Aging and the visual perception of exocentric distance

How well do we do social distancing?

During the pandemic of coronavirus disease 2019 (COVID-19), many jurisdictions around the world introduced a "social distance" rule under which people are instructed to keep a certain distance from others. Generally, this rule is implemented simply by telling people how many metres or feet of separation should be kept, without giving them precise instructions as to how the specified distance can be measured. Consequently, the rule is effective only to the extent that people are able to gauge this distance through their space perception. To examine the effectiveness of the rule from this point of view, this study empirically investigated how much distance people would leave from another person when they relied on their perception of this distance. Participants (N = 153) were asked to stand exactly 1.5 m away from a researcher, and resultant interpersonal distances showed that while their mean was close to the correct 1.5 m distance, they exhibited large individual differences. These results suggest that a number of people would not stay sufficiently away from others even when they intend to do proper social distancing. Given this outcome, it is suggested that official health advice include measures that compensate for this tendency.

The visual perception of long outdoor distances

Many previous studies have investigated visual distance perception, especially for small to moderate distances. Few experiments, however, have evaluated the perception of large distances (e.g., 100 m or more). The studies that have been conducted have found conflicting results (diametrically opposite conclusions). In the current experiment, the functions relating actual and perceived distance were obtained for sixteen adult observers using the method of equal appearing intervals. These functions relating perceived and actual distance were obtained for outdoor viewing in a typical University environment-the experiment was conducted along a sidewalk adjacent to a typical street where campus buildings, trees, street signs, etc., were visible. The overall results indicated perceptual compression of distances in depth so that the stimulus distance intervals appeared significantly shorter than the actual (physical) distance intervals. It is important to note, however, that there were sizeable individual differences-the judgments of half of the observers were relatively accurate, whereas the judgments of the remaining half were inaccurate to varying degrees. The results of the experiment demonstrate that there is no single function that describes how human observers visually perceive large distance intervals in outdoor environments.

Aging and temporal integration in the visual perception of object shape

It has been known for more than 160 years that highly occluded objects that would normally be visually unrecognizable can be successfully identified when they move. This anorthoscopic perception relies on the visual system's ability to integrate information over time to complete the perception of an entire object's shape. In this experiment, 16 younger and older adults (mean ages were 20.5 and 74.6 years, respectively) were familiarized with the (unoccluded) shapes of five naturally-shaped objects (bell peppers, Capsicum annuum) until they could be easily identified (i.e., with accuracies of at least 90 percent correct). All observers then viewed the stimulus objects anorthoscopically as they moved behind narrow slits; only small object fragments could be seen at any given time, because the objects were almost totally occluded from view. Even though the object identification performance for all observers was equivalent when whole object shapes were visible, a large age-related deficit in object identification emerged during anorthoscopic viewing such that the younger adults' identification performance was 45.4 percent higher than that of the older adults. This first ever study of aging and anorthoscopic perception demonstrates that there is an age-related deficit in performing the temporal integration needed for successful object recognition.

Aging and the detection of moving objects defined by common fate

Grouping by common fate plays an important role in how human observers perceive environmental objects. In this study, the effect of aging upon the ability to utilize common fate was evaluated. Twenty-two younger and older adults (mean ages were 23.4 and 74.7 years, respectively) participated in two experiments. On any given trial, the participants sequentially viewed two apparent motion sequences and were required to indicate which temporal interval contained a coherently moving dotted line embedded in noisy random background motion. In Experiment 1, the number of dots defining the target was varied, while in Experiment 2, the target interpoint spacing was varied. The younger adults outperformed the older adults by 19.4 percent in Experiment 1 and 50.5 percent in Experiment 2. The older and younger adults were similarly affected by variations in the number of target dots and the target interpoint spacing. The individual older participants' object detection accuracies were highly correlated with their individual chronological ages, such that the performance of the younger old participants was much higher than that exhibited by the older old. Increases in age systematically affect the ability of older adults to detect and visually perceive objects defined by common fate.

How accurate is the visual estimation of bowel length by endoscopic surgeons?

Background

Measurement of small bowel length is an essential step in performing bariatric surgery. Surgeons need to measure bowel length in order to create alimentary and biliopancreatic limbs. Inaccurate bowel measurement may affect the outcome of surgery. However, it is not clear how accurate the measurement of bowel length is by surgeons.

Methods

Two image quizzes marking certain lengths of jejunum were sent to participants. They were asked to estimate the length of marked bowels in maze quizzes. The Error of estimation, prevalence of significant error (error greater than 30 percent of actual length), and the relationship between different participant characteristics was investigated.

