J Korean Med Assoc.  2011 Sep;54(9):918-924. 10.5124/jkma.2011.54.9.918.

Age-related hearing loss and the effects of hearing aids

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. whchung@skku.edu

Abstract

Age-related hearing loss, or presbycusis, is the progressive hearing loss that occurs as people get older. With presbycusis, the hearing threshold is increased, especially at high frequencies and speech perception is decreased in noisy environments. In addition, presbycusis may have adverse effects on the cognitive, behavioral, and psychosocial functioning of the elderly. They may feel social isolation, depression, and loss of self-esteem. The pathophysiology of presbycusis is explained by age-related changes in the inner ear, the auditory system and the central nervous system. There is no single cause of presbycusis. It is a complex disease influenced by genetic, environmental, and psychosocial factors, as well as medical conditions. Hearing loss is one of the most common chronic conditions affecting the elderly. The population aged 65 years and older is now increasing at a rapid rate. Approximately 40% of people over 75 years of age are suffering from hearing loss. Because presbycusis is permanent and irreversible, there is no specific treatment to restore hearing loss. Because hearing loss in the elderly is closely related with quality of life, prevention and hearing rehabilitation programs using hearing aids are very important. In an aging society like Korea, an increase in social costs is inevitable for the welfare of the elderly. In particular, prevention and rehabilitation programs for hearing loss will play important roles in this perspective.

Keyword

Presbycusis; Prevention & control; Rehabilitation; Hearing aids

MeSH Terms

Aged
Aging
Central Nervous System
Depression
Ear, Inner
Hearing
Hearing Aids
Hearing Loss
Humans
Korea
Presbycusis
Quality of Life
Social Isolation
Speech Perception
Stress, Psychological

Cited by  3 articles

Presbycusis
Sang Hoon Kim, Seung Geun Yeo
Hanyang Med Rev. 2015;35(2):78-83.    doi: 10.7599/hmr.2015.35.2.78.

Rehabilitation of Sensorineural Hearing Loss: Hearing Aid
Jae Ho Chung
Hanyang Med Rev. 2015;35(2):97-102.    doi: 10.7599/hmr.2015.35.2.97.

Comparison of the Effects of Middle Ear Implants and Conventional Hearing Aids on Cognitive Function
Choon Dong Kim, Hyun Sang Cho, Young Soon Yang, Hun Hee Baek, Sung Hwan Lim, Hye Mi Park, Ga Eul Choi, Eun Joo Choi, Shin Ae Kim
Korean J Otorhinolaryngol-Head Neck Surg. 2017;60(12):633-639.    doi: 10.3342/kjorl-hns.2017.00612.


