20181205 hearing and cognitive fitness solutions (ss)
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The importance to combat hearing loss and the impact it has on overall cognitive, physical and psychological health is vastly underestimates
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20181205 hearing and cognitive fitness solutions (ss)
- 2. About the Presenter • Born, raised and educated in Vienna, Austria • Hearing Aid Acoustician AAHA, Honors • Business Administration Retail, Honors • Hearing Health Care Industry since 1976 • Living and working in Asia since 1986 • Established THSG in 2003 • Indonesia Country Director for since 2014.
- 3. The Hearing Solution Group (THSG) Largest Hearing Care Company in South East Asia Established 2003 Malaysia 56 POS Singapore 8 POS Indonesia 37 POS
- 4. Services and Product Portfolio Audiological Services Hearing Enhancement Systems Evidence-based hearing solutions prescriptionsHearing & Cognitive Assessments Patient centric hearing & cognitive therapies.
- 5. Why hearing your best is so important to keep you fit and healthy as you age Hearing and Cognitive Fitness Solutions
- 6. https://hbr.org/2007/11/cognitive-fitness Young Old The Brain versus Active Healthy 25 year old 80 year old with cognitive losses Inactive
- 7. Cognitive Decline Causes Hearing Less Cognitive inactivity Physical Inactivity Reduced Sensory Input Genetics Problems Hearing problems Balance problems Depression Reduced Cognitive Abilities Dementia Alzheimer’s Premature Death.
- 8. Hearing Less related Cognitive Problems
- 9. Untreated Hearing Loss in Seniors linked to Depression Depression Individuals 50 years and older with untreated hearing loss suffer 8 % more from Social Isolation, Depression and Anxiety than their peers using hearing aids. https://www.audiology.org/publications-resources/document-library/untreated-hearing-loss-linked-depression- social-isolation
- 10. Fall Risk and Hearing Loss Balance People with mild hearing loss (25dB) are 3TIMES Every additional 10 decibels of hearing loss increases the chances of falling by 1.4 times the original risk. more likely to have a history of falling.
- 11. 12 Increased Fall Risk3 x Increased Fall Risk4.2 x Increased Fall Risk5.9 x Increased Fall Risk8.2 x Increased Fall Risk11.5 x Increased Fall Risk16.1 x Increased Fall Risk22.6 x Increased Fall Risk31.6 x Increased Fall Risk44.3 x Increased Fall Risk62 x Fall Risk and Hearing Loss
- 12. http://www.bbc.com/news/health-40655566 http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)31363-6/fulltext Dementia Up to 35 % of dementia risk factors are potentially modifiable.
- 13. Dementia Risk mitigation factors Failing to complete secondary education - 8% Smoking - 5% Depression - 4% Physical inactivity - 3% Social isolation - 2% High blood pressure - 2% Obesity - 1% Type 2 diabetes - 1% Untreated mid-life hearing loss - 9% (affects hearing negatively) (Balance related – hearing related) (hearing related) (Physical inactivity-Balance related-hearing related) (major cause of hearing loss) (hearing related) (hearing related)
- 14. http://www.bbc.com/news/health-40655566 http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)31363-6/fulltext Dementia 83 % of potentially modifiable factors are directly or indirectly hearing related.
