Promoting healthy hearing over the lifespan
Abstract
Background and Aim: Comorbid conditions and unhealthy lifestyles are risk factors for auditory dysfunction, including age-related hearing loss. With a focus on adults, this paper describes a new approach to hearing health care that aims to prevent or mitigate hearing loss and related disorders, like tinnitus. Accurate diagnosis and effective management of hearing loss is best achieved with a patient-specific test battery that includes sensitive measures of peripheral and central auditory function.
Recent Findings: Within the past decade, peer reviewed research publications confirm the importance of comorbid conditions like diabetes, cardiovascular disease, and cognitive impairment as risk factors for hearing loss, tinnitus, and auditory processing disorders. Unhealthy lifestyles like poor diet, smoking, and chronic exposure to high intensity sound also contribute importantly to risk for hearing loss and tinnitus. In collaboration with physicians and other health care professionals, audiologists who recognize and address these risk factors for hearing loss have an opportunity to prevent or mitigate hearing loss in adult patients.
Conclusion: The traditional model for hearing health care service delivery relies on a rather outdated and simplistic protocol for evaluating and describing hearing loss, and a technology-focused approach for management. This paper offers an evidence-based rationale for expanding the test battery for diagnosing hearing loss, and a multidisciplinary intervention approach.
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38. Morrison CL, Morar P, Morrison G, Purewal TS, Weston PJ. Hearing loss and type 2 diabetes: is there a link? Pract Diabetes Int. 2014;31(9):366-9. doi: 10.1002/pdi.1904
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51. Davis A, McMahon CM, Pichora-Fuller KM, Russ S, Lin F, Olusanya BO, et al. Aging and hearing health: The life-course approach. Gerontologist. 2016;56 Suppl 2(Suppl 2):S256-67. doi: 10.1093/geront/gnw033
52. Heine C & Browning CJ. Mental health and dual sensory loss in older adults: A systematic review. Front Aging Neurosci. 2014;6:83. doi: 10.3389/fnagi.2014.00083
53. Mudie LI, Varadaraj V, GaJwani P, Munoz B, Ramulu P, Lin FR, et al. Dual sensory impairment: The association between glaucomatous vision loss and hearing impairment and function, PLOS One, 2018;13(7):e0199889. doi: 10.1371/journal.pone.0199889
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2. Hall JW III. Effective and efficient pre-school hearing scree¬ning: essential for successful EHDI. J Early Hear Detect Interv. 2016;1(1):2-12. doi: 10.15142/T3XW2F
3. World Health Organization. Chronic Suppurative Otitis Media. Burden of Illness and Management Options. Geneva: World Health Organization; 2004. Available from: http://www.who.int/pbd/deafness/activities/hearing_care/otitis_media.pdf
4. Niskar AS, Kieszak SM, Holmes AE, Esteben E, Rubin C, Brody DJ. Estimated prevalence of noise-induced hearing threshold shifts among children 6 to 19 years of age: The Third National Health and Nutrition Examination Survey, 1988-1994, United States. Pediatrics. 2001;108(1):40-3. doi: 10.1542/peds.108.1.40
5. Sharorodsky J, Curhan SG, Curhan GC, Eavey R. Change in prevalence of hearing loss in US adolescents. JAMA. 2010;304(7):772-8. doi: 10.1001/jama.2010.1124
6. Zapala DA, Stamper GC, Shelfer JS, Walker DA, Karatayli-Ozgursoy S, Ozgursoy OB. Hawkins DB. Safety of audiology direct access for medicare patients complaining of hearing impairment. J Am Acad Audiol. 2010;21(6):365-79. doi: 10.3766/jaaa.21.6.2
7. Bunch CC. Clinical audiometry. St. Louis: C. V. Mosby Company; 1943.
8. Newby H. Audiology. 4th ed. New Jersy: Prentice Hall Press; 1979.
9. Davis H, Silverman SR. Hearing and deafness. 3rd ed. New York: Holt, Rinehard and Winston; 1970.
10. Carhart R. Tests for selection of hearing aids. Laryngoscope. 1946;56(12):780-94
11. Wiener F, Miller G. Hearing aids. In Combat Instruments II. Washington, D.C. NDRC Report. 1946; 117, 216-32.
12. Hall JW III. Rethinking best practices. Paper presented at: American Academy of Audiology (AAA) 2019 Convention; March 27-30, 2019; Columbus, OH.
13. Windmill I, Freeman J, Hall JW III, Freeman B. Audiology and Medicare: Where economic reality collides with hearing care. Paper presented at: American Academy of Audiology (AAA) 2019 Convention; March 27-30, 2019; Columbus, OH.
14. Windmill IM, Freeman BA. Medicare, hearing care, and audiology: data-driven perspectives. Audiol Today. 2019;31(2):16-29.
