Impact of first and second eye cataract surgery on physical activity: a prospective study

Meuleners, Lynn; Feng, Ying Ru; Fraser, Michelle; Brameld, Kate; Chow, Kyle

doi:10.1136/bmjopen-2018-024491

Cited by 13 publications

(20 citation statements)

References 32 publications

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“…It was not considered whether the participants had any other eye disease or they had had cataract surgery. Since cataract surgery is associated with higher PA 12 , future studies should also consider this aspect. As alcohol consumption was evaluated through a 9categories frequency question, it is recommended that future studies evaluate not only the frequency of consumption, but also the quantity and type of alcohol.…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, another prospective study of 9113 diabetic working-aged adults residing in Australia found that more vigorous PA was independently associated with a reduced risk of cataract surgery 11 . In a prospective cohort study conducted also in Australia, it was found that first and second eye cataract surgery each independently increased participation in moderate intensity leisure-time PA 12 .…”

Section: Introductionmentioning

confidence: 99%

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The Association Between Physical Activity and Cataracts Among 17,777 People Aged 15–69 Years Residing in Spain

Sánchez

Pardhan

Trott

et al. 2020

Ophthalmic Epidemiology

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Purpose: The aim of the present study was to assess the association between levels of physical activity (PA) and presence of cataracts in people aged 15-69 years residing in Spain. Methods: Cross-sectional data from the Spanish National Health Survey 2017 were analysed (n = 17,777 ≥15 years; 52% females; self-weighting sample). The International Physical Activity Questionnaire (IPAQ) short form was used to measure PA. Total PA MET-minutes/week were calculated, and participants were divided into two categories: 1) Less than 600 MET-minutes/week. 2) At least 600 MET-minutes/week, equivalent to meeting current PA recommendations. Cataracts were self-reported in response to the question ''Have you ever been diagnosed with cataracts?". Multivariable logistic regression was used to assess associations overall and by age groups (15-49, 50-64 and 65-69 years; 15-49 and 50-69 years). Covariates included in the analysis were: sex, education, BMI (Body Mass Index), multimorbidity, smoking, and alcohol consumption. Results: The overall prevalence of cataract was 3.7%, and the overall prevalence of participating in less than 600 MET-minutes/week of PA was 30.2%. In the adjusted overall analysis, less than 600 MET-minutes/week of PA was associated with significantly higher odds for cataract: OR = 1.324 (95% CI = 1.116-1.571). Age-stratified analyses showed that the association between PA and cataract was significant only in the age groups of 65-69 years and 50-69 years. Conclusions: A significant association between PA and cataract was observed in people aged 15-69 years residing in Spain. Considering the impact on health and quality of life due to reduced PA in people with cataract, at least 600 MET-minutes/week activity should be promoted.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Association Between Physical Activity and Cataracts Among 17,777 People Aged 15–69 Years Residing in Spain

Sánchez

Pardhan

Trott

et al. 2020

Ophthalmic Epidemiology

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“…Cataract surgery can also increase physical activity (Meuleners et al. 2019) and prevent falls (Brannan et al. 2003; Harwood et al.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, one would expect more referrals to cataract surgeries at the time of AD diagnosis, particularly because visual impairment is associated with the deterioration of cognitive skills (Lin et al 2004;Roger & Langa 2010) and cataract surgery might improve cognitive functioning in persons with cognitive disorders (Tamura et al 2004). Cataract surgery can also increase physical activity (Meuleners et al 2019) and prevent falls (Brannan et al 2003;Harwood et al 2005;Feng et al 2018), even though there are also conflicting findings that it might increase risk of falls (Meuleners et al 2012;Meuleners et al 2014). We should identify persons who would benefit from surgery when their cognitive problems are still relatively mild.…”

