Relationship between domain-specific cognitive function and speech-in-noise performance in older adults: The atherosclerosis risk in communities hearing pilot study

Sara K. Mamo, Nicholas S. Reed, A. Richey Sharrett, Marilyn S. Albert, Josef Coresh, Thomas H. Mosley, David Knopman, Frank R. Lin, Jennifer A. Deal

Research output: Contribution to journalArticle


Purpose: The purpose of this study was to investigate associations between performance on a clinical speech-innoise measure with a comprehensive neurocognitive battery of tests. Method: A group of older adults (N = 250, Mage = 77 years, age range: 67.3–89.1 years) enrolled in the Atherosclerosis Risk in Communities Neurocognitive Study took part in the hearing pilot study (2013) that included testing for audiometric thresholds and speech-in-noise performance (Quick Speech-in-Noise Test; Killion, Niquette, Gudmundsen, Revit, & Banerjee, 2004). This research study analyzed the associations between domain-specific cognitive function and speech-in-noise performance after adjusting for hearing thresholds and other demographic and cardiovascular factors. Results: Multivariable-adjusted associations were found between all cognitive domains and speech-in-noise performance in the full sample, but the observed associations varied when participants with varying levels of moderate to moderately severe hearing loss were excluded from the analysis. Conclusions: The findings are discussed in terms considering the cognitive status of older adults in relation to their speech-in-noise performance during audiological evaluation and implications for aural rehabilitation.

Original languageEnglish (US)
Pages (from-to)1006-1014
Number of pages9
JournalAmerican Journal of Audiology
Issue number4
StatePublished - Jan 1 2019


ASJC Scopus subject areas

  • Speech and Hearing

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