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Age-Related Hearing Loss and Cognition: The Role of Bilingualism.

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Title: Age-Related Hearing Loss and Cognition: The Role of Bilingualism.
Authors: Heidari, Parisa1,2 Hdr.parisa@gmail.com, Amiri, Marzieh2, Mobarakeh, Zahra Iran Pour3
Source: Journal of Speech, Language & Hearing Research. Jun2026, Vol. 69 Issue 6, p2863-2873. 11p.
Subject Terms: *Self-evaluation, *Cognitive testing, *Audiometry, *Multilingualism, *Attention, *Memory, *Psychological tests, Cross-sectional method, Scale analysis (Psychology), Research funding, T-test (Statistics), Scientific observation, Multiple regression analysis, Chi-squared test, Multivariate analysis, Descriptive statistics, Age distribution, Presbycusis, Analysis of variance, Data analysis software, Old age
Abstract: Purpose: Age-related hearing loss (ARHL) has been associated with cognitive decline. Although bilingualism may influence cognitive performance, its interaction with hearing loss remains unclear. This study aimed to investigate the effects of ARHL and bilingualism on cognitive functioning in older adults. Method: In this cross-sectional study, 100 older adults (= 50 years) were recruited from a hospital-based audiology clinic, with 50 participants in each group (monolingual Persian speakers or balanced Persian-Turkish bilinguals). Cognitive performance was assessed using the Persian version of the Montreal Cognitive Assessment (MoCA), and hearing sensitivity was measured via puretone audiometry. Multivariate analyses were conducted, adjusting for age, sex, and hearing sensitivity. Results: There were no significant differences between the two groups in terms of age, hearing sensitivity, or sex. Bilingual participants outperformed monolinguals in total MoCA scores, as well as in the attention and delayed recall domains. However, after controlling for age, sex, and hearing thresholds in a multiple regression analysis, language group was no longer a significant predictor of MoCA performance. Both hearing loss and age remained significant negative predictors of cognitive functioning, whereas sex and language group showed no significant effect. Conclusions: The potential cognitive benefits of bilingualism may be influenced by demographic factors and hearing loss, with age and hearing loss emerging as major contributors to cognitive decline. Therefore, early detection and intervention for hearing loss may be critical for preserving cognitive health in aging populations. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Speech, Language & Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Age-Related Hearing Loss and Cognition: The Role of Bilingualism.
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  Data: <searchLink fieldCode="AR" term="%22Heidari%2C+Parisa%22">Heidari, Parisa</searchLink><relatesTo>1,2</relatesTo><i> Hdr.parisa@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Amiri%2C+Marzieh%22">Amiri, Marzieh</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Mobarakeh%2C+Zahra+Iran+Pour%22">Mobarakeh, Zahra Iran Pour</searchLink><relatesTo>3</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Speech%2C+Language+%26+Hearing+Research%22">Journal of Speech, Language & Hearing Research</searchLink>. Jun2026, Vol. 69 Issue 6, p2863-2873. 11p.
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  Data: Purpose: Age-related hearing loss (ARHL) has been associated with cognitive decline. Although bilingualism may influence cognitive performance, its interaction with hearing loss remains unclear. This study aimed to investigate the effects of ARHL and bilingualism on cognitive functioning in older adults. Method: In this cross-sectional study, 100 older adults (= 50 years) were recruited from a hospital-based audiology clinic, with 50 participants in each group (monolingual Persian speakers or balanced Persian-Turkish bilinguals). Cognitive performance was assessed using the Persian version of the Montreal Cognitive Assessment (MoCA), and hearing sensitivity was measured via puretone audiometry. Multivariate analyses were conducted, adjusting for age, sex, and hearing sensitivity. Results: There were no significant differences between the two groups in terms of age, hearing sensitivity, or sex. Bilingual participants outperformed monolinguals in total MoCA scores, as well as in the attention and delayed recall domains. However, after controlling for age, sex, and hearing thresholds in a multiple regression analysis, language group was no longer a significant predictor of MoCA performance. Both hearing loss and age remained significant negative predictors of cognitive functioning, whereas sex and language group showed no significant effect. Conclusions: The potential cognitive benefits of bilingualism may be influenced by demographic factors and hearing loss, with age and hearing loss emerging as major contributors to cognitive decline. Therefore, early detection and intervention for hearing loss may be critical for preserving cognitive health in aging populations. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Speech, Language & Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=194600829
RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1044/2026_JSLHR-25-00649
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      – Code: eng
        Text: English
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        PageCount: 11
        StartPage: 2863
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      – SubjectFull: Self-evaluation
        Type: general
      – SubjectFull: Cognitive testing
        Type: general
      – SubjectFull: Audiometry
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      – SubjectFull: Multilingualism
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      – SubjectFull: Attention
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      – SubjectFull: Memory
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      – SubjectFull: Scale analysis (Psychology)
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      – SubjectFull: Age distribution
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      – SubjectFull: Presbycusis
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      – SubjectFull: Analysis of variance
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      – SubjectFull: Data analysis software
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      – SubjectFull: Old age
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    Titles:
      – TitleFull: Age-Related Hearing Loss and Cognition: The Role of Bilingualism.
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            NameFull: Heidari, Parisa
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              Text: Jun2026
              Type: published
              Y: 2026
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