scholarly journals Impact of Age-Related Vision Changes on Driving

Author(s):  
Sonia Ortiz-Peregrina ◽  
Carolina Ortiz ◽  
Miriam Casares-López ◽  
José J. Castro-Torres ◽  
Luis Jiménez del Barco ◽  
...  

Aging leads to impaired visual function, which can affect driving—a very visually demanding task—and has a direct impact on an individual’s quality of life if their license is withdrawn. This study examined the associations between age-related vision changes and simulated driving performance. To this end, we attempted to determine the most significant visual parameters in terms of evaluating elderly drivers’ eyesight. Twenty-one younger drivers (aged 25–40) were compared to 21 older drivers (aged 56–71). Study participants were assessed for visual acuity, contrast sensitivity, halos, and intraocular straylight, which causes veiling luminance on the retina and degrades vision. Driving performance was evaluated using a driving simulator. The relationships between simulated driving performance and the visual parameters tested were examined with correlation analyses and linear regression models. Older drivers presented impairment in most visual parameters (p < 0.05), with straylight being the most significantly affected (we also measured the associated effect size). Older drivers performed significantly worse (p < 0.05) in the simulator test, with a markedly lower performance in lane stability. The results of the multiple linear regression model evidenced that intraocular straylight is the best visual parameter for predicting simulated driving performance (R2 = 0.513). Older drivers have shown significantly poorer results in several aspects of visual function, as well as difficulties in driving simulator performance. Our results suggest that the non-standardized straylight evaluation could be significant in driver assessments, especially at the onset of age-related vision changes.

2021 ◽  
Author(s):  
Sonia Ortiz-Peregrina ◽  
Carolina Ortiz ◽  
Francesco Martino ◽  
Miriam Casares-López ◽  
José J Castro-Torres ◽  
...  

Abstract Evidence suggests that drivers with cataract self-regulate their driving, but there is a lack of objective information. This study compared speed behavior in older drivers with and without cataract and how the parameter is influenced by road traffic complexity and driver characteristics. The study included 15 drivers with cataract and a control group of 20 drivers. Visual status was assessed using visual acuity, contrast sensitivity, and intraocular straylight. Speed management was studied using a driving simulator. Driving difficulty and self-regulation patterns were evaluated by means of the Driver Habits Questionnaire (DHQ). The cataract group showed a significant decrease in visual function in all the parameters evaluated (p<0.05). These drivers tended to drive at lower speeds than the control group. Road characteristics, gender, and intraocular straylight in the better eye were identified as significant predictors of speed management. Drivers with cataract experience greater driving difficulty, particularly when driving at night (p<0.05). Drivers with cataract reduce their driving speed more than older drivers without visual impairment. The straylight parameter may be a good indicator of each driver’s subjective perception of their own visual ability to drive. This work helps shed light on the mechanisms through which age-related visual impairment influences driving behavior.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Francesco Martino ◽  
José Juan Castro-Torres ◽  
Miriam Casares-López ◽  
Sonia Ortiz-Peregrina ◽  
Carolina Ortiz ◽  
...  

AbstractIn this study, we assessed the influence of moderate alcohol intake on binocular vision, vergence system and simulated driving performance by analyzing the interactions between visual deterioration and driving variables. Thirty young healthy subjects were recruited. For the analysis, we measured: visual function (visual acuity and stereoacuity), phorias and fusional reserves. Also, we checked Sheard’s and Percival’s criteria at near and far. The accommodative convergence/accommodation (AC/A) ratio was calculated and vergence facility was also obtained at near. A driving simulator was used to assess driving performance under natural conditions and after alcohol consumption with a breath alcohol content of 0.40 mg/l. Alcohol intake significantly reduced binocular visual performance and vergence function, except for vertical phorias, horizontal phoria at near and Sheard’s and Percival’s criteria at near. Driving performance parameters also presented a statistically significant deterioration after alcohol consumption. A statistically significant correlation was found between the deterioration in overall visual function and overall driving performance, highlighting the influence of the visual deterioration on the driving performance. Moderate alcohol consumption impairs binocular visual and simulated driving performances, implying a greater safety hazard. In addition, deteriorations in binocular visual function and vergence correlated with simulated driving impairment, which indicates that the deterioration of binocular vision due to alcohol consumption affects driving, thus reducing road safety.


