How Does Our Voice Change as We Age? A Systematic Review and Meta-Analysis of Acoustic and Perceptual Voice Data from Healthy Adults over 50 Years of Age
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| Title: | How Does Our Voice Change as We Age? A Systematic Review and Meta-Analysis of Acoustic and Perceptual Voice Data from Healthy Adults over 50 Years of Age |
|---|---|
| Language: | English |
| Authors: | Rojas, Sandra, Kefalianos, Elaina, Vogel, Adam |
| Source: | Journal of Speech, Language, and Hearing Research. Feb 2020 63(2):533-551. |
| Availability: | American Speech-Language-Hearing Association. 2200 Research Blvd #250, Rockville, MD 20850. Tel: 301-296-5700; Fax: 301-296-8580; e-mail: slhr@asha.org; Web site: http://jslhr.pubs.asha.org |
| Peer Reviewed: | Y |
| Page Count: | 19 |
| Publication Date: | 2020 |
| Document Type: | Journal Articles Information Analyses Reports - Research |
| Descriptors: | Older Adults, Age Differences, Acoustics, Auditory Perception, Gender Differences, Speech Impairments |
| DOI: | 10.1044/2019_JSLHR-19-00099 |
| ISSN: | 1092-4388 |
| Abstract: | Purpose: Approximately 30% of adults over the age of 50 years present with altered vocal function. Our understanding of how these changes manifest acoustically and perceptually is derived from relatively modest-sized studies using a diversity of tools. Voice changes can arise from the onset of disease or disorder, but also age-related physiological changes, which may not reflect pathology as such. Here, we bring together data on acoustic, perceptual, and instrumental assessments (electroglottography), with the aim of gaining a better understanding of the changes occurring across these measurement domains. We consider these changes in the context of different acoustic features, software programs, and perceptual protocols. Method: Studies of voice function in healthy older adults over the age of 50 years were sought. Literature was systematically searched with 746 abstracts reviewed. Forty-seven studies were included in the review. A meta-analysis of included studies compared voice acoustic parameters between sex and age. Sixteen acoustic parameters collected from 1,475 participants were analyzed in the meta-analysis. These included some previously unpublished analyses using data provided by authors of included studies. Results: Data from the systematic review suggest that older individuals are perceived to present with higher overall scores of dysphonia and roughness, breathiness, strain, and instability. Acoustically, males have significantly higher scores on measures of perturbation, including noise-to-harmonic ratio and absolute jitter. The meta-analysis outcomes suggest that participants aged 80-89 years produce significantly higher fundamental frequency, jitter percent, shimmer percent, and shimmer in decibels compared to participants aged 60-69 years and a significant increase in relative average perturbation, jitter percent, and shimmer in decibels compared to participants aged 70-79 years. Limited data were available comparing acoustic measures using the same acoustic software. Conclusions: Variations in fundamental frequency and frequency and amplitude perturbation increase as healthy adults age. It was difficult to draw definitive conclusions based on existing literature due to variability in hardware used, limited descriptions of study cohorts, or missing data from statistical analysis. |
| Abstractor: | As Provided |
| Entry Date: | 2020 |
| Accession Number: | EJ1247457 |
| Database: | ERIC |
| FullText | Links: – Type: pdflink Url: https://content.ebscohost.com/cds/retrieve?content=AQICAHj0k_4E0hTGH8RJwT4gCJyBsGNe_WN95AvKlDbXJGqwxwGEYI03JTeUAJcOchHzsTj2AAAA4zCB4AYJKoZIhvcNAQcGoIHSMIHPAgEAMIHJBgkqhkiG9w0BBwEwHgYJYIZIAWUDBAEuMBEEDNKieIPg1Wpjp8ElbQIBEICBm8SA6y6U4OCBt6WgwrosdFunBigKVpnFCK44A4ESxz-iJOtDFN_Yjg_D65XH9IfF55SG68RiM64FV3G7qXz7L-bC6yJlvBESpxjDDQX09yiRhmfe-_F0Nl3ntb97-ACl1XMH24kfPPxfIkAq-ltupwQUd7lHmmUls9C1Si7htuqo9Gy8jayKQj-tkCYbwzPOcWGTB7rqpGC7AEGn Text: Availability: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: How Does Our Voice Change as We Age? A Systematic Review and Meta-Analysis of Acoustic and Perceptual Voice Data from Healthy Adults over 50 Years of Age – Name: Language Label: Language Group: Lang Data: English – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Rojas%2C+Sandra%22">Rojas, Sandra</searchLink><br /><searchLink fieldCode="AR" term="%22Kefalianos%2C+Elaina%22">Kefalianos, Elaina</searchLink><br /><searchLink fieldCode="AR" term="%22Vogel%2C+Adam%22">Vogel, Adam</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="SO" term="%22Journal+of+Speech%2C+Language%2C+and+Hearing+Research%22"><i>Journal of Speech, Language, and Hearing Research</i></searchLink>. Feb 2020 63(2):533-551. – Name: Avail Label: Availability Group: Avail Data: American Speech-Language-Hearing Association. 