Visual Acuity and Increased Mortality: The Role of Allostatic Load and Functional Status

Abstract

Allostatic load and particularly IADL may function as mediators between VA impairment and mortality. Older adults with VA impairment could potentially benefit from interventions designed to prevent IADL functional status decline to reduce the risk of mortality.

Abridged geriatric assessment is a better predictor of overall survival than the Karnofsky Performance Scale and Physical Performance Test in elderly patients with cancer

“…These findings were also demonstrated in prospective studies [52][53][54][55], even after adjustment for confounders [55,56]. Conversely, in a survey including nearly 5000 elderly patients from the National Health and Nutrition Examination Survey, the effect of visual impairment on mortality was explained through impairment in the activities of daily living [57]. Nevertheless, a recent study has analysed the factors that could predict frailty and cancer treatment decisions; in the multivariate analysis, neurosensory deficit was not found to be significant [58].…”

Association Between Dual Sensory Impairment, Hospitalization, and Burden of Disease

“…To the Editor : Hearing impairment (HI) and vision impairment (VI) in older adults are independently associated with negative health outcomes, including physical disability, cognitive decline, hospitalization, and mortality . Although sensory impairments (SIs) are highly prevalent in older adults, they have largely been perceived as an inevitable, and hence relatively inconsequential, aspect of aging, but two ongoing Institute of Medicine (IOM) consensus studies are now focusing on SIs as potential targets for improving public health and promoting healthy aging.…”

Eye Care Disparities and Health-Related Consequences in Elderly Patients with Age-Related Eye Disease

“…14 The decline in ADLs associated with visual impairment in the elderly may contribute to increased mortality in this population. 27 …”