The Long GameA life well lived
Ref 60 Know Your Numbers Strong evidence

Hearing loss tracks mortality - and hearing aids track lower risk

In an individual participant data meta-analysis of 13,851 people in Australia, Iceland and the US, with replication in 50,277 adults in Norway, hearing loss measured by audiometry was associated with higher all-cause and cardiovascular mortality, rising with severity - mild 1.19, moderate 1.55, and moderately severe or worse 1.56 for all-cause risk. Current hearing aid use was associated with lower risk - 0.91 for all-cause and 0.85 for cardiovascular mortality.

Key takeaways:

  • The signal is graded: worse measured hearing tracked higher mortality in both the main analysis and the Norwegian replication, after adjustment for key confounders
  • Hearing is part of intrinsic capacity (entry 55): one of the senses that sums what a person can do, and one of the cheapest capacities to test objectively
  • The hearing aid finding is observational: aid users may take better care of their health in other ways, and the study cannot separate that from a direct effect through hearing, cognition or social connection

Hype check: Proven - an association between measured hearing loss severity and mortality across 64,128 adults in four countries, replicated across cohorts. Promising - hearing aid use as a marker of lower risk. Marketing - any claim that hearing aids extend life; no randomised trial of aid use on mortality was run.

Why it matters - Hearing loss affects more than 1.5 billion people and is routinely left untested and untreated. This is a large, audiometry-based dataset that puts hearing on the same tracking list as blood pressure and ApoB - a number worth knowing, with a plausible intervention already available.

Source: The Lancet Healthy Longevity via Fight Aging!

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