1
|
Knights HM, Benham AE, Durrans RM, Burton K. Scoping review: Mobility aids for people with sight loss across the ICF domains of functions, activities, and participation. Optom Vis Sci 2024:00006324-990000000-00207. [PMID: 38861713 DOI: 10.1097/opx.0000000000002141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/13/2024] Open
Abstract
SIGNIFICANCE There is little literature linking mobility aids for people with sight loss to the functions, activities, and participation domains of the International Classification of Functioning, Disability and Health (ICF). Future studies on this relationship should be funded and pursued to better understand ways to maximize the benefit of mobility aids. PURPOSE The ICF domains of functions, activities, and participation are potentially health-supporting aspects of daily living that may be impeded for people with sight loss. Although mobility aids facilitate safely navigating obstacles to optimize independence, it is not clear if they have any effect on functions, activities, or participation. This review explores the current literature to establish the associations between mobility aids and ICF domains. METHODS An established scoping review methodological framework was used to systematically search, select, and synthesize the existing literature. RESULTS Of 116 unique retrieved articles, three observational studies were eligible for inclusion with a total of 124 participants. A small experimental study found that blind adults had slower Timed Up and Go times than sighted and better performance with a long cane than without. One observational study found that physical activity was strongly related to level of visual acuity but with no independent impact of mobility aids. A single mixed-methods study explored travel frequency for blind people with assistance dogs and considered constraints to participation. CONCLUSIONS Despite the included studies involving some aspect of mobility aid use by people with sight loss, to date, no study has focused exclusively on mobility aid intervention for people with sight loss within the physical function, physical activity, and participation domains of the ICF. There is no reliable evidence on the associations between mobility aids and physical function, physical activity, and participation. This is an important knowledge gap for determining the most suitable aids, as well as their use, to best facilitate health-supporting activities.
Collapse
Affiliation(s)
| | - Alex E Benham
- Faculty of Medicine and Health Sciences, School of Allied Health Professions, Keele University, Keele, Staffordshire, United Kingdom
| | - Rachael M Durrans
- Department of Allied Health Professional and Sport and Exercise, School of Human and Health Sciences, University of Huddersfield, Huddersfield, West Yorkshire, United Kingdom
| | - Kim Burton
- Department of Allied Health Professional and Sport and Exercise, School of Human and Health Sciences, University of Huddersfield, Huddersfield, West Yorkshire, United Kingdom
| |
Collapse
|
2
|
Carretti G, Manetti M, Marini M. Physical activity and sport practice to improve balance control of visually impaired individuals: a narrative review with future perspectives. Front Sports Act Living 2023; 5:1260942. [PMID: 37780118 PMCID: PMC10534048 DOI: 10.3389/fspor.2023.1260942] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2023] [Accepted: 08/31/2023] [Indexed: 10/03/2023] Open
Abstract
Visual disability negatively impacts balance, everyday self-efficacy, and mobility and often leads affected subjects to perceive physical exercise as a burdensome challenge thus discouraging them from practicing. Despite the well-proven benefits of regular physical activity in visually impaired people, especially addressing postural control, there are no specific guidelines and most of the available literature seems to be flawed by critical issues. Given the wide heterogeneity and the multidimensional needs of this population, a more realistic and target-specific perspective is needed in order to properly investigate and promote exercise practice and adherence for balance improvement. On this basis, through a critical overview of the recent literature, the present article aimed to enrich the current knowledge about this topic by providing innovative suggestions, both practical and methodological, and specifically deepening the disability-related deficits and peculiarities of different age ranges. Moreover, since a multidisciplinary approach is advisable when designing and leading exercise protocols tailored to visually impaired individuals, such innovative hints also highlighted the central role of the adapted physical activity specialist, hence contributing to foster its official professional recognition and involvement in this field.
