scholarly journals 45 The Association between Sensory Impairment and the Incidence of Fall among Indonesian Elderly

2019 ◽  
Vol 48 (Supplement_4) ◽  
pp. iv9-iv12
Author(s):  
Susiana Nugraha ◽  
Indri Hapsari ◽  
Sabarinah ◽  
Supa Pengpid ◽  
Karl Peltzer
Keyword(s):  
Visual Impairment ◽  
Hearing Impairment ◽  
The Elderly ◽  
Sensory Impairment ◽  
Cross Sectional ◽  
Sensory Impairments ◽  
Visual Acuity Test ◽  
Risk Of Fall ◽  
And Gender ◽  
Acuity Test

Abstract Fall is the biggest caused of injury among elderly. It can be markers of poor health and declining function, and they are often associated with significant morbidity moreover it cause disability in the elderly that may increase health funding. The prevalence of fall among elderly in Indonesia is 8.2%. Most of them occur at home and the environment (63.7%), on the highway (18.9%) and the workplace (8.8%) (Ministry of Health Republic Indonesia, 2019). The normal changes of aging, like poor eyesight or poor hearing, considered as the risk of fall among the elderly. This condition has been linked to all-cause of mortality through three mediating variables i.e. disability in walking, cognitive impairment, and self-rated health (WHO, 2007) . This study aimed to assess the association between sensory impairment (hearing impairment and visual impairment) and the incidence of falls among the Indonesian elderly. This study conducted in cross sectional setting. Populations of this study are the elderly from 3 provinces namely Jakarta, West Java and Yogyakarta and selected in cluster random sampling. A total of 427 elderly (those who are above 60 years old) are participated this study. Hearing impairment is evaluated in self-reported and observation and visual acuity test performed to identify the visual impairment. The incidence of fall is identified by self-reported fall in the last 12 months. The multiple regression analysis identifies the model predictor for fall is statistically significant. The result showed that after adjusted to age and gender, elderly with vision impairment likely to have 2.054 times (95%CI 1.265 -3.335) to fall, the elderly with hearing impairment have 1.66 higher odds to fall (95%CI 1,005 - 2,793); Male Gender OR =0.46 (95% CI 0,288 -0,783) and Ages OR=1.84 (95%CI 1.1.67 -2.894). This finding indicates that after adjusted to ages and gender sensory impairments are increase the risk of fall among Indonesian elderly.

scholarly journals Perceived social support in mothers of typically developing children and mothers of children with hearing sensory impairment

2019 ◽  
Author(s):  
Ghorban Hemati Alamdarloo ◽  
Aghdas Rangani ◽  
Sedighe Rostami ◽  
Monire Morovat
Keyword(s):  
Social Support ◽  
Visual Impairment ◽  
Hearing Impairment ◽  
Perceived Social Support ◽  
Sensory Impairment ◽  
Typically Developing ◽  
Typically Developing Children ◽  
Normal Children ◽  
Sensory Impairments ◽  
One Way Anova

Background and Aim: Children with sensory impairments can bring stress to their parents. The purpose of this study was to compare per­ceived social support in mothers of children with hearing impairment, visual impairment, and typically developing children in Shiraz City, Iran.Methods: The study sample consisted of 139 mothers of normal children and children with sensory impairment (50 mothers of children with hearing impairment, 39 mothers of children with visual impairment, and 50 mothers of typ­ically developing children). The Multidimensio­nal Scale of Perceived Social Support was used to measure perceived social support. One-way ANOVA and multivariate analysis of variance (MANOVA) were respectively used for analy­zing the total score of perceived social support and the scores of its subscales. Conclusion: The provision of counseling servi­ces and the implementation of appropriate inter­ventions for mothers of children with hearing impairment and mothers of children with visual impairment is necessary.

scholarly journals Self-skincare knowledge and practice described by elderly persons in the mid-west of Minas Gerais