2020 ◽  
Vol 16 (4) ◽  
pp. 543-553
Author(s):  
Luciana Y. Tomita ◽  
Andréia C. da Costa ◽  
Solange Andreoni ◽  
Luiza K.M. Oyafuso ◽  
Vânia D’Almeida ◽  
...  

Background: Folic acid fortification program has been established to prevent tube defects. However, concern has been raised among patients using anti-folate drug, i.e. psoriatic patients, a common, chronic, autoimmune inflammatory skin disease associated with obesity and smoking. Objective: To investigate dietary and circulating folate, vitamin B12 (B12) and homocysteine (hcy) in psoriatic subjects exposed to the national mandatory folic acid fortification program. Methods: Cross-sectional study using the Food Frequency Questionnaire, plasma folate, B12, hcy and psoriasis severity using the Psoriasis Area and Severity Index score. Median, interquartile ranges (IQRs) and linear regression models were conducted to investigate factors associated with plasma folate, B12 and hcy. Results: 82 (73%) mild psoriasis, 18 (16%) moderate and 12 (11%) severe psoriasis. 58% female, 61% non-white, 31% former smokers, and 20% current smokers. Median (IQRs) were 51 (40, 60) years. Only 32% reached the Estimated Average Requirement of folate intake. Folate and B12 deficiencies were observed in 9% and 6% of the blood sample respectively, but hyperhomocysteinaemia in 21%. Severity of psoriasis was negatively correlated with folate and B12 concentrations. In a multiple linear regression model, folate intake contributed positively to 14% of serum folate, and negative predictors were psoriasis severity, smoking habits and saturated fatty acid explaining 29% of circulating folate. Conclusion: Only one third reached dietary intake of folate, but deficiencies of folate and B12 were low. Psoriasis severity was negatively correlated with circulating folate and B12. Stopping smoking and a folate rich diet may be important targets for managing psoriasis.


Author(s):  
Alejandro A. Arca ◽  
Kaitlin M. Stanford ◽  
Mustapha Mouloua

The current study was designed to empirically examine the effects of individual differences in attention and memory deficits on driver distraction. Forty-eight participants consisting of 37 non-ADHD and 11 ADHD drivers were tested in a medium fidelity GE-ISIM driving simulator. All participants took part in a series of simulated driving scenarios involving both high and low traffic conditions in conjunction with completing a 20-Questions task either by text- message or phone-call. Measures of UFOV, simulated driving, heart rate variability, and subjective (NASA TLX) workload performance were recorded for each of the experimental tasks. It was hypothesized that ADHD diagnosis, type of cellular distraction, and traffic density would affect driving performance as measured by driving performance, workload assessment, and physiological measures. Preliminary results indicated that ADHD diagnosis, type of cellular distraction, and traffic density affected the performance of the secondary task. These results provide further evidence for the deleterious effects of cellphone use on driver distraction, especially for drivers who are diagnosed with attention-deficit and memory capacity deficits. Theoretical and practical implications are discussed, and directions for future research are also presented.


Author(s):  
Sonia Ortiz-Peregrina ◽  
Carolina Ortiz ◽  
José J. Castro-Torres ◽  
José R. Jiménez ◽  
Rosario G. Anera

Cannabis is the most widely used illegal drug in the world. Limited information about the effects of cannabis on visual function is available, and more detail about the possible impact of visual effects on car driving is required. This study investigated the effects of smoking cannabis on vision and driving performance, and whether these effects are correlated. Twenty drivers and occasional users were included (mean (SE) age, 23.3 (1.0) years; five women). Vision and simulated driving performance were evaluated in a baseline session and after smoking cannabis. Under the influence of cannabis, certain visual functions such as visual acuity (p < 0.001), contrast sensitivity (p = 0.004) and stereoacuity (far, p < 0.001; near, p = 0.013) worsened. In addition, there was an overall deterioration of driving performance, with the task of keeping the vehicle in the lane proving more difficult (p < 0.05). A correlation analysis showed significant associations between driving performance and visual function. Thus, the strongest correlations were found between the distance driven onto the shoulder and stereoacuity, for near (ρ = 0.504; p = 0.001) and far distances (ρ = 0.408; p = 0.011). This study provides the first evidence to show that the visual effects of cannabis could impact driving performance, compromising driving safety. The results indicate that information and awareness campaigns are essential for reducing the incidence of driving under the influence of cannabis.


