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Visual impairment as a predictor for deterioration in functioning: the Leiden 85-plus Study

BACKGROUND: Visual impairment frequently occurs amongst older people. Therefore, the aim of this study was to investigate the predictive value of visual impairment on functioning, quality of life and mortality in people aged 85 years. METHODS: From the Leiden 85-plus Study, 548 people aged 85 years...

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Autores principales: Verbeek, ERJ, Drewes, YM, Gussekloo, J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9074345/
https://www.ncbi.nlm.nih.gov/pubmed/35524168
http://dx.doi.org/10.1186/s12877-022-03071-x
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author Verbeek, ERJ
Drewes, YM
Gussekloo, J
author_facet Verbeek, ERJ
Drewes, YM
Gussekloo, J
author_sort Verbeek, ERJ
collection PubMed
description BACKGROUND: Visual impairment frequently occurs amongst older people. Therefore, the aim of this study was to investigate the predictive value of visual impairment on functioning, quality of life and mortality in people aged 85 years. METHODS: From the Leiden 85-plus Study, 548 people aged 85 years were eligible for this study. Visual acuity was measured at baseline by Early Treatment Diabetic Retinopathy Study charts (ETDRS). According to the visual acuity (VA) three groups were made, defined as no (VA > 0.7), moderate (0.5 ≤ VA ≤ 0.7) or severe visual impairment (VA < 0.5). Quality of life, physical, cognitive, psychological and social functioning were measured annually for 5 years. For mortality, participants were followed until the age of 95. RESULTS: At baseline, participants with visual impairment scored lower on physical, cognitive, psychological and social functioning and quality of life (p < 0.001). Compared to participants with no visual impairment, participants with moderate and severe visual impairment had an accelerated deterioration in basic activities of daily living (respectively 0.27-point (p = 0.017) and 0.35 point (p = 0.018)). In addition, compared to participants with no visual impairment, the mortality risk was 1.83 (95% CI 1.43, 2.35) for participants with severe visual impairment. DISCUSSION: In very older adults, visual impairment predicts accelerated deterioration in physical functioning. In addition, severely visually impaired adults had an increased mortality risk. A pro-active attitude, focussing on preventing and treating visual impairment could possibly contribute to the improvement of physical independence, wellbeing and successful aging in very old age. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12877-022-03071-x.
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spelling pubmed-90743452022-05-07 Visual impairment as a predictor for deterioration in functioning: the Leiden 85-plus Study Verbeek, ERJ Drewes, YM Gussekloo, J BMC Geriatr Research BACKGROUND: Visual impairment frequently occurs amongst older people. Therefore, the aim of this study was to investigate the predictive value of visual impairment on functioning, quality of life and mortality in people aged 85 years. METHODS: From the Leiden 85-plus Study, 548 people aged 85 years were eligible for this study. Visual acuity was measured at baseline by Early Treatment Diabetic Retinopathy Study charts (ETDRS). According to the visual acuity (VA) three groups were made, defined as no (VA > 0.7), moderate (0.5 ≤ VA ≤ 0.7) or severe visual impairment (VA < 0.5). Quality of life, physical, cognitive, psychological and social functioning were measured annually for 5 years. For mortality, participants were followed until the age of 95. RESULTS: At baseline, participants with visual impairment scored lower on physical, cognitive, psychological and social functioning and quality of life (p < 0.001). Compared to participants with no visual impairment, participants with moderate and severe visual impairment had an accelerated deterioration in basic activities of daily living (respectively 0.27-point (p = 0.017) and 0.35 point (p = 0.018)). In addition, compared to participants with no visual impairment, the mortality risk was 1.83 (95% CI 1.43, 2.35) for participants with severe visual impairment. DISCUSSION: In very older adults, visual impairment predicts accelerated deterioration in physical functioning. In addition, severely visually impaired adults had an increased mortality risk. A pro-active attitude, focussing on preventing and treating visual impairment could possibly contribute to the improvement of physical independence, wellbeing and successful aging in very old age. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12877-022-03071-x. BioMed Central 2022-05-06 /pmc/articles/PMC9074345/ /pubmed/35524168 http://dx.doi.org/10.1186/s12877-022-03071-x Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Verbeek, ERJ
Drewes, YM
Gussekloo, J
Visual impairment as a predictor for deterioration in functioning: the Leiden 85-plus Study
title Visual impairment as a predictor for deterioration in functioning: the Leiden 85-plus Study
title_full Visual impairment as a predictor for deterioration in functioning: the Leiden 85-plus Study
title_fullStr Visual impairment as a predictor for deterioration in functioning: the Leiden 85-plus Study
title_full_unstemmed Visual impairment as a predictor for deterioration in functioning: the Leiden 85-plus Study
title_short Visual impairment as a predictor for deterioration in functioning: the Leiden 85-plus Study
title_sort visual impairment as a predictor for deterioration in functioning: the leiden 85-plus study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9074345/
https://www.ncbi.nlm.nih.gov/pubmed/35524168
http://dx.doi.org/10.1186/s12877-022-03071-x
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