Collapse
Affiliation(s)
| | | | - Mirca Marini
- Section of Anatomy and Histology, Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
| |
Collapse
|
3
|
The association of subjective vision with objectively measured intensity-specific physical activity and bout-specific sedentary behavior among community-dwelling older adults in Japan. Jpn J Ophthalmol 2023; 67:164-174. [PMID: 36708419 DOI: 10.1007/s10384-023-00977-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2022] [Accepted: 11/17/2022] [Indexed: 01/29/2023]
Abstract
PURPOSE Visual impairment is a possible cause of physical frailty. Reduced physical activity (PA) may be involved in the pathway from visual impairment to physical frailty, although the association between vision and objectively measured PA among older adults remains unclear. This study examined the sex-specific association of subjective vision with intensity-specific PA and bout-specific sedentary behavior (SB) among community-dwelling, older Japanese adults. STUDY DESIGN Cross-sectional study METHODS: This study used data from the Neuron to Environmental Impact across Generations study analyzing older adults (527 participants, aged 65-84 years) living in rural areas of Niigata Prefecture, Japan. Subjective vision was assessed by use of a questionnaire. Intensity-specific PA (light-intensity PA and moderate-to-vigorous PA [MVPA]), bout-specific SB, and daily step count were objectively evaluated by use of an accelerometer. The association of subjective vison with PA and SB, stratified by sex, was analyzed by means of general regression analyses, with adjustment for covariates. RESULTS The data of 512 participants (men: 46.9%; with poor subjective vision: 22.9%) were analyzed. Poor subjective vision was significantly associated with log MVPA (partial regression coefficient = -0.261, P = .013) and log steps (partial regression coefficient = -0.164; P = .021) among women, whereas a tendency of an association was observed with prolonged SB time among men (partial regression coefficient: 39.1; P = .073). CONCLUSION Older Japanese women with poor subjective vision performed less MVPA and had fewer step counts than those of participants with good subjective vision, and men with poor subjective vision had longer prolonged SB, which may all accelerate the process to physical frailty.
Collapse
|
4
|
Tatsuta W, Inayama T, Yamanaka E, Ohkawara K. Assessment of Physical Activity and Related Factors among Adults with Visual Impairments in Japan. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19042244. [PMID: 35206430 PMCID: PMC8871727 DOI: 10.3390/ijerph19042244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Revised: 02/10/2022] [Accepted: 02/15/2022] [Indexed: 12/05/2022]
Abstract
In Japan, there is a lack of physical activity data on health and disease among people with visual impairments, making it difficult to develop specific strategies for health promotion. This study aimed to identify moderate-to-vigorous physical activity (MVPA) among people with visual impairments in Japan, to examine the percentage of them who meet the MVPA recommended activity, and to identify factors related to MVPA. In this cross-sectional study, we analyzed a survey of 169 adults with visual impairments. The relationship between MVPA and related factors was analyzed using binomial logistic regression analysis. The median MVPA was 46 min/day for men and 36 min/day for women, respectively, aged < 65 years, and 26 min/day for men and 34 min/day for women, respectively, aged ≥ 65 years. Seventy-eight percent of the subjects achieved the recommendations by the WHO, and 28% of the subjects < 65 years had achieved the MVPA of 60 min/day recommended by the Japanese Active Guide. Self-efficacy (SE) for PA, recommended PA implementation behavior, subjective walking speed, and exercise habits were significantly associated with MVPA. The current status of MVPA time among people with visual impairments in Japan, as revealed by this study, indicates that it is important to set realistic goals and plan a step-by-step process to achieve the recommendation. In the future, it will be important to develop a program that encourages the improvement of SE and promotes PA.
