随着时间的推移,视觉相关生活质量的性别特定变化 - 来自基于人口的古堡健康研究的结果
Alica Hartmann1, Stephanie D Grabitz2, Philipp S Wild3,4,5,6
1Department of Ophthalmology, University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstraße 1, 55131, Mainz, Germany. Alica.Hartmann@unimedizin-mainz.de.
概括
与视力相关的生活质量 (VRQoL) 在5年内下降,特别是在老年人和女性中,这与两只眼睛的视力敏度变化有关. 全面的眼科检查对于理解VRQoL至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 老年学是指老年学的学科.
背景情况:
- 视觉相关的生活质量 (VRQoL) 对于整体福祉至关重要.
- 以前的研究主要使用横截面设计,限制了对纵向VRQoL变化的理解.
- 对随时间影响VRQoL的因素的长度基于人口的数据很少.
研究的目的:
- 检查 VRQoL 随着时间的推移而发生的性别和年龄特定变化.
- 确定与VRQoL变化相关的因素.
- 调查视力敏度变化对VRQoL在大型队列中的影响.
主要方法:
- 基于人口的前性,观察性队列研究 (古堡健康研究).
- 在基线和5年随访时使用NEI-VFQ-25的视觉功能尺度 (VFS) 和社会情感尺度 (SES-VRQoL) 评估VRQoL.
- 测量距离校正视力敏度;回归分析用于识别VRQoL变化的预测因素.
主要成果:
- 平均视觉功能 (VFS) 在5年内显著下降 (p < 0.001);社会情感福祉 (SES-VRQoL) 保持稳定.
- 年龄较大,女性性别和视力敏度恶化与VFS降低有关.
- 更高的社会经济地位对VFS产生了积极的影响;视力敏度的变化影响了VFS和SES-VRQoL.
结论:
- 视力敏度的变化在5年内显著影响VRQoL.
- 65岁以上的参与者和女性经历了更大的VRQoL减少.
- 视力更好或更差的眼睛都会影响VRQoL的变化,强调全面的眼睛评估.
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