2016 ◽  
Vol 19 (1) ◽  
pp. 45-56 ◽  
Author(s):  
Juliana Ladeira Garbaccio ◽  
Amanda Domingos Ferreira ◽  
Amanda Laís Gonçalves Gama Pereira
Keyword(s):  
The Elderly ◽  
Median Number ◽  
Cross Sectional Study ◽  
Skin Aging ◽  
Minas Gerais ◽  
Sample Population ◽  
Elderly Persons ◽  
Cross Sectional ◽  
Basic Care ◽  
And Gender

The present study aimed to assess the knowledge and practices reported by the elderly in relation to basic care of one's skin. A cross sectional study was performed from November 2011 to August 2012 in Arcos, Minas Gerais, based on a structured questionnaire administered to 250 elderly persons, with answers statistically analyzed. Knowledge and practices of self-skincare were evaluated from the median number of ten questions answered by the elderly. Most of the sample population were women (54.8%), aged between 60 and 69 years (52.4%), with a primary education (71.6%) and working in a job where they were exposed to direct sunlight (58.0%). The majority (76.4%) said they did not use protective sun filter despite considering it important (77.6%). The use of body moisturizing creams was reported by 55.6%. An association (p<0.05) was identified between the variables practice/knowledge and gender and practice outdoor activity. Further studies can be conducted as a result of the present research to clarify factors related to non-adherence to self-skincare, and educational measures should be put in place for the entire population, regardless of age, to prevent pathological skin aging.

scholarly journals Causal Relations of Factors Representing the Elderly Independence in Doing Activities of Daily Livings Using S3C-Latent Algorithm

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Christantie Effendy ◽  
Nurhaeka Tou ◽  
Ridho Rahmadi
Keyword(s):  
Causal Relationship ◽  
Psychological Health ◽  
Latent Variables ◽  
The Elderly ◽  
Nutrition And Health ◽  
Cross Sectional ◽  
Factors Associated ◽  
A Value ◽  
And Gender ◽  
Relationship Of

The growth of the elderly population in Indonesia from year to year has always increased, followed by the problem of decreasing physical strength and psychological health of the elderly. These problems can affect the increase in dependence and decrease the independence of the elderly in ADL. In previous studies, various factors affect independence in ADLs such as cognitive, psychological, economic, nutrition, and health. However, In general, these studies only focus on predictive analysis or correlation of variables, and no research has attempted to identify the casual relationship of the elderly independence factors. Therefore, this study aimed to determine the mechanism of the causal relationship of the factors that influence the independence of the elderly in ADLs using a casual method called the Stable Specification Search for Cross-Sectional Data With Latent Variables (S3C-Latent). In this research we found strong causal and associative relationships between factors.The causal relationship of elderly independence in ADLs was influenced by cognitive, psychological, nutritional and health factors and gender with α values respectively (0.61; 0.61;1.00, 0.65;0.70). Cognitive factors associated with psychological, economic, nutrition, and health with a value of α (0.77; 1.00; 1.00; 0.64). Furthermore, psychological factors associated with economy, nutrition, and health with a value of α (0.77; 0.95; 0.63). Bisides, economic factors are associated with nutrition and health with α values of ( 0.86; 0.75) and nutrition with health with α values of 0.64. The last association was found between nutritional factors and gender with a value of α 0.76. This research is expected to increase the independence of the elderly in carrying out daily activities.

Kinaesthetic Acuity and Motor Skills of Preschool Children with a Congenital Visual Impairment Preliminary Findings

1997 ◽  
Vol 14 (1) ◽  
pp. 72-79 ◽  
Author(s):  
Shirley R. Wyver ◽  
David J. Livesey
Keyword(s):  
Preschool Children ◽  
Visual Impairment ◽  
Motor Skills ◽  
Motor Development ◽  
Verbal Ability ◽  
Cross Sectional ◽  
Movement Assessment ◽  
The Difference ◽  
The Impact ◽  
Acuity Test

