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

IF 2.9 4区 医学 Q2 CLINICAL NEUROLOGY
Zeyi Zhang, Tingting Wang, Heng Cao, Longshan Yang, Xue Chen, Yu Han
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引用次数: 0

Abstract

BackgroundHearing 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 hearing loss and cognitive decline remain unclear. This study aimed to narratively and quantitatively synthesize the mediators and moderators involved in the link between hearing loss and cognitive impairment from a psycho-social and physical point of view.MethodWe searched 6 databases for articles exploring mediating or moderating associations of hearing loss-cognition association from inception to March, 2024. Data were synthesized narratively and quantitatively by meta-analytic approaches.ResultsThe search yielded 63 included studies. Social (social engagement, social support, age, sex, ethnicity, cognitive reserve)-psycho (depression, anxiety, loneliness, resilience)-physical (cardiovascular diseases and risk factors, perceived health, disability, APOE carrier, vision impairment, gait speed) variables mediated or moderated the relationship between hearing loss and cognitive impairment to varying degrees. Subgroup analyses identified susceptible populations at greater risk for cognitive decline, including women, younger elders with hearing loss, and older adults with dual sensory loss.ConclusionCombined interventions targeting these modifiable variables across psycho-social and physical dimensions may be more cost-effective for intervening in the ensemble of hearing loss-cognitive impairment in older adults.

如何打破听力损失与认知障碍之间的顽固联系:调节因子和调节因子的系统回顾和荟萃分析。
在老年人中,听力损失与认知障碍有关。现有听力支持工具的成本效益是有争议的。其他可能有效干预这种普遍和深远的听力损失和认知能力下降之间联系的潜在修改策略尚不清楚。本研究旨在从心理-社会和生理角度叙述和定量地综合听力损失与认知障碍之间的中介和调节因子。方法检索6个数据库,检索自成立以来至2024年3月间探讨听力损失-认知关联的中介或调节关系的文章。通过meta分析方法对数据进行叙述和定量综合。结果搜索得到了63项纳入的研究。社会(社会参与、社会支持、年龄、性别、种族、认知储备)-心理(抑郁、焦虑、孤独、恢复力)-身体(心血管疾病和危险因素、感知健康、残疾、APOE携带者、视力障碍、步态速度)变量在不同程度上调节或调节了听力损失和认知障碍之间的关系。亚组分析确定了认知能力下降风险较大的易感人群,包括女性、听力丧失的年轻老年人和双重感觉丧失的老年人。结论针对这些心理、社会和身体维度的可变变量的联合干预可能对老年人听力损失-认知障碍的综合干预更具成本效益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.20
自引率
0.00%
发文量
40
审稿时长
>12 weeks
期刊介绍: Journal of Geriatric Psychiatry and Neurology (JGP) brings together original research, clinical reviews, and timely case reports on neuropsychiatric care of aging patients, including age-related biologic, neurologic, and psychiatric illnesses; psychosocial problems; forensic issues; and family care. The journal offers the latest peer-reviewed information on cognitive, mood, anxiety, addictive, and sleep disorders in older patients, as well as tested diagnostic tools and therapies.
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