
PLoS ONE, Journal Year: 2025, Volume and Issue: 20(1), P. e0317452 - e0317452
Published: Jan. 31, 2025
Vision impairment is a common disability that poses significant challenges to individuals' ability perform activities essential for independent living, including of daily living (ADL) and instrumental (IADL). Despite extensive research, the extent nature these associations remain unclear, particularly across varying levels types vision impairment. This meta-analysis aims estimate between difficulties with ADL IADL. We conducted systematic review relevant literature from inception databases February 2024, using electronic database searches, PubMed, MEDLINE (Ovid), EMBASE, Cochrane CENTRAL, CDSR. The articles were screened title abstract then full-text reports by two reviewers study quality was appraised. Meta-analyses performed random effects models calculate pooled effect size, expressed as odds ratio (OR) corresponding 95% confidence interval (CI) each outcome. Forty-six studies involving 210,960 participants included. A positive large correlation (Correlation coefficient [r] = 0.55, CI 0.37-0.68, p 0.001) IADL (r 0.60, 0.49-0.69, shown. also found associated in (OR 1.77, 1.56-2.01, < 0.0001) 1.96, 1.68-2.30, 0.0001). Subgroup analysis revealed moderate severe resulted 1.78, 1.43-2.21, 0.02) 1.86, 1.57-2.20, 0.0003). Further, there association mild 1.38, 1.23-1.55, Greater impact observed individuals near compared those distance Near significantly higher 1.57-2.01, 1.79, 1.32-2.42, In contrast, showed lower but still 1.19, 1.05-1.34, 0.005) nonsignificant 1.12, 0.90-1.40, 0.30). Meta-regression indicated every one-year increase age, performance decreased an average 0.0147 units (p 0.001), while declined at slower rate 0.0047 units/year 0.031). present several statistical methods indicates impairment, Thus, remains urgent increasingly important public health priority. These findings highlight need targeted measures raise awareness provide rehabilitation eye care examination strategies reduce risk developing disabilities adults elderly who have
Language: Английский