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Relationship Between Domain-Specific Cognitive Function and Speech-in-Noise Performance in Older Adults: The Atherosclerosis Risk in Communities Hearing Pilot Study.

TitleRelationship Between Domain-Specific Cognitive Function and Speech-in-Noise Performance in Older Adults: The Atherosclerosis Risk in Communities Hearing Pilot Study.
Publication TypeJournal Article
Year of Publication2019
AuthorsMamo SK, Reed NS, Sharrett ARichey, Albert MS, Coresh JJ, Mosley TH, Knopman D, Lin FR
Secondary AuthorsDeal JA
JournalAm J Audiol
Volume28
Issue4
Pagination1006-1014
Date Published2019 Dec 16
ISSN1558-9137
KeywordsAged, Aged, 80 and over, Atherosclerosis, Auditory Threshold, Cognition, Cross-Sectional Studies, Female, Hearing Loss, Hearing Tests, Humans, Male, Mental Status and Dementia Tests, Noise, Pilot Projects, Speech Perception
Abstract

Purpose The purpose of this study was to investigate associations between performance on a clinical speech-in-noise measure with a comprehensive neurocognitive battery of tests. Method A group of older adults ( = 250, = 77 years, age range: 67.3-89.1 years) enrolled in the Atherosclerosis Risk in Communities Neurocognitive Study took part in the hearing pilot study (2013) that included testing for audiometric thresholds and speech-in-noise performance (Quick Speech-in-Noise Test; Killion, Niquette, Gudmundsen, Revit, & Banerjee, 2004). This research study analyzed the associations between domain-specific cognitive function and speech-in-noise performance after adjusting for hearing thresholds and other demographic and cardiovascular factors. Results Multivariable-adjusted associations were found between all cognitive domains and speech-in-noise performance in the full sample, but the observed associations varied when participants with varying levels of moderate to moderately severe hearing loss were excluded from the analysis. Conclusions The findings are discussed in terms considering the cognitive status of older adults in relation to their speech-in-noise performance during audiological evaluation and implications for aural rehabilitation.

DOI10.1044/2019_AJA-19-00043
Alternate JournalAm J Audiol
PubMed ID31825642
PubMed Central IDPMC7210433
Grant ListK23 DC011279 / DC / NIDCD NIH HHS / United States
K23 DC016855 / DC / NIDCD NIH HHS / United States
U01 HL096812 / HL / NHLBI NIH HHS / United States