Effect of glaucoma and cataract on daily activities in patients with sarcopenic obesity
DOI: 10.32364/2311-7729-2024-24-1-3
A.E. Kopylov1, N.M. Agarkov1–3, M.V. Alymova2
1Tambov Branch of the S. Fyodorov Eye Microsurgery Federal State Institution, Tambov, Russian Federation
2Southwestern State University, Kursk, Russian Federation
3Belgorod State National Research University, Belgorod, Russian Federation
Aim: to evaluate the effect of glaucoma and cataract on activities of daily living in elderly patients with sarcopenic obesity (SO).
Patients and Methods: the study included 128 patients with cataract and SO and 125 age-matched patients with glaucoma and SO. All patients underwent a comprehensive clinical and instrumental ophthalmic examination. To assess activities of daily living, we used our own 8-question test.
Results: the effect of cataract and SO causing total dependence on others was more significant (12.18 points) than that of glaucoma and SO causing moderate dependence (10.18 points, p<0.01). The groups were also characterized by significant differences in all activities of daily living, including needle threading and nail clipping. In particular, limitations in needle threading were estimated at 1.84±0.03 points in patients with cataract and SO, which was significantly higher than in patients with glaucoma and SO (1.52±0.02 points, p<0.01). A similar pattern was found for nail clipping (1.75±0.03 points and 1.43±0.04 points, respectively, p<0.01). Factor analysis of the effect of cataract and SO and glaucoma and SO showed the highest factor loading on the development of dependency on others for needle threading (0.829 and 0.572 respectively) and nail clipping (0.807 and 0.469 respectively) in both groups. However, the effect of cataract and SO on the development of limitations in these activities of daily living is more significant than the effect of glaucoma and SO.
Conclusions: among age-related eye diseases in elderly patients, cataract and SO significantly limit daily activities.
Keywords: glaucoma, cataract, sarcopenic obesity, activities of daily living, basic functional activity, elderly.
For citation: Kopylov A.E., Agarkov N.M., Alymova M.V. Effect of glaucoma and cataract on daily activities in patients with sarcopenic obesity. Russian Journal of Clinical Ophthalmology. 2024;24(1):14–18 (in Russ.). DOI: 10.32364/2311-7729-2024-24-1-3.
Andrey E. Kopylov — C. Sc. (Med.), Head of the Department of Laser Refractive Center, Tambov Branch of the S. Fyodorov Eye Microsurgery Federal State Institution; 1, Rasskazovskoe road, Tambov, 392000, Russian Federation; ORCID iD 0000-0002-3536-1645.
Nikolay M. Agarkov — Dr. Sc. (Med.), professor of the Department of Biomedical Engineering, Southwestern State University; 94, 50 let Oktyabrya, Kursk, 305040, Russian Federation; senior researcher of the Laboratory "Problems of Aging", Belgorod State National Research University; 85, Pobedy str., Belgorod, 308015, Russian Federation; scientific consultant, Tambov Branch of the S. Fyodorov Eye Microsurgery Federal State Institution; 1, Rasskazovskoe road, Tambov, 392000, Russian Federation; ORCID iD 0000-0002-4821-3692.
Mariya V. Alymova — student of the Department of Biomedical Engineering, Southwestern State University; 94, 50 let Oktyabrya, Kursk, 305040, Russian Federation; ORCID iD 0000-0002-5438-4201.
Contact information: Nikolay M. Agarkov, e-mail: vitalaxen@mail.ru.
Financial Disclosure: no authors have a financial or property interest in any material or method mentioned.
There is no conflict of interest.
Received 21.11.2023.
Revised 12.12.2023.
Accepted 09.01.2024.
2. Burton M.J., Ramke J., Marques A.P. et al. The Lancet Global Health Commission on Global Eye Health: vision beyond 2020. Lancet Glob Health. 2021;9(4):е489-е551. DOI: 10.1016/s2214-109x(20)30488-5.
