Me. Salive et al., ASSOCIATION OF VISUAL IMPAIRMENT WITH MOBILITY AND PHYSICAL FUNCTION, Journal of the American Geriatrics Society, 42(3), 1994, pp. 287-292
Objective: To examine the association of distant vision and physical f
unction in the population of older adults. Design: Cross-sectional and
cohort study. Participants: 5143 older residents of three communities
(Established Populations for the Epidemiologic Studies of the Elderly
) who were interviewed in 1988-89, including residents of two communit
ies who were re-interviewed 15 months later (n = 3133, 97% of those el
igible). Measures: Visual acuity screening, self-reported activities o
f daily living and mobility, and objective physical performance measur
es of balance, walking, and rising from a chair. Results: Limitations
in mobility, activities of daily living, and physical performance were
associated with worse visual function. In prospective analyses contro
lling for potential confounders, participants with severe visual impai
rment had 3-fold higher odds of incident mobility and activity of dail
y living limitations than those with acuity of 20/40 or better (P < 0.
001). In prospective analyses investigating the relationship of vision
with improvement in function, those with poor vision were about half
as likely to improve as those with better acuity, but this relationshi
p was only statistically significant for improvement in mobility limit
ations. Conclusions: Distant visual function appears to play an import
ant role in physical function, particularly for mobility. An intervent
ion to improve vision in at-risk elders might preserve function and pr
event disability; this warrants further investigation.