2200 Research Blvd #250, Rockville, MD 20850. Tel: 301-296-5700; Fax: 301-296-8580; e-mail: slhr@asha.org; Web site: http://jslhr.pubs.asha.org – Name: PeerReviewed Label: Peer Reviewed Group: SrcInfo Data: Y – Name: Pages Label: Page Count Group: Src Data: 19 – Name: DatePubCY Label: Publication Date Group: Date Data: 2020 – Name: TypeDocument Label: Document Type Group: TypDoc Data: Journal Articles<br />Information Analyses<br />Reports - Research – Name: Subject Label: Descriptors Group: Su Data: <searchLink fieldCode="DE" term="%22Older+Adults%22">Older Adults</searchLink><br /><searchLink fieldCode="DE" term="%22Age+Differences%22">Age Differences</searchLink><br /><searchLink fieldCode="DE" term="%22Acoustics%22">Acoustics</searchLink><br /><searchLink fieldCode="DE" term="%22Auditory+Perception%22">Auditory Perception</searchLink><br /><searchLink fieldCode="DE" term="%22Gender+Differences%22">Gender Differences</searchLink><br /><searchLink fieldCode="DE" term="%22Speech+Impairments%22">Speech Impairments</searchLink> – Name: DOI Label: DOI Group: ID Data: 10.1044/2019_JSLHR-19-00099 – Name: ISSN Label: ISSN Group: ISSN Data: 1092-4388 – Name: Abstract Label: Abstract Group: Ab Data: Purpose: Approximately 30% of adults over the age of 50 years present with altered vocal function. Our understanding of how these changes manifest acoustically and perceptually is derived from relatively modest-sized studies using a diversity of tools. Voice changes can arise from the onset of disease or disorder, but also age-related physiological changes, which may not reflect pathology as such. Here, we bring together data on acoustic, perceptual, and instrumental assessments (electroglottography), with the aim of gaining a better understanding of the changes occurring across these measurement domains. We consider these changes in the context of different acoustic features, software programs, and perceptual protocols. Method: Studies of voice function in healthy older adults over the age of 50 years were sought. Literature was systematically searched with 746 abstracts reviewed. Forty-seven studies were included in the review. A meta-analysis of included studies compared voice acoustic parameters between sex and age. Sixteen acoustic parameters collected from 1,475 participants were analyzed in the meta-analysis. These included some previously unpublished analyses using data provided by authors of included studies. Results: Data from the systematic review suggest that older individuals are perceived to present with higher overall scores of dysphonia and roughness, breathiness, strain, and instability. Acoustically, males have significantly higher scores on measures of perturbation, including noise-to-harmonic ratio and absolute jitter. The meta-analysis outcomes suggest that participants aged 80-89 years produce significantly higher fundamental frequency, jitter percent, shimmer percent, and shimmer in decibels compared to participants aged 60-69 years and a significant increase in relative average perturbation, jitter percent, and shimmer in decibels compared to participants aged 70-79 years. Limited data were available comparing acoustic measures using the same acoustic software. Conclusions: Variations in fundamental frequency and frequency and amplitude perturbation increase as healthy adults age. It was difficult to draw definitive conclusions based on existing literature due to variability in hardware used, limited descriptions of study cohorts, or missing data from statistical analysis. – Name: AbstractInfo Label: Abstractor Group: Ab Data: As Provided – Name: DateEntry Label: Entry Date Group: Date Data: 2020 – Name: AN Label: Accession Number Group: ID Data: EJ1247457 |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=eric&AN=EJ1247457 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1044/2019_JSLHR-19-00099 Languages: – Text: English PhysicalDescription: Pagination: PageCount: 19 StartPage: 533 Subjects: – SubjectFull: Older Adults Type: general – SubjectFull: Age Differences Type: general – SubjectFull: Acoustics Type: general – SubjectFull: Auditory Perception Type: general – SubjectFull: Gender Differences Type: general – SubjectFull: Speech Impairments Type: general Titles: – TitleFull: How Does Our Voice Change as We Age? A Systematic Review and Meta-Analysis of Acoustic and Perceptual Voice Data from Healthy Adults over 50 Years of Age Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Rojas, Sandra – PersonEntity: Name: NameFull: Kefalianos, Elaina – PersonEntity: Name: NameFull: Vogel, Adam IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 02 Type: published Y: 2020 Identifiers: – Type: issn-print Value: 1092-4388 Numbering: – Type: volume Value: 63 – Type: issue Value: 2 Titles: – TitleFull: Journal of Speech, Language, and Hearing Research Type: main |
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