ABSTRACTThis paper presents the preliminary findings of a study examining the impact of congenital visual impairment on the development of motor skills and kinaesthetic acuity. Studies of children with a visual impairment have consistently noted deficits in motor development. It was hypothesised that these deficits may be linked with poor kinaesthetic sensitivity. Six preschool children with a visual impairment (mean age 55.17 months) were compared to nine classmates (mean age 56.67 months) matched for age, gender, and general verbal ability, on modified tasks from the Movement Assessment Battery for Children (M-ABC) and the Kinaesthetic Acuity Test (KAT). Although the difference between groups was significant for one task only (static balance), it was noted that all differences observed were in the hypothesised direction. Further longitudinal or cross-sectional data are required to provide a more comprehensive analysis of the relationship between vision impairment, kinaesthetic development, and motor skills.

scholarly journals Temporal trends in the prevalence and causes of visual impairment in the South Indian state of Telangana: a population-based cross-sectional study

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e029114 ◽  
Author(s):  
Srinivas Marmamula ◽  
Rohit C Khanna ◽  
Shashank Yellapragada ◽  
Rajesh Challa ◽  
Javed Mohd ◽  
...  
Keyword(s):  
Visual Impairment ◽  
Temporal Trends ◽  
Population Based ◽  
Cross Sectional Study ◽  
Significant Decline ◽  
Cross Sectional ◽  
Care Services ◽  
South Indian ◽  
Indian State ◽  
And Gender

ObjectivesTo investigate the temporal trends in the prevalence and causes of visual impairment (VI) in South India.DesignPopulation-based cross-sectional studies conducted during the years 2011–2012 and 2017 using identical study methods and in geographical locations are compared. The L V Prasad Eye Institute established services in Khammam and not in Warangal district after the 2011–2012 study.SettingKhammam and Warangal districts in Telangana, India.ParticipantsIn total, 5357 participants aged ≥40 years were examined from two districts in the 2011–2012 study and 4923 participants were examined in the 2017 study.Main outcome measuresAge-adjusted and gender-adjusted temporal trends in the prevalence and causes of VI.Blindness and moderate VI (MVI) were defined as presenting visual acuity worse than 6/60 and 6/18–6/60 in the better eye, respectively. VI included MVI and blindness.ResultsNearly 2500 participants were examined in each location in both the 2011–2012 and 2017 studies. In Khammam district, overall VI declined by 2.5% from 15.5% to 13.0% (p<0.001). While there was no significant change in MVI (p=0.566), blindness declined by 3.0% from 5.4% to 2.4% (p<0.001). In Warangal district, the overall VI remained unchanged (p=0.60). While MVI increased by 3% from 9.3% to 12.3% (p=0.001), blindness declined by 3.5% from 6.5% to 3.0% (p<0.001). While MVI due to cataract increased in both districts, there was a significant decline in MVI due to refractive errors in Khammam.ConclusionThere was a significant decline in VI in Khammam district but not in Warangal district. The differential trends in prevalence and causes of VI can be explained by the availability and uptake of eye care services in these two districts.

Associations Between Vision, Hearing, and Olfactory Impairment With Handgrip Strength

2019 ◽  
Vol 32 (7-8) ◽  
pp. 654-659
Author(s):  
Bamini Gopinath ◽  
Gerald Liew ◽  
George Burlutsky ◽  
Paul Mitchell
Keyword(s):  
Handgrip Strength ◽  
Sensory Loss ◽  
Sensory Impairment ◽  
Test Results ◽  
Cross Sectional ◽  
Blue Mountains ◽  
Olfactory Loss ◽  
Sensory Impairments ◽  
Blue Mountains Eye Study ◽  
Olfactory Impairment

