Academic Journal
Age- and sex-related differences in the relationship between pure-tone audiometry and speech discrimination in a Japanese cohort.
| Τίτλος: | Age- and sex-related differences in the relationship between pure-tone audiometry and speech discrimination in a Japanese cohort. |
|---|---|
| Συγγραφείς: | Hyakusoku H; Department of Otorhinolaryngology, Yokosuka Kyosai Hospital, Japan; Department of Otolaryngology - Head and Neck Surgery, Tokai University School of Medicine, Isehara, Kanagawa, Japan. Electronic address: hhyaku@tokai.ac.jp., Inagi T; Department of Otolaryngology - Head and Neck Surgery, Tokai University School of Medicine, Isehara, Kanagawa, Japan., Yamazaki A; Department of Otolaryngology - Head and Neck Surgery, Tokai University School of Medicine, Isehara, Kanagawa, Japan., Kaneda S; Department of Otolaryngology - Head and Neck Surgery, Tokai University School of Medicine, Isehara, Kanagawa, Japan., Goto F; Department of Otolaryngology - Head and Neck Surgery, Tokai University School of Medicine, Isehara, Kanagawa, Japan., Okami K; Department of Otolaryngology - Head and Neck Surgery, Tokai University School of Medicine, Isehara, Kanagawa, Japan., Wasano K; Department of Otolaryngology - Head and Neck Surgery, Tokai University School of Medicine, Isehara, Kanagawa, Japan. |
| Πηγή: | Auris, nasus, larynx [Auris Nasus Larynx] 2026 Aug; Vol. 53 (4), pp. 479-484. Date of Electronic Publication: 2026 May 15. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Elsevier Science Country of Publication: Netherlands NLM ID: 7708170 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-1476 (Electronic) Linking ISSN: 03858146 NLM ISO Abbreviation: Auris Nasus Larynx Subsets: MEDLINE |
| Imprint Name(s): | Publication: Amsterdam : Elsevier Science Original Publication: Tokyo, Society for Promotion of International Otorhinolaryngology. |
| Ιατρικοί όροι (MeSH): | Speech Perception*/physiology , Audiometry, Pure-Tone*, Humans ; Female ; Male ; Retrospective Studies ; Japan ; Sex Factors ; Aged ; Age Factors ; Middle Aged ; Adult ; Aged, 80 and over ; Auditory Threshold ; Young Adult ; Auditory Acuity ; Adolescent ; East Asian People |
| Περίληψη: | Objective: To characterize the relationship between pure-tone audiometry (PTA) and speech discrimination (SpD) in a Japanese cohort, focusing on the divergence of these metrics across age groups and biological sex. Methods: We retrospectively analyzed cases who underwent both pure-tone audiometry and SpD testing at Yokosuka Kyosai Hospital between April 2007 and February 2025. To restrict the analysis to hearing loss attributable solely to age-related decline, cases were excluded if they had active external or middle ear disease, a history of inner ear or retrocochlear disorders, significant interaural differences, or an air - bone gap in PTA. Results: Of the 873 cases who underwent SpD testing, 317 cases (154 males, 163 females), comprising a total of 634 ears, met the inclusion criteria. Both PTA thresholds and SpD scores tended to worsen with age in both sexes. Female cases had significantly better pure-tone audiometry thresholds than males at 2000 Hz and higher. In cases with more severe PTA, the slope of the relationship between PTA and SpD scores was steeper in males than in females. The strongest correlation between pure-tone audiometry thresholds and SpD scores was observed at 1000 Hz in both sexes. SpD scores were significantly higher in females than in males among individuals aged 70 years and older. Conclusion: SpD scores revealed age- and sex-dependent functional decline not captured by PTA alone. In this Japanese cohort, the 1000 Hz threshold was the strongest predictor of SpD collapse. Males exhibited steeper discrimination loss, suggesting sex-specific divergence in phonemic regression. (Copyright © 2026 Oto-Rhino-Laryngological Society of Japan Inc. Published by Elsevier B.V. All rights reserved.) |
| Competing Interests: | Declaration of Competing Interest All authors have no conflict of interests to declare. |
| Contributed Indexing: | Keywords: Age-related hearing loss; Hearing loss; Pure-tone audiometry; Sex differences; Speech discrimination |
| Entry Date(s): | Date Created: 20260515 Date Completed: 20260807 Latest Revision: 20260810 |
| Update Code: | 20260810 |
| DOI: | 10.1016/j.anl.2026.04.009 |
| PMID: | 42140171 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1879-1476 |
|---|---|
| DOI: | 10.1016/j.anl.2026.04.009 |