Dataset Information

Association Between Visual Impairment and Decline in Cognitive Function in a Multiethnic Asian Population.

ABSTRACT:

Importance

With the rapidly aging population, the burden of visual impairment (VI) and cognitive decline is expected to increase. Previous cross-sectional studies suggest an association between these 2 health outcomes. However, few longitudinal reports have examined this association, and to our knowledge, no studies have been performed in Asian populations. Further investigation on this association may help to better identify individuals at risk of cognitive decline.

Objective

To examine the longitudinal association between VI and decline in cognitive function in a multiethnic Asian population.

Design, setting, and participants

In this longitudinal, population-based, prospective cohort study, Chinese, Indian, and Malay adults 60 years or older at baseline were recruited from the Singapore Epidemiology of Eye Diseases (SEED) study. At baseline, participants from the SEED study were recruited under 3 studies: the Singapore Malay Eye Study (SiMES; 2004-2006), the Singapore Indian Eye Study (SINDI; 2007-2009), and the Singapore Chinese Eye Study (SCES; 2009-2011). Eligible participants were reexamined after 6 years (2011-2013 for SiMES, 2013-2015 for SINDI, and 2015-2017 for SCES). Data analysis was performed from November 1 to 24, 2019.

Exposures

Visual impariment was defined as presenting visual acuity worse than 20/40 based on the better-seeing eye.

Main outcomes and measures

Cognitive function was assessed using a locally validated Abbreviated Mental Test (AMT). The association between baseline VI and change in AMT score was determined using the multivariable linear regression model adjusting for baseline age; sex; race/ethnicity; presence of diabetes, hyperlipidemia, hypertension, and chronic kidney disease; history of cardiovascular disease; smoking status; alcohol intake; body mass index; educational status; and AMT score.

Results

A total of 2478 individuals (1256 [50.7%] male; 1073 Chinese, 768 Indian, and 637 Malay adults) with mean (SD) age of 67.6?(5.6) years were evaluated, of whom 489 (19.7%) had reduction in AMT scores over 6 years. Baseline VI was associated with a decrease in AMT score over 6 years (??=?-0.27; 95% CI, -0.37 to -0.17; P?Conclusions and relevanceIn this study, poor vision was independently associated with a decline in cognitive function. Causes of visual loss in these cases were mostly preventable, further suggesting that preserving good vision may be an important interventional strategy for mitigating cognitive decline.

SUBMITTER: Lim ZW

PROVIDER: S-EPMC7180417 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Association Between Visual Impairment and Decline in Cognitive Function in a Multiethnic Asian Population.

Lim Zhi Wei ZW Chee Miao-Li ML Soh Zhi Da ZD Cheung Ning N Dai Wei W Sahil Thakur T Tao Yijin Y Majithia Shivani S Sabanayagam Charumathi C Chen Christopher Li-Hsian CL Wong Tien Yin TY Cheng Ching-Yu CY Tham Yih-Chung YC

JAMA network open 20200401 4

<h4>Importance</h4>With the rapidly aging population, the burden of visual impairment (VI) and cognitive decline is expected to increase. Previous cross-sectional studies suggest an association between these 2 health outcomes. However, few longitudinal reports have examined this association, and to our knowledge, no studies have been performed in Asian populations. Further investigation on this association may help to better identify individuals at risk of cognitive decline.<h4>Objective</h4>To ...[more]

PMID: 32324240

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Dataset Information

Association Between Visual Impairment and Decline in Cognitive Function in a Multiethnic Asian Population.

Importance

Objective

Design, setting, and participants

Exposures

Main outcomes and measures

Results

Publications

Association Between Visual Impairment and Decline in Cognitive Function in a Multiethnic Asian Population.

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