Page 26 - Pharma News Letter Vol1 Issue2 - Converted By Dr. Ahmed Rashed
P. 26

Chapter IV





                Can Hearing  Aids Reduce

                the Risk of Dementia??






             Dementia  is  predicted  to  affect  150  million   The  positive  association  of  hearing  aid  use
             people worldwide by 2050, making addressing       was observed in all-cause dementia and cause-
             preventable  risk  factors  crucial  for  the     specific  dementia  subtypes  (Alzheimer’s
             preventing of dementia. Hearing loss may be a     disease,  vascular  dementia,  and  non-
             potential modifiable risk factor for dementia. It   Alzheimer’s  disease non-vascular dementia).
             has been noted that, hearing loss affects a large   The  data  also  suggest  that  the  protection
             proportion of the population, particularly older   against  dementia  conferred  by  hearing  aid
             adults. While some studies have reported that     use most likely stems from direct effects from
             hearing  aid  use  is  associated  with  improved   hearing  aids  rather  than  indirect  mediators,
             cognitive  function  and  attenuated  cognitive   such  as  social  isolation,  loneliness,  and  low
             decline, the effectiveness of hearing aid use on   mood.
             reducing the risk of dementia was unclear.        The  study  concluded  that,  in  people  with
             Therefore,  researchers  conducted  a  large      hearing  loss,  hearing  aid  use  is  associated
             observational  population-based  cohort  study    with a risk of dementia of a similar level to
             which  was  published  online  on  April  13  in   that of people without hearing loss. With the
             Lancet  Public  Health  Journal  that  aimed      postulation that up to 8% of dementia cases
             to  address  some  of  these  knowledge  gaps     could be prevented with proper hearing loss
             by  examining  whether  hearing  aid  use  is     management,  with  the  urgent  need  to  take
             associated with a decreased risk of dementia      measures to address hearing loss to improve
             in people with hearing loss, including specific   cognitive  decline.
             types of dementia, and whether other factors
             such as loneliness, isolation, depressed mood,
             socioeconomic  status,  smoking,  morbidity       References:
             status, and APOE e4 allele status may mediate
             or  interact  with  this  association.            •  Jiang  F,  Mishra  SR,  Shrestha  N,  et  al.
                                                               Association between hearing aid use and all-
             Investigators  analyzed  longitudinal  data  on   cause and cause-specific dementia: an analysis
             437,704  individuals  from  the  UK  Biobank      of  the  UK  Biobank  cohort.  Lancet  Public
             (54% female; mean age at baseline, 56 years).     Health.  2023;8(5):e329-e338.  doi:10.1016/
             Roughly three quarters of the cohort had no       S2468-2667(23)00048-8.
             hearing loss and one quarter had some level
             of hearing loss, with 12% of these individuals    • Megan Brooks. Hearing Aids a ‘Powerful’
             using hearing aids.                               Tool    for   Reducing     Dementia     Risk.
                                                               Available  at:  https://www.medscape.com/
             After  the  researchers  controlled  for  relevant   viewarticle/991622#vp_2.  Published  May  5,
             co-factors,  compared  with  people  without      2023.  Accessed  May  22,  2023.
             hearing loss, those with hearing loss who were
             not using hearing aids had an increased risk
             for  all-cause  dementia  (hazard  ratio  [HR],
             1.42;  95%  CI,  1.29-1.56).  No  increased  risk
             was seen in people with hearing loss who were
             using hearing aids (HR, 1.04; 95% CI, 0.98-
             1.10).

             26    Faculty of Pharmacy Newsletter
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