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Hearing Impairment, Hearing Aid Use, and Cognitive Outcomes in Older Adults: A Cross‐Sectional Study
Semere Bekena, Ramkrishna Kumar Singh, Yu Zhu, Nikitha Damera, Kaylin Taylor, Jean‐Francois Trani, Ganesh Muneshwar Babulal. Alzheimer s & Dementia, 2025-12-01
Topic: Risk, prevention and care in population studies
Participants with impaired hearing (n = 179) were older (73.9 vs. 71.4 years, p <0.001), often male (61.5% vs. 36.5%, p <0.001), and had lower cognitive scores than normal-hearing individuals (n = 241). Both PACC and MoCA assessments showed similar results, with impaired-hearing participants performing worse on PACC (-0.35 vs. 0.009, p <0.001) and MoCA (23.9 vs. 25.7, p <0.001). Race distributions differed (p = 0.009), but neighborhood-level deprivation (p = 0.518) did not. In adjusted models, higher (worse) WIN thresholds were significantly associated with lower cognitive scores (p <0.01) in MoCA and PACC, controlling for age, sex, race, education, and neighborhood noise levels. Hearing aid use was associated with higher PACC scores (p = 0.003), suggesting a protective effect on cognitive function. However, HHI scores were still not significantly related to cognitive outcomes. All interaction terms were not significant. Hearing impairment is significantly associated with lower cognitive performance, while hearing aid use may provide cognitive benefits. However, self-reported hearing difficulty (HHI) was not a significant predictor of cognition, highlighting the importance of objective hearing assessments.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Bekena, S., Singh, R. K., Zhu, Y., Damera, N., Taylor, K., Trani, J., et al. (2025). Hearing Impairment, Hearing Aid Use, and Cognitive Outcomes in Older Adults: A Cross‐Sectional Study. Alzheimer s & Dementia. https://doi.org/10.1002/alz70860_106643
Vancouver
Bekena S, Singh RK, Zhu Y, Damera N, Taylor K, Trani J, et al. Hearing Impairment, Hearing Aid Use, and Cognitive Outcomes in Older Adults: A Cross‐Sectional Study. Alzheimer s & Dementia. 2025. doi:10.1002/alz70860_106643. PMID: 41433879.
BibTeX
@article{bekena2025-41433879,
author = {Bekena, Semere and Singh, Ramkrishna Kumar and Zhu, Yu and Damera, Nikitha and Taylor, Kaylin and Trani, Jean‐Francois and Babulal, Ganesh Muneshwar},
title = {{Hearing Impairment, Hearing Aid Use, and Cognitive Outcomes in Older Adults: A Cross‐Sectional Study}},
journal = {Alzheimer s \& Dementia},
year = {2025},
doi = {10.1002/alz70860_106643},
pmid = {41433879},
url = {https://doi.org/10.1002/alz70860_106643}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record names 7 authors; APA and Vancouver show the first six, BibTeX and the downloads carry all of them. Check the citation against the original before you use it.
Key findings
- Participants with impaired hearing (n = 179) were older (73.9 vs. 71.4 years, p <0.001), often male (61.5% vs. 36.5%, p <0.001), and had lower cognitive scores than normal-hearing individuals (n = 241).
- Both PACC and MoCA assessments showed similar results, with impaired-hearing participants performing worse on PACC (-0.35 vs. 0.009, p <0.001) and MoCA (23.9 vs. 25.7, p <0.001).
- Race distributions differed (p = 0.009), but neighborhood-level deprivation (p = 0.518) did not.
- In adjusted models, higher (worse) WIN thresholds were significantly associated with lower cognitive scores (p <0.01) in MoCA and PACC, controlling for age, sex, race, education, and neighborhood noise levels.
- Hearing aid use was associated with higher PACC scores (p = 0.003), suggesting a protective effect on cognitive function.
Why it matters
In this cross-sectional study, people with hearing impairment scored lower on cognitive tests than those with normal hearing, and hearing aid use was linked to higher scores on one cognitive measure. Because the study looked at people at a single point in time, it cannot show whether hearing aids prevent or slow cognitive decline.
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Study details
- Study designcross-sectional
- Participants179
- Effect size61.5%; 36.5%
- Evidence strengthLow
How this study scored 44/100
Published in a peer-reviewed journal, and it is a snapshot of people at one point in time. Scored zero for randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Alzheimer s & Dementia) |
| Journal's citation record | 2 / 4 | Alzheimer s & Dementia: journal h-index 228 (OpenAlex, 2026-10-29) |
| Study design | 4 / 12 | A snapshot of people at one point in time |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 2 / 4 | 179 participants |
| Effect reported | 2 / 3 | Effect reported as a number, without an interval or test |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 0 / 7 | Cited 0 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.0 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 0 / 6 | Cited 0.0× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 0 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 2 / 4 | Last-listed author Ganesh Muneshwar Babulal: h-index 31 (OpenAlex, whole career) |
| Institution's track record | 2 / 3 | Washington University in St. Louis: institution h-index 1,962 (OpenAlex) |
| Multi-centre collaboration | 1 / 3 | OpenAlex lists 3 institution(s) in 3 countries |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 41433879) |
| Free to read | 2 / 2 | Free to read |
| Total | 44 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1002/alz70860_106643
- PubMed: 41433879
- Original source →
- Free full text: Alzheimer s & Dementia →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
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