Aedo-Sanchez Cristian, Oliveros José, Aranguiz Constanza, Muñoz Camila, Lazo-Maturana Claudia, Aguilar-Vidal Enzo
Departamento de Tecnología Médica, Facultad de Medicina, Universidad de Chile, Chile.
Escuela de Tecnología Médica, Facultad de Medicina, Universidad de Chile, Chile.
J Otol. 2023 Jul;18(3):111-117. doi: 10.1016/j.joto.2023.05.002. Epub 2023 May 22.
Contribute to clarifying the existence of subclinical hearing deficits associated with aging.
In this work, we study and compare the auditory perceptual and electrophysiological performance of normal-hearing young and adult subjects (tonal audiometry, high-frequency tone threshold, a triplet of digits in noise, and click-evoked auditory brainstem response).
45 normal hearing volunteers were evaluated and divided into two groups according to age. 27 subjects were included in the "" (mean 22.1 years), and 18 subjects (mean 42.22 years) were included in the "."
In the perceptual tests, the presented significantly worse tonal thresholds in the high frequencies (12 and 16 kHz) and worse performance in the digit triplet tests in noise. In the electrophysiological test using the auditory brainstem response technique, the adult group presented significantly lower I and V wave amplitudes and higher V wave latencies at the supra-threshold level. At the threshold level, we observed a significantly higher latency in wave V in the adult group. In addition, in the partial correlation analysis, controlling for the hearing level, we observed a relationship (negative) between age and speech in noise performance and high-frequency thresholds. No significant association was observed between age and the auditory brainstem response.
The results are compatible with subclinical hearing loss associated with aging.
有助于阐明与衰老相关的亚临床听力缺陷的存在情况。
在本研究中,我们对听力正常的年轻和成年受试者的听觉感知和电生理表现进行了研究和比较(纯音听力测试、高频音阈、噪声中的数字三联体测试以及短声诱发的听觉脑干反应)。
对45名听力正常的志愿者进行了评估,并根据年龄将他们分为两组。27名受试者被纳入“年轻组”(平均年龄22.1岁),18名受试者(平均年龄42.22岁)被纳入“成年组”。
在感知测试中,成年组在高频(12千赫和16千赫)的纯音阈值明显更差,在噪声中的数字三联体测试表现也更差。在使用听觉脑干反应技术的电生理测试中,成年组在阈上水平的I波和V波振幅明显更低,V波潜伏期更长。在阈值水平,我们观察到成年组的V波潜伏期明显更长。此外,在偏相关分析中,在控制听力水平的情况下,我们观察到年龄与噪声中的言语表现以及高频阈值之间存在(负)相关关系。未观察到年龄与听觉脑干反应之间存在显著关联。
这些结果与衰老相关的亚临床听力损失相符。