · 2021: 20 · 2020: 13 · 2019: 8 · 2018: 8 · 2017: 3 · 2016: 6
- FWCI
- 3.41
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Seminars in Hearing (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Speech and Hearing › Hearing Loss and Rehabilitation
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Sensory Systems › Hearing, Cochlea, Tinnitus, Genetics
- Keywords
- age-related hearing loss, cognitive decline, healthy aging, auditory aging, cognitive aging, social participation (health and rehabilitation), neuroplasticity, selective optimization with compensation, International Classification of Functioning, Disability and Health, older adults, speech understanding, social factors, hearing care
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