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The Bidirectional Relationship between Vision and Cognition: A Systematic Review and Meta-analysis

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Τίτλος: The Bidirectional Relationship between Vision and Cognition: A Systematic Review and Meta-analysis
Συγγραφείς: Vu, Tai Anh, Fenwick, Eva K., Gan, Alfred T.L., Man, Ryan E.K., Tan, Benjamin K.J., Gupta, Preeti, Ho, Kam Chun, Reyes-Ortiz, Carlos A., Trompet, Stella, Gussekloo, Jacobijn, O'Brien, Joan M., Mueller-Schotte, Sigrid, Wong, Tien Yin, Tham, Yih Chung, Cheng, Ching Yu, Lee, Allen T.C., Rait, Greta, Swenor, Bonnielin K., Varadaraj, Varshini, Brenowitz, Willa D., Medeiros, Felipe A., Naël, Virginie, Narasimhalu, Kaavya, Chen, Christopher L.H., Lamoureux, Ecosse L., Cardiovasculaire Epi Team 1
Έτος έκδοσης: 2021
Θεματικοί όροι: Cognition/physiology, Cognitive Dysfunction/epidemiology, Global Health, Humans, Morbidity/trends, Neuropsychological Tests, Public Health, Risk Factors, Vision Disorders/epidemiology, Taverne, Journal Article, Meta-Analysis, Research Support, N.I.H., Extramural, Non-U.S. Gov't
Περιγραφή: Topic: Visual impairment (VI) and cognitive impairment (CIM) are prevalent age-related conditions that impose substantial burden on the society. Findings on the hypothesized bidirectional association of VI and CIM remains equivocal. Hence, we conducted a systematic review and meta-analysis to examine this bidirectional relationship. Clinical Relevance: Sixty percent risk of CIM has not been well elucidated in the literature. A bidirectional relationship between VI and CIM may support the development of strategies for early detection and management of risk factors for both conditions in older people. Methods: PubMed, Embase, and Cochrane Central registers were searched systematically for observational studies, published from inception until April 6, 2020, in adults 40 years of age or older reporting objectively measured VI and CIM assessment using clinically validated cognitive screening tests or diagnostic evaluation. Meta-analyses on cross-sectional and longitudinal associations between VI and CIM outcomes (any CIM assessed using screening tests and clinically diagnosed dementia) were examined. Random effect models were used to generate pooled odds ratios (ORs) and 95% confidence intervals (CIs). We also examined study quality, publication bias, and heterogeneity. Results: Forty studies were included (n = 47 913 570). Meta-analyses confirmed that persons with VI were more likely to have CIM, with significantly higher odds of: (1) any CIM (cross-sectional: OR, 2.38 [95% CI, 1.84–3.07]; longitudinal: OR, 1.66 [95% CI, 1.46–1.89]) and (2) clinically diagnosed dementia (cross-sectional: OR, 2.43 [95% CI, 1.48–4.01]; longitudinal: OR, 2.09 [95% CI, 1.37–3.21]) compared with persons without VI. Significant heterogeneity was explained partially by differences in age, sex, and follow-up duration. Also, some evidence suggested that individuals with CIM, relative to cognitively intact persons, were more likely to have VI, with most articles (8/9 [89%]) reporting significantly positive associations; however, meta-analyses ...
Τύπος εγγράφου: article in journal/newspaper
Περιγραφή αρχείου: text/plain
Γλώσσα: English
ISSN: 0161-6420
Relation: https://dspace.library.uu.nl/handle/1874/443079
Διαθεσιμότητα: https://dspace.library.uu.nl/handle/1874/443079
Rights: info:eu-repo/semantics/OpenAccess
Αριθμός Καταχώρησης: edsbas.E8E14B2F
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  Data: Topic: Visual impairment (VI) and cognitive impairment (CIM) are prevalent age-related conditions that impose substantial burden on the society. Findings on the hypothesized bidirectional association of VI and CIM remains equivocal. Hence, we conducted a systematic review and meta-analysis to examine this bidirectional relationship. Clinical Relevance: Sixty percent risk of CIM has not been well elucidated in the literature. A bidirectional relationship between VI and CIM may support the development of strategies for early detection and management of risk factors for both conditions in older people. Methods: PubMed, Embase, and Cochrane Central registers were searched systematically for observational studies, published from inception until April 6, 2020, in adults 40 years of age or older reporting objectively measured VI and CIM assessment using clinically validated cognitive screening tests or diagnostic evaluation. Meta-analyses on cross-sectional and longitudinal associations between VI and CIM outcomes (any CIM assessed using screening tests and clinically diagnosed dementia) were examined. Random effect models were used to generate pooled odds ratios (ORs) and 95% confidence intervals (CIs). We also examined study quality, publication bias, and heterogeneity. Results: Forty studies were included (n = 47 913 570). Meta-analyses confirmed that persons with VI were more likely to have CIM, with significantly higher odds of: (1) any CIM (cross-sectional: OR, 2.38 [95% CI, 1.84–3.07]; longitudinal: OR, 1.66 [95% CI, 1.46–1.89]) and (2) clinically diagnosed dementia (cross-sectional: OR, 2.43 [95% CI, 1.48–4.01]; longitudinal: OR, 2.09 [95% CI, 1.37–3.21]) compared with persons without VI. Significant heterogeneity was explained partially by differences in age, sex, and follow-up duration. Also, some evidence suggested that individuals with CIM, relative to cognitively intact persons, were more likely to have VI, with most articles (8/9 [89%]) reporting significantly positive associations; however, meta-analyses ...
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