Collapse
Affiliation(s)
- Wakako Tatsuta
- College of Sports Sciences, Nihon University, Tokyo 154-8513, Japan
- Correspondence: ; Tel.:+81-3-6453-1763
| | - Takayo Inayama
- Department of Food and Health Sciences, Faculty of Health and Human Development, The University of Nagano, Nagano 380-8525, Japan;
| | - Erika Yamanaka
- Graduate School of Human Health Sciences, Tokyo Metropolitan University, Tokyo 192-0397, Japan;
| | - Kazunori Ohkawara
- Graduate School of Informatics and Engineering, University of Electro-Communications, Tokyo 182-8585, Japan;
| |
Collapse
|
5
|
Caputo EL, Porcellis da Silva RB, Leal da Cunha L, Krüger GR, Reichert FF. Physical Activity and Quality of Life in People With Visual Impairments: A Systematic Review. JOURNAL OF VISUAL IMPAIRMENT & BLINDNESS 2022. [DOI: 10.1177/0145482x211072567] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Objective This systematic review aimed to investigate the relationship between physical activity and quality of life (QOL) in people with visual impairments. Methods: Electronic searches were performed in PubMed, SPORTdiscus, CINAHL, Embase, and Web of Science. Observational studies describing the relationship between physical activity and QOL in adults with visual impairments were included. The Newcastle-Ottawa Scale (NOS) adapted for cross-sectional studies was used to assess the quality of the studies. Results: Overall, 327 studies were identified, and eight met the inclusion criteria. All studies had cross-sectional designs and seven were performed in developed countries. Physical activity was assessed objectively by one study, and five studies used the International Physical Activity Questionnaire. The World Health Organization Quality of Life Questionnaire was the most used instrument to measure QOL. Six studies reported a positive relationship between physical activity and QOL domains, as follows: life satisfaction, activity limitation, fair or poor health, physically and mentally unhealthy days, psychological health, and overall QOL. Conclusion: People with visual impairments who are engaged in physical activity are more likely to have better QOL outcomes.
Collapse
Affiliation(s)
- Eduardo L. Caputo
- Programa de Pós-Graduação Em Educação Física, Universidade Federal de Pelotas, Pelotas, Brasil
| | | | - Larissa Leal da Cunha
- Programa de Pós-Graduação Em Educação Física, Universidade Federal de Pelotas, Pelotas, Brasil
| | - Gabriele R. Krüger
- Programa de Pós-Graduação Em Educação Física, Universidade Federal de Pelotas, Pelotas, Brasil
| | - Felipe F. Reichert
- Programa de Pós-Graduação Em Educação Física, Universidade Federal de Pelotas, Pelotas, Brasil
| |
Collapse
|
6
|
Correlates of Physical Activity among Adults with Sight Loss in High-Income-Countries: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182211763. [PMID: 34831518 PMCID: PMC8625187 DOI: 10.3390/ijerph182211763] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/22/2021] [Revised: 11/05/2021] [Accepted: 11/07/2021] [Indexed: 12/02/2022]
Abstract
Background: Physical activity (PA) is essential for almost all facets of health; however, research suggests that PA levels among populations with sight loss are critically low. The aim of this review was to identify the correlates of PA among people with sight loss in high income countries, to inform future interventions and policies. Methods: MEDLINE, Web of Science, PsycINFO, SPORTDiscus, The British Journal of Visual Impairment, The Journal of Visual Impairment and grey literature were searched for studies which reported correlates of PA among adults with sight loss. The protocol is available from PROSPERO (CRD42020215596). Results: A total of 29 articles were eligible for review. Evidence from multiple studies reported that the vision impairment category, worse visual acuity, bilateral visual field loss, worse contrast sensitivity, those of the female gender, low self-efficacy, and environmental barriers were associated with lower levels of PA among populations with sight loss. Conclusions: Overall, correlates of PA among people with sight loss in high income countries are complex and vary across different population groups. Health professionals, eye care, and sight loss services should work together to identify people at risk of low PA, and provide a range of services and interventions to influence the modifiable factors that are associated with low PA.
Collapse
|
7
|
Sobczak AM, Bohaterewicz B, Fafrowicz M, Domagalik A, Beldzik E, Oginska H, Golonka N, Rekas M, Bronicki D, Romanowska-Dixon B, Bolsega-Pacud J, Karwowski W, Farahani FV, Marek T. The Influence of Intraocular Lens Implantation and Alterations in Blue Light Transmittance Level on the Brain Functional Network Architecture Reorganization in Cataract Patients. Brain Sci 2021; 11:brainsci11111400. [PMID: 34827400 PMCID: PMC8615544 DOI: 10.3390/brainsci11111400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2021] [Revised: 10/16/2021] [Accepted: 10/19/2021] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Cataract is one of the most common age-related vision deteriorations, leading to opacification of the lens and therefore visual impairment as well as blindness. Both cataract extraction and the implantation of blue light filtering lens are believed to improve not only vision but also overall functioning. METHODS Thirty-four cataract patients were subject to resting-state functional magnetic resonance imaging before and after cataract extraction and intraocular lens implantation (IOL). Global and local graph metrics were calculated in order to investigate the reorganization of functional network architecture associated with alterations in blue light transmittance. Psychomotor vigilance task (PVT) was conducted. RESULTS Graph theory-based analysis revealed decreased eigenvector centrality after the cataract extraction and IOL replacement in inferior occipital gyrus, superior parietal gyrus and many cerebellum regions as well as increased clustering coefficient in superior and inferior parietal gyrus, middle temporal gyrus and various cerebellum regions. PVT results revealed significant change between experimental sessions as patients responded faster after IOL replacement. Moreover, a few regions were correlated with the difference in blue light transmittance and the time reaction in PVT. CONCLUSION Current study revealed substantial functional network architecture reorganization associated with cataract extraction and alteration in blue light transmittance.
