Effect of sarcopenic obesity and visual deficits on the physical functionality of elderly patients
Background: Sarcopenic obesity and visual deficits represent widespread functional deficits, but despite this, their significance in changing the physical functionality of elderly patients with sarcopenic obesity and visual deficits has not been analyzed. The aim of the study:To study the effect of sarcopenic obesity and visual deficits on the physical functionality of elderly patients. Materials and methods: 325 patients aged 60-74 years with sarcopenic obesity and visual deficits were examined at the specialized ophthalmology department. The diagnosis of ophthalmopathology was carried out in accordance with the Clinical Recommendations adopted in the Russian Federation and based on the results of a comprehensive instrumental ophthalmological examination. Sarcopenic obesity was identified based on the recommendations proposed by the European Working Group on sarcopenia in older people (EWGSOP2, 2018). Physical functionality was assessed by muscle strength, gait speed, daily motor activity in the house/apartment, and daily motor activity outside the house/apartment. The control consisted of 280 patients without sarcopenic obesity and visual deficits of the same age. Results: Elderly patients with sarcopenic obesity and visual deficits showed a decrease in muscle strength to 16.1±0.4 kg, gait speed to 0.8±0.06 m/sec, daily motor activity in the house/apartment to 1.8±0.05 hours and daily motor activity outside the house/apartment to 0.6±0.03 hours versus 21.6±0.5 kg, 1.1±0.05 m/sec, 2.2±0.07 hours and 1.1±0.04 hours, respectively, in the comparison group. The association of sarcopenic obesity and visual deficit with parameters of physical functionality turned out to be highest for daily motor activity outside the home/apartment with a chance ratio of 3.185 with 95% confidence limits of 2.963-3.458. Conclusion: Sarcopenic obesity and visual deficits significantly impair the physical functionality of elderly patients
Kopylov AE. Effect of sarcopenic obesity and visual deficits on the physical functionality of elderly patients. Research Results in Biomedicine. 2025;11(3):558-573. Russian.
DOI: 10.18413/2658-6533-2025-11-3-0-9
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