Tinnitus and Its Connection to Cognitive Decline in the Elderly

Chronic tinnitus in older adults is significantly associated with cognitive decline, highlighting the need for comprehensive assessments for elderly patients with tinnitus.
Recent research has revealed a significant link between tinnitus, particularly when severe and long-lasting, and cognitive impairment among adults aged 60 and older. The study, published online on August 15 in Brain Sciences, investigated how chronic tinnitus may influence cognitive health in older populations.
Participating researchers from King Khalid University in Abha, Saudi Arabia, conducted a cross-sectional study involving 240 older adults divided into two groups: those with tinnitus and those without. The findings indicated that individuals suffering from tinnitus tended to be older and also exhibited higher rates of hearing loss, depression, and sleep disturbances.
Cognitive assessments showed that participants with tinnitus scored notably lower on standard tests such as the Mini-Cog and the Short Portable Mental Status Questionnaire, suggesting a decline in cognitive function. The study identified that the presence of tinnitus, along with its duration and severity, were independently associated with greater risk of cognitive impairment. Specifically, higher scores on the Tinnitus Handicap Inventory, which measures tinnitus severity, correlated with increased odds of cognitive decline.
These results underscore the importance of considering tinnitus as a potential clinical marker for cognitive assessment in elderly patients. Healthcare providers should be aware of the possible implications of chronic tinnitus beyond hearing difficulties, recognizing its association with cognitive deterioration.
The researchers highlight that thorough evaluation of tinnitus patients — especially those experiencing prolonged and severe symptoms — may facilitate early detection and management of cognitive impairment, improving overall health outcomes in aging populations.
For more details, see the original study: Sarah Alshehri et al, "Tinnitus and Cognition in the Elderly: Unraveling the Impact of Symptom Burden on Cognitive Decline," Brain Sciences (2025).
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