The Lancet Study Reveals Hearing Care as Key to Preventing Cognitive Decline in American Seniors

2023-07-18 10:59:26

The journal The Lancet published yesterday the “ACHIEVE” study which assesses the comparative benefits of hearing care or health education (chronic disease prevention sessions) on American seniors. It gives the advantage to auditory rehabilitation to prevent cognitive decline.

This multicenter and randomized study* concerns Americans aged 70 to 84 with uncorrected hearing loss but no apparent cognitive disorders. The participants were randomly divided into two groups (just under 500 subjects in each). The impact of the “interventions” was measured following 3 years of follow-up, by an overall cognitive score established from a battery of neurocognitive tests. Overall, no notable difference was found, at 3 years, between the group having received hearing care and the group having benefited from advice on the prevention of chronic diseases. But the people included in the study had 2 different profiles: some came from a large long-term cohort – focused on the risk of atherosclerosis – the others were healthy volunteers. For the participants of the 1st cohort, on average older and presenting more risk factors for cognitive decline, auditory rehabilitation seems to have significantly outperformed health education in preventing or slowing down cognitive decline.

The infographic can be viewed here: ACHIEVE – The Lancet – Lin et al – July 2023

As a reminder, a study in this field will be launched in France this year, in Cahors.

*Hearing intervention versus health education control to reduce cognitive decline in older adults with hearing loss in the USA (ACHIEVE) : a multicentre, randomised controlled trial, Pr Frank R Lin, James R Pike, Pr Marilyn S. Albert, Michelle Arnold, Sheila Burgard, Pr Theresa Chisolm, et al., The Lancet (juillet 2023).

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