Do self-reported hearing and visual impairments predict longitudinal dementia in older adults?

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dc.citation.issue6
dc.citation.volume69
dc.contributor.authorPabst A
dc.contributor.authorBär J
dc.contributor.authorRöhr S
dc.contributor.authorLöbner M
dc.contributor.authorKleineidam L
dc.contributor.authorHeser K
dc.contributor.authorHajek A
dc.contributor.authorvan der Leeden C
dc.contributor.authorWiese B
dc.contributor.authorMaier W
dc.contributor.authorAngermeyer MC
dc.contributor.authorScherer M
dc.contributor.authorWagner M
dc.contributor.authorKönig H-H
dc.contributor.authorRiedel-Heller SG
dc.coverage.spatialUnited States
dc.date.accessioned2023-11-22T23:45:05Z
dc.date.accessioned2024-07-25T06:41:04Z
dc.date.available2021-03-18
dc.date.available2023-11-22T23:45:05Z
dc.date.available2024-07-25T06:41:04Z
dc.date.issued2021-06
dc.description.abstractBackground Sensory impairments have been associated with dementia in older adults. However, the contribution of different impairments and how they interact in the development of dementia is not clear. We examined the independent and interaction effects of hearing impairment (HI) and visual impairment (VI) on incident dementia. Design Multi-centric population-based prospective cohort study. Setting Data were taken from the AgeDifferent.de platform, pooling participants aged 75 and older from the German LEILA75+ and AgeCoDe/AgeQualiDe cohorts. Participants Older adults (N = 3497) with mean age 79.8 years, 67.2% female. Measurements Standardized interviews and questionnaires were used to assess self-reported HI and VI at baseline and all-cause dementia in 9 follow-ups, spanning over 20 years. Methods Competing risk regression models were conducted to test the main and interaction effects of HI and VI on dementia incidence, adjusting for established risk factors of dementia and accumulated mortality. Results HI and VI at baseline were reported by 30.3% and 16.6% of individuals, respectively. Adjusting for baseline information on sociodemographics, substance use, cognitive functioning and morbidity, and controlling for accumulated mortality risk, HI (sHR 1.16, 95% CI 1.04–1.30, p = 0.011) but not VI (sHR 1.07, 95% CI 0.90–1.28, p = 0.462) was significantly associated with incident dementia. There was no interaction between HI and VI (sHR 1.09, 95% CI 0.81–1.46, p = 0.567). Conclusions Hearing impairment is associated with an increased incidence of all-cause dementia in older adults. There is no excess risk or risk compensation through the additional presence or absence of visual impairment. Early prevention measures for hearing impairment might help to reduce the long-term risk of dementia.
dc.format.pagination1519-1528
dc.identifier.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/33734430
dc.identifier.citationPabst A, Bär J, Röhr S, Löbner M, Kleineidam L, Heser K, Hajek A, van der Leeden C, Wiese B, Maier W, Angermeyer MC, Scherer M, Wagner M, König H-H, Riedel-Heller SG. (2021). Do self-reported hearing and visual impairments predict longitudinal dementia in older adults?. J Am Geriatr Soc. 69. 6. (pp. 1519-1528).
dc.identifier.doi10.1111/jgs.17074
dc.identifier.eissn1532-5415
dc.identifier.elements-typejournal-article
dc.identifier.issn0002-8614
dc.identifier.urihttps://mro.massey.ac.nz/handle/10179/70670
dc.languageeng
dc.publisherWiley Periodicals LLC on behalf of The American Geriatrics Society
dc.relation.isPartOfJ Am Geriatr Soc
dc.rights(c) 2021 The Author/s
dc.rightsCC BY-NC-ND 4.0
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectcohort
dc.subjectdementia incidence
dc.subjecthearing
dc.subjectsensory impairment
dc.subjectvision
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectDementia
dc.subjectFemale
dc.subjectGermany
dc.subjectHearing Loss
dc.subjectHumans
dc.subjectIncidence
dc.subjectMale
dc.subjectProspective Studies
dc.subjectRisk Factors
dc.subjectSelf Report
dc.subjectSurveys and Questionnaires
dc.subjectVision Disorders
dc.titleDo self-reported hearing and visual impairments predict longitudinal dementia in older adults?
dc.typeJournal article
pubs.elements-id455061
pubs.organisational-groupOther
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