15. Weintstein BE, Ventry IM. Audiometric correlates of the Hearing Handicap Inventory for the Elderly. J Speech Hear Disord. 1983;48(4):379-84. doi: 10.1044/jshd.4804.379
16. Hall JW. Introduction to audiology today. 1st ed. Boston: Pearson Educational; 2014.
17. Musiek FE, Shinn J, Chermak GD, Bamiou DE. Perspectives on the pure-tone audiogram. J Am Acad Audiol. 2017;28(7):655-71. doi: 10.3766/jaaa.16061
18. Margolis RH, Saly GL. Distribution of hearing loss characteristics in a clinical population. Ear Hear. 2008;29(4):524-32. doi: 10.1097/AUD.0b013e3181731e2e
19. Basar F, Canbaz S. What is the audiological evaluation time for those aged 0 – 5 years and older. J Int Adv Otol. 2015;11(1):42-7. doi: 10.5152/iao.2015.592
20. Studebaker GA. Intertest variability in the air-bone gap. J Speech Hear Disord. 1967 ;32(1):82-6. doi: 10.1044/jshd.3201.82
21. Margolis RH. A few secrets about bone-conduction testing. Hear J. 2010;63(2):10,12,14,16-17. doi: 10.1097/01.HJ.0000368588.05083.17
22. Margolis RH, Glasberg BR, Creeke S, Moore BCJ. AMTAS: Automated method for testing auditory sensitivity: validation studies. Int J Audiol. 2010;49(3):185-94. doi: 10.3109/14992020903092608
23. American Speech-Language-Hearing Association. Determining threshold level for speech [Guidelines]. 1998. Available from www.asha.org/policy. doi: 10.1044/policy.GL1988-00008
24. Roscher E, Hall JW III. A critical evaluation of the speech reception threshold (SRT). Paper presented at: American Academy of Audiology (AAA) 2005 Convention; April 1, 2005; Washington, D.C.
25. Jerger JF, Hayes D. The cross-check principle in pediatric audiometry. Arch Otolaryngol. 1976;102)10):614-20. doi: 10.1001/archotol.1976.00780150082006
26. Hall JW III. Crosscheck principle in pediatric audiology today: A 40-year perspective. J Audiol Otol. 2016;20(2):59-67. doi: 10.7874/jao.2016.20.2.59
27. Hall JW III. eHandbook of Auditory Evoked Responses. Kindle Direct Publishing, 2015 http://www.amazon.com/dp/B0145G2FFM
28. Vaisbuch Y, Ali N, Qian JZ, Gianakas SP, Fitzgerald MB. Speech in noise understanding in patients with vestibular schwannoma. J Neurol Surg B Skull Base, 2019;80(S 01):S1-S244. doi: 10.1055/s-0039-1679493
29. Abrams H. Hearing loss and associated comorbidities: What do we know? Hearing Review. 2017;24(12):32-5.
30. Besser J, Stropahl M, Urry E, Launer S. Comorbidities of hearing loss and the implications of multimorbidity for audiological care. Hear Res. 2018;369:3-14. doi: 10.1016/j.heares.2018.06.008
31. Stam M, Kostense PJ, Lemke U, Merkus P, Smit JH, Festen JM, et al. Comorbidity in adults with hearing difficulties: Which chronic medical conditions are related to hearing impairment. Int J Audiol. 2014;53(6):392-401. doi: 10.3109/14992027.2013.879340
32. Traynor R, Hall III J. Competing in the new era of hearing healthcare Part 2: Differentiating a practice with comorbidity screening, monitoring, and diagnostics. Hearing Review. 2019;26(11):16-9.
33. Deal JD, Reed NS, Kravetz AD, Weinreich H, Yeh C, Lin FR, et al. Incident hearing loss and comorbidity: A Longitudinal Administrative Claims Study. JAMA Otolaryngology Head Neck Surgery. 2019;145(1):36-43. doi: 10.1001/jamaoto.2018.2876
34. Spankovich C, Long GR, Hood LJ. Early indices of reduced cochlear function in young adults with Type-1 diabetes revealed by DPOAE fine structure. J Am Acad Audiol. 2019;30(6):459-71. doi: 10.3766/jaaa.17113
35. Dhar S, Hall JW III. Otoacoustic emissions: principles, procedures, and protocols. 2nd ed. San Diego: Plural Publishing, Inc.; 2018.
36. Gupta S, Eavey RD, Wang M, Curhan SG, Curhan GC. Type 2 diabetes and the risk of incident hearing loss. Diabetologia. 2019;62(2):281-5. doi: 10.1007/s00125-018-4766-0
37. Meneses-Barriviera CL, Bazoni JA, Doi MY, Marchiori LLM. Probable association of hearing loss, hypertension, and diabetes mellitus in the elderly. Int Arch Otorhinolaryngol. 2018;22(4):337-41. doi: 10.1055/s-0037-1606644
38. Morrison CL, Morar P, Morrison G, Purewal TS, Weston PJ. Hearing loss and type 2 diabetes: is there a link? Pract Diabetes Int. 2014;31(9):366-9. doi: 10.1002/pdi.1904
39. Kim SY, Lim JS, Kong IG, Choi HG. Hearing impairment and the risk of neurodegenerative dementia: A longitudinal follow-up study using a national sample cohort. Sci Rep. 2018;8(1):15266. doi: 10.1038/s41598-018-33325-x