Results

A total of 86 participants answered the questionnaire. The mean error of estimation was 4.62 cm (27%). Twenty-eight participants (33%) had significant errors in estimation of bowel length.

Conclusion

While there are surgeons that can estimate bowel length with decent accuracy, significant errors in estimation of bowel length are not uncommon among surgeons. Surgeons should consider adopting techniques for accurate measurement of the small intestine.

Aging and the visual perception of object size

An experiment evaluated the ability of 30 younger and older adults to visually judge object size under three conditions: (1) full cue, (2) in the dark, with linear perspective, and (3) in complete darkness. Each observer made repeated judgments for the same square stimuli (the task was to adjust a separation until it matched the perceived size of the squares), enabling an evaluation of precision as well as accuracy. The judgments were just as accurate in the dark with linear perspective condition as in the full cue condition, indicating that linear perspective serves as an important source of optical information to support the perception of object size). In contrast, in complete darkness (where linear perspective information was unavailable), the accuracy of the observers' judgments was poor. Finally, there was no difference in either the accuracy or the precision of the observers' judgments between the two age groups, despite the fact that the older adults were more than 50 years older than the younger adults (mean age of the younger and older adults was 22.3 and 74.1 years, respectively). The ability to visually perceive object size is well maintained with increasing age, unlike a number of other important visual abilities.

Visual distance perception indoors, outdoors, and in the dark

The ability to visually perceive distances in depth was evaluated in two experiments. In both experiments, the observers were required to bisect a distance interval oriented in depth (8 m total extent in Experiment 1 and 7 m in Experiment 2). The purpose of Experiment 1 was to examine the effects of environmental context (indoors in the dark, indoors in the light, and outdoors) and monocular versus binocular viewing. The purpose of Experiment 2 was to manipulate linear perspective to determine its importance for perceiving depth interval magnitudes. In the outdoor environment, the observers' bisection judgments indicated perceptual compression of farther distances similar to that obtained in many previous studies. In contrast, the observers' judgments in the indoor lighted environment were consistent with the perceptual expansion of farther distances. There was also a beneficial effect of binocular viewing upon the precision of the observers' repeated judgments, but the size of this effect was large only within the dark environment. Finally, linear perspective was found to significantly modulate the observers' bisection judgments such that they became accurate only when perspective was available.

The Visual Perception of Large-Scale Distances Outdoors

The ability of 32 younger (ages ranged from 19 to 32 years) and older adults (ages ranged from 65 to 83 years) to visually perceive outdoor distances was evaluated; we used the method of equal-appearing intervals. On any given trial, the observers adjusted five distance intervals in depth so that they all appeared equivalent in magnitude (and equal to a standard initial egocentric distance of 6 m). The judgments of approximately two thirds of the younger and older observers exhibited varying degrees of perceptual compression, while those of the remaining one third were essentially accurate. Unlike a number of previous studies that evaluated the perception of shorter distances, no significant effects of age were obtained in the current experiment. In particular, there were no significant effects of age upon either accuracy or precision. The ability of human observers to evaluate large-scale distances outdoors is well maintained with increasing age.

Aging and the perception of global structure

A single experiment required 40 younger and older adults to discriminate global shape as depicted by Glass patterns (concentric and radial organizations). Such patterns have been widely used for decades, because in order to successfully perceive the depicted shape, the visual system has to detect both locally oriented features (dipoles) and their alignments across extended regions of space. In the current study, we manipulated the number of constituent dipoles in the stimulus patterns (40 or 200), the noise-to-signal ratio (zero, 1.0, & 5.0), and the pattern size (6.0 & 25.0 degrees visual angle). The observers’ shape discrimination accuracies (d’ values) decreased markedly as the amount of noise increased, and there were smaller (but significant) effects of both overall pattern size and the number of stimulus dipoles. Interestingly, while there was a significant effect of age, it was relatively small: the overall d’ values for older and younger adults were 2.07 and 2.34, respectively. Older adults therefore retain an effective ability to visually perceive global shape, even for sparsely-defined patterns embedded in noise.

Aging and the Perception of Motion-Defined Form

A single experiment required 26 younger and older adults to discriminate global shape as defined only by differences in the speed of stimulus element rotation. Detection of the target shape required successful perceptual grouping by common fate. A considerable adverse effect of age was found: In order to perceive the target and discriminate its shape with a d’ value of 1.5, the older observers needed target element rotational speeds that were 23.4% faster than those required for younger adults. In addition, as the difference between the rotation speeds of the background and target stimulus elements increased, the performance of the older observers improved at a rate that was only about half of that exhibited by the younger observers. The results indicate that while older adults can perceive global shape defined by similarity (and differences) in rotational speed, their abilities are nevertheless significantly compromised.

