The association of hearing loss with depressive symptoms and cognitive function among older people: Results from the Brazilian Longitudinal Study of Aging

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorBARBOSA, Matheus Ghossain
dc.contributor.authorOLIVEIRA, Deborah
dc.contributor.authorMARTINELLI, Maria Cecilia
dc.contributor.authorKEINERT, Ana Agata Mezzomo
dc.contributor.authorLIMA-COSTA, Maria Fernanda
dc.contributor.authorSUEMOTO, Claudia Kimie
dc.contributor.authorFERRI, Cleusa P.
dc.date.accessioned2023-06-21T14:06:20Z
dc.date.available2023-06-21T14:06:20Z
dc.date.issued2023
dc.description.abstractObjectives: Hearing loss, depression, and cognitive decline are common among older people. We investigated the association of hearing loss with depressive symptoms and cognitive function in a nationally representative sample of people aged 50+ in Brazil. Methods: Data from the Brazilian Longitudinal Study of Aging (ELSI-Brazil) included information on self-reported hearing loss, hearing aid use (effective or not effective), depressive symptoms (CES-D-8), and a global cognitive score (composed of immediate and late recall, verbal fluency, orientation and prospective memory) in a sample of 9412 individuals. Multiple linear regression was used to estimate the association of hearing loss and hearing aid use with both depressive symptoms and cognitive performance. The analyses were conducted with 7837 participants with complete data, and then repeated with data from the whole sample after multiple imputation. Results: Compared to those without hearing loss, those with hearing loss were more likely to have a higher number of depressive symptoms (beta: 0.53 (0.40-0.67) p < 0.001) but not worse cognitive performance (beta: -0.01 (-0.03 to 0.19) p = 0.631). Among those with hearing loss, the use of hearing aid was neither associated with cognitive performance (beta: -0.08 (-0.19 to 0.03) p = 0.169) or depressive symptoms (beta: -0.42 (-0.98 to 0.14) p = 0.143); its effective use was associated with less depressive symptoms (ss: -0.62 (-1.23 to -0.01) p = 0.045) but not worse cognitive performance (beta: -0.15 (-0.030 to 0.03) p = 0.057). Sensitivity analyses revealed that hearing loss is associated with a worse performance in two non- amnestic cognitive domains. Conclusions: Hearing loss may negatively affect specific cognitive domains and depressive symptoms among older people, and the use of a hearing aid may mitigate the association with depressive symptoms.eng
dc.description.indexMEDLINE
dc.description.indexPubMed
dc.description.indexWoS
dc.description.indexScopus
dc.description.sponsorshipBrazilian Ministry of Health [404965/2012-1]
dc.description.sponsorshipOlder People's Healthcare Coordination Unit of the Department of Strategic and Programmed Actions of the Secretariat of Health Care COSAPI/DAPES/SAS [20836, 22566, 23700]
dc.description.sponsorshipBrazilian Ministry of Science, Technology, Innovation and Communication
dc.description.sponsorshipNational Research Council (CNPq)
dc.identifier.citationINTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, v.38, n.4, article ID e5904, 9p, 2023
dc.identifier.doi10.1002/gps.5904
dc.identifier.eissn1099-1166
dc.identifier.issn0885-6230
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/53809
dc.language.isoeng
dc.publisherWILEYeng
dc.relation.ispartofInternational Journal of Geriatric Psychiatry
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright WILEYeng
dc.subjectcognitive declineeng
dc.subjectdementiaeng
dc.subjectdepressioneng
dc.subjecthearing losseng
dc.subject.otherlate-life depressioneng
dc.subject.othercohort profileeng
dc.subject.otherlinear-regressioneng
dc.subject.otherprevalenceeng
dc.subject.otherimpairmenteng
dc.subject.otherdementiaeng
dc.subject.otherhealtheng
dc.subject.otherdeclineeng
dc.subject.otherretirementeng
dc.subject.otherfluencyeng
dc.subject.wosGeriatrics & Gerontologyeng
dc.subject.wosGerontologyeng
dc.subject.wosPsychiatryeng
dc.titleThe association of hearing loss with depressive symptoms and cognitive function among older people: Results from the Brazilian Longitudinal Study of Agingeng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryChile
hcfmusp.affiliation.countryisocl
hcfmusp.author.externalBARBOSA, Matheus Ghossain:Univ Fed Sao Paulo, Escola Paulista Med, Dept Psychiat, Psychogeriatr Unit, Sao Paulo, Brazil; Univ Fed Sao Paulo, Dept Psychiat, Rua Major Maragliano 241, BR-04039032 Sao Paulo, Brazil
hcfmusp.author.externalOLIVEIRA, Deborah:Univ Andres Bello, Fac Nursing, Campus Vina Del Mar, Vina Del Mar, Chile; Millennium Inst Care Res MICARE, Santiago, Chile
hcfmusp.author.externalMARTINELLI, Maria Cecilia:Univ Fed Sao Paulo, Escola Paulista Med, Dept Speech Language & Hearing Sci, Sao Paulo, Brazil
hcfmusp.author.externalKEINERT, Ana Agata Mezzomo:Univ Fed Sao Paulo, Escola Paulista Med, Dept Psychiat, Psychogeriatr Unit, Sao Paulo, Brazil
hcfmusp.author.externalLIMA-COSTA, Maria Fernanda:Fundacao Oswaldo Cruz, Rene Rachou Res Inst, Belo Horizonte, Brazil; Univ Fed Minas Gerais, Med Sch, Postgrad Publ Hlth, Belo Horizonte, Brazil
hcfmusp.author.externalFERRI, Cleusa P.:Univ Fed Sao Paulo, Escola Paulista Med, Dept Psychiat, Psychogeriatr Unit, Sao Paulo, Brazil; Hosp Alemao Oswaldo Cruz, Hlth Technol Assessment Unit, Sao Paulo, Brazil
hcfmusp.citation.scopus3
hcfmusp.contributor.author-fmusphcCLAUDIA KIMIE SUEMOTO
hcfmusp.description.articlenumbere5904
hcfmusp.description.issue4
hcfmusp.description.volume38
hcfmusp.origemWOS
hcfmusp.origem.pubmed36951125
hcfmusp.origem.scopus2-s2.0-85151168383
hcfmusp.origem.wosWOS:000960388500001
hcfmusp.publisher.cityHOBOKENeng
hcfmusp.publisher.countryUSAeng
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