Environmental and behavioural interventions for reducing physical activity limitation in community dwelling visually impaired older people

Neil, Fiona; Ballinger, Claire; Gray, Lyle S.; Palmer, Shelagh; Howe, Tracey

doi:10.1002/14651858.cd009233

Cited by 10 publications

(9 citation statements)

References 24 publications

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“…The sensory domain reflects impairments of vision and hearing, and these can be challenging to ameliorate. Yet, provision of services and effective interventions aimed at people with visual and hearing impairments (such as cataract surgery and hearing aids) have the potential to improve social participation and quality of life across large number of older people [32][33][34]. Therefore, improving treatments for age-associated visual and hearing loss should be a public health priority.…”

Section: Discussionmentioning

confidence: 99%

The importance of different frailty domains in a population based sample in England

et al. 2020

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Background: The aim was to estimate the prevalence of frailty and relative contribution of physical/balance, nutritive, cognitive and sensory frailty to important adverse health states (falls, physical activity levels, outdoor mobility, problems in self-care or usual activities, and lack of energy or accomplishment) in an English cohort by age and sex. Methods: Analysis of baseline data from a cohort of 9803 community-dwelling participants in a clinical trial. The sample was drawn from a random selection of all people aged 70 or more registered with 63 general practices across England. Data were collected by postal questionnaire. Frailty was measured with the Strawbridge questionnaire. We used cross sectional, multivariate logistic regression to estimate the association between frailty domains and known correlates and adjusted for age. Some models were stratified by sex. Results: Mean age of participants was 78 years (sd 5.7), range 70 to 101 and 47.5% (4653/9803) were men. The prevalence of overall frailty was 20.7% (2005/9671) and there was no difference in prevalence by sex (Odds Ratio 0.98; 95% Confidence Interval 0.89 to 1.08). Sensory frailty was the most common and this was reported by more men (1823/4586) than women (1469/5056; Odds Ratio for sensory frailty 0.62, 95% Confidence Interval 0.57 to 0.68). Men were less likely than women to have physical or nutritive frailty. Physical frailty had the strongest independent associations with adverse health states. However, sensory frailty was independently associated with falls, less frequent walking, problems in self-care and usual activities, lack of energy and accomplishment. Conclusions: Physical frailty was more strongly associated with adverse health states, but sensory frailty was much more common. The health gain from intervention for sensory frailty in England is likely to be substantial, particularly for older men. Sensory frailty should be explored further as an important target of intervention to improve health outcomes for older people both at clinical and population level. Trial registration: ISRCTN71002650.

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Section: Discussionmentioning

confidence: 99%

The importance of different frailty domains in a population based sample in England

et al. 2020

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“…However, interventions focusing on this population are rare (Haegele & Porretta, 2014;Skelton et al, 2013) and most previous intervention research in this area focuses on school-aged populations (Furtado, Allums-Featherston, Lieberman, & Gutierrrez, 2014).…”

Section: Discussionmentioning

confidence: 99%

Physical Activity for Adults with Visual Impairments: Impact of Socio-Demographic Factors

Haegele¹,

Zhu²,

Lee³

et al. 2016

EUJAPA

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Little is known about what factors influence physical activity participation for adult-aged individuals with visual impairments. Therefore, the purpose of this study was to explore the impact of sociodemographic factors on the physical activity participation of adults with visual impairments. The international physical activity questionnaire-short form and a socio-demographic factor questionnaire were distributed to individuals with visual impairments. A total of 176 adults (M age = 47.04, 52.8% female) completed the questionnaires. Physical activity and socio-demographic variables were analyzed descriptively and relationships were explored using correlation analysis and multiple regression analysis. On average, participants reported 413.79 minutes of moderate-to-vigorous physical activity and 2058.52 minutes of sedentary active per week. A significant amount of variance of physical activity was explained by the socio-demographic variables in this study. Of the socio-demographic variables measured, only gender emerges as a significant positive predictor of total weekly physical activity. The results of this study both affirm and conflict with previous research. Unlike previous research focusing on those with visual impairments, this study demonstrated that gender was an important predictor of physical activity. This finding is consistent with population-wide data on individuals without disabilities in the United States.

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“…The global causes of blindness are cataract (51%), glaucoma (8%), age-related macula degeneration (AMD) (5%), childhood blindness and corneal opacities (each 4%), uncorrected refractive errors and trachoma (each 3%), diabetic retinopathy (1%) and undetermined causes (21%) [ 1 ]. Visual impairment of the aged population is one of the main causes of diminished independence, mobility restriction, falls and fractures [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

Common eye diseases in older adults of southern Germany: results from the KORA-Age study

et al. 2016

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Purposea population-based study in the region of Augsburg (Germany, KORA) was used to identify the prevalence of eye diseases and their risk factors in a sample of aged individuals.Methodsdata originated from the KORA-Age study collected in 2012 and 822 participants (49.6% women, 50.4% men, aged 68–96 years) were asked standardised questions about eye diseases. Positive answers were validated and specified by treating ophthalmologists. Additional information came from laboratory data. Polymorphic markers were tested for candidate genes.Resultswe received validations and specifications for 339 participants. The most frequent eye diseases were cataracts (299 cases, 36%), dry eyes (120 cases, 15%), glaucoma (72 cases, 9%) and age-related macular degeneration (AMD) (68 cases, 8%). Almost all participants suffering from glaucoma or from AMD also had cataracts. Cataract surgery was associated with diabetes (in men; OR = 2.24; 95% confidence interval [CI] 1.11–4.53; P = 0.025) and smoking (in women; OR = 6.77; CI 1.62–28.35; P = 0.009). In men, treatments in airway diseases was associated with cataracts (glucocorticoids: OR = 5.29, CI 1.20–23.37; P = 0.028; sympathomimetics: OR = 4.57, CI 1.39–15.00; P = 0.012). Polymorphisms in two genes were associated with AMD (ARMS2: OR = 2.28, CI 1.48–3.51; P = 0.005; CFH: OR = 2.03, CI 1.35–3.06; P = 0.010).Conclusioncombinations of eye diseases were frequent at old age. The importance of classical risk factors like diabetes, hypertension and airway diseases decreased either due to a survivor bias leaving healthier survivors in the older age group, or due to an increased influence of other up to now unknown risk factors.

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Environmental and behavioural interventions for reducing physical activity limitation in community dwelling visually impaired older people

Cited by 10 publications

References 24 publications

The importance of different frailty domains in a population based sample in England

The importance of different frailty domains in a population based sample in England

Physical Activity for Adults with Visual Impairments: Impact of Socio-Demographic Factors

Common eye diseases in older adults of southern Germany: results from the KORA-Age study

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