Huang Wenbin, Gao Kai, Liu Yaoming, Liang Mengyin, Zhang Xiulan
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China.
Hainan Eye Hospital and Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Haikou, China.
J Ophthalmol. 2020 Apr 21;2020:9606420. doi: 10.1155/2020/9606420. eCollection 2020.
To evaluate the impact of glaucoma on vision-related quality of life and physical activity.
This study included 50 glaucoma patients and 50 healthy control subjects. Sociodemographic and clinical data were collected from all subjects. A Chinese version of the NEI VFQ-25 was used to evaluate the quality of life. Objective physical activity was assessed by wearing an accelerometer for 7 consecutive days.
No significant difference was found in sociodemographic data between the two groups (all < 0.05). Visual acuity and visual field scores were worse in the glaucoma group than in the control group (all < 0.001). The VFQ-25 scores indicated significantly lower scores for ocular pain, social function, mental health, role difficulties, and color vision in the glaucoma group than in the normal group (all < 0.05). The average daily step count was lower in the glaucoma group than in the normal group. High, moderate, and low average daily step counts in the glaucoma group were associated with early-, moderate-, and advanced-stage glaucoma, respectively, while the step count was significantly lower in the advanced-stage glaucoma group than in the control group (=0.037). A positive relationship was found between the average daily step count and social function and mental health (both < 0.05).
We demonstrated an adverse impact of glaucoma on psychological function and daily physical activity. Social function and mental health showed declines in glaucoma patients, and physical activity was limited in patients with advanced-stage glaucoma.
评估青光眼对视力相关生活质量和身体活动的影响。
本研究纳入50例青光眼患者和50例健康对照者。收集所有受试者的社会人口统计学和临床数据。使用中文版的NEI VFQ - 25评估生活质量。通过连续7天佩戴加速度计评估客观身体活动情况。
两组间社会人口统计学数据无显著差异（均P<0.05）。青光眼组的视力和视野评分低于对照组（均P<0.001）。VFQ - 25评分显示，青光眼组在眼痛、社会功能、心理健康、角色困难和色觉方面的得分显著低于正常组（均P<0.05）。青光眼组的平均每日步数低于正常组。青光眼组的高、中、低平均每日步数分别与早期、中期和晚期青光眼相关，而晚期青光眼组的步数显著低于对照组（P = 0.037）。平均每日步数与社会功能和心理健康呈正相关（均P<0.05）。
我们证明了青光眼对心理功能和日常身体活动有不利影响。青光眼患者的社会功能和心理健康下降，晚期青光眼患者的身体活动受限。
