ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2020
Visual Impairment and Frailty: Examining an Understudied Relationship.
Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.
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Who cites it
34 citing papers in PubMed, 78 citations in OpenAlex.
- Sensory and motor correlates of frailty: dissociation between frailty phenotype and frailty index.BMC geriatrics · 2022Trial
- Linking Motor and Cognitive Decline in Aging: Gait Variability and Working Memory as Early Markers of Frailty.Healthcare (Basel, Switzerland) · 2025Article
- Relationship Between Visual Acuity and Cognitive Functions in Older Adults With Visual Impairment: The Mediating Role of Frailty.Brain and behavior · 2025Article
- Association between Visual, Hearing and Dual Sensory Impairment and the Frailty Syndrome.Aging and disease · 2025Article
- The impact of inferior visual field on frail status in glaucoma patients.International ophthalmology · 2025Article
- Development and validation of PRE-FRA (PREdiction of FRAilty risk in community older adults) frailty prediction model.Frontiers in public health · 2025Article
- Visual impairment and frailty: insights from genetic correlation and Mendelian randomization.Archives of medical science : AMS · 2025Article
- Navigation Training for Persons With Visual Disability Through Multisensory Assistive Technology: Mixed Methods Experimental Study.JMIR rehabilitation and assistive technologies · 2024Article
- Frailty and Visual Impairment in Elderly Individuals: Improving Outcomes and Modulating Cognitive Decline Through Collaborative Care Between Geriatricians and Ophthalmologists.Diseases (Basel, Switzerland) · 2024Review
- Article
- Vision Impairment and Frailty Among Mexican American Older Adults: A Longitudinal Study.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024Article
- Combined effect of falling difficulty and cardiovascular diseases on the risk of all-cause and cardiovascular mortality in older adults: an analysis of the National Health and Nutrition Examination Survey.European geriatric medicine · 2024Article
- Vision and Hearing Difficulties and Life Expectancy Without ADL/IADL Limitations: Evidence From the English Longitudinal Study of Ageing and the Health and Retirement Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024Article
- The Association Between Frailty and Visual Field Loss in US Adults.American journal of ophthalmology · 2024Article
- Vision impairment and food insecurity in the national health and aging trends study.Frontiers in epidemiology · 2024Article
- Association of intrinsic capacity with functional ability, sarcopenia and systemic inflammation in pre-frail older adults.Frontiers in medicine · 2024Article
- Association of age-related eye diseases with cognitive frailty in older adults: a population-based study.Aging clinical and experimental research · 2023Article
- Relationship between Claims-Based Frailty Index and Eye Care Utilization among Medicare Beneficiaries with Glaucoma.Ophthalmology · 2023Article
- Peripheral Neuropathy and Vision and Hearing Impairment in US Adults With and Without Diabetes.American journal of epidemiology · 2023Article
- Risk Factors of Progression to Cognitive Frailty: Singapore Longitudinal Ageing Study 2.Gerontology · 2023Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
backgroundOlder adults with visual impairments are at increased risk of negative health outcomes. Here, we investigate the association between visual impairment and frailty.
methodsCross-sectional and longitudinal relationships between visual impairment (distance visual acuity) and frailty (frailty phenotype criteria) were examined using data from the National Health and Nutrition Examination Survey (NHANES, 1999-2002, ≥60 years) and the Women's Health and Aging Studies (WHAS III). Imbalance of potential confounders, particularly age, was addressed using propensity score-based adjustment. Multinomial logistic regression determined the odds of prefrailty and frailty at baseline in NHANES and ordinal logistic regression examined the odds of baseline and incident frailty over 3 years in WHAS III after adjustment for confounders and probability weighting (survey weights × inverse propensity scores).
resultsIn NHANES (n = 2,639, 9% vision impairment), participants with visual impairment were more likely to be prefrail (odds ratio [OR] = 3.2; 95% confidence interval [CI]: 1.9-5.3) and frail (OR = 3.7; 95% CI: 1.5-9.2) than those without visual impairment. In WHAS III (n = 796, 26% mild, 37% moderate/severe vision impairment), participants with mild and moderate/severe vision impairment were more likely to be frail (OR = 2.0; 95% CI: 1.5-2.5; OR = 5.5; 95% CI: 4.2-7.2, respectively). A one-line worse visual acuity (0.1 logMAR increase) was associated with greater odds of frailty (OR = 1.5; 95% CI: 1.4-1.7). Of those non-frail at baseline (n = 549), moderate/severe visual impairment and one-line worse visual acuity was associated with greater odds of incident frailty (OR = 3.5; 95% CI: 1.4-8.4; OR = 1.3; 95% CI: 1.1-1.5, respectively) over 3 years.
conclusionsVisual impairment may be an important, yet understudied risk factor for frailty.
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