西班牙裔/拉丁裔自述视力和听力功能与认知功能之间的关系:西班牙裔社区健康研究(HCHS/SOL)

D. Zheng, Byron L. Lam, Charlotte E Joslin, Hector M Gonzalez, Rachael R. Baiduc, W. Tarraf, A. Stickel, Martha Daviglus, Olga L. Garcia-Bedoya, Neil Schneiderman, Franklyn Gonzalez, David J. Lee
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引用次数: 0

摘要

研究西班牙裔/拉美裔人群自我报告的视觉功能(VF)和听觉功能(HF)与认知之间的关系。 我们利用了 "迈阿密眼科 SOL "辅助研究的数据,该研究是 "西班牙裔社区健康研究/拉美裔研究"(HCHS/SOL)的一部分,共有 1,056 名 45 岁及以上的参与者参加。研究结果是通过数字符号替换测试(DSST)、单词流利度、简短西班牙语-英语口头学习测试-回忆(B-SEVLT 回忆)、三次试验回忆单词和六项筛选器评估认知能力。视觉功能由美国国家眼科研究所视觉功能问卷(NEI-VFQ)测量,听觉功能由成人和老年人听力障碍量表筛查问卷(HHIA/E-S)测量。在控制协变量和复杂抽样设计的同时,对每种认知结果进行了多元回归。 NEI-VFQ与5项认知结果中的3项相关。4 分的 NEI-VFQ 分数差异与 DSST 的 0.56 分差异(se=0.27,p<0.001)、文字流畅性的 0.17 分差异(se=0.16,p<0.01)和 B-SEVLT-recall 的 0.08 分差异(se=0.07,p<0.01)相关。HHIA/E-S与所研究的任何认知指标均无关联。 这些数据表明,在西班牙裔/拉美裔人群中,视觉功能受损与认知能力下降有关。尽管以前在该人群中进行的研究表明,通过纯音测听评估的听力损失与认知能力下降有关,但我们发现自我感觉的听力功能与认知能力无关,这表明在西班牙裔/拉美裔人群的流行病学研究中,自我感觉的听力功能作为听力损失的替代物可能存在局限性。研究结果还表明,在西班牙裔人群中,视觉功能受损和听觉功能受损与认知能力的关系可能不同,因此需要开展更多研究,以更好地了解两者之间的内在联系机制。视力和听力损伤是常见的、可治疗的疾病,也是重要的可改变风险因素,可以通过治疗来保护西班牙裔/拉美裔人群的认知功能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Associations Between Self-Reported Visual and Hearing Functioning and Cognitive Function among Hispanics/Latino: Hispanic Community Health Study (HCHS/SOL)
To investigate the associations between self-reported visual functioning (VF) and hearing functioning (HF) with cognition in the Hispanic/Latino population. We utilized data from the Miami Ocular SOL ancillary study to Hispanic Community Health Study/Study of Latinos (HCHS/SOL) with 1,056 participants aged 45 and older. The outcomes were cognitive performances assessed by the Digit Symbol Substitution Test (DSST), Word Fluency, Brief Spanish-English Verbal Learning Test-recall (B-SEVLT recall), words recalled over three trials, and the Six-Item Screener. Visual functioning was measured by National Eye Institute Visual Function Questionnaire (NEI-VFQ) and hearing function was measured by Hearing Handicap Inventory Screening Questionnaire for Adults and Elderly (HHIA/E-S). Multiple regressions were performed for each cognitive outcome while controlling for covariates and complex sampling design. NEI-VFQ was associated with 3 of the 5 cognitive outcomes. A 4-point NEI-VFQ score difference was associated with 0.56-point difference in DSST (se=0.27, p<0.001), 0.17 in Word fluency (se=0.16, p<0.01), and 0.08 in B-SEVLT-recall (se=0.07, p<0.01). HHIA/E-S was not associated with any of the cognitive measures examined. These data suggest that impaired visual functioning is associated with worse cognition in the Hispanic/Latino population. Although previous work in this cohort indicated hearing loss assessed by pure tone audiometry was associated with worse cognition, we found self-perceived hearing function was not associated with cognition, suggesting the potential limitation of self-reported hearing function as a proxy for hearing loss in epidemiological research in Hispanic/Latino populations. Results also imply impaired visual functioning and hearing function may be linked to cognition differently in Hispanic population and more research is needed to better understand the underlying linking mechanisms. Visual and hearing impairment are common and treatable and represent important modifiable risk factors that can be treated to preserve cognitive function in Hispanics/Latinos.
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