Peter Torre

Age-related changes in acoustic characteristics of adult speech

UNLABELLED This paper addresses effects of age and sex on certain acoustic properties of speech, given conflicting findings on such effects reported in prior research. The speech of 27 younger adults (15 women, 12 men; mean age 25.5 years) and 59 older adults (32 women, 27 men; mean age 75.2 years) was evaluated for identification of differences for sex and age group across measures of fundamental and formant frequencies (F0, F1, F2 and F3) and voice onset time (VOT). There were significant sex-by-age group interactions for F0, F1, and VOT, some of which were specific to individual speech sounds. The findings suggest that further research on aging speech should focus on sex differences and the potential influence such changes may have on communication abilities of older adults with hearing loss. LEARNING OUTCOMES The reader will be able to understand and describe (1) possible changes in specific acoustic properties with age, (2) how these changes may differ for women and men, and (3) the potential impact these changes may have on the speech understanding of older individuals with hearing loss.

Young adults' use and output level settings of personal music systems.

Objectives: There are growing concerns over noise exposure via personal music system use by young adults. One purpose of this study was to evaluate the prevalence of personal music system use and the listening patterns associated with these systems in a large sample of young adults. A second purpose of this study was to measure the dB SPL in the ear canal of young adults while they blindly set the volume of a personal music system to four settings. Design: In the first study, the personal music system use survey was completed by 1016 students at various locations on the San Diego State University campus. Questions included sex, age, ethnicity, race, and whether or not they used a personal music system. Students who answered Yes to using a personal music system were instructed to complete the remaining 11 closed-set questions. These questions dealt with type of earphones used with the system, most common listening environment, length of time per day the system was used, and the volume setting. The differences between women and men and across ethnicity and race were evaluated for the questions. In the second study, a probe microphone placed in the ear canal of 32 participants was used to determine the dB SPL of four loudness categories at which the participants blindly set the level of a personal music system: low, medium or comfortable, loud, and very loud. Results: In study 1, over 90% of the participants who completed the survey reported using a personal music system. Over 50% of those who use a personal music system reported listening between 1 and 3 hrs and almost 90% reported listening at either a medium or loud volume. Men were significantly more likely to report listening to their system for a longer duration compared with women and more likely to report listening at a very loud volume. There was a trend for Hispanic or Latino students to report listening for longer durations compared with Not Hispanic or Latino students, but this difference was not statistically significant. Black or African American students were significantly more likely to report listening to their personal music system between 3 and 5 hrs and more than 5 hrs and to report listening at a very loud volume compared with other racial groups. In study 2, the mean dB SPL values for low, medium or comfortable, loud, and very loud were 62.0, 71.6, 87.7, and 97.8 dB SPL, respectively. Men set the level of very loud significantly higher than women. Conclusions: It is clear that a vast majority of young adults who completed the personal music system use survey listen to a system using earphones. Most of the respondents listen between 1 and 3 hrs a day at a medium or loud volume. Based on the probe microphone measurement results, the volume settings for reported durations may not be hazardous for hearing. Long-term use of personal music systems, however, in combination with other noise exposures (i.e., recreational, occupational), and their effect on hearing remains a question for additional research.

Age-related changes in auditory function of rhesus monkeys (Macaca mulatta).

The purpose of this study was to investigate the changes in auditory function associated with aging in rhesus monkeys (Macaca mulatta) as a model for age-related changes in humans. One advantage of using monkeys from the Wisconsin Regional Primate Research Center was that lifestyle factors such as diet and excessive noise exposure were controlled. Twenty younger (mean: 10 years, 9 months, S.D.=+/-6 months) and 20 older (mean: 25 years, 11 months, S.D.=+/-11 months) monkeys were used in this study. Cochlear function in these monkeys was measured with distortion product otoacoustic emissions (DPOAEs); neural function was measured with auditory brainstem responses (ABRs) and middle latency responses (MLRs). Older monkeys had (1) significantly smaller DPOAEs, (2) significantly smaller ABR peak amplitudes, and (3) significantly longer ABR peak latencies compared to younger monkeys. Overall, these results suggest that older monkeys have decreased cochlear and neural function to the level of the brainstem as compared to younger monkeys. The decrease in DPOAE level and the increase in age accounted for approximately 70% of the increase in peak IV latency.

