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Visual Function, Physical Function, and Activities of Daily Living in Two Aging Communities.

TitleVisual Function, Physical Function, and Activities of Daily Living in Two Aging Communities.
Publication TypeJournal Article
Year of Publication2021
AuthorsGuo X, Arsiwala LT, Dong Y, Mihailovic A, Ramulu PY, A Sharrett R, Mosley T, Abraham AG
JournalTransl Vis Sci Technol
Volume10
Issue14
Pagination15
Date Published2021 12 01
ISSN2164-2591
KeywordsActivities of Daily Living, Aged, Aged, 80 and over, Aging, Cross-Sectional Studies, Female, Humans, Quality of Life, Vision, Ocular
Abstract

Purpose: We report the distribution of visual acuity impairment (VAI), contrast sensitivity impairment (CSI) and their associations with physical health in an aging population.

Methods: In this cross-sectional analysis, VAI was categorized as mild (20/40-20/60) and moderate or greater (

Results: There were 494 Black Jackson and 558 White Washington County participants. The mean age was 80 years, 63% were female, and 15% had VAIdistance presenting. Moderate or greater VAInear presenting was associated with higher prevalence of greater physical limitations (prevalence ratio, 1.25; 95% confidence interval, 1.09-1.44) and IADL difficulties (prevalence ratio, 1.77; 95% confidence interval, 1.32-2.38), but not ADL difficulties. Associations of VAIdistance presenting with physical limitations and lower SPPB scores, and CSI with physical limitations, IADL difficulties, lower QoL, and lower SPPB scores were found. A stratified analysis showed stronger associations in Jackson.

Conclusions: VAI and CSI were associated with poor physical health. These associations should be understood in the context of community differences.

Translational Relevance: Community-based factors may mitigate the impact of vision loss on physical outcomes. Public health endeavors are needed to address VAI and CSI to optimize physical health in the older adults with poor vision.

DOI10.1167/tvst.10.14.15
Alternate JournalTransl Vis Sci Technol
PubMed ID34913953
PubMed Central IDPMC8684303
Grant ListU01 HL096917 / HL / NHLBI NIH HHS / United States
U01 HL096902 / HL / NHLBI NIH HHS / United States
HHSN268201700002C / HL / NHLBI NIH HHS / United States
HHSN268201700001I / HL / NHLBI NIH HHS / United States
HHSN268201700004I / HL / NHLBI NIH HHS / United States
U01 HL096814 / HL / NHLBI NIH HHS / United States
R01 HL070825 / HL / NHLBI NIH HHS / United States
HHSN268201700003I / HL / NHLBI NIH HHS / United States
U01 HL096812 / HL / NHLBI NIH HHS / United States
R01 AG052412 / AG / NIA NIH HHS / United States
HHSN268201700005C / HL / NHLBI NIH HHS / United States
HHSN268201700001C / HL / NHLBI NIH HHS / United States
HHSN268201700003C / HL / NHLBI NIH HHS / United States
U01 HL096899 / HL / NHLBI NIH HHS / United States
HHSN268201700004C / HL / NHLBI NIH HHS / United States
HHSN268201700002I / HL / NHLBI NIH HHS / United States
HHSN268201700005I / HL / NHLBI NIH HHS / United States