Effects of changes in self-reported vision on cognitive, affective, and functional status and living arrangements among the elderly
Effects of changes in self-reported vision on cognitive, affective, and functional status and living arrangements among the elderly
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DOI：
10.1016/j.ajo.2005.01.019
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发表时间：
2005-10-01
影响因子：
4.2
通讯作者：
Lee, PP
中科院分区：
文献类型：
--
作者：
Sloan, FA;Ostermann, J;Lee, PP
目得：为了研究自我报告的视力变化对功能状态，认知，抑郁症状和生活安排的影响，设计：纵向分析的家庭调查data.METHODS：共有6234个样本的人在研究中观察到的资产和健康动态之间的最老的老人（AHEAD）1995年，在1998年，2000年和2002年，或直到死亡或样本磨损。自我报告的视力和其他因素的变化的影响进行了评估，通过普通最小二乘法和Logistic回归与面板数据的方法。主要结果指标是工具性日常生活活动（IADL），日常生活活动（ADL）的限制，和其他，认知，抑郁症状，生活在，rangements.Results：从优秀/良好的视力下降到公平/差的近，远视力有统计学意义的影响IADL的限制，和一些ADL和其他限制。最大的影响是驾驶（OR为无限制：0.55，P = 0.003），管理金钱（OR：0.61，P <0.001）和准备热餐（OR：0.61，P <0.001）。近视力较差者出现至少一种IADL（OR为无限制：0.71，P <0.01）和ADL（OR为0.74，P = 0.003）限制的可能性增加。法律的盲的发作导致IADL限制的可能性增加78%（无限制的OR：0.22，P <0.001）。视力下降对认知和抑郁症状的影响具有统计学意义，但很小。视力下降增加了养老院residence. CONCLUSION的概率：视力障碍有重大影响的功能状态。预防视力丧失可能会明显改善老年人的功能。(Am J Ophthalmol 2005. (c)2005年，Elsevier Inc.版权所有© 2016
PURPOSE: To study effects of changes in self-reported vision on functional status, cognition, depressive symptoms, and living arrangements.DESIGN: Longitudinal analysis of household survey data.METHODS: A total of 6234 sample persons observed in the study of Assets and Health Dynamics Among the Oldest Old (AHEAD) 1995 were followed in 1998, 2000, and 2002 or until death or sample attrition. Effects of changes in self-reported vision and other factors were assessed by means of ordinary least-squares and logistic regression with panel data methods. Main outcome measures were limitations of instrumental activities of daily living (IADLs), activities of daily living (ADLs), and other, cognition, depressive symptoms, and living at, rangements.RESULTS: A decline from excellent/good vision to fair/poor near and distance vision had statistically significant effects on several IADL limitations, and some ADL and other limitations. Largest effects were for driving (OR for no limitation: 0.55, P = .003), managing money (OR: 0.61, P < .001), and preparing hot meals (OR: 0.61, P < .001). Onset of fair-poor near vision increased the likelihood of onset of at least one IADL (OR for no limitation: 0.71, P < .01) and ADL (OR: 0.74, P = .003) limitation. Onset of legal blindness resulted in a 78% increase in the likelihood of an IADL limitation (OR for no limitation: 0.22, P < .001). Effects of vision declines on cognition and depressive symptoms were statistically significant but small. Decline in vision in creased the probability of nursing home residence.CONCLUSIONS: Visual impairment has major impacts on functional status. Preventing vision loss is likely to appreciably improve the functioning of elderly persons. (Am J Ophthalmol 2005. (c) 2005 by Elsevier Inc. All rights reserved.)