Early Onset Dementia and Hearing Loss

Father and daughter dealing with early onset dementia


It’s become relatively common knowledge that hearing loss can lead to memory-related diseases, like Alzheimer’s Disease. With the prevalence of dementia among elderly adults, prior research predominantly examined the connection between hearing loss and dementia among seniors. However, early onset dementia affects adults under the age of 65 as well.

This begs the question: Can hearing loss increase the chances of a middle-aged person acquiring a memory-related disease? This question had gone unanswered until Dr. Yune S. Lee from Ohio State University chose to explore it. In 2018, Dr. Lee sought to determine if hearing loss in middle-aged adults is a risk factor for dementia.

If dementia runs in your family, you may be interested to know how you can prevent it. Continue reading to learn more about early onset dementia and its connection to hearing loss.

What is Early Onset Dementia?

While we commonly refer to ‘dementia’ when discussing elderly adults, we may not be fully aware of what it means. According to the Alzheimer's Association, dementia is not a specific illness but an umbrella term. The term is used to describe a set of “symptoms associated with a decline in memory.” Alzheimer's Disease is the most common form of dementia, accounting for well over half of cases.

Since dementia can come in many forms, symptoms of dementia will vary depending upon the specific type a person has. There are, however, several symptoms that occur across types. The Dementia Alliance International notes that symptoms can include memory-related issues, along with difficulty communicating, understanding, and performing routine tasks. A person with dementia may also display personality and mood changes.

Since age is a risk factor for dementia, many people assume that it only affects older adults. Nonetheless, Your Brain Matters notes that dementia, or early onset dementia, can affect individuals under 65 as well. Typically, people acquire early onset dementia around 40 to 50 years of age. While it is not often discussed, early onset dementia affects around 5% (~5 million) of Americans today.

Unfortunately, the causes of early onset dementia are still somewhat misunderstood, as there is little research available on the subject. The Alzheimer’s Association explains that the main cause of early onset dementia is genetics. When genetics are the cause, several members are often affected by early onset dementia. Because of this, early onset Alzheimer’s disease is often referred to as familial Alzheimer's disease.

Prior Research Linking Hearing Loss and Dementia

At Johns Hopkins University, Dr. Frank Lin and his research group have spent years studying how hearing loss affects older adults. Prior to 2011, the connection between hearing loss and dementia had not been explored. Dr. Lin and his team changed this, however, when they published a revolutionary study in the Archives of Neurology.

In the study, Dr. Lin’s research group evaluated if hearing loss is a risk factor for dementia in older adults. 58 individuals between 36 and 90 years old participated, and all partook in hearing and cognitive testing. In conclusion, the researchers found that those with hearing loss at the onset of the study had a higher likelihood of acquiring dementia.  

While this study confirmed the connection between hearing loss and dementia, it did not explore the why behind it. Nevertheless, Dr. Lin feels that hearing loss may be a risk factor for dementia because of its ability to cause social isolation and cognitive overload.

Lee’s Study: The Potential Impact on Young Adults

More recently, Dr. Lee published a study in eNeuro that expanded upon Dr. Lin’s findings. In contrast to Dr. Lin, Dr. Lee focused on evaluating the relationship between hearing and brain activity in middle-aged adults. Dr. Lin recruited 35 participants with normal hearing, between 18 to 41 years old, to participate in his study. Each participant took part in a hearing test and four MRIs to evaluate the relationship between hearing and cognitive activity.

Findings revealed that even participants with very mild hearing loss had premature activity in their right frontal cortex. Typically, the activity seen in this part of the brain doesn’t begin until a person reaches age 50. Dr. Lin attributes this unusual brain activity to the mild hearing loss. With hearing loss, the brain must compensate. Since the brain must work harder, the hearing loss increases a middle-aged adult’s chance of acquiring dementia.

Dr. Lee feels that the increase in hearing loss among young adults may be due to the increase in people listening to music at high volumes, either on personal listening devices or at entertainment venues. Strangely enough, this hearing loss is so subtle that it often goes undetected. However, Dr. Lee feels that the subtle strain it may cause in understanding speech could cause cognitive overload and, thereby, dementia.

How Can You Prevent Hearing Loss?

Regardless of your age, there’s no better time than now to start protecting your hearing. By making an effort to prevent hearing loss, you can reduce your chances of being diagnosed with dementia later in life.

  • Wear headphones less. Our ears can only handle sounds up to 85 dB (decibels) before we damage our ability to hear. Unfortunately, headphones emit sounds up to 110 dB. So, to protect your hearing, take a break from your headphones from time to time.
  • Take advantage of hearing protection. Like headphones, some industries expose individuals to damaging sound levels. In the U.S., employers are required to provide employees in such fields with hearing protection. Take advantage of this to protect your hearing.
  • Subscribe to a healthier diet. Research has found links between consuming a healthier diet and having better hearing health. In 2013, one study found that a higher quality diet reduces your likelihood of acquiring hearing loss.
  • Adopt a regular exercise regime. Just like a healthy diet is connected to healthy hearing, so is a healthy heart. According to one study, poor cardiovascular health can lead to poor hearing health. Instead, consider exercising for 30 minutes at least 3 days a week. Not only will your heart be happy, but your ears will be also.
  • Reduce how often you smoke. Even if you follow the proper diet and exercise regularly, smoking could still be holding you back from hearing your best. Several studies have shown that smoking can increase your risk of hearing loss. As such, refraining from smoking can help to keep your hearing in check.

What Should You Do If You Already Have Hearing Loss?

While some of us may be able to take action and prevent hearing loss, for others it’s too late. Although most common hearing losses are permanent, that doesn’t mean you are sentenced to a life with hearing problems. While hearing aids can’t restore your hearing, they can drastically improve your quality of life. Not to mention, by improving your hearing, you can decrease your chances of acquiring dementia.  

To start hearing better today, you’ll need to determine the level of hearing loss you may have. One option is to visit your local ENT (ear, nose & throat) doctor. At your appointment, you can request a hearing test, which will reveal your exact hearing loss. Another option is to visit our free Online Hearing Check to get a general sense of your hearing loss.

Once you know your type of hearing loss, you can call one of our friendly representatives at 1 (800) 804-0434​. They can help you to select the hearing aid perfect for your hearing loss.

Have any questions about finding hearing aids? Contact us today.


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