Section: Discussionmentioning

confidence: 99%

Incidence of cataract surgeries in people with and without Alzheimer’s disease

Hokkinen

Jämsen

Lampela

et al. 2021

Acta Ophthalmologica

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Purpose To investigate the incidence of cataract surgeries in relation to Alzheimer’s disease (AD) diagnosis and to compare it with that in people without AD. Methods The MEDALZ–study includes community‐dwelling Finnish persons who received clinically verified AD diagnoses (n = 70718) during 2005–2011 and a matched comparison cohort without AD (n = 70718). The cataract surgeries were identified from the Care Register for Healthcare (1996–2015) using NOMESCO surgical procedure codes CJE (10,15,20,25,99), CJF (00,10,20,30,40,45,50,55,99) and CJG (00,05,10,15,20,25,99). The incidence rates for surgeries per 100 person‐years were calculated from 10 years before to 3 years after the index date (date of AD diagnosis from the Special Reimbursement Register). Results 25 763 cataract procedures were performed on persons with AD and 26 254 on persons without AD during the follow‐up. The incidence of surgery increased similarly in both groups before the index date of AD diagnosis, and the rate of surgery was similar in people with and without AD (3.5 and 3.3/100 person‐years, respectively). The incidence diminished steeply in the AD group already one year after the index date, whereas the slow increase continued in the non‐AD group. After the index date, the rates were 3.7 and 4.7/100 person‐years in people with and without AD. Conclusion The diminishing surgery rate very soon after AD diagnosis is concerning. The stigma of AD diagnosis may lead to fewer referrals to surgery, although these patients are expected to benefit from surgery.

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“…13 In terms of physical activity, a similar theme emerges in that cataract surgery improves moderate physical activity levels, but there were no changes in some activities, such as walking and gardening, and a trend towards decreased vigorous physical activity (p = 0.07) after first-eye surgery, that the authors felt might have been due to the unbalanced nature of vision and refractive correction after first-eye surgery. 15 Given the variable evidence in the literature regarding the impact of surgery on everyday activities, the purpose of this study was to explore individual patient experiences in adapting to their changing vision following cataract surgery. To identify any adaptation difficulties post-cataract surgery, we organised a series of focus groups with patients who had recently had cataract surgery and discussed their experiences of adaptations to the surgery in the short and medium term, including their adaptations to any new spectacles.…”

Section: Introductionmentioning

confidence: 99%

Experiences following cataract surgery – patient perspectives

Webber

Fylan

Wood

et al. 2020

Ophthalmic Physiologic Optic

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Purpose Most patients report being highly satisfied with the outcome of cataract surgery but there are variable reports regarding the impact of cataract surgery on some real‐world activities, such as fall rates. We hypothesised that adaptations to changed refractive correction and visual function may cause difficulties in undertaking everyday activities for some patients and used a series of focus groups to explore this issue. Method Qualitative methods were used to explore patients’ experiences of their vision following cataract surgery, including adaptation to vision changes and their post‐surgical spectacle prescription. Twenty‐six participants took part in five focus groups (Mean age = 68.2 ± 11.4 years), and the data were analysed using thematic analysis. Results We identified three themes. ‘Changes to Vision’ explores participants’ adaptation following cataract surgery. While several had problems with tasks relying on binocular vision, few found them bothersome and they resolved following second eye surgery. Participants described a trial and error approach to solving these problems rather than applying solutions suggested by their eyecare professionals. ‘Prescription Restrictions’ describes the long‐term vision problems that pre‐surgery myopic patients experienced as a consequence of becoming emmetropic following surgery and thus needing spectacles for reading and other close work activities, which they did not need before surgery. Very few reported that they had the information or time to make a decision regarding their post‐operative correction. ‘Information Needs’ describes participant’s responses to the post‐surgical information they were given, and the unmet information need regarding when they can drive following surgery. Conclusion The findings highlight the need for clinicians to provide information on adaptation effects, assist patients to select the refractive outcome that best suits their lifestyle, and provide clear advice about when patients can start driving again. Patients need to be provided with better guidance from clinicians and prescribing guidelines for clinicians would be beneficial, particularly for the period between first‐ and second‐eye surgery.

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Impact of first and second eye cataract surgery on physical activity: a prospective study

Cited by 13 publications

References 32 publications

The Association Between Physical Activity and Cataracts Among 17,777 People Aged 15–69 Years Residing in Spain

The Association Between Physical Activity and Cataracts Among 17,777 People Aged 15–69 Years Residing in Spain

Incidence of cataract surgeries in people with and without Alzheimer’s disease

Experiences following cataract surgery – patient perspectives

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