Performance of Hearing Test Software Applications to Detect Hearing Loss

JAMA Network Open, Journal Year: 2025, Volume and Issue: 8(3), P. e252166 - e252166

Published: March 27, 2025

Importance Hearing loss is common and may impact health quality of life if not properly managed. It diagnosed following formal audiological assessment, which be available or practical. test software applications (apps) help identify people who might benefit from but their diagnostic accuracy has been incompletely studied. Objective To measure compare the validity reliability 2 commonly recommended apps (hearWHO SHOEBOX) to detect moderately severe greater hearing loss. Secondary objectives were evaluate apps’ ability less performance questionnaires for detecting both severities Design, Setting, Participants This prospective study compared hearWHO SHOEBOX with a 4-frequency pure-tone average assessment reference standard. All consenting English-speaking patients aged 18 years older referred routine at publicly funded center in Calgary, Canada, included between May 17, 2023, March 12, 2024. Main Outcome Measures The main outcome was 4 index tests, including app, Revised Handicap Inventory–Screening (RHHI-S) questionnaire, Single-Item Self-Assessment (SISA) moderate results an standard (hearing defined by better ear threshold ≥50 dB [more denoted as HL 50 ] ≥20 [less 20 ]). Test-retest C statistics, sensitivity, specificity, positive negative predicted values all tests measured. Results A total 130 participants recruited (median [IQR] age, 58 [47-67] years; 82 female [63.1%]). Complete data each comparison ranged 123 129 participants. prevalence 16.3% (21 participants). Neither nor app had high test-retest (all κ-values <0.80), having κ 0.64 (95% CI, 0.48-0.79) 0.32 0.18-0.46). statistics than 0.80. When testing , second measurement first mean. Sensitivity specificity 0.26 0.09-0.51) 1.00 0.97-1.00), respectively, hearWHO, 0.67 0.43-0.85) 0.71 0.62-0.79), respectively. RHHI-S 0.76 0.53-0.92) 0.42 0.32-0.52), SISA, 0.10 0.01-0.30) 0.90 0.83-0.95), Using stringent increased sensitivity least 95% while retaining 47% 54%. higher . Conclusions Relevance These findings suggest that have limited reliability, perhaps because learning effect. Both suitable sensitive strategy desired identifying whereas preferable specific desired. If neither available, SISA could used depending on whether

Language: Английский

---

A systematic review of the association of Type I diabetes with sensorineural hearing loss

PLoS ONE, Journal Year: 2024, Volume and Issue: 19(2), P. e0298457 - e0298457

Published: Feb. 9, 2024

Objectives Type 1 diabetes (T1D) has been associated with several comorbidities such as ocular, renal, and cardiovascular complications. However, the effect of T1D on auditory system sensorineural hearing loss (SNHL) is still not clear. The aim this study was to conduct a systematic review evaluate whether impairment. Methods databases PubMed, Science Direct, Scopus, EMBASE were searched in accordance Preferred Reporting Items for Systematic Reviews Meta-Analyses (PRISMA) criteria. Three reviewers independently screened, selected, extracted data. Joanna Briggs Institute (JBI) Critical Appraisal Tools Analytical cross-sectional case-control studies used perform quality assessment risk bias analysis eligible studies. Results After screening total 463 studies, 11 original articles included analyze effects system. comprised investigations. A 5,792 patients evaluated across included. majority showed that impairment compared controls, including differences PTAs OAEs, increased mean thresholds, altered acoustic reflex problems medial olivocochlear (MOC) inhibitory effect. Significant factors older age, disease duration, higher HbA1C levels. Conclusions This suggests there correlation between multidisciplinary collaboration endocrinologists, otolaryngologists, audiologists will lead early detection people resulting intervention better clinical outcomes pursuit improving life affected individuals. Registration registered PROSPERO ( CRD42023438576 ).

Language: Английский

---

Association between blood volatile organic aromatic compound concentrations and hearing loss in US adults

BMC Public Health, Journal Year: 2024, Volume and Issue: 24(1)

