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首页> 外文期刊>Ophthalmic epidemiology >The association between visual acuity and functional limitations: findings from a nationally representative population survey.
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The association between visual acuity and functional limitations: findings from a nationally representative population survey.

机译：视敏度与功能限制之间的关联：全国代表性的人口调查结果。

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PURPOSE: To determine the independent effect of visual acuity on individual activities of daily living (ADL), instrumental activities of daily living (IADL) and mobility. METHODS: Cross-sectional survey on a sample representing the Finnish population aged 55 years and above. Of the 3392 eligible people, 3185 (93.9%) were interviewed, 2870 (84.6%) attended a comprehensive health examination, and 2781 (82.0%) had distance visual acuity (VA) assessed. A home interview included assessment of ADL, IADL and mobility, demographic variables and chronic conditions. Mobility measurements and binocular VA were assessed during the examination. RESULTS: Prevalence of ADL, IADL, and mobility limitations increased with decreasing VA (p<0.001). Visually impaired persons (VA< or =0.25) had ADL disabilities four times more likely than those with good VA (VA> or =0.8) after adjustment for socio-demographic and behavioral factors, and chronic conditions (OR 4.36, 95%CI 2.44-7.78). Limitations in IADL and measured mobilitywere five times as likely (OR 4.82, 95%CI 2.38-9.76 and OR 5.37, 95%CI 2.44-7.78, respectively), and self-reported mobility limitations were three times as likely (OR 3.07, 95%CI 1.67-9.63) as in persons with good VA. CONCLUSIONS: Decreased VA is strongly associated with functional limitations, and even a slight decrease in VA was found to be associated with limitations in functioning.
机译：目的：确定视敏度对日常生活的个人活动（ADL），日常生活的工具活动（IADL）和活动性的独立影响。方法：对代表55岁及以上芬兰人口的样本进行横断面调查。在3392名合格人员中，有3185名（93.9％）接受了采访，2870名（84.6％）接受了全面健康检查，并且2781名（82.0％）进行了远视力（VA）评估。家庭访问包括对ADL，IADL和活动能力，人口统计学变量和慢性病的评估。在检查过程中评估了活动性测量和双眼VA。结果：随着VA的降低，ADL，IADL的患病率和流动性限制增加（p <0.001）。在调整了社会人口统计学和行为因素以及慢性病（OR 4.36，95％CI 2.44）后，视力障碍者（VA <或= 0.25）发生ADL残疾的可能性比具有良好VA的患者（VA>或= 0.8）高四倍。 -7.78）。 IADL和测得的迁移率限制的可能性是五倍（OR 4.82，95％CI 2.38-9.76和OR 5.37，95％CI 2.44-7.78），自我报告的迁移限制是可能性的三倍（OR 3.07，95 ％CI 1.67-9.63），如具有良好VA的人群。结论：VA降低与功能受限密切相关，甚至VA的轻微降低也与功能受限相关。

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