Measures of visual function and percentage of preferred walking speed in older adults : The salisbury eye evaluation project

The purpose of this study was to determine the association of static (visual acuity, visual fields, and contrast sensitivity) and dynamic (dynamic visual acuity and motion threshold) measures of vision with mobility performance on a mobility course with obstacles. A cross-sectional population-based...

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Veröffentlicht in:Investigative ophthalmology & visual science 2006, Vol.47 (1), p.65-71
Hauptverfasser: PATEL, Ilesh, TURANO, Kathleen A, BROMAN, Aimee T, BANDEEN-ROCHE, Karen, MUNOZ, Beatriz, WEST, Sheila K
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container_title Investigative ophthalmology & visual science
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creator PATEL, Ilesh
TURANO, Kathleen A
BROMAN, Aimee T
BANDEEN-ROCHE, Karen
MUNOZ, Beatriz
WEST, Sheila K
description The purpose of this study was to determine the association of static (visual acuity, visual fields, and contrast sensitivity) and dynamic (dynamic visual acuity and motion threshold) measures of vision with mobility performance on a mobility course with obstacles. A cross-sectional population-based study of 1504 persons aged 72 to 92 years enrolled in the third round of the Salisbury Eye Evaluation Project. Standardized examinations were used to test binocular visual acuity, better eye-contrast sensitivity, visual fields, dynamic visual acuity, and motion threshold. Cognitive status was assessed by using the standardized Mini-Mental State Examination. Participants were timed when walking a straight 4-m distance and when walking through a mobility course seeded with obstacles. The percentage of preferred walking speed (PPWS) for each subject was calculated as the ratio of mobility course speed to a 4-m walking speed expressed as a percentage. The mean age of the participants was 78.2 years. The mean 4-m walking speed was 0.82 m/s, whereas the mean mobility course speed was 0.47 m/s. The mean PPWS was 57.1%. All vision variables except visual acuity were associated with PPWS in univariate analyses. Multivariate models found visual fields and the cognitive state to be associated with PPWS. There was no association with dynamic measures of vision. The mobility performance, as measured by PPWS, was associated with visual fields but not with visual acuity, contrast sensitivity, or dynamic vision measures. Deficits in cognition also play an important role in predicting mobility performance.
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source MEDLINE; EZB-FREE-00999 freely available EZB journals
subjects Aged
Aged, 80 and over
Biological and medical sciences
Cognition - physiology
Contrast Sensitivity - physiology
Cross-Sectional Studies
Eye and associated structures. Visual pathways and centers. Vision
Female
Fundamental and applied biological sciences. Psychology
Gait - physiology
Humans
Male
Maryland
Motor Activity - physiology
Vertebrates: nervous system and sense organs
Vision, Binocular - physiology
Visual Acuity - physiology
Visual Fields - physiology
Walking - physiology
title Measures of visual function and percentage of preferred walking speed in older adults : The salisbury eye evaluation project
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