scholarly journals Association of visual impairment with cognitive decline among older adults in Taiwan

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
I.-Mo Fang ◽  
Yi-Jen Fang ◽  
Hsiao-Yun Hu ◽  
Shih-Han Weng
Keyword(s):  
Cognitive Decline ◽  
Visual Impairment ◽  
Low Vision ◽  
Asian Population ◽  
The Elderly ◽  
Sociodemographic Factors ◽  
Hazard Ratios ◽  
Snellen Chart ◽  
Betel Nut Chewing ◽  
Asian People

AbstractThis study investigated the association between visual impairment and cognitive decline among the elderly in Taiwan. The data were obtained from a government-sponsored, annual physical examination program for elderly citizens ≥ 65 years in Taipei City during 2005–2012. Distance presenting visual acuity was measured using the Snellen chart. Visual impairment was classified into low vision and blindness. The Short Portable Mental Status Questionnaire (SPMSQ) was selected to measure cognitive decline. The confounding factors including age, sex, sociodemographic factors: living status, marital status, education level, health behaviors: smoking, alcohol consumption, betel nut chewing, and physical comorbidities: BMI, hypertension, diabetes, cholesterol and triglyceride were collected for analysis. We recruited 105,208 participants and 4542 (4.3%) have abnormal SPMSQ. The abnormal SPMSQ had significantly higher prevalence of low vision (44.52% vs 18.79%) and blindness (8.89% vs 0.93%) compared with normal SPMSQ. The hazard ratios of abnormal SPMSQ in low vision and blindness were 2.34 (95% CI 2.17–2.52), and 5.13 (95% CI 4.50–5.85), after adjustment for confounders. In conclusion, visual impairment was independently and significantly associated with greater incident cognitive decline among elderly Asian people. Prevention of visual impairment may help to reduce the incidence of cognitive decline in the aged Asian population.

Care of Elderly People with Low Vision

1982 ◽  
Vol 76 (6) ◽  
pp. 209-212 ◽  
Author(s):  
Alfred A. Rosenbloom
Keyword(s):  
Visual Impairment ◽  
Elderly People ◽  
Low Vision ◽  
Health Planning ◽  
The Elderly ◽  
Elderly Persons ◽  
Rehabilitation Process ◽  
Low Vision Aids ◽  
Environmental Controls ◽  
Care Of Elderly

The nature and extent of visual impairment among the elderly and their implications for health planning are described. Important components of the low vision examination, the kinds of low vision aids most useful for elderly persons, and the adaptive factors, including environmental controls, are emphasized as important aspects of the rehabilitation process.

Charles bonnet syndrome (CBS): Successful treatment of visual hallucinations due to vision loss with trazodone in three cases

2011 ◽  
Vol 26 (S2) ◽  
pp. 378-379 ◽  
Author(s):  
H.C. Hsu ◽  
T.C. Chen ◽  
Y.S. Huang ◽  
W.X. Fan
Keyword(s):  
Visual Impairment ◽  
Vision Loss ◽  
Low Vision ◽  
Body Weight Gain ◽  
The Elderly ◽  
Visual Hallucinations ◽  
Charles Bonnet Syndrome ◽  
Lower Body Weight ◽  
Number Of Patients ◽  
Image Position

BackgroundCBS becomes more prevalent as the population ages and the number of patients with low vision increases. Clinical features of CBS have been described as complex visual hallucinations with insight due to the vision loss or visual ability decrease in patients who’re otherwise mentally normal. We describe three typical CBS patients whose visual hallucinations developed after bilateral severe visual impairment due to diabetic retinopathy. They responded well to treatment with trazodone. The effectiveness of trazodone in these patients adds to evidence implicating serotonergic pathways in the pathogenesis of visual hallucinations.Case reportThe characteristics of 3 patients and their reactions are listed in table 1.DiscussionThis is the first report describing the effectiveness of trazodone in treating typical CBS patients. It indicates that trazodone is an safer option for the treatment of CBS, especially in the elderly, diabetic population. In addition to having fewer interactions with comedications, trazodone has fewer adverse effects and relative lower body weight gain risk compared to anticonvulsants and neuroleptics. CBS is a condition that many clinicians aren’t very familiar with, yet it’s a surprisingly high prevalence rate (10%-30%) among the visually impaired. Clinicians must therefore keep in mind and ask elderly people with visual impairment whether they’ve hallucinations.

scholarly journals Association between Rehabilitation Needs and Quality of Life of the Elderly Patients with Visual Impairment

