Release Date: 01\/22\/2014<\/p>\n
Although the brain becomes smaller with age, the shrinkage seems to be fast-tracked in older adults with hearing loss, according to the results of a study by researchers from Johns Hopkins and the National Institute on Aging. The findings add to a growing list of health consequences associated with hearing loss, including increased risk of dementia, falls, hospitalizations, and diminished physical and mental health overall.<\/p>\n
For the study, Frank Lin, M.D., Ph.D., and his colleagues used information from the ongoing Baltimore Longitudinal Study of Aging to compare brain changes over time between adults with normal hearing and adults with impaired hearing. The Baltimore Longitudinal Study of Aging was started in 1958 by the National Institute on Aging to track various health factors in thousands of men and women.<\/p>\n
Previous research from other studies had linked hearing loss with marked differences in brain structure compared to those with normal hearing, both in humans and animals. In particular, structures that process information from sound tended to be smaller in size in people and animals with impaired hearing. Lin, an assistant professor at the Johns Hopkins University schools of medicine and public health, says it was unknown, however, whether these brain structural differences occurred before or after hearing loss.<\/p>\n
As part of the Baltimore Longitudinal Study of Aging, 126 participants underwent yearly magnetic resonance imaging (MRI) to track brain changes for up to 10 years. Each also had complete physicals at the time of the first MRI in 1994, including hearing tests. At the starting point, 75 had normal hearing, and 51 had impaired hearing, with at least a 25-decibel loss.<\/p>\n
After analyzing their MRIs over the following years, Lin and his colleagues, reporting in an upcoming issue of Neuroimage<\/i>, say those participants whose hearing was already impaired at the start of the sub-study had accelerated rates of brain atrophy compared to those with normal hearing. Overall, the scientists report, those with impaired hearing lost more than an additional cubic centimeter of brain tissue each year compared with those with normal hearing. Those with impaired hearing also had significantly more shrinkage in particular regions, including the superior, middle and inferior temporal gyri, brain structures responsible for processing sound and speech.<\/p>\n
That structures responsible for sound and speech are affected in those with hearing loss wasn\u2019t a surprise, says Lin \u2014 shrinkage in those areas might simply be a consequence of an \u201cimpoverished\u201d auditory cortex, which could become atrophied from lack of stimulation. However, he adds, these structures don\u2019t work in isolation, and their responsibilities don\u2019t end at sorting out sounds and language. The middle and inferior temporal gyri, for example, also play roles in memory and sensory integration and have been shown to be involved in the early stages of mild cognitive impairment and Alzheimer\u2019s disease.<\/p>\n
\u201cOur results suggest that hearing loss could be another \u2018hit\u2019 on the brain in many ways,\u201d Lin explains.<\/p>\n
The study also gives some urgency to treating hearing loss rather than ignoring it. \u201cIf you want to address hearing loss well,\u201d Lin says, \u201cyou want to do it sooner rather than later. If hearing loss is potentially contributing to these differences we\u2019re seeing on MRI, you want to treat it before these brain structural changes take place.\u201d<\/p>\n
Lin and his colleagues say they plan to eventually examine whether treating hearing loss early can reduce the risk of associated health problems.<\/p>\n
The research was supported by the intramural research program of the National Institute on Aging, the National Institutes of Health\u2019s National Institute on Deafness and other Communication Disorders (K23DC011279), a Triological Society\/American College of Surgeons Clinical Scientist Development Award and the Eleanor Schwartz Charitable Foundation.<\/p>\n
Susan Resnick, Ph.D., of the National Institute on Aging was the study\u2019s senior investigator. Michael A. Kraut, M.D., Ph.D., of Johns Hopkins; and Luigi Ferrucci, M.D., Ph.D., and Yang An, M.S., both of the National Institute on Aging, also contributed to this research.<\/p>\n","protected":false},"excerpt":{"rendered":"
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