Visual impairment and falls in the elderly

The Shihpai eye study

Tung Mei Kuang, Su Ying Tsai, Wen-Ming Hsu, Ching Yu Cheng, Jorn Hon Liu, Pesus Chou

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Background: To investigate the association between visual impairment and falls in a metropolitan elderly Chinese population. Methods: A population-based cross-sectional study of eye diseases among subjects 65 years of age and older was conducted in the Shihpai community of Taipei between July 1, 1999 and December 31, 2000. Results: Of the 2,045 subjects invited, 1,361 (66.6%) participated in both the questionnaire and the eye examination. Sixty-two (4.6%; 95% confidence interval [CI], 3.4-5.7%) had experienced 2 or more falls in the previous 12 months. On univariate analysis, best-corrected Snellen visual acuity of the better eye less than 6/12 (odds ratio [OR], 2.47; 95% CI, 1.18-5.18; p<0.001), female gender (OR, 2.52; 95% CI, 1.49-4.26; p<0.001), high waist-to-hip ratio (OR, 1.86; 95% CI, 1.00-3.47; p=0.01), history of diabetes mellitus (OR, 3.88; 95% CI, 2.27-6.62; p<0.001) and cardiovascular disease (OR, 2.26; 95% CI, 1.34-3.80; p=0.04) were significantly related to falls. In the final multiple logistic regression model controlling for other covariates, visual impairment (OR, 1.98; 95% CI, 1.02-4.32; p<0.001), female gender (OR, 2.34; 95% CI, 1.29-4.23; p<0.01), history of diabetes (OR, 3.61; 95% CI, 2.03-6.40; p<0.01) and cardiovascular disease (OR, 1.96; 95% CI, 1.13-3.40; p=0.04) were significantly related to falls. Conclusion: Falls were significantly associated with a best-corrected Snellen visual acuity of less than 6/12.

Original languageEnglish
Pages (from-to)467-472
Number of pages6
JournalJournal of the Chinese Medical Association
Volume71
Issue number9
DOIs
Publication statusPublished - Jan 1 2008
Externally publishedYes

Fingerprint

Vision Disorders
Confidence Intervals
Odds Ratio
Visual Acuity
Cardiovascular Diseases
Logistic Models
Waist-Hip Ratio
Eye Diseases
Population
Diabetes Mellitus
Cross-Sectional Studies

Keywords

  • Chinese
  • Falls
  • Metropolitan
  • Population-based
  • Visual impairment

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Visual impairment and falls in the elderly : The Shihpai eye study. / Kuang, Tung Mei; Tsai, Su Ying; Hsu, Wen-Ming; Cheng, Ching Yu; Liu, Jorn Hon; Chou, Pesus.

In: Journal of the Chinese Medical Association, Vol. 71, No. 9, 01.01.2008, p. 467-472.

Research output: Contribution to journalArticle

Kuang, Tung Mei ; Tsai, Su Ying ; Hsu, Wen-Ming ; Cheng, Ching Yu ; Liu, Jorn Hon ; Chou, Pesus. / Visual impairment and falls in the elderly : The Shihpai eye study. In: Journal of the Chinese Medical Association. 2008 ; Vol. 71, No. 9. pp. 467-472.
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abstract = "Background: To investigate the association between visual impairment and falls in a metropolitan elderly Chinese population. Methods: A population-based cross-sectional study of eye diseases among subjects 65 years of age and older was conducted in the Shihpai community of Taipei between July 1, 1999 and December 31, 2000. Results: Of the 2,045 subjects invited, 1,361 (66.6{\%}) participated in both the questionnaire and the eye examination. Sixty-two (4.6{\%}; 95{\%} confidence interval [CI], 3.4-5.7{\%}) had experienced 2 or more falls in the previous 12 months. On univariate analysis, best-corrected Snellen visual acuity of the better eye less than 6/12 (odds ratio [OR], 2.47; 95{\%} CI, 1.18-5.18; p<0.001), female gender (OR, 2.52; 95{\%} CI, 1.49-4.26; p<0.001), high waist-to-hip ratio (OR, 1.86; 95{\%} CI, 1.00-3.47; p=0.01), history of diabetes mellitus (OR, 3.88; 95{\%} CI, 2.27-6.62; p<0.001) and cardiovascular disease (OR, 2.26; 95{\%} CI, 1.34-3.80; p=0.04) were significantly related to falls. In the final multiple logistic regression model controlling for other covariates, visual impairment (OR, 1.98; 95{\%} CI, 1.02-4.32; p<0.001), female gender (OR, 2.34; 95{\%} CI, 1.29-4.23; p<0.01), history of diabetes (OR, 3.61; 95{\%} CI, 2.03-6.40; p<0.01) and cardiovascular disease (OR, 1.96; 95{\%} CI, 1.13-3.40; p=0.04) were significantly related to falls. Conclusion: Falls were significantly associated with a best-corrected Snellen visual acuity of less than 6/12.",
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AU - Tsai, Su Ying

