Vision impairment and risk of frailty: the English Longitudinal Study of Ageing

Liljas, Ann; Carvalho, Lívia A.; Papachristou, Efstathios; Oliveira, César de; Wannamethee, SG; Ramsay, Sheena E; Walters, Kate

doi:10.1016/s0140-6736(16)32306-6

Cited by 7 publications

(17 citation statements)

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“…We believe that vision has a larger role to play in intrinsic capacity than previously thought. Our study shows that well older adults with VI have reduced TUG, which corresponds to the higher prevalence of frailty in those with VI, an association which has been observed prior (Liljas et al, 2016). People with visual impairments are known to be predisposed to musculoskeletal and balance symptoms (Zetterlund, Lundqvist, & Richter, 2019).…”

Section: Discussionsupporting

confidence: 83%

“…In addition, VI is a known modifiable risk factor for incident slow gait, which is a known precursor for frailty and sarcopenia. This finding adds evidence to the current contention on the link between visual impairment and frailty—while some studies have found no association (Soler et al, 2016), others have found increased risk of progression to frailty in those who are visually impaired (Liljas et al, 2016). VI alone has been associated with poorer performance in IADLs, which has been seen previously, with increasing severity correlating to worsening visual acuity (Dahlin-Ivanoff, Sonn, Lundgren-Lindqvist, Sjöstrand, & Steen, 2000).…”

Section: Discussionsupporting

confidence: 68%

“…VI, multimorbidity, and frailty are common conditions in old age and interrelated. VI, multimorbidity, and frailty are independent risk factors for functional decline (Liljas et al, 2016), disability, and mortality. Liljas and colleagues have found that those experiencing poor vision and are robust have double the risk of becoming prefrail in 4 years independent of comorbidities (Liljas et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

“…VI, multimorbidity, and frailty are independent risk factors for functional decline (Liljas et al, 2016), disability, and mortality. Liljas and colleagues have found that those experiencing poor vision and are robust have double the risk of becoming prefrail in 4 years independent of comorbidities (Liljas et al, 2016). Nonetheless, the combined effect of VI, multimorbidity, and frailty on physical capacity, cognition, and quality of life has not been evaluated in a large cohort of older adults.…”

Section: Introductionmentioning

confidence: 99%

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Cumulative Effect of Visual Impairment, Multimorbidity, and Frailty on Intrinsic Capacity in Community-Dwelling Older Adults

Chen

Merchant

2019

J Aging Health

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Objectives: We aim to determine the prevalence of vision impairment (VI) and its cumulative impact on multimorbidity, frailty, physical and cognitive function, and quality of life. Method: In all, 780 community-dwelling older adults were interviewed for demographic data and a one-off physical activity screening. Covariate measurements include vision via Snellen chart, multimorbidity, five-item FRAIL (Fatigue, Resistance, Ambulation, Illnesses, & Loss of Weight) scale and Mini-Mental State Examination (MMSE). Outcome variables taken were Barthel Index, Lawton Instrumental Activities of Daily Living (IADL) scale, grip strength, Timed Up and Go (TUG), and EuroQol 5D (EQ-5D). Results: In all, 426 (54.6%) were female, mean age was 71.3 ± 0.2 years; 240 (30.8%) had VI. The interaction between VI, multimorbidity, and frailty significantly impacts grip strength, TUG, quality of life, and IADL. Discussion: Our study is the first to look at the interaction of VI, multimorbidity, frailty, and its combined impact on key domains of intrinsic capacity. Our results further support vision screening to enable aging in place and highlight importance of screening for frailty and cognition in those with VI.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionsupporting

confidence: 68%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Cumulative Effect of Visual Impairment, Multimorbidity, and Frailty on Intrinsic Capacity in Community-Dwelling Older Adults