2019 ◽  
Author(s):  
Fatemeh Mohammadi ◽  
Zohreh Tavasoli Tazkere ◽  
Hamid Merat ◽  
Jamileh Amirzadeh Iranagh ◽  
Seyedeh Ameneh Motalebi
Keyword(s):  
Quality Of Life ◽  
Elderly Patients ◽  
Visual Impairment ◽  
Low Vision ◽  
Effective Means ◽  
The Elderly ◽  
Cross Sectional ◽  
Vision Rehabilitation ◽  
Rehabilitation Needs

Introduction: Given to the high prevalence of  impaired vision in aging population and importance of their quality of life, this study was aimed to evaluate the association between quality of life and vision rehabilitation needs in elderly patients with low vision referring to Bu Ali Sina Hospital, Qazvin, Iran.   Methods: A total of 94 elderly patients with visual acuity less than 6/18 participated in this cross-sectional study. Visual functioning questionnaire -25 and vision rehabilitation needs questionnaire were used to assess the quality of life and rehabilitation needs, respectively. Data were analyzed using Pearson and Spearman correlations, Independent t, and ANOVA tests.   Results: The prevalence of rehabilitation needs ranged from 29.8% (telling time with a watch or clock) to 76.4% (reading). The results also showed significant associations between the quality of life, age, marital status, and total rehabilitation needs (p < 0.05).   Conclusion: These results highlight that addressing the rehabilitation needs of elderly patients with a visual impairment may be an effective means to improve their quality of life.

scholarly journals Assessment of visual problems in elderly in an urban slum community of Mumbai

2014 ◽  
Vol 2 (04) ◽  
pp. 41-43
Author(s):  
Vinod S. Kamble ◽  
Aparna Y. Takpere ◽  
Santosh Biradar ◽  
Sriniwas Reddy
Keyword(s):  
Visual Impairment ◽  
Low Vision ◽  
The Elderly ◽  
Urban Slum ◽  
Cross Sectional Study ◽  
Elderly Persons ◽  
Visual Disability ◽  
Cross Sectional ◽  
Visual Problems ◽  
Slum Community

Background: Visual problems in the elderly share a major portion of the disability in the elderly. Visual impairment in the elderly can interfere with daily activities tremendously leading to dependence in many things. It can also lead to accidents and falls. Hence a study was carried out in an urban slum community at Mumbai to assess the various visual problems in the elderly, its causes and the prevalence. Methodology: Community based cross-sectional study of the elderly persons residing in an urban slum of Mumbai. Results: 65.54% (426) people had visual disability. Of 426 people with visual impairment 405(95.07%) people had low vision and 21 (4.93%) were blind. It was observed that errors of refraction (63.85%) and cataract (18.31%) were the most common cause of visual impairment. Conclusion: Visual impairment and disability is a major problem of the elderly. Errors of refraction and Cataract are the major causes for this disability which can be treated, thus preventing visual handicap and dependency.

scholarly journals Sedative use and incident cognitive decline among persons aged 75 years and older: a population-based longitudinal study

2011 ◽  
Vol 24 (1) ◽  
pp. 48-54 ◽  
Author(s):  
Franciska Desplenter ◽  
Piia Lavikainen ◽  
Sirpa Hartikainen ◽  
Raimo Sulkava ◽  
J. Simon Bell
Keyword(s):  
Cognitive Decline ◽  
Mixed Model ◽  
Linear Mixed Model ◽  
Adverse Drug Events ◽  
The Elderly ◽  
Sociodemographic Factors ◽  
Population Based ◽  
Gender Education ◽  
Sedative Drugs ◽  
State Examination

ABSTRACTBackground: Acute exposure to sedative drugs may induce memory impairment, but there is mixed evidence that long-term sedative use may result in incident cognitive decline. The objective of this study was to investigate the use of sedative drugs and incident cognitive decline in a population-based sample of persons aged 75 years and older.Methods: The study sample comprised 781 participants in the Geriatric Multidisciplinary Strategy for the Good Care of the Elderly (GeMS) study in Kuopio, Finland. Data on health status, drug use, and sociodemographic factors were elicited during annual nurse interviews from 2004 to 2007. A linear mixed model was used to compare change in Mini-Mental State Examination (MMSE) scores (2005–2007) among users of sedative drugs in 2004 and 2005 (n = 139) to non-users of sedative drugs from 2004 to 2007 (n = 310). The model was adjusted for covariates including age, gender, education, depressive symptoms and antipsychotic use.Results: Unadjusted mean MMSE scores were 27.50 in 2005, 26.58 in 2006, and 25.95 in 2007 among users of sedative drugs. Unadjusted mean MMSE scores were 28.05 in 2005, 27.61 in 2006, and 27.09 in 2007 among non-users of sedative drugs. Adjusted mean MMSE scores were 0.31 points lower in 2005, 0.62 points lower in 2006, and 0.93 lower in 2007 among users compared to non-users of sedative drugs (P = 0.051).Conclusions: Sedatives were not associated with statistically significant cognitive decline. However, clinicians should maintain a judicious approach to prescribing sedative drugs given the risk of adverse drug events.

