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. 2016 Dec 1;12(6):1232-1238.
doi: 10.5114/aoms.2015.55146. Epub 2016 Oct 24.

Relationship between visual status and functional status and the risk of falls in women. The RAC-OST-POL study

Wojciech Rokicki  1 , Bogna Drozdzowska  2 , Aleksandra Czekajło  3 , Władysław Grzeszczak  4 , Katarzyna Wiktor  5 , Wojciech Majewski  6 , Wojciech Pluskiewicz  7
Affiliations

Relationship between visual status and functional status and the risk of falls in women. The RAC-OST-POL study

Wojciech Rokicki et al. Arch Med Sci. .

Abstract

Introduction: Falls in elderly women producing fractures are a public health problem that could be largely preventable. The aim of this study was to determine the effect of visual impairment on functional status, falls and fractures in women.

Material and methods: We examined 623 women aged ≥ 55 years in order to assess the association between visual status and functional status and the risk of falls and fractures. Distance, near visual acuity, and depth perception were examined. Functional status was assessed using the Instrumental Activities of Daily Living (IADL) and Timed Up and Go (TUG) tests. The history of falls in the last 12 months and prior osteoporotic fractures were recorded.

Results: The mean age of participants was 66.01 ±7.76 years. Distance visual acuity was correlated (r = -0.13, p < 0.0001) with an increased number of falls. The most prognostic fall factor was IADL (Z = 3.19, p < 0.05), which showed a significant association with distance acuity (r = 0.27, p < 0.0001). The TUG test time significantly increased with diminishing visual acuity: 10.6 ±3.1 s for good, 12.8 ±6.1 s for moderate and 15.3 ±8.8 s for poor visual acuity (p < 0.0001, ANOVA 24.4). The IADL also differs significantly (p < 0.0001) in subgroups divided according to visual acuity (23.6 ±1.5, 22.6 ±2.9, 21.2 ±4.8 points, respectively). In multivariate logistic regression on probability of falls including IADL, TUG and visual acuity, IADL was found to be an independent prognostic factor (p = 0.025). The data revealed no association of refractive correction, depth perception, or near visual acuity with fall incidence or history of fractures.

Conclusions: Visual acuity influences functional status and number of falls in women aged over 55 years.

Keywords: Instrumental Activities of Daily Living; fall; vision; women.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Impact of distance visual acuity and IADL (Instrumental Activities of Daily Living test) outcome measure on risk of falls in elderly women
See this image and copyright information in PMC

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References

    1. Kannus P, Niemi S, Palvanen M, Parkkari J. Fall-induced injuries among elderly people. Lancet. 1997;350:1174. - PubMed
    1. Dubljanin-Raspopović E, Marković-Denić L, Matanović D, Grajić M, Krstić N, Bumbaširević M. Is pre-fracture functional status better than cognitive level in predicting short-term outcome of elderly hip fracture patients? Arch Med Sci. 2012;8:115–22. - PMC - PubMed
    1. Stevens JA, Corso PS, Finkelstein EA, Miller TR. The costs of fatal and non-fatal falls among older adults. Inj Prev. 2006;12:290–5. - PMC - PubMed
    1. Bączyk G, Opala T, Kleka P. Quality of life in postmenopausal women with reduced bone mineral density: psychometric evaluation of the Polish version of QUALEFFO-41. Arch Med Sci. 2011;7:476–85. - PMC - PubMed
    1. Bączyk G, Opala T, Kleka P, Chuchracki M. Multifactorial analysis of risk factors for reduced bone mineral density among postmenopausal women. Arch Med Sci. 2012;8:332–41. - PMC - PubMed