Spatial navigation deficits - overlooked cognitive marker for preclinical Alzheimer disease?

Detection of incipient Alzheimer disease (AD) pathophysiology is critical to identify preclinical individuals and target potentially disease-modifying therapies towards them. Current neuroimaging and biomarker research is strongly focused in this direction, with the aim of establishing AD fingerprints to identify individuals at high risk of developing this disease. By contrast, cognitive fingerprints for incipient AD are virtually non-existent as diagnostics and outcomes measures are still focused on episodic memory deficits as the gold standard for AD, despite their low sensitivity and specificity for identifying at-risk individuals. This Review highlights a novel feature of cognitive evaluation for incipient AD by focusing on spatial navigation and orientation deficits, which are increasingly shown to be present in at-risk individuals. Importantly, the navigation system in the brain overlaps substantially with the regions affected by AD in both animal models and humans. Notably, spatial navigation has fewer verbal, cultural and educational biases than current cognitive tests and could enable a more uniform, global approach towards cognitive fingerprints of AD and better cognitive treatment outcome measures in future multicentre trials. The current Review appraises the available evidence for spatial navigation and/or orientation deficits in preclinical, prodromal and confirmed AD and identifies research gaps and future research priorities.

Effects of orientation change during environmental learning on age-related difference in spatial memory

It has been suggested that older adults suffer a greater degree of decline in environmental learning when navigating in an environment than when reading a map of the environment. However, the two types of spatial learning differ not only in perspectives (i.e., navigation is done with a ground-level perspective; a map is read from an aerial perspective) but also in orientations (i.e., orientations vary during navigation; spatial information is drawn from a single orientation in a map), making it unclear which factor critically affects older adults' spatial learning. The present study addressed this issue by having younger and older participants learn the layout of a large-scale environment through an aerial movie that contained changes in orientations from which the environment was depicted. Results showed that older participants' memories for the environmental layout were as distorted as those created through a ground-level movie (which involved the same orientation changes), whereas they formed more accurate memories through another aerial movie in which an orientation was fixed. By contrast, younger participants learned the environment equally well from the three movies. Taken together, these findings suggest that there is age-related alteration specifically in the ability to process multiple orientations of an environment while encoding its layout in memory. It is inferred that this alteration stems from functional deterioration of the medial temporal lobe, and possibly that of posterior cingulate areas as well (e.g., the retrosplenial cortex), in late adulthood.

Preserved multisensory body representations in advanced age

The internal representation of the body emerges via the integration of multisensory body cues. Sensory signal transfer and the ability to integrate multisensory information deteriorate significantly with increasing age. However, there is little empirical evidence on age-related changes in body representations based on multisensory integration. Here, we used a standard paradigm for evaluating body representations based on multisensory integration, the rubber hand illusion, and compared the amount of proprioceptive drift and changes in perceived body ownership triggered by the integration of visual, tactile, and proprioceptive cues between younger and older adults. To account for potential age-related differences in the temporal stability of the illusion, proprioceptive drift was measured at five different time points. Our results show that older adults used synchronous visuo-tactile cues similarly to younger adults to update both the position of their own hand, and their feeling of ownership over the artificial hand. Independent of visuo-tactile synchrony, older adults perceived their hand as closer to their body than younger adults did, and showed a less stable representation of this in-depth hand position. This proprioceptive bias towards the body did not correlate with the strength of the illusion. Our results indicate that the integration of visual and tactile cues is largely preserved in advanced age when used to update limb position, whereas proprioception worsens with age. This may be linked to two different pathways that underlie changes in body representations over the life span.

Sex and age modulate the visual perception of distance

An experiment was conducted to evaluate the ability of 28 younger and older adults to visually bisect distances in depth both indoors and outdoors; half of the observers were male and half were female. Observers viewed 15-m and 30-m distance extents in four different environmental settings (two outdoor grassy fields and an indoor hallway and atrium) and were required to adjust the position of a marker to place it at the midpoint of each stimulus distance interval. Overall, the observers' judgments were more accurate indoors than outdoors. In outdoor environments, many individual observers exhibited perceptual compression of farther distances (e.g., these observers placed the marker closer than the actual physical midpoints of the stimulus distance intervals). There were significant modulatory effects of both age and sex upon the accuracy and precision of the observers' judgments. The judgments of the male observers were more accurate than those of the female observers and they were less influenced by environmental context. In addition, the accuracies of the younger observers' judgments were less influenced by context than those of the older observers. With regard to the precision of the observers' judgments, the older females exhibited much more variability across repeated judgments than the other groups of observers (younger males, younger females, and older males). The results of our study demonstrate that age and sex are important variables that significantly affect the visual perception of distance.