Published: Feb. 27, 2024

Abstract Objective Benzene, ethylbenzene, meta/para-xylene, and ortho-xylene, collectively referred to as benzene, xylene (BEX), constitute the main components of volatile organic aromatic compounds (VOACs) can have adverse effects on human health. The relationship between exposure BEX hearing loss (HL) in adult U.S. population was aimed be assessed. Methods Cross-sectional data from National Health Nutrition Examination Survey (NHANES) for years 2003–2004, 2011–2012, 2015–2016 were analyzed. This dataset included complete demographic characteristics, pure-tone audiometry measurements, compound detection NHANES database. A weighted multivariate logistic regression model employed investigate associations blood concentrations HL, low-frequency (SFHL), high-frequency (HFHL). Results 2174 participants included, with prevalence rates SFHL, HFHL being 46.81%, 25.23%, 45.86%, respectively. Exposure cumulative increased risk (odds ratios [ORs] 1.36, 1.22, 1.42, 1.23, 1.31, respectively; all P < 0.05). In analysis SFHL outcome, m-/p-xylene, o-xylene, overall (OR 1.26, 1.21, 1.28, 1.20, 1.25, For HFHL, Conclusion Our study indicated that a positive correlation individual or ortho-xylene HFHL. Further research is imperative acquire more comprehensive understanding mechanisms by which compounds, notably BEX, causing validate these findings longitudinal environmental studies.

Language: Английский

---

Association between disability and cognitive function in older Chinese people: a moderated mediation of social relationships and depressive symptoms

Frontiers in Public Health, Journal Year: 2024, Volume and Issue: 12

Published: April 16, 2024

Objective Many previous studies have found that disability leads to cognitive impairment, and in order better understand the underlying mechanisms between present study aimed investigate moderating role of social relationships, including their as mediators impairment depressive symptoms. Study design This is a cross-sectional study. Methods A total 5,699 Chinese older adults from 2018 China Longitudinal Healthy Longevity Survey (CLHLS) were included this study, PROCESS macro was used perform simple mediator moderator analyses, which analyze relationship symptoms relationships impairment. Results The results showed significant correlations disability, symptoms, mediated functioning [B = −0.232; 95% CI: (−0.304, −0.164)], through pathway (Disability-Depressive Symptoms) 0.190; (0.020, 0.036)], path b (depressive symptoms-cognitive impairment) 0.029; (0.015, 0.042)], c’ (incapacitation-cognitive 0.492; (0.298, 0.685)] modulate effect incapacitation on In addition, activities networks moderated mediation model directly or indirectly, whereas support only direct effect. Conclusion explains intrinsic link adults, can indirectly effects them. provides basis for healthcare professionals be able develop interventions improve level mental health adults.

Language: Английский

---

Social Leisure Activities and Cognitive Functioning among Married and Unmarried Older Men and Women in Mexico

Research on Aging, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 20, 2025

Using data from Wave 5 (2018) of the Mexican Health and Aging Study, this research examines implications six social leisure activities for cognition among married unmarried men women in Mexico, while considering their physical health depressive symptoms. The findings reveal some marital status gender differences similarities. This study indicates that church attendance volunteering might be related to poorer cognition, whereas a training course, club participation, board games, remote communication can provide cognitive benefits. Despite poor vision, hearing, functional limitations, associated with better cognition. Yet, case hearing symptoms, volunteering, games linked insights help develop intervention programs improving later-life functioning through particularly individuals deteriorating health.

Language: Английский

---

How to Break Stubborn Association Between Hearing Loss and Cognitive Impairment: A Systematic Review and Meta-Analysis of Moderators and Mediators

Journal of Geriatric Psychiatry and Neurology, Journal Year: 2025, Volume and Issue: unknown

Published: March 19, 2025

Background Hearing loss has been related to impaired cognition among older adults. The cost effectiveness of existing hearing support tools is controversial. Other potential modifying strategies that could effectively intervene in this prevalent and far-reaching association between cognitive decline remain unclear. This study aimed narratively quantitatively synthesize the mediators moderators involved link impairment from a psycho-social physical point view. Method We searched 6 databases for articles exploring mediating or moderating associations loss-cognition inception March, 2024. Data were synthesized by meta-analytic approaches. Results search yielded 63 included studies. Social (social engagement, social support, age, sex, ethnicity, reserve)-psycho (depression, anxiety, loneliness, resilience)-physical (cardiovascular diseases risk factors, perceived health, disability, APOE carrier, vision impairment, gait speed) variables mediated moderated relationship varying degrees. Subgroup analyses identified susceptible populations at greater decline, including women, younger elders with loss, adults dual sensory loss. Conclusion Combined interventions targeting these modifiable across dimensions may be more cost-effective intervening ensemble loss-cognitive

Language: Английский

---

Age-related hearing loss associated with cognitive impairment in the Polish cohort of the PURE study

