Evening exercise is associated with lower odds of visual field progression in Chinese patients with primary open angle glaucoma

Abstract

Background: Exercise is widely known to lower intraocular pressure and increase ocular blood flow, which may be beneficial for glaucoma management. However, there are few studies that have reported on the relationship between exercise and glaucoma progression. The aim of our study was to investigate the exercise habits of those with primary open angle glaucoma (POAG) and its association with the progression of visual field (VF) loss. Methods: Daily physical activity (PA) was monitored by an accelerometer (ActiGraph wGT3x-BT) which patients wore for more than 10 h of being awake on their right wrists for 1 week. Results: Seventy-one non-progressive and 27 progressive patients were enrolled in the study. 24-h moderate to vigorous physical activity (MVPA) exercise showed that POAG patients had similar variation trends consisting of 3 wave peaks and 2 wave hollows. Minutes spent in

Daily Patterns of Accelerometer-Measured Movement Behaviors in Glaucoma Patients: Insights From UK Biobank Participants

“…This crosssectional study also could not preclude the possibility that some movement behaviors such as MVPA and sleep might affect the risk of glaucoma onset and progression, which had been discussed in numerous studies. 18,42,43 Another major limitation was that measurements of vision function such as VF and contrast sensitivity were unavailable in the current study. Compared with previous studies, 18,19 these might bias the current results and restrict interpretation and exploration of underlying mechanisms.…”

“…18,42,43 Another major limitation was that measurements of vision function such as VF and contrast sensitivity were unavailable in the current study. Compared with previous studies, 18,19 these might bias the current results and restrict interpretation and exploration of underlying mechanisms. 44 In addition, most covariates were derived from questionnaires and interviews, which were subject to recall bias.…”

“…15,16 With the digital transformation in ophthalmic research and clinical care, 17 more and more studies used accelerometers to objectively quantify movement behaviors in glaucoma patients. 18,19 Compared with traditional questionnaires, accelerometer tests use definite assessment criteria and provide objective measurements, which are less vulnerable to recall bias. 20 However, existing evidence based on accelerometers is still limited by small sample sizes and lack of nocturnal weartime.…”

Physical Activity Is Associated with Improved Visuomotor Processing in Older Adults with Moderate and Advanced Glaucomatous Visual Field Defect: A Cross-Sectional Study

“…Many experimental studies have reported benefits of PA and exercise on cognitive function in older adults [54][55][56]. Regarding glaucoma, it has been suggested that low to moderate intensity aerobic exercise may reduce IOP and improve neural activity in the visual pathway [25][26][27]. However, heavy strength exercise could have a negative impact on IOP control [57], thus, highlighting the need for the careful design and implementation of PA programs for glaucoma patients.…”

“…Although it is generally accepted that PA can enhance cognitive function, most studies [23,24] have been in healthy older adults; thus, the applicability of these findings to older adults with glaucoma is debatable. It is known that some kind of PA can reduce the development and progression of glaucoma by lowering intraocular pressure (IOP) and increasing ocular blood flow [25][26][27][28]. However, little is known about how PA, particularly for patients with moderate and advanced stage glaucoma, affects visuomotor performance.…”