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主观听力损失与患阿尔茨海默病性痴呆的风险增加无关。

Subjective hearing loss is not associated with an increased risk of Alzheimer's disease dementia.

作者信息

Lad Meher, Taylor John-Paul, Griffiths Tim D

机构信息

Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, United Kingdom.

Biosciences Institute, Newcastle University, Newcastle upon Tyne, United Kingdom.

出版信息

Heliyon. 2024 May 3;10(9):e30423. doi: 10.1016/j.heliyon.2024.e30423. eCollection 2024 May 15.

DOI:10.1016/j.heliyon.2024.e30423
PMID:38765087
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11101718/
Abstract

Hearing loss is a risk-factor for dementia but the reasons for this are unclear. Subjective hearing loss is related to increased future dementia risk, however, this metric has not been previously examined with cognitive, neuroimaging and biochemical measures that are relevant to Alzheimer's disease. We assessed Cognitively Normal and Mild Cognitively Impaired participants from the Alzheimer's Disease Neuroimaging Initiative with subjective hearing loss to examine if they had faster decline in episodic memory scores, hippocampal volume and greater pTau positivity. The likelihood of a dementia diagnosis in hearing impaired participants over a 5-year period was also assessed. There were no statistically significant differences between the hearing subgroups over a 5-year period nor were there in conversions to a dementia diagnosis. Objective hearing loss metrics may provide a more reliable link between hearing loss and dementia risk.

摘要

听力损失是痴呆症的一个风险因素,但其原因尚不清楚。主观听力损失与未来患痴呆症的风险增加有关,然而,此前尚未通过与阿尔茨海默病相关的认知、神经影像学和生化指标对这一指标进行研究。我们对来自阿尔茨海默病神经影像学计划的认知正常和轻度认知障碍参与者进行主观听力损失评估,以检查他们的情景记忆分数、海马体积下降是否更快以及pTau阳性是否更高。还评估了听力受损参与者在5年内被诊断为痴呆症的可能性。在5年期间,听力亚组之间在统计学上没有显著差异,在转为痴呆症诊断方面也没有差异。客观听力损失指标可能在听力损失和痴呆症风险之间提供更可靠的联系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2285/11101718/c969f71e73ec/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2285/11101718/f22784690c17/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2285/11101718/dd7ca9713a4a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2285/11101718/ed59082e3996/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2285/11101718/c969f71e73ec/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2285/11101718/f22784690c17/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2285/11101718/dd7ca9713a4a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2285/11101718/ed59082e3996/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2285/11101718/c969f71e73ec/gr4.jpg

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Hearing intervention versus health education control to reduce cognitive decline in older adults with hearing loss in the USA (ACHIEVE): a multicentre, randomised controlled trial.美国针对听力损失老年人群认知能力下降的听力干预与健康教育培训对照研究(ACHIEVE):一项多中心随机对照试验
Lancet. 2023 Sep 2;402(10404):786-797. doi: 10.1016/S0140-6736(23)01406-X. Epub 2023 Jul 18.
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Sensory Loss and Risk of Dementia.感觉丧失与痴呆风险
Neuroscientist. 2024 Apr;30(2):247-259. doi: 10.1177/10738584221126090. Epub 2022 Sep 28.
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Blood phospho-tau in Alzheimer disease: analysis, interpretation, and clinical utility.
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Nat Rev Neurol. 2022 Jul;18(7):400-418. doi: 10.1038/s41582-022-00665-2. Epub 2022 May 18.
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The impact of hearing impairment and hearing aid use on progression to mild cognitive impairment in cognitively healthy adults: An observational cohort study.听力障碍及使用助听器对认知健康成年人进展为轻度认知障碍的影响:一项观察性队列研究。
Alzheimers Dement (N Y). 2022 Feb 22;8(1):e12248. doi: 10.1002/trc2.12248. eCollection 2022.
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Comparison of CSF phosphorylated tau 181 and 217 for cognitive decline.比较脑脊液中磷酸化 tau 181 和 217 对认知能力下降的影响。
Alzheimers Dement. 2022 Apr;18(4):602-611. doi: 10.1002/alz.12415. Epub 2021 Jul 26.
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Prediction of future Alzheimer's disease dementia using plasma phospho-tau combined with other accessible measures.利用血浆磷酸化tau 蛋白联合其他可及的检测手段预测未来的阿尔茨海默病痴呆。
Nat Med. 2021 Jun;27(6):1034-1042. doi: 10.1038/s41591-021-01348-z. Epub 2021 May 24.
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