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Hearing Aids Before 70 Tied to Sharply Lower Dementia Risk, JAMA Neurology Study Finds

An observational Framingham analysis followed older adults for up to two decades, associating self-reported hearing aid use with lower dementia risk without establishing causation.

Overview

  • People younger than 70 with hearing loss who used hearing aids had a 61% lower risk of incident all-cause dementia versus nonusers (hazard ratio 0.39) in the JAMA Neurology report.
  • No significant association between hearing aid use and incident dementia was seen among participants assessed at age 70 or older.
  • The study analyzed 2,953 Framingham Heart Study participants aged 60 and older with pure-tone audiometry, with 20% developing dementia over as long as 20 years of follow-up.
  • Researchers cautioned that hearing aid use was self-reported as a simple yes/no measure, benefits could reflect earlier intervention or milder loss, and socioeconomic factors may confound results.
  • Uptake remains low at about 17% among those with moderate-to-severe hearing loss, even as tens of millions in the United States could benefit from hearing aids.