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This is a subject that has been covered before, that of hearing and ageing. It has long been debated exactly what changes as we age. Is it just the hair cell nerve damage impacting most of our higher frequencies, or what other multilayered surprises are in store for the human populace once the fifth decade hits? Time has done a number on my memory for the exact reference but the image of the upside-down bucket for speech-in-noise clarity has stuck with me. As the theories in research go, our speech-in-noise hearing ability improves through childhood, then plateaus in adulthood. Then at some point, during which you might blink and miss it, it starts to reduce again. There one has it, the upside-down bucket for hearing speech in background speech. This study from the University of Buffalo, involving 89 adults aged 18–74 years, does put the line in the sand for older adults at 40 years of age. There may not be a bucket graph but there are others which do back up the notion that the ability to read acoustic cues after this point is not quite as sharp as it once was. My grandma at 80 always said she was 29 inside – unfortunately auditory performance is not reflective of this, as this study would indicate.

Age-related changes in acoustic cue use for speech-in-speech perception. 
Fish E, DiNino M.
HEAR RES
2026;481:109780.
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Jennifer K Stott

Royal Berkshire, NHS Foundation Trust, UK.

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