Clinical Manifestations

Alzheimers Dement. 2024 Dec:20 Suppl 3:e089753. doi: 10.1002/alz.089753.

Abstract

Background: Hearing loss is associated with cognitive and neuroimaging markers of Alzheimer's disease dementia but it is unclear how specific measures relate to these after accounting for a range of hearing abilities.

Method: 200 participants (155 cognitively normal, 25 mild cognitively impaired and 20 Alzheimer's disease dementia) underwent auditory testing (peripheral and central abilities), cognitive testing and MR scanning (structural and diffusion-weighted sequences) to evaluate the relationship between hearing, cognition and imaging brain measures.

Result: Central auditory measures such as speech-in-noise perception and auditory memory for longer durations were associated with cognitive impairment across the Alzheimer's disease continuum and specific auditory measures were independently associated with morphometric and diffusion-weighted brain measures.

Conclusion: Auditory cognition could serve as a unique marker of cognition in Alzheimer's disease dementia and reflects imaging-derived brain changes potentially related to neurodegeneration.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Alzheimer Disease* / diagnostic imaging
  • Alzheimer Disease* / pathology
  • Brain* / diagnostic imaging
  • Brain* / pathology
  • Cognitive Dysfunction*
  • Female
  • Hearing Loss
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Neuropsychological Tests / statistics & numerical data