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Visual function assessment included static visual acuity (SVA), kinetic visual acuity (KVA), dynamic visual acuity\n(DVA), night vision (NV), depth perception (DP), ocular motor skill (OMS), and visual reaction time (VRT).\nMethods: A total of 321 community-dwelling people (112 men and 209 women, mean age: 67.3 ± 10.4, range: 40 to 91 years old)\nparticipated in this study. They reported any history of eye or chronic diseases in a self-administered questionnaire. Functional\ncapacity was evaluated using the Tokyo Metropolitan Institute of Gerontology Index of Competence (TMIG Index). Visual\nassessments were made using a visual acuity measurement device.\nData analysis: SVA and KVA were converted into logarithms of the minimum angle of resolution for analysis, while participants\nwere classified into 4 age groups: 40 to 54 (early middle-aged); 55 to 64 (late middle-aged); 65 to 74 (young-old); and 75 and over\n(old-old). Statistical analyses were performed using a Jonckheere-Terpstra trend test, a Mantel-Haenszel test, and logistic regression\nanalyses (univariate and multivariate analyses). Logistic regression analyses were performed with the visual functions as dependent\nvariables and sex, age group, history of eye disease, and history of chronic disease as independent variables. In logistic regression\nanalyses with visual functions other than SVA, SVA was included as a moderator variable. For statistical analysis, IBM SPSS version\n21.0 was used, while setting the significance level at 5%.\nResults: A marked tendency for scores of the TMIG-index to decrease with age was observed (p=0.012). In measurements of DVA,\nNV, KVA, and DP, some participants had difficulty in reading the target. There was a marked tendency for this proportion to increase\nwith age. Similarly, analysis of the data regarding visual functions, excluding data of participants with reading difficulty, revealed\nthat all these functions, except for NV, markedly decrease with age. According to multivariate analysis, risk of impaired KVA began\nto increase in the late middle-aged group compared to the early middle-aged group. Risk of impaired DVA, NV, DP, and VRT began to increase in the young-old group, and risk of impaired SVA and OMS began to increase in the old-old group. Risk of impaired DP\nwas higher in women than in men. Furthermore, univariate analysis showed that a history of eye disease was significantly associated\nwith impaired DP, and a history of chronic disease was significantly associated with impaired OMS and impaired VRT.\nConclusion: Visual impairments in community-dwelling elderly increase with age. 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地域在住高齢者の視機能と関連要因の検討
http://hdl.handle.net/10232/22618
http://hdl.handle.net/10232/2261808911b48-a6c0-436e-ad86-eed318ed838e
名前 / ファイル | ライセンス | アクション |
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2013_23_2.pdf (1.4 MB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2015-02-26 | |||||
タイトル | ||||||
タイトル | 地域在住高齢者の視機能と関連要因の検討 | |||||
タイトルよみ | ||||||
タイトルよみ | チイキ ザイジュウ コウレイシャ ノ シキノウ ト カンレン ヨウイン ノ ケントウ | |||||
別言語のタイトル | ||||||
その他のタイトル | Visual functions and risk factors for visual impairment in community-dwelling Japanese elderly | |||||
著者 |
丹羽, さよ子
× 丹羽, さよ子× 田口, 朋子× 松田, 史代× 榊間, 春利× 森本, 典夫 |
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著者よみ | ||||||
姓名 | ニワ, サヨコ | |||||
著者よみ | ||||||
姓名 | タグチ, トモコ | |||||
著者よみ | ||||||
姓名 | マツダ, フミヨ | |||||
著者よみ | ||||||
姓名 | サカキマ, ハルトシ | |||||
著者よみ | ||||||
姓名 | モリモト, ノリオ | |||||
別言語の著者 | ||||||
姓名 | NIWA, Sayoko | |||||
別言語の著者 | ||||||
姓名 | TAGUCHI, Tomoko | |||||
別言語の著者 | ||||||
姓名 | MATSUDA, Fumiyo | |||||
別言語の著者 | ||||||
姓名 | SAKAKIMA, Harutoshi | |||||
別言語の著者 | ||||||
姓名 | MORIMOTO, Norio | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | elderly | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | kinetic visual acuity | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | dynamic visual acuity | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | night vision | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | depth perception | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | ocular motor skill | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | visual reaction | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | departmental bulletin paper | |||||
