2658-6533Research Results in Biomedicine2658-653310.18413/2658-6533-2025-11-1-0-93688Medicine (miscellaneous)<strong>Features of testing the basic functional activity of patients with sarcopenic obesity and visual impairment</strong><br /> &nbsp;<strong>Features of testing the basic functional activity of patients with sarcopenic obesity and visual impairment</strong><br /> &nbsp;AgarkovNikolai M.AgarkovNikolai M.vitalaxen@mail.ruAgarkovaVera N.AgarkovaVera N.lqmpl@yandex.ruKopylovAndrey E.KopylovAndrey E.mntk@mntk-tambov.ru202511100

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&plusmn;0,03 points) with a statistically significant difference both in relation to patients with sarcopenic obesity and glaucoma (1,52&plusmn;0,02 points) (p&lt;0,01) and to other types of activity (p&lt;0,01). Severe limitations of activity in the daily life of patients with sarcopenic obesity and cataracts are caused by nail clipping (1,75&plusmn;0,03 points) versus 1,43&plusmn;0,04 points in glaucoma (p&lt;0,01). However, text writing in patients with sarcopenic obesity and cataracts is highly dependent (1,68&plusmn;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&plusmn;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

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&plusmn;0,03 points) with a statistically significant difference both in relation to patients with sarcopenic obesity and glaucoma (1,52&plusmn;0,02 points) (p&lt;0,01) and to other types of activity (p&lt;0,01). Severe limitations of activity in the daily life of patients with sarcopenic obesity and cataracts are caused by nail clipping (1,75&plusmn;0,03 points) versus 1,43&plusmn;0,04 points in glaucoma (p&lt;0,01). However, text writing in patients with sarcopenic obesity and cataracts is highly dependent (1,68&plusmn;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&plusmn;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