40. Schuknecht HF. Pathology of the ear. 2nd ed. Philadelphia: Lea & Febiger; 1993.
41. Lin FR. Hearing loss and cognition among older adults in the United States. J Gerontol A Biol Sci Med Sci. 2011;66(10):1131-6. doi: 10.1093/gerona/glr115
42. Thomson RS, Auduong P, Miller AT, Gurgel RK. Hearing loss as a risk factor for dementia: A systematic review. Laryngoscope Investig Otolaryngol. 2017;2(2):69-79. doi: 10.1002/lio2.65
43. Hung SC, Liao KF, Muo CH, Lai SW, Chang CW, Hung HC. Hearing loss is associated with risk of Alzheimer's Disease: A case-control study in older people. J Epidemiol. 2015;25(8):517-21. doi: 10.2188/jea.JE20140147
44. Loughrey DG, Kelly ME, Kelley GA, Brennan S, Lawlor BA. Association of age-related hearing loss with cognitive dysfunction, cognitive impairment, and dementia: A systematic review and meta-analysis. JAMA Otolaryngol Head Neck Surg. 2018;144(2):115-26. doi: 10.1001/jamaoto.2017.2513
45. Mamo SK, Reed NS, Price C. Occhipinti D, Pietnikova A, Lin FR, et al. Hearing loss treatment in older adults with cognitive impairment: A systematic review. J Speech Lang Hear Res. 2018;61(10):2589-603. doi: 10.1044/2018_JSLHR-H-18-0077
46. Dawes P, Cruickshanks KJ, Marsden A, Moore DR, Munro KJ. Relationship between diet, tinnitus, and hearing difficulties. Ear Hear. 2020;41(2):289-99. doi: 10.1097/AUD.0000000000000765
47. Taijaard DS, Olaithe M, Brennan-Jones CG, Eikelboom RH, Bucks RS. The relationship between hearing impairment and cognitive function: a meta-analysis in adults. Clin Otolaryngol. 2016;41(6):718-729. doi: 10.1111/coa.12607
48. Strouse AL, Hall JW III, Burger MC. Central auditory processing in Alzheimer’s disease. Ear Hear. 1995;16(2):230-8. doi: 10.1097/00003446-199504000-00010
49. Gates GA, Anderson ML, McCurry SM, Feeney MP, Larson EB. Central auditory dysfunction as a harbinger of dementia. Arch Otolaryngol Head Neck Surg. 2011;137(4):390-5. doi: 10.1001/archoto.2011.28
50. Dryden A, Allen HA, Henshaw H, Heirich A. The association between cognitive performance and speech-in-noise perception for adult listeners: A systematic literature review and meta-analysis. Trends Hear. 2017;21:2331216517744675. doi: 10.1177/2331216517744675
51. Davis A, McMahon CM, Pichora-Fuller KM, Russ S, Lin F, Olusanya BO, et al. Aging and hearing health: The life-course approach. Gerontologist. 2016;56 Suppl 2(Suppl 2):S256-67. doi: 10.1093/geront/gnw033
52. Heine C & Browning CJ. Mental health and dual sensory loss in older adults: A systematic review. Front Aging Neurosci. 2014;6:83. doi: 10.3389/fnagi.2014.00083
53. Mudie LI, Varadaraj V, GaJwani P, Munoz B, Ramulu P, Lin FR, et al. Dual sensory impairment: The association between glaucomatous vision loss and hearing impairment and function, PLOS One, 2018;13(7):e0199889. doi: 10.1371/journal.pone.0199889
54. Simning A, Fox ML, Barnett SL, Sorensen S, Conwell Y. Depressive and anxiety symptoms in older adults with auditory, vision, and dual sensory impairment. J Aging Health. 2019;31(8):1353-1375. doi: 10.1177/0898264318781123
55. Cosh S, Helmer C, Delcourt C, Robins TG, Tully PJ. Depression in elderly patients with hearing loss: Current perspectives. Clin Interv Aging. 2019;14:1471-80. doi: 10.2147/CIA.S195824
56. Dawes P, Emsley R, Cruickshanks KJ, Moore DR, Fortnum H, Edmondson-Jones M, et al. Hearing loss and cognition: The role of hearing aids, social isolation and depression. PLoS One. 2015;10(3):e0119616. doi: 10.1371/journal.pone.0119616
57. Farhud DD. Impact of lifestyle on health. Iran J Public Health. 2015;44(11):1442-44.
58. World Health Organization. Regional Office for Europe. Healthy living: what is a healthy lifestyle? Copenhagen: WHO Regional Office for Europe. Geneva: World Health Organization; 1999. Available from: https://apps.who.int/iris/handle/10665/108180
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| Files | ||
| Issue | Vol 30 No 2 (2021) | |
| Section | Review Article(s) | |
| DOI | https://doi.org/10.18502/avr.v30i2.6092 | |
| Keywords | ||
| Comorbid conditions smoking diet value-added tests | ||
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How to Cite
1.
Hall III JW. Promoting healthy hearing over the lifespan. Aud Vestib Res. 2021;30(2):74-94.