Collapse
Affiliation(s)
- Anna Maria Sobczak
- Department of Cognitive Neuroscience and Neuroergonomics, Institute of Applied Psychology, Jagiellonian University, 30-348 Kraków, Poland; (M.F.); (E.B.); (H.O.); (N.G.); (T.M.)
- Malopolska Centre of Biotechnology, Jagiellonian University, 30-387 Kraków, Poland;
- Correspondence: (A.M.S.); (B.B.)
| | - Bartosz Bohaterewicz
- Department of Cognitive Neuroscience and Neuroergonomics, Institute of Applied Psychology, Jagiellonian University, 30-348 Kraków, Poland; (M.F.); (E.B.); (H.O.); (N.G.); (T.M.)
- Department of Psychology of Individual Differences, Psychological Diagnosis, and Psychometrics, Institute of Psychology, University of Social Sciences and Humanities, 03-815 Warsaw, Poland
- Correspondence: (A.M.S.); (B.B.)
| | - Magdalena Fafrowicz
- Department of Cognitive Neuroscience and Neuroergonomics, Institute of Applied Psychology, Jagiellonian University, 30-348 Kraków, Poland; (M.F.); (E.B.); (H.O.); (N.G.); (T.M.)
- Malopolska Centre of Biotechnology, Jagiellonian University, 30-387 Kraków, Poland;
| | - Aleksandra Domagalik
- Malopolska Centre of Biotechnology, Jagiellonian University, 30-387 Kraków, Poland;
| | - Ewa Beldzik
- Department of Cognitive Neuroscience and Neuroergonomics, Institute of Applied Psychology, Jagiellonian University, 30-348 Kraków, Poland; (M.F.); (E.B.); (H.O.); (N.G.); (T.M.)
- Malopolska Centre of Biotechnology, Jagiellonian University, 30-387 Kraków, Poland;
| | - Halszka Oginska
- Department of Cognitive Neuroscience and Neuroergonomics, Institute of Applied Psychology, Jagiellonian University, 30-348 Kraków, Poland; (M.F.); (E.B.); (H.O.); (N.G.); (T.M.)
- Malopolska Centre of Biotechnology, Jagiellonian University, 30-387 Kraków, Poland;
| | - Natalia Golonka
- Department of Cognitive Neuroscience and Neuroergonomics, Institute of Applied Psychology, Jagiellonian University, 30-348 Kraków, Poland; (M.F.); (E.B.); (H.O.); (N.G.); (T.M.)
| | - Marek Rekas
- Ophthalmology Department, Military Institute of Medicine, 04-349 Warsaw, Poland; (M.R.); (D.B.)
| | - Dominik Bronicki
- Ophthalmology Department, Military Institute of Medicine, 04-349 Warsaw, Poland; (M.R.); (D.B.)
| | - Bożena Romanowska-Dixon
- Department of Ophthalmology and Ocular Oncology, Medical College, Jagiellonian University, 31-008 Kraków, Poland; (B.R.-D.); (J.B.-P.)
| | - Joanna Bolsega-Pacud
- Department of Ophthalmology and Ocular Oncology, Medical College, Jagiellonian University, 31-008 Kraków, Poland; (B.R.-D.); (J.B.-P.)
| | - Waldemar Karwowski
- Computational Neuroergonomics Laboratory, Department of Industrial Engineering & Management Systems, University of Central Florida, Orlando, FL 32816, USA; (W.K.); (F.V.F.)
| | - Farzad V. Farahani
- Computational Neuroergonomics Laboratory, Department of Industrial Engineering & Management Systems, University of Central Florida, Orlando, FL 32816, USA; (W.K.); (F.V.F.)
