Concurrent hearing and vision impairment and 8-year memory decline in community-dwelling older adults

Alzheimers Dement. 2023 Jun;19(6):2307-2316. doi: 10.1002/alz.12887. Epub 2022 Dec 3.

Abstract

Background: Hearing and vision impairments are risk factors for cognitive decline; less is known about dual sensory impairment. This study quantifies the association between dual sensory impairment and 8-year change in memory among older adults.

Methods: Data (N = 5552) were from the National Health and Aging Trends Study. Memory (immediate/delayed word recall, subjective memory) was measured annually (2011 to 2019). Hearing and vision impairments were measured by self-report. Association between dual sensory impairment and 8-year change in memory was assessed using multivariate linear mixed effect models and generalized logistic mixed models.

Results: Rate of memory decline was most accelerated among participants with dual sensory impairment. For example, 8-year decline in delayed word recall was -1.03 (95% confidene interval: -1.29, -0.77) for dual sensory impairment versus -0.79 (-0.92, -0.67) for single and -0.56 (-0.63, -0.48) for no impairment.

Conclusion: Older adults with dual sensory impairment may be at particularly higher risk for cognitive decline.

Keywords: cognitive decline; hearing impairmeSnt; vision impairment.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Aged
  • Hearing
  • Hearing Loss* / epidemiology
  • Humans
  • Independent Living*
  • Memory Disorders
  • Vision Disorders / epidemiology
  • Vision Disorders / psychology