Informant Questionnaire on Cognitive Decline in the Elderly--Farsi Version

2019 ◽  
Author(s):  
Mahshid Foroughan ◽  
Zahra Jafari ◽  
Ida Ghaemmagham Farahani ◽  
Vahid Rashedi
Keyword(s):  
Cognitive Decline ◽  
The Elderly ◽  
Farsi Version

Relation between cognitive disorders and type of physical activity: Results of the FréLE cohort

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C Dupré ◽  
N Barth ◽  
A El Moutawakkil ◽  
F Béland ◽  
F Roche ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cognitive Decline ◽  
Proportional Hazards ◽  
Cognitive Disorders ◽  
The Elderly ◽  
Cognitive Status ◽  
Global Test ◽  
Professional Activities ◽  
Beneficial Effects ◽  
The Impact

Abstract Background Few previous cohorts have studied the different type of physical activities and the degree of cognitive decline. The objective of this work was to analyze the leisure, domestic and professional activities with mild and moderate cognitive disorders in older people living in community. Methods The study used data from the longitudinal and observational study, FrèLE (FRagility: Longitudinal Study of Expressions). The collected data included: socio-demographic variables, lifestyle, and health status (frailty, comorbidities, cognitive status, depression). Cognitive decline was assessed by using: MMSE (Mini-Mental State Examination) and MoCA (Montreal Cognitive Assessment). MoCA was used with two cut-offs (26 and 17) so as to define mild and moderate cognitive disorders Physical activity was assessed by the PASE (Physical Activity Scale for the Elderly), structured in three sections: leisure, domestic and professional activities. Spline and proportional hazards regression models (Cox) were used to estimate the risk of cognitive disorders. Results At baseline, 1623 participants were included and the prevalence of cognitive disorders was 6.9% (MMSE) and 7.2% (MoCA), mild cognitive disorders was 71.3%. The mean age was 77 years, and 52% of the participants were women. After a 2 years long follow-up, we found 6.9% (MMSE) and 6% (MoCA) cognitive disorders on participants. Analyses showed that domestic activities were associated to cognitive decline (HR = 0.52 [0.28-0.94] for MMSE and HR = 0.48 [0.28-0.80] for MoCA). No association were found with leisure and professional activities, and no spline were significant with mild cognitive disorders. Conclusions Analysis showed a relationship between cognitive disorders and type of physical activity, thanks to the use of specific questionnaire of elderly and two global test of cognition. These findings will contribute to the debate on the beneficial effects of physical activity on cognition. Key messages This work allowed to compare two test of cognition and their link with physical activity. It contributes to the debate on the beneficial effects of physical activity on cognition. The work allowed us to see the effect of the different types of physical activity and the impact of the statistical method on the results.

Cognitive decline in the elderly: Is anaesthesia implicated?

2011 ◽  
Vol 25 (3) ◽  
pp. 379-393 ◽  
Author(s):  
Brendan Silbert ◽  
Lisbeth Evered ◽  
David A. Scott
Keyword(s):  
Cognitive Decline ◽  
The Elderly

scholarly journals Cognitive decline, functional dependency and sociodemographic characteristics in elderly patients with bone fractures

2015 ◽  
Vol 5 (2) ◽  
pp. 221-232
Author(s):  
Ana R. Ortega ◽  
Mª José Calero
Keyword(s):  
Elderly Patients ◽  
Cognitive Decline ◽  
Bone Fractures ◽  
Functional Decline ◽  
The Elderly ◽  
Structured Interview ◽  
Demographic Variables ◽  
Cognitive Status ◽  
Functional Dependency ◽  
Functional Gain

The objective of this paper was to study the evolution of cognitive status and of functional dependency in patients over 65 and how these relate to different demographic variables. The sample consisted of 259 elderly people admitted to the Hospital Neurotraumatológico in Jaen (Spain) with a diagnosis of bone fracture. Sociodemographic data was obtained through a semi-structured interview. Furthermore, the following tests were also administered: Barthel Index, Lawton and Brody’s Scale, Phototest, and Informant Questionnaire on Cognitive Decline in the Elderly. According to the results of this study, elderly patients show increased dependency during hospitalization and a mild recovery at discharge, but without regaining their dependency values prior to hospitalization. There is a differential incidence of functional decline as a function of gender, where women have significantly lower functional dependency at home than men and they do not decline as much as men do from their status prior to hospitalization. Also, we have encountered significant inverse relations between the different levels of dependency and cognitive status, and the age of the elderly patient. Moreover, married patients experienced greater functional gain than did the widowed patients, regardless of gender.

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