切换至 "中华医学电子期刊资源库"

中华眼科医学杂志(电子版) ›› 2019, Vol. 09 ›› Issue (03) : 177 -181. doi: 10.3877/cma.j.issn.2095-2007.2019.03.009

综述

老年人视功能损害与跌倒相关性的研究进展
刘苗雨1, 张建2, 林剑浩3, 鲍永珍4,()   
  1. 1. 100044 北京大学人民医院眼科2019级博士研究生
    2. 100044 北京大学人民医院眼科2018级博士研究生
    3. 100044 北京大学人民医院关节科
    4. 100044 北京大学人民医院眼科
  • 收稿日期:2019-02-28 出版日期:2019-06-28
  • 通信作者: 鲍永珍
  • 基金资助:
    国家自然科学基金项目(21173012)

The advance on the relationship between visual function impairment and falls in the elderly

Miaoyu Liu1, Jian Zhang2, Jianhao Lin3, Yongzhen Bao4,()   

  1. 1. Doctor′s degree 2019, Department of Ophthalmology, Peking University People′s Hospital, Beijing 100044, China
    2. Doctor′s degree 2018, Department of Ophthalmology, Peking University People′s Hospital, Beijing 100044, China
    3. Department of Arthrology, Peking University People′s Hospital, Beijing 100044, China
    4. Department of Ophthalmology, Peking University People′s Hospital, Beijing 100044, China
  • Received:2019-02-28 Published:2019-06-28
  • Corresponding author: Yongzhen Bao
引用本文:

刘苗雨, 张建, 林剑浩, 鲍永珍. 老年人视功能损害与跌倒相关性的研究进展[J]. 中华眼科医学杂志(电子版), 2019, 09(03): 177-181.

Miaoyu Liu, Jian Zhang, Jianhao Lin, Yongzhen Bao. The advance on the relationship between visual function impairment and falls in the elderly[J]. Chinese Journal of Ophthalmologic Medicine(Electronic Edition), 2019, 09(03): 177-181.

近几十年来,全球人口老龄化问题的突显,使得老年人的生活质量和生命健康问题越来越受到关注。其中,老年人群的视功能减退尤为突出。有流行病学研究结果表明,老年人的跌倒及跌倒后损伤会出现明显的视功能减退,这也成为了老年人视功能损害的风险因素。本文中笔者就视功能损伤的因素与老年人跌倒之间的关系进行综述,并就预防视功能损害对老年人的跌倒提出建议。

In the decades, the quality of life and health of the elderly have attractted more and more attention from the whole society with the aggravation of the global population aging problem. The decline in visual function is common in the elderly population, and several epidemiological studies have shown that visual function decline is a risk factor after falls and post-fall injuries in the elderly. This review explores the relationship between various factors of the visual impairments and falls in the elderly, and provides recommendations for preventing falls in the elderly.

[1]
Bourne R, Flaxman SR, Braithwaite T, et al. Magnitude, temporal trends, and projections of the global prevalence of blindness and distance and near vision impairment: a systematic review and meta-analysis[J]. Lancet Glob Health, 2017, 5(9):e888-e897.
[2]
Thapa R, Bajimaya S, Paudyal G, et al. Prevalence and causes of low vision and blindness in an elderly population in Nepal: the Bhaktapur retina study[EB/OL]. [2019-03-15].

URL    
[3]
Zhao J, Xu X, Ellwein LB, et al. Prevalence of vision impairment in older adults in rural China in 2014 and comparisons with the 2006 china nine-province survey[J]. Am J Ophthalmol, 2018, 185:81-93.
[4]
Li Y, Huang W, Qiqige A, et al. Prevalence and causes of blindness, visual impairment among different ethnical minority groups in Xinjiang Uygur autonomous region, China[EB/OL]. [2019-03-15].

URL    
[5]
Szabo D, Sandor GL, Toth G, et al. Visual impairment and blindness in Hungary[J]. Acta Ophthalmol, 2018, 96(2):168-173.
[6]
Thulasiraj RD, Nirmalan PK, Ramakrishnan R, et al. Blindness and vision impairment in a rural south Indian population: the Aravind Comprehensive Eye Survey[J]. Ophthalmology, 2003, 110(8):1491-1498.
[7]
鲍永珍,曹晓光,黎晓新,等. 西部四地50岁及以上农村人口年龄相关性白内障患病率调查[J]. 中华医学杂志2008, 88(24):1697-1702.
[8]
Clarke EL, Evans JR, Smeeth L. Community screening for visual impairment in older people[EB/OL]. [2019-03-15]. https://doi.org/10.1002/14651858.CD001054.pub3.
[9]
Chang JT, Morton SC, Rubenstein LZ, et al. Interventions for the prevention of falls in older adults: systematic review and meta-analysis of randomised clinical trials[EB/OL]. [2019-03-15].