- Biostatistics Department, John Hopkins University, Baltimore, MD 21218, USA
| | - Tadeusz Marek
- Department of Cognitive Neuroscience and Neuroergonomics, Institute of Applied Psychology, Jagiellonian University, 30-348 Kraków, Poland; (M.F.); (E.B.); (H.O.); (N.G.); (T.M.)
- Malopolska Centre of Biotechnology, Jagiellonian University, 30-387 Kraków, Poland;
| |
Collapse
|
8
|
Jiang TY, Shi B, Wu DM, Zhang L, Weng CS, Zhang LH. Effect of vision loss on plasticity of the head and neck proprioception. Int J Ophthalmol 2021; 14:1059-1065. [PMID: 34282392 DOI: 10.18240/ijo.2021.07.15] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2020] [Accepted: 01/14/2021] [Indexed: 11/23/2022] Open
Abstract
AIM To investigate whether head and neck proprioception and motor control could be compensatory enhanced by long-term vision loss or impairment. METHODS Individuals who were blind, low vision or sighted were included in the study, which would undergo the head repositioning test (HRT). The constant error (CE), absolute error (AE), variable error (VE) and root mean square error (RMSE) of each subject were statistically analyzed. Data were analyzed using the SAS 9.4. Tukey-Kramer for one-way ANOVA was used for comparison of blind, low vision, and sighted subjects, as well as to compare subjects with balanced vision, strong vision in the left eye and strong vision in the right eye. Independent sample t-test was used to compare subjects with congenital blindness and acquired blindness, as well as left and right hand dominance subjects. RESULTS A total of 90 individuals (25 blind subjects, 31 low vision subjects, and 34 sighted subjects) were included in the study. Among the blind subjects, 14 cases had congenital blindness and 11 cases had acquired blindness. Among the blind and low vision subjects, 21 cases had balanced binocular vision, 17 cases had strong vision in the left eye and 18 cases had strong vision in the right eye. Among all subjects, 11 cases were left hand dominance, and 79 cases were right hand dominance. There were significant differences in AE, VE, and RMSE in head rotation between blind, low vision, and sighted subjects (P<0.01), in AE, VE, and RMSE between blind and sighted (P<0.01), and in VE and RMSE between low vision and sighted (P<0.05). No significant difference between blind and low vision (P>0.05). Significant differences in CE and AE of head right rotation and CE of general head rotation between congenital and acquired (P<0.05). No significant differences between left and right hand dominance and in balance or not of binocular vision (P>0.05). CONCLUSION Long-term vision loss or impairment does not lead to compensatory enhancement of head and neck proprioception and motor control. Acquired experience contributes to HRT performance in the blind and has long-lasting effects on plasticity in the development of proprioception and sensorimotor control.
Collapse
Affiliation(s)
- Tian-Yu Jiang
- Department of Rehabilitation Medicine, 2nd Medical Center of Chinese PLA General Hospital, Beijing 100853, China
| | - Bin Shi
- Department of Orthopedics, Chinese PLA General Hospital, Beijing 100853, China
| | - Dong-Mei Wu
- Weizikeng Clinic, Chinese PLA General Hospital, Beijing 100101, China
| | - Lin Zhang
- Special Education College, Beijing Union University, Beijing 110106, China
| | - Chang-Shui Weng
- Department of Rehabilitation Medicine, 2nd Medical Center of Chinese PLA General Hospital, Beijing 100853, China
| | - Li-Hai Zhang
- Department of Orthopedics, Chinese PLA General Hospital, Beijing 100853, China
| |
Collapse
|
9
|
Panigrahi A, Nageswar Rao G, Kumari Konar A. Vision-Related Quality of Life and Its Sociodemographic Correlates Among Individuals With Visual Impairments. JOURNAL OF VISUAL IMPAIRMENT & BLINDNESS 2021. [DOI: 10.1177/0145482x211028938] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Introduction: Visual impairment is an important public health concern worldwide that negatively affects quality of life (QOL). We aimed to assess the vision-related QOL and determine its sociodemographic correlates among individuals with visual impairments. Methods: We carried out a cross-sectional study during the years 2016–2017 among 201 individuals with visual impairments aged ≥ 40 years. After obtaining informed consent, we collected relevant information regarding sociodemographic characteristics using a pretested questionnaire and assessed vision-related QOL using the National Eye Institute Visual Function Questionnaire (VFQ-25). An ophthalmologist conducted comprehensive ophthalmic examinations of all the eligible study participants. Results: The mean VFQ-25 composite score was 52.91 + 7.61. The subscale score was highest for color vision (72.39 + 21.71) and worst in the dependency subscale (31.43 + 25.2). Multivariable ordinal regression revealed that variables such as gender, place of residence, household overcrowding, dietary habits, practicing exercise or yoga, and type of eye disorder were significantly ( p< .05) associated with the QOL of individuals with visual impairments. Discussion: The QOL among individuals with visual impairments was poor in our study. Further research is needed to establish associations of various factors with the QOL. Implications for practitioners: Incorporating these determinants of vision-related QOL in the existing strategies could be useful for health care providers and social service providers in promoting the well-being of individuals with visual impairments.
