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Multicenter Study
. 2014 Mar;98(3):377-82.
doi: 10.1136/bjophthalmol-2013-304179. Epub 2013 Dec 12.

Visual acuity, self-reported vision and falls in the EPIC-Norfolk Eye study

Jennifer L Y Yip  1 , Anthony P Khawaja, David Broadway, Robert Luben, Shabina Hayat, Nichola Dalzell, Amit Bhaniani, Nicholas Wareham, Kay-Tee Khaw, Paul J Foster
Affiliations
Free PMC article
Multicenter Study

Visual acuity, self-reported vision and falls in the EPIC-Norfolk Eye study

Jennifer L Y Yip et al. Br J Ophthalmol. 2014 Mar.
Free PMC article

Abstract

Purpose: To examine the relationship between visual acuity (VA) and self-reported vision (SRV) in relation to falls in 8317 participants of the European Prospective Investigation into Cancer-Norfolk Eye study.

Methods: All participants completed a health questionnaire that included a question regarding SRV and questions regarding the number of falls in the past year. Distance VA was measured using a logMAR chart for each eye. Poor SRV was defined as those reporting fair or poor distance vision. The relationship between VA and SRV and self-rated falls was analysed by logistic regression, adjusting for age, sex, physical activity, body mass index, chronic disease, medication use and grip strength.

Results: Of 8317 participants, 26.7% (95% CI 25.7% to 27.7%) had fallen in the past 12 months. Worse VA and poorer SRV were associated with one or more falls in multivariable analysis (OR for falls=1.31, 95% CI 1.04 to 1.66 and OR=1.32, 95% CI 1.09 to 1.61, respectively). Poorer SRV was significantly associated with falls even after adjusting for VA (OR=1.28, 95% CI 1.05 to 1.57).

Conclusions: SRV was associated with falls independently of VA and could be used as a simple proxy measure for other aspects of visual function to detect people requiring vision-related falls interventions.

Keywords: falls; self report; vision tests; visual acuity.

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References

    1. Campbell AJ, Borrie MJ, Spears GF. Risk factors for falls in a community-based prospective study of people 70 years and older. J Gerontol 1989;44:M112–17 - PubMed
    1. Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med 1988;319:1701–7 - PubMed
    1. Lord S, Sherrington C, Menz H. Falls in older people: risk factors and strategies for prevention. Cambridge University Press, 2001
    1. NICE Guideline CG21. 2004. Clinical practice guideline for the assessment and prevention of falls in older people.
    1. Gillespie LD, Robertson MC, Gillespie WJ, et al. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev 2012;9:CD007146. - PMC - PubMed

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