daily lifesarcopenic obesitybasic functional activityvisual deficitelderlycataractglaucomadaily lifesarcopenic obesitybasic functional activityvisual deficitelderlycataractglaucomaСписок литературыBarkmeier AJ. Toward Optimal Screening for Diabetic Retinopathy: Balancing Precision and Pragmatism. Mayo Clinic Proceedings. 2021;96(2):282-284. DOI: https://doi.org/10.1016/j.mayocp.2020.12.008Kwon JW, Jee D, La TY. Neovascular glaucoma after vitrectomy in patients with proliferative diabetic retinopathy. Medicine. 2017;96(10):6263-6268. DOI: https://doi.org/10.1097/md.0000000000006263Tan TE, Wong TY. Diabetic retinopathy: Looking forward to 2030. Frontiers in Endocrinology. 2023;13:1077669. DOI: https://doi.org/10.3389/fendo.2022.1077669Wu TH, Jiang B, Liu WM, et al. Time trends and gender disparities of Chinese cataract burden and their predictions. International Journal of Ophthalmology. 2023;16(9):1527-1534. DOI: https://doi.org/10.18240/ijo.2023.09.21Han X, Zou M, Liu Z, et al. Time trends and heterogeneity in the disease burden of visual impairment due to cataract, 1990-2019: A global analysis. Frontiers in Public Health. 2023;11:1140533. DOI: https://doi.org/10.3389/fpubh.2023.1140533Lin Y, Jiang B, Cai Y, et al. The Global Burden of Glaucoma: Findings from the Global Burden of Disease 2019 Study and Predictions by Bayesian Age-Period-Cohort Analysis. Journal of Clinical Medicine. 2023;12(5):1828. DOI: https://doi.org/10.3390/jcm12051828Seth PK, Senthil S, Das AV, et al. Prevalence of glaucoma types, clinical profile and disease severity at presentation: Tertiary Institute based cross-sectional study from South India. Indian Journal of Ophthalmology. 2023;71(10):3305-3312. DOI: https://doi.org/10.4103/ijo.ijo_3305_22Galuszka M, Pojda-Wilczek D, Karska-Basta I. Age-Related Macular or Retinal Degeneration? Medicina. 2023;59(5):920. DOI: https://doi.org/10.3390/medicina59050920Hamati J, Prashanthi S, Narayanan R, et al. Prevalence of age-related macular degeneration and associated factors in Indian cohort in a tertiary care setting. Indian Journal of Ophthalmology. 2023;71(10):3361-3366. DOI: https://doi.org/10.4103/ijo.ijo_199_23Kee QT, Rahman MH, Fadzil NM, et al. The impact of near visual impairment on instrumental activities of daily living among community-dwelling older adults in Selangor. BMC Research Notes. 2021;14(1):395. DOI: https://doi.org/10.1186/s13104-021-05813-3Pasdar Y, Darbandi M, Rezaeian S, et al. Association of Obesity, Sarcopenia, and Sarcopenic Obesity With Hypertension in Adults: A Cross-Sectional Study From Ravansar, Iran During 2014-2017. Frontiers in Public Health. 2022;9:705055. DOI: https://doi.org/10.3389/fpubh.2021.705055Kopylov AE, Osmanov RE. Test of basic functional activity of patients with visual impairment. Problems and successes of modern gerontology and geriatrics. 2019;1:26-28. Russian.Tornero-Quinones I, Saez-Padilla J, Diaz AE, et al. Functional Ability, Frailty and Risk of Falls in the Elderly: Relations with Autonomy in Daily Living. International Journal of Environmental Research and Public Health. 2020;17(3):1006-1015. DOI: https://doi.org/10.3390/ijerph17031006Guthrie DM, Declercq A, Finne-Soveri H, et al. The Health and Well-Being of Older Adults with Dual Sensory Impairment (DSI) in Four Countries. PLoS ONE. 2016;11(5):e0155073. DOI: https://doi.org/10.1371/journal.pone.0155073Crews JE, Campbell VA. Vision impairment and hearing loss among community-dwelling older Americans: implications for health and functioning. American Journal of Public Health. 2004;94(5):823-829. DOI: https://doi.org/10.2105/ajph.94.5.823Moreno X, Albala C, Lera L, et al. Gender, nutritional status and disability-free life expectancy among older people in Santiago, Chile. PLoS ONE. 2018;13(3):e0194074. DOI: https://doi.org/10.1371/journal.pone.0194074Chan YM, Sahril N, Chan YY, et al. Vision and Hearing Impairments Affecting Activities of Daily Living among Malaysian Older Adults by Gender. International Journal of Environmental Research and Public Health. 2021;18(12):6271. DOI: https://doi.org/10.3390/ijerph18126271Falahaty K, Cheong LS, Isa MBHM. Disability among Elderly People with Visual Impairment in Two Welfare Homes in Malaysia. Biomedical and Pharmacology Journal. 2015;8(2):1369-1382. DOI: http://dx.doi.org/10.13005/bpj/897Norliana I. Pattern and Risk Factors of Functional Limitation and Physical Disability among Community-Dwelling Elderly in Kuala Pilah, Malaysia: A 12-Month Follow-Up Study. [dissertation]. Kuala Lumpur; 2016.Carmona-Torres JM, Rodr&iacute;guez-Borrego MA, Laredo-Aguilera JA, et al. Disability for basic and instrumental activities of daily living in older individuals. PLoS ONE. 2019;14(7):e0220157. DOI: https://doi.org/10.1371/journal.pone.0220157Duba AS, Rajkumar AP, Prince M, et al. Determinants of disability among the elderly population in a rural south Indian community: the need to study local issues and contexts. International Psychogeriatrics. 2012;24(2):333-341. DOI: https://doi.org/10.1017/S1041610211001669Yan Y, Du Y, Li X, et al. Physical function, ADL, and depressive symptoms in Chinese elderly: Evidence from the CHARLS. Frontiers in Public Health. 2023;11:1017689. DOI: https://doi.org/10.3389/fpubh.2023.1017689