美国成年人的虚弱和视野损失之间的关联
Isaac A Bernstein1, Ann Caroline Fisher1, Kuldev Singh1
1From the Department of Ophthalmology, Byers Eye Institute, Stanford University, Stanford, California, USA.
American journal of ophthalmology
|September 15, 2023
概括
视野损失 (VFL) 与美国成年人的脆弱性增加有关. 即使考虑视力障碍时,这种关联仍然存在,这表明需要进一步研究的复杂关系.
科学领域:
- 眼科和老年病学 眼科和老年病学
- 公共卫生研究 公共卫生研究
背景情况:
- 脆弱性是一个重要的公共卫生问题,特别是在老年人中.
- 视野损失 (VFL) 可以影响日常功能和生活质量.
研究的目的:
- 调查视野损失 (VFL) 与美国成年人全国代表性样本中的脆弱性之间的关联.
- 确定这种关联是否独立于其他视觉和人口因素.
主要方法:
- 利用了2005-2008年国家健康和营养检查调查 (NHANES) 的数据.
- 包括40岁以上的成年人,具有完整的眼科检查数据.
- 使用频率加倍技术和2-2-1算法评估VFL,使用基于36项赤字积累的脆弱指数评估脆弱性.
主要成果:
- 很大一部分参与者没有VFL (93.2%),但存在单边 (4.1%) 和双边 (2.73%) VFL.
- 超过一半的样本是非脆弱的 (53.1%),观察到越来越多的脆弱类别.
- 单边和双边VFL都与明显更高的几率与更脆弱的类别有关,独立于视力敏度和白内障手术史.
结论:
- 视野损失独立地与美国成年人虚弱的几率增加有关.
- 这种关系可能是双向的:虚弱可能会增加对VFL的易感性,或者VFL可能会导致虚弱.
- 需要进一步的研究来阐明方向性并探索潜在的干预措施.
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