The accuracy of self-reported hearing loss in older Latino-American adults

The purpose of this study was to examine the accuracy of self-reported hearing loss in older Latino-American adults. Fifty-nine individuals, 32 women (mean age 62.2 years) and 27 men (mean age 62.4 years), participated. The questionnaire addressed hearing loss, hearing aid use, and other peoples views of their hearing abilities. Based on the question, ‘Do you feel you have a hearing loss?’, the prevalence of self-reported hearing loss was 57.6%, with 56.3% of women and 59.3% of men reporting a hearing loss. Sensitivity, specificity, and accuracy were calculated using this question and compared to the pure-tone average (PTA) at 500, 1000, 2000, and 4000 Hz in the poorer ear. Overall, sensitivity was 75.7%, specificity was 72.7%, and accuracy was 74.6%. Results of this smaller scale study suggest that a single question, used as a screening measure, is both sensitive and specific for hearing loss in older Latino-American adults and may overcome language and cultural barriers. This question can be easily implemented by physicians or other health-care employees to quickly screen for hearing loss.

Language Impairment in Children Perinatally Infected with HIV Compared to Children Who Were HIV-Exposed and Uninfected

Objective: To investigate the risk for language impairment (LI) in children perinatally infected or exposed to HIV. Methods: We evaluated the prevalence of LI in 7- to 16-year-old children with perinatal HIV infection (HIV+) compared with HIV-exposed and uninfected children, using a comprehensive standardized language test (Clinical Evaluation of Language Functioning-Fourth Edition [CELF-4]). LI was classified as primary LI (Pri-LI) (monolingual English exposure and no cognitive or hearing impairment), concurrent LI (Con-LI) (cognitive or hearing impairment), or no LI. Associations of demographic, caregiver, HIV disease, and antiretroviral treatment factors with LI category were evaluated using univariate and multivariable logistic regression models. Results: Of the 468 children with language assessments, 184 (39%) had LI. No difference was observed by HIV infection status for overall LI or for Pri-LI or Con-LI; mean (SD) CELF-4 scores were 88.5 (18.4) for HIV+ versus 87.5 (17.9) for HIV-exposed and uninfected children. After adjustment, black children had higher odds of Pri-LI versus no LI (adjusted odds ratio [aOR] = 2.43, p = .03). Children who were black, Hispanic, had a caregiver with low education or low intelligence quotient, or a nonbiological parent as caregiver had higher odds of Con-LI versus no LI. Among HIV+ children, viral load >400 copies/mL (aOR = 3.04, p < .001), Centers for Disease Control and Prevention Class C (aOR = 2.19, p = .02), and antiretroviral treatment initiation <6 months of age (aOR = 2.12, p = .02) were associated with higher odds of Con-LI versus no LI. Conclusions: Children perinatally exposed to HIV are at high risk for LI, but such risk was not increased for youth with HIV. Risk factors differed for Pri-LI and Con-LI.

Assessment of auditory function in rhesus monkeys (Macaca mulatta): effects of age and calorie restriction

Age-related alterations in auditory function were evaluated in adult male rhesus monkeys (Macaca mulatta) involved in a long-term study evaluating the effects of caloric restriction (CR) on aging. We assessed 26 monkeys in a control group fed a low fat, high fiber diet at approximately ad libitum levels and 24 monkeys in a CR group that were fed the same diet reduced in amount by 30% compared to age- and weight-matched controls. The following measures of auditory function were obtained while monkeys were maintained under anesthesia: (1) distortion product otoacoustic emissions (DPOAEs); (2) auditory brainstem responses (ABRs); and (3) middle latency responses (MLRs). All DPOAE measures and peak II amplitude significantly decreased with age, while peak IV latency and ABR threshold significantly increased with age. We found no significant effects of CR on any auditory parameters examined.

The effects of early lead exposure on auditory function in rhesus monkeys

Thirty-one female rhesus monkeys were randomly assigned to three lead exposure conditions (none, birth to 1 year, and birth to 2 years). Blood lead levels were maintained at 35-40 microg/dl beginning shortly after birth and continuing for 1 or 2 years postnatally. Auditory function was assessed in these monkeys at least 1 year after exposure to lead. The outcome measures included tympanometry to assess middle ear function, otoacoustic emissions (OAEs) to assess cochlear function, and auditory brainstem-evoked responses (ABRs) to assess the auditory nerve and brainstem pathways. There were no significant differences among the three experimental groups for any of the tympanometric variables measured suggesting no effect of lead exposure on middle ear function. Suprathreshold and threshold distortion product OAEs (DPOAEs) were comparable among the three groups. Finally, the auditory-evoked response at levels from the auditory nerve to the cerebral cortex did not significantly differ as a function of lead exposure. The lead exposure in this study had little effect on auditory function.