Frontiers in Aging Neuroscience, Journal Year: 2025, Volume and Issue: 17

Published: March 28, 2025

Currently, dementia is estimated to be the seventh most common cause of death and one leading causes disability dependency among older people worldwide. The main aim this study analyze association presbycusis cognitive impairment in population. Secondary identify risk prevalence taking into account bio- socio-demographic factors residents Wrocław surrounding villages. Data from 891 participants (559 women 332 men; mean age: 60.7 years; range: 39-81) Polish cohort PURE who met inclusion criteria for MIND sub-study had a functional assessment completed (MoCA test, DSST TMT parts A B, CES-D, SAGE test). Hearing loss was significant factor as assessed using MoCA, DSST, B tests. Mild < 26 score) present nearly half those with hearing compared 26.0 per cent without (p = 0.036). increased chance MCI almost 1.5-fold [OR 1.34; CI 0.93-1.93]. Multivariate regression analysis showed that loss, hypertension diabetes scored significantly lower (worse) on MoCA test (by -0.52 points [95% -0.99 -0.06]; -0.48 -0.96 -0.01] -0.69 -1.16 0.23], respectively). Excessive body weight developing by more than 1.64; 1.03-2.68; OR 1.59; 1.04-2.41, respectively]. men (22.3%), irrespective level education. rural (54.8% vs. 34.8%) levels Age-related modifiable dementia, emphasizing importance routine assessments timely interventions. Integrating management strategies targeting vascular metabolic health can help mitigate decline.

Language: Английский

---

Activity participation on executive functions and well- being of hearing impaired children

BMC Public Health, Journal Year: 2025, Volume and Issue: 25(1)

Published: March 31, 2025

The aim of the study was to examine relationship between activity levels and psychological well-being executive functions children with hearing impairment. conducted in seven schools providing education hearing-impaired Ankara province Turkey. This cross-sectional-analytical study. main data collection tools were personal information form, Stirling Emotional Psychological Well-being Scale for Children, Canadian Occupational Performance Measure Childhood Executive Function Inventory Parent/Teacher Form. relationships variables evaluated using Spearman correlation analysis Multiple Linear Regression applied. A total 69 students attending primary secondary participated Eighty invited participate study, but them agreed ages participants ranged 4 12 years (mean: 12.48 ± 3.43 years). There a statistically significant positive scale performance (r = 0.275, p 0.022). contribution age model showing effect on score significant. performance, which independent model, explained 29.9% changes score. one-unit increase caused 0.976 standard deviation decrease variable 2.270 positively affected impaired children, activity-oriented programs will make an important support psychosocial health managing this process.

Language: Английский

---

Hearing loss and cognitive impairment among older adults: findings from the China health and retirement longitudinal study

BMC Public Health, Journal Year: 2025, Volume and Issue: 25(1)

Published: April 30, 2025

With the rapid aging of populations, dementia has become a major health problem. Hearing loss is common among older adults and been recognized as contributing factor to cognitive impairment dementia. We aimed explore association between hearing in adults. also sought quantify extent which impact on could be mediated by depression social isolation. used nationally representative data from China Health Retirement Longitudinal Study (CHARLS), population-based cohort study. The study population comprised aged 60 who participated at least two waves CHARLS. Cognitive function was measured based four dimensions: orientation, computation, memory, drawing. defined according self-reported data. logistic regression models analyze cross-sectional impairment. Cox proportional hazards were examine longitudinal conducted an in-depth analysis severity its associated risk Additionally, we calculated percentage excess (PERM) In total, 7891 individuals included analysis, 5326 with mean follow-up 6.38 years. after adjusting for all covariates (OR = 1.76, 95% CI: 1.49-2.08). hazard ratio compared no 1.24 (95% 1.06-1.46) adjustment demographics, socioeconomic factors, health-related behaviors. Further revealed that moderate or severe had strong relationship (HR 1.32, 1.07-1.62). Of total impairment, 20.83% 4.17% independently providing evidence addressing help improve function.

Language: Английский

---

Cognitive benefits of hearing intervention vary by risk of cognitive decline: A secondary analysis of the ACHIEVE trial

Alzheimer s & Dementia, Journal Year: 2025, Volume and Issue: 21(5)

Published: May 1, 2025

Abstract INTRODUCTION Results from the Aging and Cognitive Health Evaluation in Elders (ACHIEVE) trial suggest hearing intervention may not reduce 3‐year cognitive decline all older adults with loss but be beneficial certain groups. This secondary analysis investigated if participants multiple risk factors for received greater benefits. METHODS We used a sample of dementia‐free ( N = 2692) Atherosclerosis Risk Communities (ARIC) cohort to develop predictive model decline. The was applied baseline measures ACHIEVE 977) estimate predicted risk. tested an interaction between randomization or health education control. RESULTS Among top quartile risk, 61.6% (95% confidence interval [CI]: 33.7%–94.1%) slower than DISCUSSION effect on reducing greatest among individuals associated faster Trial Registration: ClinicalTrials.gov Identifier: NCT03243422 Highlights Participants were recruited de novo local community. A 48% reduction observed ARIC participants. In this analysis, there decline, slowed by 62%.

Language: Английский

---