Age Effects on Visuo-Haptic Length Discrimination: Evidence for Optimal Integration of Senses in Senior Adults

Demographic changes in most developed societies have fostered research on functional aging. While cognitive changes have been characterized elaborately, understanding of perceptual aging lacks behind. We investigated age effects on the mechanisms of how multiple sources of sensory information are merged into a common percept. We studied visuo-haptic integration in a length discrimination task. A total of 24 young (20-25 years) and 27 senior (69-77 years) adults compared standard stimuli to appropriate sets of comparison stimuli. Standard stimuli were explored under visual, haptic, or visuo-haptic conditions. The task procedure allowed introducing an intersensory conflict by anamorphic lenses. Comparison stimuli were exclusively explored haptically. We derived psychometric functions for each condition, determining points of subjective equality and discrimination thresholds. We notably evaluated visuo-haptic perception by different models of multisensory processing, i.e., the Maximum-Likelihood-Estimate model of optimal cue integration, a suboptimal integration model, and a cue switching model. Our results support robust visuo-haptic integration across the adult lifespan. We found suboptimal weighted averaging of sensory sources in young adults, however, senior adults exploited differential sensory reliabilities more efficiently to optimize thresholds. Indeed, evaluation of the MLE model indicates that young adults underweighted visual cues by more than 30%; in contrast, visual weights of senior adults deviated only by about 3% from predictions. We suggest that close to optimal multisensory integration might contribute to successful compensation for age-related sensory losses and provides a critical resource. Differentiation between multisensory integration during healthy aging and age-related pathological challenges on the sensory systems awaits further exploration.

Aging and visual 3-D shape recognition from motion

Two experiments were conducted to evaluate the ability of younger and older adults to recognize 3-D object shape from patterns of optical motion. In Experiment 1, participants were required to identify dotted surfaces that rotated in depth (i.e., surface structure portrayed using the kinetic depth effect). The task difficulty was manipulated by limiting the surface point lifetimes within the stimulus apparent motion sequences. In Experiment 2, the participants identified solid, naturally shaped objects (replicas of bell peppers, Capsicum annuum) that were defined by occlusion boundary contours, patterns of specular highlights, or combined optical patterns containing both boundary contours and specular highlights. Significant and adverse effects of increased age were found in both experiments. Despite the fact that previous research has found that increases in age do not reduce solid shape discrimination, our current results indicated that the same conclusion does not hold for shape identification. We demonstrated that aging results in a reduction in the ability to visually recognize 3-D shape independent of how the 3-D structure is defined (motions of isolated points, deformations of smooth optical fields containing specular highlights, etc.).

Do Individual Differences and Aging Effects in the Estimation of Geographical Slant Reflect Cognitive or Perceptual Effects?

Several individual differences including age have been suggested to affect the perception of slant. A cross-sectional study of outdoor hill estimation (N = 106) was analyzed using individual difference measures of age, experiential knowledge, fitness, personality traits, and sex. Of particular note, it was found that for participants who reported any experiential knowledge about slant, estimates decreased (i.e., became more accurate) as conscientiousness increased, suggesting that more conscientious individuals were more deliberate about taking their experiential knowledge (rather than perception) into account. Effects of fitness were limited to those without experiential knowledge, suggesting that they, too, may be cognitive rather than perceptual. The observed effects of age, which tended to produce lower, more accurate estimates of hill slant, provide more evidence that older adults do not see hills as steeper. The main effect of age was to lower slant estimates; such effects may be due to implicit experiential knowledge acquired over a lifetime. The results indicate the impact of cognitive, rather than perceptual factors on individual differences in slant estimation.

The visual perception of distance ratios in physical space

Past studies have consistently demonstrated that human observers cannot accurately perceive environmental distances. Even so, we obviously detect sufficient spatial information to meet the demands of everyday life. In the current experiment, ten younger adults (mean age was 21.8years) and ten older adults (mean age was 72.3years) estimated distance ratios in physical space. On any given trial, observers judged how long one distance interval was relative to another. The 18 stimulus ratios ranged from 1.0 to 9.5; the observers judged each stimulus ratio three times. The average correlation coefficient relating actual distance ratios to perceived ratios was identical (r=0.87) for both younger and older age groups. Despite this strong relationship between perception and reality, the judgments of many individual observers were inaccurate. For example, ten percent of the observers overestimated the stimulus ratios, while fifty percent underestimated the stimulus ratios. Although both under- and overestimation occurred in the current experiment, the results nevertheless demonstrate that human adults can reliably compare environmental distances in different directions.