URL    
[10]
Kenny RA, Rubenstein LZ, Tinetti ME, et al. Summary of the updated American geriatrics society/British geriatrics society clinical practice guideline for prevention of falls in older persons[J]. J Am Geriatr Soc, 2011, 59(1):148-157.
[11]
Deprey SM, Biedrzycki L, Klenz K. Identifying characteristics and outcomes that are associated with fall-related fatalities: multi-year retrospective summary of fall deaths in older adults from 2005-2012[EB/OL]. [2019-03-15].

URL    
[12]
Nilsson M, Eriksson J, Larsson B, et al. Fall Risk assessment predicts fall-related injury, hip fracture, and head injury in older adults[J]. J Am Geriatr Soc, 2016, 64(11):2242-2250.
[13]
周知,龚涛. 老年人跌倒的危险因素[J]. 中华全科医师杂志2016, 15(8):580-582.
[14]
庄嘉元,陈惠英,李玉妹. 福州市社区老年人跌倒现状及相关危险因素[J]. 中国老年学杂志2015, 35(22):6538-6540.
[15]
王红,马宁,郑晓世,等. 秦皇岛市城市社区老年人跌倒现状调查[J]. 河北医药2017, 35(11):1733-1735.
[16]
阮爱超,郑鹏. 苏州市老年公寓老年人跌倒危险因素的研究[J]. 护理管理杂志2017, 17(3):186-188.
[17]
王浩,赵鸣,段蕾蕾,等. 社区60岁及以上老年人跌倒现状及相关因素分析[J]. 伤害医学(电子版), 2016, 5(3):16-21.
[18]
葛坚,王宁利. 眼科学[M]. 北京:人民卫生出版社,2015.
[19]
Crews JE, Chou CF, Stevens JA, et al. Falls Among persons aged ≥65 years with and without severe vision impairment-United States, 2014[J]. MMWR Morb Mortal Wkly Rep201665(17):433-437.
[20]
Yoo JS, Kim CG, Yim J, et al. Factors influencing falls in the frail elderly individuals in urban and rural areas[J]. Aging Clin Exp Res, 2016, 28(4):687-697.
[21]
Abreu HC, Reiners AA, Azevedo RC, et al. Incidence and predicting factors of falls of older inpatients[EB/OL]. [2019-03-15].

URL    
[22]
Hong T, Mitchell P, Burlutsky G, et al. Visual impairment and the incidence of falls and fractures among older people: longitudinal findings from the Blue Mountains Eye Study[J]. Invest Ophthalmol Vis Sci, 2014, 55(11):7589-7593.
[23]
Donoghue OA, Ryan H, Duggan E, et al. Relationship between fear of falling and mobility varies with visual function among older adults[J]. Geriatr Gerontol Int, 2014, 14(4):827-836.
[24]
Klein BE, Moss SE, Klein R, et al. Associations of visual function with physical outcomes and limitations 5 years later in an older population: the Beaver Dam eye study[J]. Ophthalmology2003110(4):644-650.
[25]
Delbaere K, Close JC, Brodaty H, et al. Determinants of disparities between perceived and physiological risk of falling among elderly people: cohort study[EB/OL]. [2019-03-15].