- 15. Dementia & Hearing Loss Adults with untreated hearing loss are up to 5 times more likely to develop dementia
- 16. Alzheimer's People with untreated hearing loss are 24 % more likely to develop Alzheimer's. The more sever the hearing loss the more likely to develop Alzheimer's. http://www.hearingreview.com/2016/09/world-alzheimers-month-hearing-loss-linked-impaired-memory/ https://www.alzheimers.net/the-connection-between-alzheimers-and-hearing-loss/
- 17. Self-Perpetuating Vicious Cycle of Cognitive Decline
- 18. Hearing & Hearing Loss
- 19. 20 4k125 Frequency Hz 1k 2k 6k 10k 20k16k8k Field of Hearing Hearing is not just listening to speech 0 20 60 80 100 120 40 -10 10 30 70 90 110 50 250 500 12k 14k 18k Music Language
- 20. Sequential Brain arranges electrical impulses automatically, instantaneously & effortlessly into high resolution auditory patterns Comparing electrical impulse patterns meanings in automatically & instantaneously to uniquely matching ones with assigned auditory memory Comprehending the meaning of sounds Tones Hearing Phonemes Prosody Ears encode all components of sounds accurately into up to 36,000,000 electrical impulses Hearing nerves conduct electrical impulses to the brain
- 21. 20 4k125 Frequency Hz 1k 2k 6k 10k 20k16k8k Hearing Sensitivity by Age 0 20 60 80 100 120 40 -10 10 30 70 90 110 50 250 500 12k 14k 18k 20’s 40’s 60’s 90’s
- 22. 27
- 23. Sequential Brain overall gets slower and can only produce low resolution auditory patterns, due to less electrical impulses coming from the ears Consciously and slowly searching for uniquely matching electrical impulse patterns with known meanings in a diminishing, inaccurate & ever changing auditory memory Tones Hearing with Hearing Loss Phonemes Prosody Not all components of sounds are encoded in electrical impulses, resulting in far less then 36,000,000 electrical impulses. Hearing nerves conduct electrical impulses to the brain Not comprehending the meaning of sounds
- 24. Severity of Hearing Problem 0 20 60 80 100 120 40 -10 10 30 70 90 110 50 HearingLoss Time of Hearing Loss
- 25. 30 10 20 30 40 50 60 70 80 Age Central Auditory Processing Speed, Automation & Accuracy Bad Good CentralAuditoryProcessingSpeed, Automation&Accuracy One of the main causes leading to cognitive decline
- 26. Cognitive Benefits of Hearing Augmentation Cognitive Benefits of Hearing More
- 28. 33 10 20 30 40 50 60 70 80 Age Central Auditory Processing Speed, Automation & Accuracy Bad Good CentralAuditoryProcessingSpeed, Automation&Accuracy One of the main causes leading to cognitive decline Augmented & Trained Hearing
- 29. Sequential Brain speed improves and produces better resolution auditory patterns, due to more practice because of more information coming from the ears Brain rebuilds and replaces false auditory memory based on changed sounds and gradually improves automation and speed Greatly improved comprehension of the meaning of sounds Tones Hearing More Phonemes Prosody Much more but not all sounds detected. Those detected converted into good resolution electric information Hearing nerves conduct electrical impulses to the brain
- 30. Dementia & Hearing Loss Adults with treated hearing loss are up to 5 times less likely to develop dementia
- 31. http://www.bbc.com/news/health-40655566 http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)31363-6/fulltext Dementia & Hearing Loss Hearing more potentially reducesyour risk of developing dementia upwards of 29 %
- 32. Alzheimer’s and Hearing Loss Better hearing results in a reduction of cognitive stress and reduces the risk of acquiring Alzheimer’s by 24 %. http://www.hearingreview.com/2016/09/world-alzheimers-month-hearing-loss-linked-impaired-memory/
- 33. Isolation & Depression and Hearing Loss Better Hearing results in a more active social a life which results in more than 8 % reduction of Isolation, Anxiety and Depression
- 34. Fall Risk and Hearing Loss Hearing More improves your balance and reduces the risk of falls by up to 6,400 %
- 35. Achieving Cognitive Fitness Hearing Treatment
- 36. Styles & Colours ITE BTEITC/CIC RIC
- 37. What hearing aid technology do you need? • How many channels? • How sophisticated speech enhancement and noise reduction? • Size / Style • Lifestyle features.
- 38. 0 – 12 SL/NCD SK/NCD FL/NCD SS/NCD MS/NCD 13 – 25 SL/LCD SK/LCD FL/LCD SS/LCD MS/SCD 26- 38 SL/MCD SK/MCD FL/MCD SS/MCD MS/MCD 39 – 50 SL/SCD SK/SCD FL/SCD SS/SCD MS/SCD > 51 SL/PCD SK/PCD FL/PCD SS/PCD MS/PCD Hearing Impact Index Audiogram Slope Hearing Impairment Definition & Hearing Solution Technology Need Matrix
- 39. Lifestyle Features • Hands free Mobile Phone Headset • Language Translation • Fitness tracker • Brain activity tracker • Tap Control User Interface • Fall detection and alerts.
- 40. Cognitive Hearing ReHabilitation • Music (Classical [Mozart]) • Listening and reading along to a read text • Just listen to noise and concentrate on it • Hearing MORE • Making you hear more and more • Reducing the technology gradually • Technology must be used in context of your hearing rehabilitation status • Moving target • Improvement and Deterioration.
