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DOI: 10.18413/2658-6533-2025-11-1-0-9

Features of testing the basic functional activity of patients with sarcopenic obesity and visual impairment
 

Background: Various functional deficits, including visual deficits, as well as sarcopenic obesity, cause a decrease in activity in the daily life of patients. These deficits are challenging to identify with existing assessment tools, including the Barthel scale, which does not fully capture the extent of visual impairment. The aim of the study: Approbation in clinical gerontological practice of a test developed and validated by us to assess the basic functional activity of patients with sarcopenic obesity and visual impairment due to various ophthalmopathology. Materials and methods: 125 elderly patients with sarcopenic obesity and cataracts, 138 patients of the same age with sarcopenic obesity and primary glaucoma were examined in clinical conditions. The study of sarcopenic obesity was conducted in accordance with the criteria established by the European Working Group on Sarcopenia in Older People and the method of carpal dynamometry. The investigation of activity in the everyday lives of these patient groups was conducted in accordance with a test that had been previously developed and validated by our research team for the assessment of basic functional activity in visual impairments. Results: Threading a needle causes the greatest dependence on others in patients with sarcopenic obesity and cataracts (1,84±0,03 points) with a statistically significant difference both in relation to patients with sarcopenic obesity and glaucoma (1,52±0,02 points) (p<0,01) and to other types of activity (p<0,01). Severe limitations of activity in the daily life of patients with sarcopenic obesity and cataracts are caused by nail clipping (1,75±0,03 points) versus 1,43±0,04 points in glaucoma (p<0,01). However, text writing in patients with sarcopenic obesity and cataracts is highly dependent (1,68±0,04 points) and occupies the third rank among all components of basic functional activity, whereas in patients with sarcopenic obesity and glaucoma, text reading is in this position (1,38±0,03 points) with a statistically significant difference. Conclusion: The use of the activity assessment test created by us in the daily life of patients with sarcopenic obesity and visual impairment allowed us to establish the leading limitations and their features in patients with visual deficits of various origins

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