Collapse
Affiliation(s)
- Ansuman Panigrahi
- Scientist - E, Epidemiology ICMR-National Institute for Implementation Research on Non-Communicable Diseases (NIIRNCD), Jodhpur, India
| | - G. Nageswar Rao
- Ophthalmology, Kalinga Institute of Medical Sciences, KIIT University, Bhubaneswar, India
| | | |
Collapse
|
10
|
Cai Y, Schrack JA, Wang H, E JY, Wanigatunga AA, Agrawal Y, Urbanek JK, Simonsick EM, Ferrucci L, Swenor BK. Visual Impairment and Objectively Measured Physical Activity in Middle-Aged and Older Adults. J Gerontol A Biol Sci Med Sci 2021; 76:2194-2203. [PMID: 33837407 DOI: 10.1093/gerona/glab103] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2021] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Vision loss is associated with increased falls risk and restricted physical activity, yet the relationship between multiple vision measures and objectively measured physical activity, especially activity patterns, in mid-to-late life is not well understood. METHODS This study included 603 participants aged ≥ 50 years (mean age=73.5) in the Baltimore Longitudinal Study of Aging who had the following assessments: presenting and best-corrected visual acuity, contrast sensitivity, visual fields, stereo acuity, and free-living physical activity using a wrist-worn ActiGraph accelerometer for 7 days. Linear regression models were used to examine the association between vision measures and daily activity counts, active minutes, and activity fragmentation (defined as an active-to-sedentary transition probability), adjusting for potential confounders. Mixed-effects models estimated differences in activity by time of day comparing those with and without each visual impairment. RESULTS In the fully adjusted model, worse presenting visual acuity, contrast sensitivity, and visual fields were associated with fewer activity counts, less active time, and more fragmented activity patterns (p<0.05 for all). Participants with presenting or best-corrected visual acuity impairment had 19.2 and 29.3 fewer active minutes (p=0.05, p=0.03, respectively) per day. Visual field impairment was associated with 268,636 fewer activity counts (p=0.02), 46.2 fewer active minutes (p=0.02) per day, and 3% greater activity fragmentation (p=0.009). Differences in activity levels tended to be greatest from 6am-6pm (p<0.05). CONCLUSIONS Older adults with visual impairment have restricted and more fragmented patterns of daily activity. Longitudinal studies to quantify the long-term impacts of visual impairments on activity decline are warranted.