URL    
[26]
Chew FL, Yong CK, Mas AS, et al. The association between various visual function tests and low fragility hip fractures among the elderly: a Malaysian experience[J]. Age Ageing, 2010, 39(2):239-245.
[27]
Ivers RQ, Norton R, Cumming RG, et al. Visual impairment and risk of hip fracture[J]. Am J Epidemiol2000152(7):633-639.
[28]
Felson DT, Anderson JJ, Hannan MT, et al. Impaired vision and hip fracture. The Framingham Study[J]. J Am Geriatr Soc, 1989, 37(6):495-500.
[29]
Haboubi NY, Hudson PR. Factors associated with Colles′ fracture in the elderly[J]. Gerontology, 1991, 37(6):335-338.
[30]
To KG, Meuleners L, Bulsara M, et al. A longitudinal cohort study of the impact of first- and both-eye cataract surgery on falls and other injuries in Vietnam[J]. Clin Interv Aging, 2014, 55(9):743-751.
[31]
Cumming RG, Ivers R, Clemson L, et al. Improving vision to prevent falls in frail older people: a randomized trial[J]. J Am Geriatr Soc, 2007, 55(2):175-181.
[32]
宋伟琼,谭浅,夏朝华. 正常人对比敏感度的特征[J]. 国际眼科杂志2007, 7(4):1060-1062.
[33]
Lord SR, Smith ST, Menant JC. Vision and falls in older people: risk factors and intervention strategies[J]. Clin Geriatr Med, 2010, 26(4):569-581.
[34]
Mantyjarvi M, Laitinen T. Normal values for the Pelli-Robson contrast sensitivity test[J]. J Cataract Refract Surg, 2001, 27(2):261-266.
[35]
Weale RA. Aging and vision[J]. Vision Res198626(9):1507-1512.
[36]
Snowden RJ, Kavanagh E. Motion perception in the ageing visual system: minimum motion, motion coherence, and speed discrimination thresholds[J]. Perception, 2006, 35(1):9-24.
[37]
Schofield AJ, Curzon-Jones B, Hollands MA. Reduced sensitivity for visual textures affects judgments of shape-from-shading and step-climbing behaviour in older adults[J]. Exp Brain Res, 2017, 235(2):573-583.
[38]
Deloss DJ, Watanabe T, Andersen GJ. Improving vision among older adults: behavioral training to improve sight[J]. Psychol Sci, 2015, 26(4):456-466.
[39]
Luetters CM, Keegan TH, Sidney S, et al. Risk factors for foot fracture among individuals aged 45 years and older[J]. Osteoporos Int, 2004, 15(12):957-963.
[40]
To KG, Meuleners LB, Fraser ML, et al. Prevalence and visual risk factors for falls in bilateral cataract patients in Ho Chi Minh City, Vietnam[J]. Ophthalmic Epidemiol, 2014, 21(2):79-85.
[41]
Chippendale T, Boltz M. The Neighborhood environment: perceived fall risk, resources, and strategies for fall prevention[J]. Gerontologist, 2015, 55(4):575-583.
[42]
Kooijman AC, Cornelissen FW. Different aspects of visual impairment as risk factors for falls and fractures in older men and women[J]. J Bone Miner Res, 2005, 20(11): 2061-2063.
[43]
崔浩,王宁利,徐国兴. 眼科学[M]. 北京:北京大学医学出版社,2013:50-55.
[44]
Barr CJ, Mcloughlin JV, van den Berg ME, et al. Visual field dependence is associated with reduced postural sway, dizziness and falls in older people attending a falls clinic[J]. J Nutr Health Aging, 2016, 20(6):671-676.
[45]
Quigley HA, , Broman AT. The number of people with glaucoma worldwide in 2010 and 2020[J]. Br J Ophthalmol, 2006, 90(3):262-267.
[46]
Adachi S, Yuki K, Awano-Tanabe S, et al. Factors associated with the occurrence of a fall in subjects with primary open-angle glaucoma[J]. BMC Ophthalmol, 2017, 17(1):213.
[47]
Tinetti ME, Han L, Lee DS, et al. Antihypertensive medications and serious fall injuries in a nationally representative sample of older adults[J]. JAMA Intern Med, 2014, 174(4):588-595.
[48]
Yuki K, Tanabe S, Kouyama K, et al. The association between visual field defect severity and fear of falling in primary open-angle glaucoma[J]. Invest Ophthalmol Vis Sci, 2013, 54(12):7739-7745.