Objectives: We aimed to assess the cross-sectional associations between sensory impairments (vision, hearing, and/or olfactory loss) and handgrip strength. Method: In the Blue Mountains Eye Study, 947 participants aged 65+ years had handgrip strength measured using a dynamometer. Visual impairment was defined as visual acuity <20/40 (better eye), and hearing impairment as average pure-tone air conduction threshold >25 dBHL (500-4,000 Hz). Olfaction was measured using the San Diego Odor Identification Test. Results: Marginally significant associations between sensory impairment and handgrip strength were observed after multivariable adjustment. For example, women with two or three sensory impairments had lower adjusted mean handgrip strength (17.47 ± 0.5 kg) versus women who had no sensory loss (18.59 ± 0.3 kg; p = .06) or only one sensory impairment (18.58 ± 0.3 kg; p = .05), respectively. No significant associations were observed in men. Discussion: Women who had multiple sensory impairments had reduced muscle strength as indicated by ~1.1 kg lower mean handgrip strength.

scholarly journals The Flat feet Increased The Postural Instability on The Elderly in Nursing Home

2017 ◽  
Vol 6 (01) ◽  
pp. 53
Author(s):  
Fathia Larasati ◽  
Titi Moertolo ◽  
Kirana Anggraeni
Keyword(s):  
Postural Stability ◽  
Postural Sway ◽  
The Elderly ◽  
White Paper ◽  
Cross Sectional Study ◽  
Body Sway ◽  
Balance Assessment ◽  
Cross Sectional ◽  
Flat Feet ◽  
Risk Of Fall

Introduction: Flat feet or flatfeet are the postures that have a low medial longitudinal arch. The prevalence ofFlat feet was 10-25% of adults population. The lower feet arch might have an impact on body sway have duringstanding posture. Furthermore, increasing of the postural sway could have the higher risk of fall in elderly, thathas a prevalence of 30-50%. The aim study to find the correlation between the Flat feet posture with posturalstability, to prevent the risk of fall in the elderly.Method: This design was observational cross-sectional study. The study conducted in the elderly nursing home.The posture was examined by ink feet print on white paper. The Tinetti Balance Assessment assessed the posturalstability.Result: The subjects were 84 elderly, mostly were 60-74 years old, and 46 (54,8%) were female. The mostprevalence of the postural stability was the low risk of fall (59,5%). The frequency of Flat feet was 26 (31%).There was a relationship between Flat feet with postural stability in elderly (p = 0,020).Conclusion: There was a correlation between the Flat feet and the postural stability on elderly in the nursinghome.Keywords: Flat feet, postural stability, elderly

scholarly journals The evaluation of a novel tool to remotely assess visual acuity in chronic uveitis patients during the COVID-19 pandemic

2021 ◽  
Author(s):  
J.L.J. Claessens ◽  
J. van Egmond ◽  
J.H. de Boer ◽  
R.P.L. Wisse
Keyword(s):  
Visual Acuity ◽  
Healthy Population ◽  
Index Test ◽  
Cross Sectional ◽  
Web Based ◽  
Promising Tool ◽  
Accuracy Study ◽  
Visual Acuity Test ◽  
Acuity Test ◽  
The Web

AbstractBackgroundRestrictions due to the recent COVID-19 pandemic catalysed the deployment of telehealth solutions. A novel web‐based visual acuity test, validated in a healthy population, may be of great value in the follow‐up of uveitis patients.ObjectiveTo determine the measurement accuracy of the unsupervised remote Easee web‐based visual acuity test in uveitis patients, when compared to a conventional in‐hospital assessment.MethodsCross‐sectional diagnostic accuracy study. Between April 2020 and September 2020, consecutive adult uveitis patients were invited for the web‐based visual acuity test (index test) within two weeks prior to their conventional in‐hospital assessment (reference test).ResultsA total of 269 patients were invited by mail, of whom 84 visited the website (31%). Ultimately 98 eyes met the criteria for statistical analysis. The mean difference between the two tests was low and non‐significant: 0.02 logMAR (SD 0.12, P = 0.085). The 95% limits of agreement ranged from ‐0.21 to 0.26 logMAR. No relevant differences were identified in clinical characteristics between subgroups with a good performance (i.e. difference between the tests 0.15 logMAR) or underperformance (i.e. difference >0.15 logMAR) on the web‐based test.ConclusionThe web‐based visual acuity test is a promising tool to remotely assess visual acuity in the majority of uveitis patients, especially relevant when access to ophthalmic care is limited. No association between patient‐ or uveitis‐related variables and (under)performance of the test were identified. These outcomes underline the potential of remote vision testing in other common ophthalmic conditions. A proper implementation of this web‐based tool in health care could be of great value for revolutionizing teleconsultations.

scholarly journals Evaluation of elderly patients with hearing impairment.

