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Neuroimage. 2014 Apr 15;90:84-92. doi: 10.1016/j.neuroimage.2013.12.059. Epub 2014 Jan 9.

Association of hearing impairment with brain volume changes in older adults.

Author information

  • 1Department of Otolaryngology-Head & Neck Surgery, Johns Hopkins University, Baltimore, MD, USA; Department of Geriatric Medicine, Johns Hopkins University, Baltimore, MD, USA; Department of Mental Health, Johns Hopkins University, Baltimore, MD, USA; Department of Epidemiology, Johns Hopkins University, Baltimore, MD, USA; Center on Aging and Health, Johns Hopkins Medical Institutions, Baltimore, MD, USA. Electronic address: flin1@jhmi.edu.
  • 2Longitudinal Studies Section, Clinical Research Branch, National Institute on Aging, Baltimore, MD, USA.
  • 3Laboratory of Behavioral Neuroscience, Intramural Research Program, National Institute on Aging, Baltimore, MD, USA.
  • 4Laboratory of Behavioral Neuroscience, Intramural Research Program, National Institute on Aging, Baltimore, MD, USA; Graduate Institute of Brain and Mind Sciences, National Taiwan University College of Medicine, Taipei, Taiwan.
  • 5Section for Biomedical Image Analysis, Department of Radiology, University of Pennsylvania, Philadelphia, PA, USA.
  • 6Department of Radiology, Johns Hopkins Medical Institutions, Baltimore, MD, USA.

Abstract

Hearing impairment in older adults is independently associated in longitudinal studies with accelerated cognitive decline and incident dementia, and in cross-sectional studies, with reduced volumes in the auditory cortex. Whether peripheral hearing impairment is associated with accelerated rates of brain atrophy is unclear. We analyzed brain volume measurements from magnetic resonance brain scans of individuals with normal hearing versus hearing impairment (speech-frequency pure tone average>25 dB) followed in the neuroimaging substudy of the Baltimore Longitudinal Study of Aging for a mean of 6.4 years after the baseline scan (n=126, age 56-86 years). Brain volume measurements were performed with semi-automated region-of-interest (ROI) algorithms, and brain volume trajectories were analyzed with mixed-effect regression models adjusted for demographic and cardiovascular factors. We found that individuals with hearing impairment (n=51) compared to those with normal hearing (n=75) had accelerated volume declines in whole brain and regional volumes in the right temporal lobe (superior, middle, and inferior temporal gyri, parahippocampus, p<.05). These results were robust to adjustment for multiple confounders and were consistent with voxel-based analyses, which also implicated right greater than left temporal regions. These findings demonstrate that peripheral hearing impairment is independently associated with accelerated brain atrophy in whole brain and regional volumes concentrated in the right temporal lobe. Further studies investigating the mechanistic basis of the observed associations are needed.

Copyright © 2014 Elsevier Inc. All rights reserved.

KEYWORDS:

Aging; Brain volume; Hearing impairment; Hearing loss; MRI

PMID:
24412398
[PubMed - in process]
PMCID:
PMC3951583
[Available on 2015/4/15]
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