# Benefit of Modulated Masking in hearing according to age

## TL;DR

Modulated noise improves hearing performance in younger individuals, but elderly people show reduced benefits, suggesting age-related decline in auditory processing.

## Contribution

This study demonstrates that modulated noise enhances auditory processing and reveals age-related differences in temporal auditory performance.

## Key findings

- Modulated noise reduced neural response latencies and increased amplitudes across all age groups.
- Elderly participants had higher auditory thresholds and lower BMM magnitude compared to younger individuals.
- Lower BMM magnitude in the elderly suggests impaired temporal auditory processing due to aging.

## Abstract

•Less disturbance from modulated noise in the magnitude and time of neural processing.•Modulated noise generated lower electrophysiological and behavioral thresholds.•Elderly people had higher electrophysiological and behavioral thresholds.•Lower BMM magnitude in the elderly suggests lower temporal auditory performance.

Less disturbance from modulated noise in the magnitude and time of neural processing.

Modulated noise generated lower electrophysiological and behavioral thresholds.

Elderly people had higher electrophysiological and behavioral thresholds.

Lower BMM magnitude in the elderly suggests lower temporal auditory performance.

To analyze the Benefit of Modulated Masking (BMM) on hearing in young, adult and elderly normal-hearing individuals.

The sample included 60 normal-hearing individuals aged 18–75 years who underwent behavioral assessment (sentence recognition test in the presence of steady and modulated noise) and electrophysiological assessment (cortical Auditory Evoked Potential) to investigate BMM. The results were analyzed comparatively using the paired t-test and ANOVA for repeated measures, followed by the Bonferroni post-hoc test (p-value < 0.05).

A decrease in latencies and an increase in amplitudes of cortical components (P1-N1-P2) was observed due to noise modulation in all age groups. Modulated noise generated better auditory threshold responses (electrophysiological and behavioral), compared to steady noise. The elderly presented a higher threshold in both hearing domains, compared to the other participants, as well as a lower BMM magnitude.

It was possible to conclude that the modulated noise generated less interference in the magnitude of the neural response (smaller latencies) and in the neural processing time (larger amplitudes) for the speech stimulus in all participants. The higher auditory thresholds (electrophysiological and behavioral) and the lower BMM magnitude observed in the elderly group, even in the face of noise modulation, suggest a lower temporal auditory performance in this population, and may indicate a deficit in the temporal resolution capacity, associated with the process of aging.

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