Relationship between self-reported visual impairment and worsening frailty transition states in older people: a longitudinal study

Gonzales-Turín, Jimmy M; Rodríguez-Laso, Ángel; Carnicero, José Antonio Carranza; García‐García, Francisco José; Rodríguez‐Mañas, Leocadio

doi:10.1007/s40520-020-01768-w

Cited by 13 publications

(14 citation statements)

References 31 publications

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“…Vision impairment is common among older adults. About 3.22 million people in the United States suffer from visual impairment, with the largest percentage (50%) of older adults over 80 years old [1]. Visual impairment negatively affects many aspects of daily functioning, such as physical and cognitive functioning [2][3][4].…”

Section: Introductionmentioning

confidence: 99%

Bidirectional association between visual impairment and frailty among community-dwelling older adults: a longitudinal study

2022

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Background Vision impairment is common among older adults, and it may be related to frailty. However, the longitudinal relationship between visual impairment and frailty is still unclear. Methods We used data from Round 1 to Round 5 from the National Health and Aging Trend Study. Two samples were community-dwelling older adults, sample 1 (without visual impairment) was classified according to whether they have pre-frailty/frailty at R1 (N = 3013) and sample 2 (without pre-frailty/frailty) was classified according to whether they have visual impairment at R1 (N = 1422), respectively. Frailty was measured using five criteria: experiencing exhaustion, unintentional weight loss, low physical activity, slow gait, and weak grip strength. Visual impairment was assessed by asking participants if they had any visual impairment. Generalized estimating equation models were used to examine the concurrent and lagged association between visual impairment and frailty. Results The participants were on average 76 ± 7 years old, female (59%), non-Hispanic white (74%) with less than bachelor educated (73%), and 44% were pre-frail/frail in the older adults without visual impairment. Approximately 5% of participants had visual impairment at R1, and they tended to be female and non-Hispanic White in the older adults without frailty. The concurrent (OR, 95% CI = 1.55, 1.17-2.02) and lagged (OR, 95% CI = 1.79, 1.25-2.59) associations between frailty and visual impairment were significantly after controlling the covariates. Similarly, the concurrent (OR, 95% CI = 1.63, 1.32-2.04) and lagged (OR, 95% CI = 1.49, 1.20-1.87) associations between visual impairment and frailty were also significant. Conclusions Overall, this study provides evidence for a longitudinal, bidirectional association between self-reported visual impairment and frailty. Future intervention programs to delay frailty progression should include strategies that may reduce the incidence of visual impairment.

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Section: Introductionmentioning

confidence: 99%

Bidirectional association between visual impairment and frailty among community-dwelling older adults: a longitudinal study

2022

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“…To the Editor, Gonzales-Turin et al [1] assessed the relationship between visual impairment (VI) and the frailty status. The adjusted odds ratios (ORs) (95% confidence Interval [CIs]) of VI for the development of frailty in older nonfrail, pre-frail, and robust participants were 2.5 (1.5-4.4), 2.7 (1.3-5.7), and 1.9 (0.6-6.00), respectively.…”

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confidence: 99%

Visual impairment and frailty in older people

Kawada

2021

Aging Clin Exp Res

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“…Visual impairment worsens frailty in the early stages of its development (45). Headache is a common complaint in the general population.…”

Section: Discussionmentioning

confidence: 99%

Impact of Common Dizziness Associated Symptoms on Dizziness Handicap in Older Adults

et al. 2021

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Background: A cross-sectional observational study was designed to determine the impact of dizziness associated symptoms on the dizziness handicap inventory (DHI) in older adults (≥60 years).Methods: In total, 785 individuals referred to a multidisciplinary dizziness unit were assessed. Participants completed self-report questionnaires with general questions about symptoms of dizziness as well as the DHI. The DHI subscores (physical, functional, emotional) were calculated. Medical diagnoses were collected from the medical records of the patients. One-way MANOVA and networking analysis were used to analyze the impact of dizziness associated symptoms on dizziness handicap.Results: Most patients reported swaying dizziness (60.6%) and feeling of unsteadiness (59.8%) with substantial overlap between the types of dizziness. Most frequent dizziness associated symptoms were ear noise/tinnitus, visual problems, and nausea/vomiting. Network analysis revealed that visual disturbances, headache, and hearing impairment were associated with higher DHI and explained 12% of the DHI variance in the linear regression. In the one-way MANOVA visual problems and headache had an effect on all three DHI subscores, while hearing impairment was associated with the functional and emotional subscores of DHI.Conclusion: Distinct dizziness associated symptoms have substantial impact on dizziness handicap in older adults. A multifactorial assessment including these symptoms may assist in tailoring therapies to alleviate dizziness handicap in this group.

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Relationship between self-reported visual impairment and worsening frailty transition states in older people: a longitudinal study

Cited by 13 publications

References 31 publications

Bidirectional association between visual impairment and frailty among community-dwelling older adults: a longitudinal study

Bidirectional association between visual impairment and frailty among community-dwelling older adults: a longitudinal study

Visual impairment and frailty in older people

Impact of Common Dizziness Associated Symptoms on Dizziness Handicap in Older Adults

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