Collapse
Affiliation(s)
- Yurun Cai
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
| | - Jennifer A Schrack
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.,Center on Aging and Health, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, MD
| | - Hang Wang
- Center on Aging and Health, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, MD
| | - Jian-Yu E
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.,Wilmer Eye Institute, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, MD
| | - Amal A Wanigatunga
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.,Center on Aging and Health, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, MD
| | - Yuri Agrawal
- Department of Otolaryngology - Head and Neck Surgery, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, MD
| | - Jacek K Urbanek
- Center on Aging and Health, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, MD.,Division of Geriatric Medicine, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, MD
| | | | - Luigi Ferrucci
- Intramural Research Program, National Institute on Aging, Baltimore, MD
| | - Bonnielin K Swenor
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.,Center on Aging and Health, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, MD.,Wilmer Eye Institute, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, MD.,The Johns Hopkins Disability Health Research Center, Johns Hopkins University, Baltimore, MD
| |
Collapse
|
11
|
Luo S, Chen X, Hou L, Yue J, Liu X, Xia X, Dong B, Cao L. Comorbid Depressive Symptoms, Visual Impairment, and Sarcopenia among Middle-Aged and Older Women: Findings from the West China Health and Aging Trend study. J Nutr Health Aging 2021; 25:1131-1137. [PMID: 34725673 DOI: 10.1007/s12603-021-1687-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Previous reports have described close relationships between sarcopenia and either visual impairment or depression, but there have been few analyses investigating the association between sarcopenia and the coexistence of both visual impairment and depression. Herein, we sought to explore the associations between sarcopenia and comorbid depressive symptoms and visual impairment among older females. A cross-sectional analysis of females between the ages of 50 and 95 (n = 2454) from the West China Health and Aging Trend (WCHAT) study was conducted. Patient muscle mass was assessed via a bioimpedance-based approach using an InBody 770 device, while muscle strength was estimated based on handgrip strength as quantified with a digital grip strength dynamometer. Depressive systems were evaluated with the 15-item Geriatric Depression Scale (GDS-15), and a questionnaire was employed to evaluate patient visual functionality. Associations between sarcopenia and comorbid depressive status and visual impairment were explored through logistic regression analyses. Comorbid depressive symptoms and visual impairment were observed in 6.2% of the women included in this study, while 18.9% suffered from sarcopenia. Following adjustment for covariates, relative to normal controls, study subjects with only depression (OR=1.45, 95%CI=1.04-2.02), only visual impairment (OR=1.69, 95%CI=1.27-2.26), or comorbid depression and visual impairment (OR=1.76, 95% CI=1.16-2.67) exhibited a higher risk of sarcopenia. These results suggest that comorbid depression and visual impairment are linked to the prevalence of sarcopenia in older Chinese women. As such, further efforts to screen older women for these two comorbid conditions may thus be necessary.
Collapse
Affiliation(s)
- S Luo
- Birong Dong, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China, , Telephone: +86-028-85421550; Li Cao, Center of Gerontology and Geriatrics, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China, of Missouri Sinclair School of Nursing, Columbia, Missouri, USA
| | | | | | | | | | | | | | | |
Collapse
|
12
|
Hiratsuka Y, Yokoyama T, Yamada M. Higher Participation Rate for Specific Health Checkups Concerning Simultaneous Ophthalmic Checkups. J Epidemiol 2020; 31:315-319. [PMID: 32475883 PMCID: PMC8021880 DOI: 10.2188/jea.je20200052] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Background Improving the specific health checkups participation rate is an essential task nationwide; however, studies on measures to accomplish this are limited. This study aimed to examine the influence of ophthalmic checkups on the specific health checkups’ participation rate. Methods We conducted a postal questionnaire survey on 1,741 countrywide municipalities in Japan from January to February 2019. The questionnaire specifically addressed health checkup participation rates of 2017, health checkups formats (group, individual, or both), simultaneous cancer screenings, simultaneous ophthalmic checkups, and the state of implementation of ophthalmic checkups. We used multiple linear regression analyses to calculate the partial regression coefficients (βs) and their 95% confidential intervals (CIs) to identify the influence of simultaneous ophthalmic checkups on specific health checkup participation rates. Results There was a significant association between specific health checkup participation rates and simultaneous ophthalmic checkups (β: +2.5%; 95% CI, 1.3–3.8) after adjusting for covariates. The fundus photos of all applicants, fundus photos with restrictions, and ophthalmology consultation for all applicants were associated with a significant increase in the specific health checkup participation rate (β: +2.8%, 95% CI, 1.2–4.4; β: +2.0%, 95% CI, 0.2–3.9; β: +7.4%, 95% CI, 1.2–13.6 respectively). Conclusions Our results suggest that additional simultaneous ophthalmic checkups as specific health checkups could increase the specific health checkup participation rate.
Collapse
Affiliation(s)
| | - Tetsuji Yokoyama
- Department of Health Promotion, National Institute of Public Health
| | | |
Collapse
|