Visual and hearing impairments are associated with cognitive decline in older Americans, Britons and Europeans

Research output: Research - peer-reviewArticle


Introduction: Highly prevalent hearing and vision sensory impairments among older people may contribute to the risk of cognitive decline and pathological impairments including dementia. This study aims to determine whether single and dual sensory impairment (hearing and/or vision) are independently associated with cognitive decline among older adults and to describe cognitive trajectories according to their impairment pattern. Material and methods: We used data from totals of 13123, 11417 and 21265 respondents aged 50+ at baseline from the Health and Retirement Study (HRS), the English Longitudinal Study of Ageing (ELSA) and the Survey of Health, Ageing and Retirement in Europe (SHARE), respectively. We performed growth curve analysis to identify cognitive trajectories and a joint model was used to deal with attrition problems in longitudinal ageing surveys. Results: Respondents with a single sensory impairment had lower episodic memory score than those without sensory impairment in HRS (β=-0.15, p<0.001), ELSA (β=-0.14, p<0.001), and SHARE (β=-0.26, p<0.001). The analysis further shows that older adults with dual sensory impairment in HRS (β=-0.25, p<0.001), ELSA (β=-0.35, p<0.001), and SHARE (β=-0.68, p<0.001) remembered fewer words compared to those with no sensory impairment. The stronger associations between sensory impairment and lower episodic memory levels were found in the joint model which accounted for attrition. Conclusions: Hearing and/or vision impairment is a marker for the risk of cognitive decline that could inform preventative interventions to maximise cognitive health and longevity. Further studies are needed to investigate how sensory markers could inform strategies to improve cognitive ageing.

Bibliographical metadata

Original languageEnglish
JournalAge and Ageing
StateAccepted/In press - 14 Mar 2018