Dana Center for Preventive Ophthalmology, Wilmer Eye Institute, Baltimore, Maryland.
Department of Medicine (Geriatrics), Duke University Medical Center, Durham, North Carolina.
Gerontologist. 2020 Aug 14;60(6):989-995. doi: 10.1093/geront/gnz117.
There is limited research examining the impact of visual impairment (VI) on older adults while considering the complexities of aging, leaving gaps in our understanding of how health consequences of VI might be averted. We created a framework integrating concepts from disability, geriatrics, and ophthalmology that conceptualizes how VI challenges successful aging. Here, VI influences multiple functional domains, and increases the risk of negative health outcomes. This model acknowledges that common causes, such as risk factors that affect eyes and other systems simultaneously, may also drive the relationship between VI and health outcomes. Finally, the model highlights how the impact of VI on aging outcomes can be addressed at multiple intervention points.
关于视障(VI)对老年人的影响的研究有限,而这些老年人的情况较为复杂,这使得我们对于如何避免 VI 带来的健康后果的理解存在空白。我们创建了一个框架,整合了残疾、老年医学和眼科学的概念,该框架概念化了 VI 如何挑战成功老龄化。在这里,VI 影响多个功能领域,并增加了负面健康结果的风险。该模型承认,可能同时影响眼睛和其他系统的风险因素等常见原因,也可能会影响 VI 与健康结果之间的关系。最后,该模型强调了如何在多个干预点解决 VI 对视障老年人的老龄化结果的影响。