The Noisy Life of the Musician: Implications for Healthy Brain Aging

音乐家的喧闹生活：对大脑健康老化的影响

• 批准号: 10346105
• 负责人: Erika E Skoe
• 金额: $ 32.54万
• 依托单位: UNIVERSITY OF CONNECTICUT STORRS
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-07-05 至 2027-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10346105
• 关键词: Accounting; Acoustics; Address; Adult; Age; Age Factors; Aging; Attention; Auditory; Auditory Evoked Potentials; Auditory Threshold; Benefits and Risks; Biometry; Brain; Childhood; Clinical; Cochlea; Communities; Confounding Factors (Epidemiology); Data; Ear; Elderly; Environment; Exposure to; Health Benefit; Health Hazards; Hearing; Human; Injury; Interview; Investigation; Knowledge; Lead; Life; Link; Literature; Loudness; Measures; Medial; Mediating; Methodology; Methods; Music; Neurosciences; Noise; Noise-Induced Hearing Loss; Outcome; Pilot Projects; Play; Prevention; Property; Publishing; Recommendation; Recurrence; Reflex action; Research; Resources; Risk; Risk Factors; Selection Bias; Socioeconomic Status; Speech Perception; Structure; System; Testing; Therapeutic; Training; Work; age related; aging brain; clinically significant; college; design; dosimetry; functional decline; hazard; healthy aging; hearing loss risk; improved; innovation; instrument; middle age; multidisciplinary; musician; neural circuit; noise exposure; normal hearing; novel; novel strategies; preservation; protective effect; relating to nervous system; sound; young adult

PROJECT SUMMARY Playing a musical instrument is a popular childhood and adult activity with documented health benefits. One of the most provocative, but least understood, proposed health benefits is preserved brain function in advanced age. Playing a musical instrument, however, can also pose significant health hazards, including those that come from routine exposure to noisy (loud) environments. Beyond the risks of hearing loss from loud environments, noise exposure is a significant risk factor for age-related functional declines. While both the benefits and risks of musical training have been widely studied, little attention has been given to their interplay. To understand the mechanisms that mediate the effects of musical training on the human brain, we must develop a more complete accounting of the risk factors that could counteract the benefits of musical training and the degree to which benefits persist in the face of these risks. To more fully harness the therapeutic benefits of music, we also need a better account of whether the benefits persist after a musician stops playing their instrument. These knowledge gaps motivate the proposed work on auditory brain aging, in which lifelong musicians will be compared to controls and to ex-musicians who have not played a musical instrument since childhood. The proposed work is grounded in our published studies of auditory brain aging, and our published and pilot studies on the interplay of musical training and noise exposure on the young adult auditory brain. The proposed work aims (1) to characterize current and lifetime noise exposure from music and non-music activities, (2) to investigate relations among lifelong musical training, lifetime noise exposure, and auditory-brain aging, and (3) to investigate relations between childhood musical training and later-life auditory-brain function. For all three aims, young adults (18- 24 years) will be compared to middle-aged adults (45-60 years). We hypothesize that music, as a form of acoustic enrichment and training, may mitigate the impact of noise injuries and age-related decline by strengthening the neural systems most vulnerable to being compromised. Our methodological approach is innovative, comprehensive, and corroborated by our prior work. We will use a novel combination of personal sound dosimetry and structured interviews to characterize the risk of noise injury. Noise exposure data will be combined with validated methods to study auditory brain aging across multiple neural circuits, using a statistical design that accounts for selection bias and confounding variables such as socioeconomic status and cochlear function. Most studies of human auditory aging focus on older adults (60+ years), with less attention on studying early-stage aging when opportunities for the prevention of functional decline are greater. This motivates our decision to focus on early-stage aging. The outcomes of this work may suggest new approaches to promote healthy brain aging and clinical recommendations about harnessing the therapeutic properties of music training to maximize benefits and minimize hazards. Our multidisciplinary study team has complementary expertise in auditory neuroscience (Skoe), noise exposure (Tufts), biostatistics (Harel), and aging (Kuchel).

项目摘要 演奏乐器是一种受欢迎的儿童和成人活动，有记录的健康益处。之一 最具挑衅性，但最不了解的是，提出的健康益处是保存大脑功能， 年龄然而，演奏乐器也会对健康造成重大危害，包括那些 从日常暴露到嘈杂的环境。除了噪音环境导致听力损失的风险外， 噪声暴露是与年龄相关的功能衰退的一个重要危险因素。虽然好处和风险 虽然音乐训练的理论和方法已被广泛研究，但很少关注它们之间的相互作用。了解 为了研究音乐训练对人脑的影响，我们必须建立一个更完整的 会计的风险因素，可能会抵消音乐训练的好处和程度， 面对这些风险，利益依然存在。为了更充分地利用音乐的治疗益处，我们还需要 更好地解释了音乐家停止演奏乐器后这些好处是否仍然存在。这些知识 这一差距激发了人们对听觉大脑老化的研究，在这项研究中，终身音乐家将与对照组进行比较。 以及从小就没有演奏过乐器的前音乐家。建议的工作是接地气的 在我们发表的关于听觉大脑老化的研究中，以及我们发表的关于音乐和听觉之间相互作用的初步研究中， 训练和噪音暴露对年轻成年人听觉大脑的影响。拟议的工作旨在（1）表征 目前和终身噪声暴露的音乐和非音乐活动，（2）调查之间的关系， 终身音乐训练、终身噪声暴露与大脑老化的关系 童年时期的音乐训练和晚年的大脑功能之间的联系。对于所有这三个目标，年轻人（18- 24岁）将与中年人（45-60岁）进行比较。我们假设音乐作为一种声学形式 丰富和培训，可以减轻噪音伤害的影响和年龄相关的下降，通过加强 神经系统最容易被破坏我们的方法是创新的， 全面，并通过我们先前的工作得到证实。我们将使用一种新颖的个人声音组合 剂量测定和结构化访谈，以确定噪声伤害的风险。噪声暴露数据将结合 使用经过验证的方法来研究多个神经回路的听觉大脑老化，使用统计设计， 解释了选择偏差和混淆变量，如社会经济地位和耳蜗功能。最 人类听觉老化的研究集中在老年人（60岁以上），对研究早期阶段的关注较少 当预防功能衰退的机会更大时，衰老。这促使我们决定 专注于早期衰老。这项工作的结果可能会提出促进大脑健康的新方法 关于利用音乐训练的治疗特性， 利益和最大限度地减少危害。我们的多学科研究团队在听觉方面具有互补的专业知识 神经科学（Skoe）、噪声暴露（Tufts）、生物统计学（Harel）和衰老（Kuchel）。