2018 ◽  
Vol 181 ◽  
pp. 02004
Author(s):  
Sony Sulaksono Wibowo ◽  
Rian Wicaksana

Pedestrians who cross without any crossing facilities and under mixed-traffic tend to have varying responses. The responses can be analyzed by using multiple linear regression model, with pedestrian crossing delay and pedestrian crossing speed set as response variables. This research aims to develop two pedestrian crossing models based on the condition at the midblock part of urban street, in particular commercial area and without specific crossing facilities. The two models are pedestrian crossing delay model and pedestrian crossing speed model. The affecting factors are considered in linear relationship and the multiple-linear regression models are used. The principal factor in the pedestrian crossing delay model is group size of more than 3 persons, while in the model of pedestrian crossing speed, the principal factors are number of group size and pedestrian baggage. The mean of pedestrian crossing delay was about 3 seconds while pedestrian crossing speed was about 1 m/s.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Hennadii Mokhort

Estimating the rates of invasive meningococcal disease (IMD) from epidemiologic data remains critical for making public health decisions. In Ukraine, such estimations have not been performed. We used epidemiological data to develop a national database. These data were used to estimate the population susceptible to IMD and identify the prevalence of asymptomatic carriers of N. meningitidis using simple epidemiological models of meningococcal disease that may be used by the national policy makers. The goal was to create simple, easily understood analysis of patterns of the infection within Ukraine that would capture the major features of the infection dynamics. Studies used nationally reported data during 1992–2015. A logic model identified the prevalence of carriage and the proportion of the population susceptible to IMD as key drivers of IMD incidence. Multiple linear regression models for all ages (total population) and for children ≤14 years old were fit to national-level data. Linear models with the incidence of IMD as an outcome were highly associated with carriage and estimated susceptible population in both total population and children (R2 = 0.994 and R2 = 0.978, respectively). The susceptibility rate to IMD in the study total population averaged 0.0034 ± 0.0009% annually. At the national level, IMD can be characterized by the simple interaction between the prevalence of asymptomatic carriage and the proportion of the susceptible population. IMD association with prevalence rates of carriage and the proportion of susceptible population is sufficiently strong for national-level planning of intervention strategies for IMD.


Author(s):  
Jean E. Fox

Advanced Traveler Information Systems (ATIS) are in-vehicle computer systems that provide travel-related information (e.g., navigation assistance) to automobile drivers. ATIS has great potential to help drivers save time and money by leading them to their destination efficiently. However, there are great concerns that ATIS may interfere with driving performance. This study looked at the effects of ATIS use and the driver's age on driving performance in a high-fidelity driving simulator. The results indicate that ATIS use led to degraded driving performance in several measures. However, in some cases, the effects depended on age. Older drivers tended to be more cautious, while younger drivers tended to be more careless. These results suggest that ATIS systems and training materials may need to address the age-related differences in ATIS use and driving performance.


2016 ◽  
Vol 25 (2) ◽  
pp. 225-230
Author(s):  
Cristina Fernandes do Amarante ◽  
Wagner de Souza Tassinari ◽  
Jose Luis Luque ◽  
Maria Julia Salim Pereira

Abstract The present study used regression models to evaluate the existence of factors that may influence the numerical parasite dominance with an epidemiological approximation. A database including 3,746 fish specimens and their respective parasites were used to evaluate the relationship between parasite dominance and biotic characteristics inherent to the studied hosts and the parasite taxa. Multivariate, classical, and mixed effects linear regression models were fitted. The calculations were performed using R software (95% CI). In the fitting of the classical multiple linear regression model, freshwater and planktivorous fish species and body length, as well as the species of the taxa Trematoda, Monogenea, and Hirudinea, were associated with parasite dominance. However, the fitting of the mixed effects model showed that the body length of the host and the species of the taxa Nematoda, Trematoda, Monogenea, Hirudinea, and Crustacea were significantly associated with parasite dominance. Studies that consider specific biological aspects of the hosts and parasites should expand the knowledge regarding factors that influence the numerical dominance of fish in Brazil. The use of a mixed model shows, once again, the importance of the appropriate use of a model correlated with the characteristics of the data to obtain consistent results.


2015 ◽  
Author(s):  
Ariane Cuenen ◽  
Ellen M.M. Jongen ◽  
Tom Brijs ◽  
Kris Brijs ◽  
Katrijn Houben ◽  
...  

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