Visual impairment and frailty in older people

Kawada, Tomoyuki

doi:10.1007/s40520-021-01982-0

Cited by 4 publications

(8 citation statements)

References 5 publications

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“…[11][12][13][14][15] Individually, each of these impairments has been associated with limitation or mortality in some capacity. 16,21,22,26 Olfaction, for example, has a well-doc umented assoc iation w ith mortality. 17,23,34 A meta-analysis by Pang et al 34 reported that participants with olfactory dysfunction had 52% increased hazards of all-cause mortality.…”

Section: Discussionmentioning

confidence: 99%

“…Although it is widely recognized that sensory function has a significant association with health and quality of life, a growing body of evidence suggests that sensory deficits may also be an understudied indicator of elevated risk for functional decline and mortality . Notably, impaired olfaction, vision, hearing, and touch have been independently associated with physical functioning limitations and mortality . Moreover, patients with dual impairment in hearing and vision experience an accumulation of negative physical functioning and mortality outcomes .…”

Section: Introductionmentioning

confidence: 99%

“…16 Notably, impaired olfaction, vision, hearing, and touch have been independently associated with physical functioning limitations and mortality. [16][17][18][19][20][21][22][23] Moreover, patients with dual impairment in hearing and vision experience an accumulation of negative physical functioning and mortality outcomes. 24,25 A similar accumulation of negative cognitive functioning and mortality outcomes is found in studies of multiple sensory impairment.…”

mentioning

confidence: 99%

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Physical Function Trajectories and Mortality in Older Adults With Multisensory Impairment

Vohra,

Simonsick,

Kamath

et al. 2024

JAMA Otolaryngol Head Neck Surg

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ImportanceSingle sensory impairment is associated with reduced functional resilience and increased mortality, though the effects of multiple sensory deficits are not known.ObjectiveTo investigate longitudinal associations of the type, severity, and number of sensory impairments with physical function trajectories and mortality in older adults.Design, Setting, and ParticipantsThis retrospective analysis of a longitudinal cohort study, the Health, Aging, and Body Composition (Health ABC) study, incorporated data from April 1997 to July 2013, featuring a 16-year follow-up with annual examinations and questionnaires. The cohort comprised 3075 men and women, aged 70 to 79 years at baseline, residing in Memphis, Tennessee, and Pittsburgh, Pennsylvania. All participants with complete sensory testing and covariate data at analytical baseline (year 5, 2002) were included. The data were analyzed September 1, 2022.ExposuresVisual, olfactory, auditory, and touch sensory functions were assessed between 2000 and 2002.Main OutcomesThe main outcomes included physical functioning trajectories and mortality risk. Physical function was assessed longitudinally using the Health ABC physical performance battery (HABCPPB).ResultsA total of 1825 individuals (mean [SD] age, 77.4 [3.2] years; 957 [52%] female) were included in this study. Multivariable analysis of HABCPPB decline indicated that having 1 sensory impairment (β estimate, −0.01 [95% CI, −0.02 to −0.001]); 2 sensory impairments (β estimate, −0.01 [95% CI, −0.02 to −0.01]); 3 sensory impairments (β estimate, −0.03 [95% CI, −0.04 to −0.02]); or 4 sensory impairments (β estimate, −0.04 [95% CI, −0.05,−0.03]) was significantly associated with a steeper HABCPPB score decline in a dose-dependent manner. Adjusted Cox proportional hazards models indicated that having 1 sensory impairment (hazard ratio [HR], 1.35 [95% CI, 1.01-1.81]), 2 sensory impairments (HR, 1.58 [95% CI, 1.19-2.11]), 3 sensory impairments (HR, 1.79 [95% CI, 1.33-2.42]), or 4 sensory impairments (HR, 1.97 [95% CI, 1.39-2.79]) was significantly associated with increased mortality risk in a similarly dose-dependent manner.ConclusionIn this retrospective cohort study, the degree and number of multiple sensory impairments were associated with worse physical functioning and increased mortality risk. These findings represent an opportunity for further investigation into the value of screening, prevention, and treatment of sensory impairments to reduce morbidity and mortality in older adults.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Physical Function Trajectories and Mortality in Older Adults With Multisensory Impairment

Vohra,

Simonsick,

Kamath

et al. 2024

JAMA Otolaryngol Head Neck Surg

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“…A recent meta-analysis showed that hearing and vision impairments were respectively associated to a 1.5 to twofold greater odds of pre-frailty and a 2.5 to threefold greater odds of frailty. At the same time, both hearing and vision impairments increased the risk of progression to frailty in robust participants [38,39]. It is, nevertheless, important to remember that most studies finding this association based their figures on self-reported measures.…”

Section: Discussionmentioning

confidence: 99%

The prevalence of frailty and its associated factors in an Italian institutionalized older population: findings from the cross-sectional Alvise Cornaro Center Study

et al. 2021

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Background While it is well established that frail older people have a higher risk of negative health outcomes, the prevalence of frailty and its associated factors in Italian older institutionalized population has never been investigated. Aims The aims of this study were to assess the prevalence of frailty and to identify its associated factors in an Italian residential care home population. Methods An observational cross-sectional study was designed to evaluate older people aged 70 or over of an Italian residential care home. A multidimensional assessment examining functional, geriatric, ophthalmic, and audiological domains was carried out to identify factors associated with frailty. Physical frailty was evaluated using Fried's criteria. Results Data analysis uncovered a 51.1% prevalence of pre-frailty and a 40.4% prevalence of frailty in the 94 eligible participants (64 females) whose data were complete. The multivariable analysis showed that a low education level (OR = 5.12,

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“…We would like to thank Dr. Kawada [1] for his thorough reading of our paper [2] and his comments. Thank you also for pointing us to the paper by Varadaraj et al [3] that we did not include in our review but adds to the papers that describe a cross-sectional association of visual impairment with frailty.…”

Section: Dear Editormentioning

confidence: 99%