Chen

Merchant

2019

J Aging Health

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“…The study also determined hearing impairment using participants' responses to the question "Is your hearing (with a hearing aid if you usually use it and without if you do not) excellent, very good, good, fair, or poor?" The accuracy of the self-reported question has been validated and is considered comparable to the objective measurement of hearing (Ferrite et al, 2011;Liljas et al, 2017). Reports of "poor" or "fair" were marked as indicating self-reported hearing difficulty (Ferrite et al, 2011;Liljas et al, 2017), and the respondents were classified into the hearing loss group.…”

Section: Measurementsmentioning

confidence: 99%

Bidirectional Association Between Depression and Hearing Loss: Evidence From the China Health and Retirement Longitudinal Study

2021

J Appl Gerontol

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The relationship between depression and age-related hearing loss (ARHL) is not fully understood. This study tested the bidirectional associations between clinically significant depressive symptoms (CSDSs) and ARHL in middle-aged and older adults using data from the China Health and Retirement Longitudinal Study. Among 3,418 participants free of baseline ARHL, baseline CSDS was associated with an increased odds of incident ARHL (odds ratio [OR]: 1.51). Cognitive decline, BMI, and arthritis partially mediated the longitudinal CSDS–ARHL association and explained 24% of the variance in the total effect. Among 4,921 participants without baseline CSDS, baseline ARHL was associated with an increased odds of incident CSDS (OR: 1.37). The bidirectional associations remained significant after adjustments for baseline demographic factors, comorbidities, and other health-related covariates. Depression may contribute to the development of ARHL, and vice versa. Interventions in depression, cognitive decline, and arthritis may delay the onset of ARHL and break the vicious circle between them.

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Olfactory decline develops in parallel with frailty in older US adults with obstructive lung diseases

Wang,

Wroblewski,

McClintock

et al. 2023

Int Forum Allergy Rhinol

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BackgroundFrailty is prevalent among older adults with asthma or chronic obstructive pulmonary disease (obstructive lung diseases [OLDs]). Frailty and OLD's co‐occurrence is associated with increased hospitalization/mortality. Chemosensory dysfunction is closely connected to both OLD and frailty. We evaluated the utility of olfactory decline as a biomarker of frailty in the setting of OLD.MethodsWe performed a prospective, longitudinal, nationally representative study of community‐dwelling older US adults in the National Social Life, Health and Aging Project, an omnibus in‐home survey. Respondents reported a physician's diagnosis of OLD. Decline in odor identification and sensitivity over 5 years and frailty (adapted fried frailty phenotype criteria) were measured using standard tools. Multivariate logistic regressions evaluated the association between OLD status, olfactory decline, and frailty.ResultsWe compared individuals with OLD (n = 98; mean age 71.2 years, 59.2% women) and those without OLD (n = 1036; mean age 69.5 years, 58.9% women). Olfactory identification decline was associated with developing frailty over the 5‐year follow‐up period in individuals with OLD (odds ratio [OR] = 9.1, 95% confidence interval [CI] = 2.1–38.6, p = 0.003). Olfactory decline predicted incidence of frailty in individuals with OLD (identification: OR = 4.8, 95% CI = 1.3–17.5, P = 0.018; sensitivity: OR = 6.1, 95%CI = 1.2–31.0, p = 0.030) but not in those without OLD adjusting for demographics, heavy alcohol use, current smoking, and comorbidity. Results were robust to different thresholds for olfactory decline and frailty development.ConclusionsOlder adults with OLD who experience olfactory decline face higher odds of developing frailty. Use of olfactory decline as a biomarker to identify frailty could allow earlier intervention and decrease adverse outcomes for high‐risk older adults with OLD.

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Vision impairment and risk of frailty: the English Longitudinal Study of Ageing

Cited by 7 publications

References 0 publications

Cumulative Effect of Visual Impairment, Multimorbidity, and Frailty on Intrinsic Capacity in Community-Dwelling Older Adults

Cumulative Effect of Visual Impairment, Multimorbidity, and Frailty on Intrinsic Capacity in Community-Dwelling Older Adults

Bidirectional Association Between Depression and Hearing Loss: Evidence From the China Health and Retirement Longitudinal Study

Olfactory decline develops in parallel with frailty in older US adults with obstructive lung diseases

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