Hearing Loss in Perinatally HIV-infected and HIV-exposed but Uninfected Children and Adolescents

Background: Little is known about hearing loss in children with HIV infection (HIV+). We examined the prevalence of hearing loss in perinatally HIV+ and HIV-exposed but uninfected (HEU) children, compared these with the percentage with hearing loss in the general population and evaluated possible risk factors for hearing loss in HIV+ and HEU children. Methods: Audiometric examinations were completed in children who met any prespecified criteria for possible hearing loss. The hearing examination consisted of a tympanogram in each ear and pure-tone air-conduction threshold testing from 500 through 4000 Hz. Hearing loss was defined as the pure-tone average over these frequencies ≥20 dB hearing level. The associations of demographic variables, parent/caregiver, HIV disease and HIV treatment with hearing loss were evaluated with univariate and multivariable logistic regression models. Results: Hearing testing was completed in 231 children (145 HIV+ and 86 HEU). Hearing loss occurred in 20.0% of HIV+ children and 10.5% of HEU children. After adjusting for caregiver education level, HIV infection was associated with increased odds of hearing loss (adjusted odds ratio = 2.13, 95% confidence interval: 0.95–4.76, P = 0.07). Among HIV+ children, those with a Centers for Disease Control and Prevention class C diagnosis had over twice the odds of hearing loss (adjusted odds ratio = 2.47, 95% confidence interval: 1.04–5.87, P = 0.04). The prevalence of hearing loss was higher in both HIV+ and HEU children compared with National Health and Nutrition Examination Survey III children. Conclusions: Hearing loss was more common in both HIV+ and HEU children than in children from a US population sample. More advanced HIV illness increased the risk of hearing loss in HIV+ children.

Hearing Impairment Prevalence and Associated Risk Factors in the Hispanic Community Health Study/Study of Latinos

IMPORTANCE Hearing impairment is common in adults, but few studies have addressed it in the US Hispanic/Latino population. OBJECTIVE To determine the prevalence of hearing impairment among US Hispanic/Latino adults of diverse backgrounds and determine associations with potential risk factors. DESIGN, SETTING, AND PARTICIPANTS The Hispanic Community Health Study/Study of Latinos (HCHS/SOL) is a population-based sample of Hispanics/Latinos in four US communities (Bronx, New York; Chicago, Illinois; Miami, Florida; and San Diego, California). Examinations were conducted from 2008 through 2011. The HCHS/SOL examined 16,415 self-identified Hispanic/Latino persons aged 18 to 74 years recruited from randomly selected households using a stratified 2-stage area probability sample design based on census block groups and households within block groups. MAIN OUTCOMES AND MEASURES Hearing thresholds were measured by pure-tone audiometry. Hearing impairment was defined as a pure-tone average (PTA) of thresholds at 0.5, 1, 2, and 4 kHz greater than 25 dB hearing level. Bilateral hearing impairment required a PTA greater than 25 dB hearing level in both ears. Multivariable analyses included adjustments for sociodemographic and lifestyle variables, body mass index, and medical conditions. RESULTS The prevalence of hearing impairment was 15.06% (SE, 0.44%) overall, and 8.24% (SE, 0.33%) had bilateral hearing impairment. The prevalence of hearing impairment was higher among people 45 years and older, ranging by Hispanic/Latino background from 29.35% to 41.20% among men and 17.89% to 32.11% among women. The multivariable-adjusted odds of hearing impairment was greater for participants of Puerto Rican background compared with Mexican background (odds ratio [OR], 1.57 [95% CI, 1.10-2.25]). The odds of hearing impairment were lower with more education (OR, 0.71 [95% CI, 0.59-0.86] for at least high school) and higher income (OR, 0.58 [95% CI, 0.36-0.92] for >

Laterality of exostosis in surfers due to evaporative cooling effect.

75,000 vs ≤