3. Wu T.H., Jiang B., Liu W.M. et al. Time trends and gender disparities of Chinese cataract burden and their predictions. Int J Ophthalmol. 2023;16(9):1527–1534. DOI: 10.18240/ijo.2023.09.21.
4. Lin Y., Jiang B., Cai Y. et al. The Global Burden of Glaucoma: Findings from the Global Burden of Disease 2019 Study and Predictions by Bayesian Age-Period-Cohort Analysis. J Clin Med. 2023;12(5):1828. DOI: 10.3390/jcm12051828.
5. Guan H., Xue J., Ding Y. et al. Factors influencing cataract awareness and treatment attitudes among the middle-aged and older in western China's rural areas. Front Public Health. 2023;10:1045336. DOI: 10.3389/fpubh.2022.1045336.
6. Usgaonkar U.P., Naik R., Shetty A. The economic burden of glaucoma on patients. Indian J Ophthalmol. 2023;71(2):560–566. DOI: 10.4103/ijo.ijo_1676_22.
7. Fukuda T., Bouchi R., Takeuchi T. et al. Association of diabetic retinopathy with both sarcopenia and muscle quality in patients with type 2 diabetes: a cross-sectional study. BMJ Open Diabetes Res Care. 2017;5(1):е000404. DOI: 10.1136/bmjdrc-2017-000404.
8. Wei S., Nguyen T.T., Zhang Y. et al. Sarcopenic obesity: epidemiology, pathophysiology, cardiovascular disease, mortality, and management. Front Endocrinol (Lausanne). 2023;14:1185221. DOI: 10.3389/fendo.2023.1185221.
9. Клинические рекомендации «Старческая катаракта». М.: ООО «Ассоциация врачей-офтальмологов»; 2020. [Clinical recommendations "Senile cataract". Moscow: All-Russian public organization "Association of Ophthalmologists"; 2020 (in Russ.)].
10. Нестеров А.П. Глаукома. 2-е изд. М.: Медицинское информационное агентство; 2014. [Nesterov A.P. Glaucoma. 2nd ed. Moscow: Medical Information Agency; 2014 (in Russ.)].
11. Копылов А.Е., Османов Р.Э. Тест базовой функциональной активности пациентов с нарушением зрения. Проблемы и успехи современной геронтологии и гериатрии. 2019;1:26–28. [Kopylov A.E., Osmanov R.E. Test of basic functional activity of patients with visual impairment. Problems and successes of modern gerontology and geriatrics, 2019;1:26–28 (in Russ.)].
12. Mlinac M.E., Feng M.C. Assessment of Activities of Daily Living, Self-Care, and Independence. Archives of Clinical Neuropsychology. 2016;31(6):506–516. DOI: 10.1093/arclin/acw049.
13. Kee Q.T., Rahman M.H., Fadzil N.M. et al. The impact of near visual impairment on instrumental activities of daily living among community-dwelling older adults in Selangor. BMC Res Notes. 2021;14(1):395. DOI: 10.1186/s13104-021-05813-3.
14. Hochberg C., Maul E., Chan E.S. et al. Association of vision loss in glaucoma and age-related macular degeneration with IADL disability. Invest Ophthalmol Vis Sci. 2012;53(6):3201–3206. DOI: 10.1167/iovs.12-9469.
15. Zhao X., Liu W., Lu B. et al. Visual impairment and depression in China: a 7-year follow-up study from national longitudinal surveys. BMJ Open. 2022;12(4):е055563. DOI: 10.1136/bmjopen-2021-055563.
16. Knudtson M.D., Klein B.E., Klein R. et al. Age-related eye disease, quality of life, and functional activity. Arch Ophthalmol. 2005;123(6):807–814. DOI: 10.1001/archopht.123.6.807.
17. Chiu C.J., Li M.L., Chou C.Y. Trends and biopsychosocial correlates of physical disabilities among older men and women in Taiwan: examination based on ADL, IADL, mobility, and frailty. BMC Geriatr. 2022;22(1):148. DOI: 10.1186/s12877-022-02838-6.
This work is licensed under a Creative Commons «Attribution» 4.0 License.