AU - Hsu, Wen-Ming

AU - Cheng, Ching Yu

AU - Liu, Jorn Hon

AU - Chou, Pesus

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N2 - Background: To investigate the association between visual impairment and falls in a metropolitan elderly Chinese population. Methods: A population-based cross-sectional study of eye diseases among subjects 65 years of age and older was conducted in the Shihpai community of Taipei between July 1, 1999 and December 31, 2000. Results: Of the 2,045 subjects invited, 1,361 (66.6%) participated in both the questionnaire and the eye examination. Sixty-two (4.6%; 95% confidence interval [CI], 3.4-5.7%) had experienced 2 or more falls in the previous 12 months. On univariate analysis, best-corrected Snellen visual acuity of the better eye less than 6/12 (odds ratio [OR], 2.47; 95% CI, 1.18-5.18; p<0.001), female gender (OR, 2.52; 95% CI, 1.49-4.26; p<0.001), high waist-to-hip ratio (OR, 1.86; 95% CI, 1.00-3.47; p=0.01), history of diabetes mellitus (OR, 3.88; 95% CI, 2.27-6.62; p<0.001) and cardiovascular disease (OR, 2.26; 95% CI, 1.34-3.80; p=0.04) were significantly related to falls. In the final multiple logistic regression model controlling for other covariates, visual impairment (OR, 1.98; 95% CI, 1.02-4.32; p<0.001), female gender (OR, 2.34; 95% CI, 1.29-4.23; p<0.01), history of diabetes (OR, 3.61; 95% CI, 2.03-6.40; p<0.01) and cardiovascular disease (OR, 1.96; 95% CI, 1.13-3.40; p=0.04) were significantly related to falls. Conclusion: Falls were significantly associated with a best-corrected Snellen visual acuity of less than 6/12.

AB - Background: To investigate the association between visual impairment and falls in a metropolitan elderly Chinese population. Methods: A population-based cross-sectional study of eye diseases among subjects 65 years of age and older was conducted in the Shihpai community of Taipei between July 1, 1999 and December 31, 2000. Results: Of the 2,045 subjects invited, 1,361 (66.6%) participated in both the questionnaire and the eye examination. Sixty-two (4.6%; 95% confidence interval [CI], 3.4-5.7%) had experienced 2 or more falls in the previous 12 months. On univariate analysis, best-corrected Snellen visual acuity of the better eye less than 6/12 (odds ratio [OR], 2.47; 95% CI, 1.18-5.18; p<0.001), female gender (OR, 2.52; 95% CI, 1.49-4.26; p<0.001), high waist-to-hip ratio (OR, 1.86; 95% CI, 1.00-3.47; p=0.01), history of diabetes mellitus (OR, 3.88; 95% CI, 2.27-6.62; p<0.001) and cardiovascular disease (OR, 2.26; 95% CI, 1.34-3.80; p=0.04) were significantly related to falls. In the final multiple logistic regression model controlling for other covariates, visual impairment (OR, 1.98; 95% CI, 1.02-4.32; p<0.001), female gender (OR, 2.34; 95% CI, 1.29-4.23; p<0.01), history of diabetes (OR, 3.61; 95% CI, 2.03-6.40; p<0.01) and cardiovascular disease (OR, 1.96; 95% CI, 1.13-3.40; p=0.04) were significantly related to falls. Conclusion: Falls were significantly associated with a best-corrected Snellen visual acuity of less than 6/12.

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