[49]
Baig S, Diniz-Filho A, Wu Z, et al. Association of fast visual field loss with risk of falling in patients with glaucoma[J]. JAMA Ophthalmol, 2016, 134(8):880-886.
[50]
Yonge AV, Swenor BK, Miller R, et al. Quantifying fall-related hazards in the homes of persons with glaucoma[J]. Ophthalmology, 2017, 124(4):562-571.
[51]
Jonas JB, Cheung C, Panda-Jonas S. Updates on the epidemiology of age-related macular degeneration[J]. Asia Pac J Ophthalmol (Phila), 20176(6):493-497.
[52]
O′Connell C, Mahboobin A, Drexler S, et al. Effects of acute peripheral/central visual field loss on standing balance[J]. Exp Brain Res, 2017, 235(11):3261-3270.
[53]
Timmis MA, Scarfe AC, Pardhan S. How does the extent of central visual field loss affect adaptive gait?[J]. Gait Posture, 2016, 44:55-60.
[54]
Yuki K, Asaoka R, Tsubota K. Investigating the influence of visual function and systemic risk factors on falls and injurious falls in glaucoma using the structural equation modeling[EB/OL]. [2019-03-15]. https://doi.org/10.1371/journal.pone.0129316.
[55]
Lord SR, Menz HB. Visual contributions to postural stability in older adults[J]. Gerontology, 2000, 46(6):306-310.
[56]
刘海峰,许澍翔,马萍,等. 老年人立体视觉的检查与分析[J]. 眼视光学杂志2000, 2(1):42-44.
[57]
Pineles SL, Repka MX, Yu F, et al. Risk of musculoskeletal injuries, fractures, and falls in medicare beneficiaries with disorders of binocular vision[J]. JAMA Ophthalmol, 2015, 133(1):60-65.
[58]
Meuleners LB, Fraser ML, Ng J, et al. The impact of first- and second-eye cataract surgery on injurious falls that require hospitalisation: a whole-population study[J]. Age Ageing, 2014, 43(3):341-346.
[59]
Lord SR, Dayhew J, Howland A. Multifocal glasses impair edge-contrast sensitivity and depth perception and increase the risk of falls in older people[J]. J Am Geriatr Soc, 2002, 50(11):1760-1766.
[60]
陆莉. 中老年人渐进多焦点验光中双眼视觉平衡问题的探讨[J]. 青年时代2018(9):113-114.
[1] 管佳佳, 骆杰, 傅军, 杭群, 朱磊磊, 朱冰. 预防性回肠造口对直肠前切除术后吻合口瘘及低位前切除综合征的影响分析[J]. 中华普通外科学文献(电子版), 2023, 17(05): 332-335.
[2] 李凤仪, 李若凡, 高旭, 张超凡. 目标导向液体干预对老年胃肠道肿瘤患者术后血流动力学、胃肠功能恢复的影响[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 29-32.
[3] 晏晴艳, 雍晓梅, 罗洪, 杜敏. 成都地区老年转移性乳腺癌的预后及生存因素研究[J]. 中华普外科手术学杂志(电子版), 2023, 17(06): 636-638.
[4] 刘跃刚, 薛振峰. 腹腔镜腹股沟疝日间手术在老年患者中的安全性分析[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(06): 711-714.
[5] 徐金林, 陈征. 抗菌药物临床应用监测对腹股沟疝修补术预防用药及感染的影响[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(06): 720-723.
[6] 代格格, 杨丽, 胡媛媛, 周文婷. 手术室综合干预在老年腹股沟疝患者中的应用效果[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(06): 759-763.
[7] 张汪, 徐淑英, 张爱华, 夏芬荣, 汪露. 手术室体温护理结合细节护理干预在老年腹股沟疝围手术期的应用效果[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(05): 635-638.
[8] 赵宏霞, 刘静, 李晓薇, 陈金婵, 汪志霞. 腹腔镜下经阴道子宫全切术联合阴道前后壁修补术治疗老年子宫脱垂效果[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(05): 561-565.
[9] 邱红生, 林树体, 梁朝莹, 劳世高, 何荷. 模拟现实步态训练对膝关节前交叉韧带损伤的功能恢复及对跌倒恐惧的影响[J]. 中华老年骨科与康复电子杂志, 2023, 09(06): 343-350.
[10] 杨鹏, 刘冲. PFNA治疗老年股骨转子间骨折后隐匿性失血及其危险因素的横断面研究[J]. 中华老年骨科与康复电子杂志, 2023, 09(05): 301-306.
[11] 单秋洁, 孙立柱, 徐宜全, 王之霞, 徐妍, 马浩, 刘田田. 中老年食管癌患者调强放射治疗期间放射性肺损伤风险模型构建及应用[J]. 中华消化病与影像杂志(电子版), 2023, 13(06): 388-393.
[12] 姜里蛟, 张峰, 周玉萍. 多学科诊疗模式救治老年急性非静脉曲张性上消化道大出血患者的临床观察[J]. 中华消化病与影像杂志(电子版), 2023, 13(06): 520-524.
[13] 郭震天, 张宗明, 赵月, 刘立民, 张翀, 刘卓, 齐晖, 田坤. 机器学习算法预测老年急性胆囊炎术后住院时间探索[J]. 中华临床医师杂志(电子版), 2023, 17(9): 955-961.
[14] 晏美娟, 邵礼晖. 高水平脂蛋白(a)与无“三高”老年人群小动脉硬化型脑小血管病的相关性研究[J]. 中华脑血管病杂志(电子版), 2023, 17(05): 458-463.
[15] 张许平, 刘佳成, 张舸, 杜艳姣, 李韶, 商丹丹, 王浩, 李艳, 段智慧. CYP2C19基因多态性联合血栓弹力图指导大动脉粥样硬化型非致残性缺血性脑血管事件患者抗血小板治疗的效果[J]. 中华脑血管病杂志(电子版), 2023, 17(05): 477-481.
阅读次数
全文


摘要