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Despite its commonness, the pathogenesis has not been completely clarified yet; especially the existence of an independent central ARHL component still remains controversial. We present the results of a cross\u2010sectional topodiagnostic test battery study which aimed at separating aging\u2010 and hearing loss\u2010related effects on all parts of the auditory system by current test procedures. Three groups of 30 participants each underwent extensive topodiagnostic test procedures (otoscopy, tympanometry, questionnaires, pure\u2010tone audiometry, DPOAE threshold measurements, auditory brainstem response, central auditory discrimination tests, and speech\u2010in\u2010noise test). By comparing the results of the normally hearing young (18\u201326\u2009years) and healthy control group, the normally hearing elderly group (60\u201380\u2009years) and the hearing\u2010impaired elderly group (60\u201380\u2009years), we deduced aging and hearing loss\u2010related effects on auditory performance. All measurements indicated a significant deterioration of auditory performance in the elderly, partly associated with aging and partly with age\u2010related hearing loss. Our study thereby contributes to a multifocal concept of ARHL. All parts of the auditory system are impaired by aging, age\u2010related hearing loss, or a combination of both. Further evidence for an independent central ARHL component, not attributable to peripheral hearing loss, is provided by the results of the central auditory discrimination test.<\/jats:p>","DOI":"10.1002\/jnr.25068","type":"journal-article","created":{"date-parts":[[2022,5,23]],"date-time":"2022-05-23T02:37:33Z","timestamp":1653273453000},"page":"1791-1811","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Changes in the peripheral and central auditory performance in the elderly\u2014A cross\u2010sectional study"],"prefix":"10.1002","volume":"100","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4880-6575","authenticated-orcid":false,"given":"Dominik","family":"P\u00fcrner","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Experimental Audiology University hospital rechts der Isar of the Technical University of Munich  Munich Germany"},{"name":"Department of Neurology University hospital rechts der Isar of the Technical University of Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Volker","family":"Schirkonyer","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Experimental Audiology University hospital rechts der Isar of the Technical University of Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Janssen","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Experimental Audiology University hospital rechts der Isar of the Technical University of Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,5,22]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10162\u2010012\u20100319\u20102"},{"key":"e_1_2_14_3_1","volume-title":"Guidelines for audiologic screening","author":"American Speech\u2010Language\u2010Hearing\u2010Association","year":"1997"},{"key":"e_1_2_14_4_1","volume-title":"Adult hearing screening","author":"American Speech\u2010Language\u2010Hearing\u2010Association","year":"2016"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/jnr.24639"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100038\u20101641743"},{"issue":"7","key":"e_1_2_14_7_1","first-page":"376","article-title":"Das H\u00f6rhandicap\u2014Eine Erg\u00e4nzung zum audiometrischen H\u00f6rverlust. 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