要約(Abstract) | ||||||
内容記述タイプ | Other | |||||
内容記述 | Purpose: To investigate age-related changes in visual functions and risk factors for visual impairment in community-dwelling Japanese elderly. Visual function assessment included static visual acuity (SVA), kinetic visual acuity (KVA), dynamic visual acuity (DVA), night vision (NV), depth perception (DP), ocular motor skill (OMS), and visual reaction time (VRT). Methods: A total of 321 community-dwelling people (112 men and 209 women, mean age: 67.3 ± 10.4, range: 40 to 91 years old) participated in this study. They reported any history of eye or chronic diseases in a self-administered questionnaire. Functional capacity was evaluated using the Tokyo Metropolitan Institute of Gerontology Index of Competence (TMIG Index). Visual assessments were made using a visual acuity measurement device. Data analysis: SVA and KVA were converted into logarithms of the minimum angle of resolution for analysis, while participants were classified into 4 age groups: 40 to 54 (early middle-aged); 55 to 64 (late middle-aged); 65 to 74 (young-old); and 75 and over (old-old). Statistical analyses were performed using a Jonckheere-Terpstra trend test, a Mantel-Haenszel test, and logistic regression analyses (univariate and multivariate analyses). Logistic regression analyses were performed with the visual functions as dependent variables and sex, age group, history of eye disease, and history of chronic disease as independent variables. In logistic regression analyses with visual functions other than SVA, SVA was included as a moderator variable. For statistical analysis, IBM SPSS version 21.0 was used, while setting the significance level at 5%. Results: A marked tendency for scores of the TMIG-index to decrease with age was observed (p=0.012). In measurements of DVA, NV, KVA, and DP, some participants had difficulty in reading the target. There was a marked tendency for this proportion to increase with age. Similarly, analysis of the data regarding visual functions, excluding data of participants with reading difficulty, revealed that all these functions, except for NV, markedly decrease with age. According to multivariate analysis, risk of impaired KVA began to increase in the late middle-aged group compared to the early middle-aged group. Risk of impaired DVA, NV, DP, and VRT began to increase in the young-old group, and risk of impaired SVA and OMS began to increase in the old-old group. Risk of impaired DP was higher in women than in men. Furthermore, univariate analysis showed that a history of eye disease was significantly associated with impaired DP, and a history of chronic disease was significantly associated with impaired OMS and impaired VRT. Conclusion: Visual impairments in community-dwelling elderly increase with age. According to multivariate analysis, age was a significant risk factor of each impaired visual function examined in this study, and sex was a significant risk factor of impaired DP. Considering that impaired visual functions particularly affect ADL and QOL in the elderly, it is important to take preventive measures against such impairment. However, since it is difficult to routinely assess visual functions, visual impairments are commonly overlooked in community-dwelling elderly. Therefore, the findings obtained from this study may be useful for those examining appropriate methods to support community-dwelling elderly with visual impairment. |
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収録雑誌名 |
鹿児島大学医学雑誌 en : Medical journal of Kagoshima University 巻 65, 号 2-3, p. 37-47, 発行日 2014 |
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作成日 | ||||||
日付 | 2014-03-01 | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
ISSN | 0368-5063 | |||||
NII書誌ID(雑誌) | ||||||
収録物識別子タイプ | NCID | |||||
NC ID | AN00040104 | |||||
出版タイプ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
NDC | ||||||
主題Scheme | NDC | |||||
主題 | 598 | |||||
公開者・出版者 | ||||||
出版者 | 鹿児島大学 | |||||
公開者よみ | ||||||
公開者よみ | カゴシマ ダイガク | |||||
公開者別名 | ||||||
公開者別名 | Kagoshima University |