- 41. Physical, psychological & cognitive benefits What you may expect from your hearing treatment More, better and easier hearing & listening Auditory field recovery Comfortable & more hearing from first day Central auditory recovery Imperceptible auditory field expansion Comfortable fitting, correct binaural hearing aid prescription, personalized by style and lifestyle technology Time Time
- 42. http://www.bbc.com/news/health-40655566 http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)31363-6/fulltext Good hearing builds “cognitive reserves” which means strengthening the brains networks so it can continue to function in later life despite damage
- 44. Thank YOU for your interest Questions?
Editor's Notes
- One such belief is that the brain necessarily diminishes with age. It turns out that neurons, the basic cells that allow information transfer to support the brain’s computing power, do not have to die off as we get older. In fact, a number of regions of the brain important to functions such as motor behavior and memory can actually expand their complement of neurons as we age. This process, called neurogenesis, used to be unthinkable in mainstream neuroscience. Young vs Old – Active vs Inactive Below to drawings are based on actual CT scans of a healthy 25 and a 85 year old brain with cognitive decline. On the picture of the 85 year old brain the atrophies are very clearly visible with the brain mass having shrank and leaving empty areas. One would be inclined to categories this as the effect of aging. However the brain doesn’t really age like parts of the human physique. The atrophies are simply caused by lack of electrical input to the brain. These lack of input will cause all sort of memory and functional cognitive decline.
- Everyday problems resulting from cognitive decline includer but are not limited to the following Listening problems are on the top of the list because not only does listening require a lot of cognitive power it is also one of the main contributor to cognitive health because hearing provides so much input to the cognitive system and provides so much activity. And it works both ways, cognitive problems result in listing problems and hearing and listening problems result in cognitive problems due to reduced input. Balance and hearing are closely related and Balance also requires a lot of cognitive power to master and to maintain. This why it takes little baby so long to master the skill of listening and the skill of balance because of the complex cognitive processes involved in both. And the same as with hearing cognitive decline results in balance problems, the lack of exercise and utilization of balance ability promotes cognitive decline The loss of Cognitive abilities may result in depression as one is aware of the loss of so many abilities and the loss of memory. and once again Depression can promote cognitive decline if the depression leads to reduced social contact and reduced motoric and general mental activities. Hearing is has been directly linked to lead to higher incident rate in depression as hearing is absolutely necessary prerequisite for normal social interactions. Cognitive Decline promotes cognitive decline. As general cognitive decline affects so many areas and can lead or reduce so many other abilities which if reduced result in even further less cognitive stimulation and activities which is the root cause of any cognitive decline. Dementia is caused by cognitive decline, which is caused by hearing & listening problems, balance problems, depression and cognitive decline. It’s a vicious cycle feeing on itself. Alzheimer’s is caused by the brain trying to perform cognitive tasks which it cannot do anymore do to cognitive decline The sum of all these problems drives cognitive decline and makes it worse and worse and ultimately my lead to a premature death.
- Lets examine some of these cognitive problems in more details
- Lets examine some of these cognitive problems in more details
- Of course like most health problems dementia has its roots in our genetic makeup and one is more or less predisposed to acquire it in age. However up to 35 5 of the risk to aquire dementia is potentially modifiable and avaoidable. This means with certain lifestyle choices one can reduce the rist to aquire dementia later in life
- One such belief is that the brain necessarily diminishes with age. It turns out that neurons, the basic cells that allow information transfer to support the brain’s computing power, do not have to die off as we get older. In fact, a number of regions of the brain important to functions such as motor behavior and memory can actually expand their complement of neurons as we age. This process, called neurogenesis, used to be unthinkable in mainstream neuroscience. Young vs Old – Active vs Inactive Below to drawings are based on actual CT scans of a healthy 25 and a 85 year old brain with cognitive decline. On the picture of the 85 year old brain the atrophies are very clearly visible with the brain mass having shrank and leaving empty areas. One would be inclined to categories this as the effect of aging. However the brain doesn’t really age like parts of the human physique. The atrophies are simply caused by lack of electrical input to the brain. These lack of input will cause all sort of memory and functional cognitive decline.
- Of course like most health problems dementia has its roots in our genetic makeup and one is more or less predisposed to acquire it in age. However up to 35 5 of the risk to aquire dementia is potentially modifiable and avaoidable. This means with certain lifestyle choices one can reduce the rist to aquire dementia later in life