Association between hearing loss and cognitive disorder: A nationwide population-based study

Hyun Jin Lee, Young Hoon Joo, Kyung Do Han, Kyoung Ho Park

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Purpose: To investigate the relationship between hearing loss and cognitive disorder with memory dysfunction in South Korea using data from the Korean Health Insurance claims database for 2009–2015. Materials and Methods: We analyzed cross-sectional data of 66-year-old individuals who completed the Korea National Health and Nutrition Examination Surveys. Auditory function was evaluated using pure-tone audiometric testing. Cognitive disorder with memory dysfunction was assessed using standardized scores of the Prescreening Korean Dementia Screening Questionnaire. Results: Among 1815835 participants at the age of 66 years, the prevalence of unilateral hearing loss was 5.84%, and that of bilateral hearing loss was 3.40%. The normal cognitive group comprised 86.35% of the participants, and the high-risk group for cognitive disorder with memory dysfunction totaled 13.65% of the participants. The bilateral hearing loss group had the highest per-centage of subjects who responded “sometimes or frequently” to all five questions about cognitive disorder with memory dysfunction, compared to the normal hearing group or the unilateral hearing loss group. After adjusting for sex, smoking status, alcohol intake, exercise, income, diabetes, hypertension, dyslipidemia, and depression, the odds ratios for cognitive disorder with memory dysfunction was 1.183 [95% confidence interval (CI): 1.163–1.203] for bilateral hearing loss and 1.141 (95% CI: 1.126–1.156) for unilateral hearing loss, compared to the normal cognitive group. Conclusion: Hearing loss has a significant effect on cognitive function in the Korean population. In our study, individuals with bilateral hearing loss showed poorer cognitive function than those with unilateral hearing loss.

Original languageEnglish
Pages (from-to)446-452
Number of pages7
JournalYonsei Medical Journal
Volume62
Issue number5
DOIs
StatePublished - 2021

Bibliographical note

Funding Information:
This study was supported by research funding from Seoul St. Mary’s Hospital, The Catholic University of Korea and a grant from the E.N.T. Fund of the Catholic University of Korea. This work was also supported by a National Research Foundation (NRF) of Korea grant funded by the Korean government (MSIP) (2020R1C1C1005965).

Publisher Copyright:
© Yonsei University College of Medicine 2021.

Keywords

  • Cognitive dysfunction
  • Epidemiology
  • Korea
  • ‌Hearing loss

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