Reference

1. Gates GA, Mills JH. Presbycusis. Lancet. 2005. 366:1111–1120.
Article
2. Dobie RA. The burdens of age-related and occupational noise-induced hearing loss in the United States. Ear Hear. 2008. 29:565–577.
Article
3. Desai M, Pratt LA, Lentzner H, Robinson KN. Trends in vision and hearing among older Americans. Aging Trends. 2001. (2):1–8.
Article
4. RNID market report: presbycusis age related hearing loss [Internet]. 2004. cited 2011 Aug 9. London: Royal National Institute for Deaf People;Available from: http://www.actiononhearingloss.org.uk/your-hearing/biomedical-research/for-companies/market-reports.aspx.
5. Divenyi PL, Stark PB, Haupt KM. Decline of speech understanding and auditory thresholds in the elderly. J Acoust Soc Am. 2005. 118:1089–1100.
Article
6. Jerger J, Chmiel R. Factor analytic structure of auditory impairment in elderly persons. J Am Acad Audiol. 1997. 8:269–276.
7. Pichora-Fuller MK, Schneider BA, Benson NJ, Hamstra SJ, Storzer E. Effect of age on detection of gaps in speech and nonspeech markers varying in duration and spectral symmetry. J Acoust Soc Am. 2006. 119:1143–1155.
Article
8. Schuknecht HF. Further observations on the pathology of presbycusis. Arch Otolaryngol. 1964. 80:369–382.
Article
9. Bao J, Ohlemiller KK. Age-related loss of spiral ganglion neurons. Hear Res. 2010. 264:93–97.
Article
10. Schuknecht HF, Gacek MR. Cochlear pathology in presbycusis. Ann Otol Rhinol Laryngol. 1993. 102(1 Pt 2):1–16.
Article
11. Rawool VW. Speech recognition scores and ABR in cochlear impairment. Scand Audiol. 1989. 18:113–117.
Article
12. McFadden SL, Ohlemiller KK, Ding D, Shero M, Salvi RJ. The Influence of superoxide dismutase and glutathione peroxidase deficiencies on noise-induced hearing loss in mice. Noise Health. 2001. 3:49–64.
13. Fortunato G, Marciano E, Zarrilli F, Mazzaccara C, Intrieri M, Calcagno G, Vitale DF, La Manna P, Saulino C, Marcelli V, Sacchetti L. Paraoxonase and superoxide dismutase gene polymorphisms and noise-induced hearing loss. Clin Chem. 2004. 50:2012–2018.
Article
14. Gates GA, Couropmitree NN, Myers RH. Genetic associations in age-related hearing thresholds. Arch Otolaryngol Head Neck Surg. 1999. 125:654–659.
Article
15. McMahon CM, Kifley A, Rochtchina E, Newall P, Mitchell P. The contribution of family history to hearing loss in an older population. Ear Hear. 2008. 29:578–584.
Article
16. Johnson KR, Zheng QY, Erway LC. A major gene affecting age-related hearing loss is common to at least ten inbred strains of mice. Genomics. 2000. 70:171–180.
Article
17. Johnson KR, Erway LC, Cook SA, Willott JF, Zheng QY. A major gene affecting age-related hearing loss in C57BL/6J mice. Hear Res. 1997. 114:83–92.
Article
18. Noben-Trauth K, Zheng QY, Johnson KR. Association of cadherin 23 with polygenic inheritance and genetic modification of sensorineural hearing loss. Nat Genet. 2003. 35:21–23.
Article
19. Johnson KR, Zheng QY. Ahl2, a second locus affecting age-related hearing loss in mice. Genomics. 2002. 80:461–464.
Article
20. Nemoto M, Morita Y, Mishima Y, Takahashi S, Nomura T, Ushiki T, Shiroishi T, Kikkawa Y, Yonekawa H, Kominami R. Ahl3, a third locus on mouse chromosome 17 affecting age-related hearing loss. Biochem Biophys Res Commun. 2004. 324:1283–1288.
Article
21. DeStefano AL, Gates GA, Heard-Costa N, Myers RH, Baldwin CT. Genomewide linkage analysis to presbycusis in the Framingham Heart Study. Arch Otolaryngol Head Neck Surg. 2003. 129:285–289.
Article
22. Garringer HJ, Pankratz ND, Nichols WC, Reed T. Hearing impairment susceptibility in elderly men and the DFNA18 locus. Arch Otolaryngol Head Neck Surg. 2006. 132:506–510.
Article
23. Van Laer L, Van Eyken E, Fransen E, Huyghe JR, Topsakal V, Hendrickx JJ, Hannula S, Maki-Torkko E, Jensen M, Demeester K, Baur M, Bonaconsa A, Mazzoli M, Espeso A, Verbruggen K, Huyghe J, Huygen P, Kunst S, Manninen M, Konings A, Diaz-Lacava AN, Steffens M, Wienker TF, Pyykko I, Cremers CW, Kremer H, Dhooge I, Stephens D, Orzan E, Pfister M, Bille M, Parving A, Sorri M, Van de Heyning PH, Van Camp G. The grainyhead like 2 gene (GRHL2), alias TFCP2L3, is associated with age-related hearing impairment. Hum Mol Genet. 2008. 17:159–169.
Article
24. Kubisch C, Schroeder BC, Friedrich T, Lutjohann B, El-Amraoui A, Marlin S, Petit C, Jentsch TJ. KCNQ4, a novel potassium channel expressed in sensory outer hair cells, is mutated in dominant deafness. Cell. 1999. 96:437–446.
Article
25. Agrawal Y, Platz EA, Niparko JK. Prevalence of hearing loss and differences by demographic characteristics among US adults: data from the National Health and Nutrition Examination Survey, 1999-2004. Arch Intern Med. 2008. 168:1522–1530.
Article
26. Gates GA, Schmid P, Kujawa SG, Nam B, D'Agostino R. Longitudinal threshold changes in older men with audiometric notches. Hear Res. 2000. 141:220–228.
Article
27. Gates GA, Cobb JL, D'Agostino RB, Wolf PA. The relation of hearing in the elderly to the presence of cardiovascular disease and cardiovascular risk factors. Arch Otolaryngol Head Neck Surg. 1993. 119:156–161.
Article
28. Gussen R. Plugging of vascular canals in the otic capsule. Ann Otol Rhinol Laryngol. 1969. 78:1305–1315.
29. Rosen S, Olin P. Hearing loss and coronary heart disease. Arch Otolaryngol. 1965. 82:236–243.
Article
30. Gazzola JM, Aratani MC, Dona F, Macedo C, Fukujima MM, Gananca MM, Gananca FF. Factors relating to depressive symptoms among elderly people with chronic vestibular dysfunction. Arq Neuropsiquiatr. 2009. 67:416–422.
Article
31. Lalwani A. head and neck surgery. Current diagnosis & treatment in otolaryngology. 2007. New York: McGraw-Hill Medical.
32. Chou R, Dana T, Bougatsos C, Fleming C, Beil T. Screening adults aged 50 years or older for hearing loss: a review of the evidence for the U.S. preventive services task force. Ann Intern Med. 2011. 154:347–355.
Article
33. Boatman DF, Miglioretti DL, Eberwein C, Alidoost M, Reich SG. How accurate are bedside hearing tests? Neurology. 2007. 68:1311–1314.
Article
34. Mulrow CD, Aguilar C, Endicott JE, Tuley MR, Velez R, Charlip WS, Rhodes MC, Hill JA, DeNino LA. Quality-of-life changes and hearing impairment. A randomized trial. Ann Intern Med. 1990. 113:188–194.
35. Solheim J. Preconceptions and expectations of older adults about getting hearing aids. J Multidiscip Healthc. 2011. 4:1–8.
Article
36. Mulrow CD, Tuley MR, Aguilar C. Sustained benefits of hearing aids. J Speech Hear Res. 1992. 35:1402–1405.
Article
37. Hickson L, Scarinci N. Older adults with acquired hearing impairment: applying the ICF in rehabilitation. Semin Speech Lang. 2007. 28:283–290.
Article
38. Acar B, Yurekli MF, Babademez MA, Karabulut H, Karasen RM. Effects of hearing aids on cognitive functions and depressive signs in elderly people. Arch Gerontol Geriatr. 2011. 52:250–252.
Article
Full Text Links
  • JKMA
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr