Influência da cognição e do metabolismo lipídico-inflamatório-oxidativo no desempenho auditivo de idosos após adaptação de próteses auditivas
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Manancial - Repositório Digital da UFSM |
Texto Completo: | http://repositorio.ufsm.br/handle/1/17551 |
Resumo: | This thesis aimed to track some genetic mutations associated with hearing loss; to assess cognitive status, oxidative stress level, lipid and inflammatory profile also speech perception and auditory processing skills in elderly patients with hearing loss in order to verify the association between these variables and possible influence of these aspects in changing auditory performance after three months of hearing aids use, considering the acclimatization period. For this, 12 hearing-impaired older people were evaluated. Initially, several blood tests to track some genetic mutations and to check their lipid, inflammatory and oxidative metabolism were done. Cognitively, they were evaluated by the Consortium to Establish a Registry for Alzheimer's Disease; as the hearing abilities of temporal resolution and ordering, and binaural separation and integration through the Random Gap Detection Test, Duration and Pitch Pattern Sequence tests, Dichotic Digits Test; regarding speech perception the patients were evaluated by obtaining Sentences Recognition Indexes in Silence and Noise through the Lists of Sentences in Brazilian Portuguese. After all these evaluations, geriatric patients made use of hearing aids for three months and had auditory skills and measures related to speech perception assessed again. The data were correlated statistically. None of the subjects presented any tested genetic mutations. By analyzing only the initial data, the auditory abilities of temporal ordering and resolution were correlated with some cognitive assessments and oxidative stress levels; concerning the speech recognition, measures were correlated only with some oxidative stress levels. With regard to the difference in performance between pre-hearing aid fitting evaluation and after the acclimatization period, the hearing abilities of temporal ordering and resolution, and binaural integration, had an inverse correlation with some cognitive assessments; it was also observed that the improvement in temporal resolution ability was correlated with high levels of an inflammatory cytokine and low levels of a oxidative stress marker; otherwise the comparison of results between speech perception evaluations, none of the variables showed a statistically significant difference. Thus, it was realized that even cognitive impaired older people present possibility of stimulating neural plasticity; moreover it also found that auditory skills, especially those related to the temporal auditory processing, and the speech perception in quiet and noisy situations, suffered some influence, especially by oxidative stress levels, measured through blood tests. |
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2019-07-24T19:37:54Z2019-07-24T19:37:54Z2015-12-11http://repositorio.ufsm.br/handle/1/17551This thesis aimed to track some genetic mutations associated with hearing loss; to assess cognitive status, oxidative stress level, lipid and inflammatory profile also speech perception and auditory processing skills in elderly patients with hearing loss in order to verify the association between these variables and possible influence of these aspects in changing auditory performance after three months of hearing aids use, considering the acclimatization period. For this, 12 hearing-impaired older people were evaluated. Initially, several blood tests to track some genetic mutations and to check their lipid, inflammatory and oxidative metabolism were done. Cognitively, they were evaluated by the Consortium to Establish a Registry for Alzheimer's Disease; as the hearing abilities of temporal resolution and ordering, and binaural separation and integration through the Random Gap Detection Test, Duration and Pitch Pattern Sequence tests, Dichotic Digits Test; regarding speech perception the patients were evaluated by obtaining Sentences Recognition Indexes in Silence and Noise through the Lists of Sentences in Brazilian Portuguese. After all these evaluations, geriatric patients made use of hearing aids for three months and had auditory skills and measures related to speech perception assessed again. The data were correlated statistically. None of the subjects presented any tested genetic mutations. By analyzing only the initial data, the auditory abilities of temporal ordering and resolution were correlated with some cognitive assessments and oxidative stress levels; concerning the speech recognition, measures were correlated only with some oxidative stress levels. With regard to the difference in performance between pre-hearing aid fitting evaluation and after the acclimatization period, the hearing abilities of temporal ordering and resolution, and binaural integration, had an inverse correlation with some cognitive assessments; it was also observed that the improvement in temporal resolution ability was correlated with high levels of an inflammatory cytokine and low levels of a oxidative stress marker; otherwise the comparison of results between speech perception evaluations, none of the variables showed a statistically significant difference. Thus, it was realized that even cognitive impaired older people present possibility of stimulating neural plasticity; moreover it also found that auditory skills, especially those related to the temporal auditory processing, and the speech perception in quiet and noisy situations, suffered some influence, especially by oxidative stress levels, measured through blood tests.Esta tese teve como objetivos realizar o rastreamento de mutações genéticas associadas à perda auditiva; avaliar o status cognitivo, os níveis de estresse oxidativo, o perfil lipídico e inflamatório, além da percepção de fala e de habilidades do processamento auditivo em pacientes idosos com perda auditiva, a fim de verificar associação entre estas variáveis e possível influência destes aspectos na mudança de desempenho auditivo, após três meses de uso de próteses auditivas, considerando o período de aclimatização. Para isso, 12 idosos com perda auditiva bilateral simétrica de grau leve a moderado foram avaliados. Inicialmente, foram submetidos a diversas análises sanguíneas para análise genética e para avaliar seu metabolismo lipídico, inflamatório e oxidativo. Foram também avaliados cognitivamente por meio da Bateria Consortium to Establish a Registry for Alzheimer’s Disease; quanto às habilidades auditivas de resolução e ordenação temporal, além de separação e integração binaural, por meio dos testes Random Gap Detection Test, Testes Padrão de Duração e de Frequência e Teste Dicótico de Dígitos; em relação à percepção de fala, foram avaliados pela obtenção de Índices de Reconhecimento de Sentenças no Silêncio e no Ruído, por meio do Teste Listas de Sentenças em Português Brasileiro. Após todas estas avaliações, os idosos fizeram uso de próteses auditivas pelo período de três meses e novamente tiveram as habilidades auditivas e as medidas relacionadas à percepção de fala avaliadas. Os dados foram correlacionados estatisticamente. Nenhum dos idosos apresentou qualquer das mutações genéticas testadas. Ao analisar apenas os dados iniciais, as habilidades auditivas de ordenação e resolução temporal tiveram correlação com algumas avaliações cognitivas e análises de níveis de estresse oxidativo; já as medidas de reconhecimento de fala tiveram correlação apenas com alguns níveis de estresse oxidativo. A diferença de desempenho, entre avaliação pré-adaptação de próteses auditivas e após o período de aclimatização, nas habilidades auditivas de ordenação e resolução temporal, além de integração binaural, teve correlação inversa com algumas avaliações cognitivas; observou-se também que a melhora na habilidade de resolução temporal teve correlação com níveis altos de uma citocina inflamatória e com níveis baixos de um marcador de estresse oxidativo; já na comparação de resultados entre os momentos de avaliação da percepção de fala, nenhuma das variáveis demonstrou diferença estatisticamente significante. Com isso, percebeu-se que mesmo com prejuízo cognitivo, os idosos apresentam possibilidade de estimulação da plasticidade neural; verificou-se também que as habilidades auditivas, especialmente àquelas ligadas ao processamento auditivo temporal, assim como a percepção de fala em situações de silêncio e ruído, sofreram certa influência, principalmente de níveis de estresse oxidativo, medidos por meio de análises sanguíneas.Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul, FAPERGS, Brasil.porUniversidade Federal de Santa MariaCentro de Ciências da SaúdePrograma de Pós-Graduação em Distúrbios da Comunicação HumanaUFSMBrasilFonoaudiologiaAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessAuxiliares de audiçãoCogniçãoEstresse oxidativoIdosoMetabolismoPercepção de falaPresbiacusiaTestes genéticosTranstornos da percepção auditivaAgedAuditory perceptionAuditory perceptual disordersCognitionGenetic testingHearing aidsOxidative stressPresbycusisCNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIAInfluência da cognição e do metabolismo lipídico-inflamatório-oxidativo no desempenho auditivo de idosos após adaptação de próteses auditivasCognition and lipid, inflammatory, oxidative metabolism influence on older people auditory performance post hearing aids fittinginfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisCosta, Maristela Juliohttp://lattes.cnpq.br/5004340831068086Teixeira, Adriane Ribeirohttp://lattes.cnpq.br/3147833351413837Biaggio, Eliara Pinto Vieirahttp://lattes.cnpq.br/6091731551273820Martinelli, Maria Ceciliahttp://lattes.cnpq.br/1333051805628540http://lattes.cnpq.br/5785832135967557Lessa, Alexandre Hundertmarck400700000003600675081b2-e4c8-43dd-b7f5-35975bd7d0749d9f81f1-03c5-49af-9ac2-c22de56c97a7d2444e89-ab9c-4189-aa7b-22e9ac365bf14f54ff94-07f6-4353-8a79-ca01b063ea4261916c04-fead-4ca4-9876-b108a308ff05reponame:Manancial - Repositório Digital da UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSMORIGINALTES_PPGDCH_2015_LESSA_ALEXANDRE.pdfTES_PPGDCH_2015_LESSA_ALEXANDRE.pdfTese de Doutoradoapplication/pdf1095649http://repositorio.ufsm.br/bitstream/1/17551/1/TES_PPGDCH_2015_LESSA_ALEXANDRE.pdf7f973d9eac389dab583e9324cac81183MD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; 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dc.title.por.fl_str_mv |
Influência da cognição e do metabolismo lipídico-inflamatório-oxidativo no desempenho auditivo de idosos após adaptação de próteses auditivas |
dc.title.alternative.eng.fl_str_mv |
Cognition and lipid, inflammatory, oxidative metabolism influence on older people auditory performance post hearing aids fitting |
title |
Influência da cognição e do metabolismo lipídico-inflamatório-oxidativo no desempenho auditivo de idosos após adaptação de próteses auditivas |
spellingShingle |
Influência da cognição e do metabolismo lipídico-inflamatório-oxidativo no desempenho auditivo de idosos após adaptação de próteses auditivas Lessa, Alexandre Hundertmarck Auxiliares de audição Cognição Estresse oxidativo Idoso Metabolismo Percepção de fala Presbiacusia Testes genéticos Transtornos da percepção auditiva Aged Auditory perception Auditory perceptual disorders Cognition Genetic testing Hearing aids Oxidative stress Presbycusis CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
title_short |
Influência da cognição e do metabolismo lipídico-inflamatório-oxidativo no desempenho auditivo de idosos após adaptação de próteses auditivas |
title_full |
Influência da cognição e do metabolismo lipídico-inflamatório-oxidativo no desempenho auditivo de idosos após adaptação de próteses auditivas |
title_fullStr |
Influência da cognição e do metabolismo lipídico-inflamatório-oxidativo no desempenho auditivo de idosos após adaptação de próteses auditivas |
title_full_unstemmed |
Influência da cognição e do metabolismo lipídico-inflamatório-oxidativo no desempenho auditivo de idosos após adaptação de próteses auditivas |
title_sort |
Influência da cognição e do metabolismo lipídico-inflamatório-oxidativo no desempenho auditivo de idosos após adaptação de próteses auditivas |
author |
Lessa, Alexandre Hundertmarck |
author_facet |
Lessa, Alexandre Hundertmarck |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Costa, Maristela Julio |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/5004340831068086 |
dc.contributor.referee1.fl_str_mv |
Teixeira, Adriane Ribeiro |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/3147833351413837 |
dc.contributor.referee2.fl_str_mv |
Biaggio, Eliara Pinto Vieira |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/6091731551273820 |
dc.contributor.referee3.fl_str_mv |
Martinelli, Maria Cecilia |
dc.contributor.referee3Lattes.fl_str_mv |
http://lattes.cnpq.br/1333051805628540 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/5785832135967557 |
dc.contributor.author.fl_str_mv |
Lessa, Alexandre Hundertmarck |
contributor_str_mv |
Costa, Maristela Julio Teixeira, Adriane Ribeiro Biaggio, Eliara Pinto Vieira Martinelli, Maria Cecilia |
dc.subject.por.fl_str_mv |
Auxiliares de audição Cognição Estresse oxidativo Idoso Metabolismo Percepção de fala Presbiacusia Testes genéticos Transtornos da percepção auditiva |
topic |
Auxiliares de audição Cognição Estresse oxidativo Idoso Metabolismo Percepção de fala Presbiacusia Testes genéticos Transtornos da percepção auditiva Aged Auditory perception Auditory perceptual disorders Cognition Genetic testing Hearing aids Oxidative stress Presbycusis CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
dc.subject.eng.fl_str_mv |
Aged Auditory perception Auditory perceptual disorders Cognition Genetic testing Hearing aids Oxidative stress Presbycusis |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
description |
This thesis aimed to track some genetic mutations associated with hearing loss; to assess cognitive status, oxidative stress level, lipid and inflammatory profile also speech perception and auditory processing skills in elderly patients with hearing loss in order to verify the association between these variables and possible influence of these aspects in changing auditory performance after three months of hearing aids use, considering the acclimatization period. For this, 12 hearing-impaired older people were evaluated. Initially, several blood tests to track some genetic mutations and to check their lipid, inflammatory and oxidative metabolism were done. Cognitively, they were evaluated by the Consortium to Establish a Registry for Alzheimer's Disease; as the hearing abilities of temporal resolution and ordering, and binaural separation and integration through the Random Gap Detection Test, Duration and Pitch Pattern Sequence tests, Dichotic Digits Test; regarding speech perception the patients were evaluated by obtaining Sentences Recognition Indexes in Silence and Noise through the Lists of Sentences in Brazilian Portuguese. After all these evaluations, geriatric patients made use of hearing aids for three months and had auditory skills and measures related to speech perception assessed again. The data were correlated statistically. None of the subjects presented any tested genetic mutations. By analyzing only the initial data, the auditory abilities of temporal ordering and resolution were correlated with some cognitive assessments and oxidative stress levels; concerning the speech recognition, measures were correlated only with some oxidative stress levels. With regard to the difference in performance between pre-hearing aid fitting evaluation and after the acclimatization period, the hearing abilities of temporal ordering and resolution, and binaural integration, had an inverse correlation with some cognitive assessments; it was also observed that the improvement in temporal resolution ability was correlated with high levels of an inflammatory cytokine and low levels of a oxidative stress marker; otherwise the comparison of results between speech perception evaluations, none of the variables showed a statistically significant difference. Thus, it was realized that even cognitive impaired older people present possibility of stimulating neural plasticity; moreover it also found that auditory skills, especially those related to the temporal auditory processing, and the speech perception in quiet and noisy situations, suffered some influence, especially by oxidative stress levels, measured through blood tests. |
publishDate |
2015 |
dc.date.issued.fl_str_mv |
2015-12-11 |
dc.date.accessioned.fl_str_mv |
2019-07-24T19:37:54Z |
dc.date.available.fl_str_mv |
2019-07-24T19:37:54Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/doctoralThesis |
format |
doctoralThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://repositorio.ufsm.br/handle/1/17551 |
url |
http://repositorio.ufsm.br/handle/1/17551 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.cnpq.fl_str_mv |
400700000003 |
dc.relation.confidence.fl_str_mv |
600 |
dc.relation.authority.fl_str_mv |
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dc.rights.driver.fl_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Centro de Ciências da Saúde |
dc.publisher.program.fl_str_mv |
Programa de Pós-Graduação em Distúrbios da Comunicação Humana |
dc.publisher.initials.fl_str_mv |
UFSM |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Fonoaudiologia |
publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Centro de Ciências da Saúde |
dc.source.none.fl_str_mv |
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Universidade Federal de Santa Maria (UFSM) |
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UFSM |
institution |
UFSM |
reponame_str |
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collection |
Manancial - Repositório Digital da UFSM |
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