2020 ◽  
Vol 27 (10) ◽  
pp. 2154-2158
Author(s):  
Syed Ali Naqi ◽  
Syed Maisam Ali ◽  
Arslan Akhtar ◽  
Tabassum Aziz ◽  
Tahira Sajid ◽  
...  
Keyword(s):  
Hearing Impairment ◽  
Past History ◽  
Clinical History ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Variable Degree ◽  
Cross Sectional ◽  
Detailed Clinical History ◽  
History Of ◽  
Study Setting

Hearing is decreased in later age is due to aging and is normally seen in most of the elderly people all over the world. Objectives: To ascertain the degree of hearing in elders in relation to age, pattern and extent of hearing weakness in old age so that interventional strategies can be planned to improve their wellbeing. Study Design: Cross Sectional Study. Setting: ENT Outdoor Clinic of Akbar Niazi Teaching Hospital of Islamabad Medical and Dental College, Bhara Kahu, Islamabad. Period: December 2017 to October 2018. Material & Methods: 200 patients were part of the study with age > 50 years and no past history of drug therapy. Data was gathered by detailed clinical history, clinical examination and audiometric findings. Result: 57% patients were found with normal hearing and 43% had variable degree of hearing deterioration. Highest number of hearing weakness was found in 9th decade. Most of hearing deterioration was found in both the ears and that of sensorineural in type. Conclusion: Sensorineural type of hearing impairment is very frequently occurring problem seen in the latter part of life in our community. The frequency and severity of decreased hearing is directly proportional to age.

scholarly journals Associations Between Self-Reported Sensory Impairment and Risk of Cognitive Decline and Impairment in the Health and Retirement Study Cohort

2019 ◽  
Vol 75 (6) ◽  
pp. 1230-1242 ◽  
Author(s):  
Asri Maharani ◽  
Piers Dawes ◽  
James Nazroo ◽  
Gindo Tampubolon ◽  
Neil Pendleton ◽  
...  
Keyword(s):  
Cognitive Decline ◽  
Visual Impairment ◽  
Hearing Impairment ◽  
Health And Retirement Study ◽  
Study Cohort ◽  
Sensory Impairment ◽  
Cox Proportional Hazard ◽  
Adjusted Incidence ◽  
Retirement Study ◽  
Dual Sensory Impairment

Abstract Objectives We aimed to determine whether self-assessed single (hearing or visual) and dual sensory (hearing and visual) impairments are associated with cognitive decline and incident possible cognitive impairment, no dementia (CIND) and probable dementia. Method Data were drawn from the 1996–2014 surveys of the Health and Retirement Study (HRS), involving 19,618 respondents who had no probable dementia and who were aged 50 years or older at the baseline. We used linear mixed models to test the association between self-assessed sensory impairment and cognitive decline followed by a Cox proportional hazard model to estimate the relative risk of incident possible CIND and probable dementia associated with the presence of sensory impairment. Results Respondents with self-assessed single and dual sensory impairment performed worse in cognitive tests than those without sensory impairment. The fully adjusted incidence of developing possible CIND was 17% higher for respondents with hearing impairment than those without hearing impairment. Respondents with visual impairment had 35% and 25% higher risk for developing possible CIND and probable dementia, respectively, than those without visual impairment. Respondents with dual sensory impairment at baseline were 38% and 26% more likely to develop possible CIND and probable dementia, respectively, than those with no sensory impairment. Discussion Self-assessed sensory impairment is independently associated with cognitive decline and incident possible CIND and probable dementia. Further studies are needed to identify the mechanism underlying this association and to determine whether treatment of sensory impairment could ameliorate cognitive decline and delay the onset of dementia among older adults.

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