[The effect of sarcopenic obesity and age-associated pathology of the organ of vision on the functional abilities of patients.]

Abstract

Sarcopenic obesity and visual impairment are considered as two interrelated age-associated conditions that increase the risk of decrease in instrumental activity in everyday life. However, the latter was practically not analyzed in patients with combined sarcopenic obesity and visual impairment due to age-related pathology of the visual organ. The aim of the study was to assess the effect of sarcopenic obesity and age-associated pathology of the visual organ on the functional abilities of patients. 132 patients with sarcopenic obesity and 134 patients with sarcopenic obesity and age-related macular degeneration were examined. The detection of sarcopenic obesity was carried out according to the criteria of reduced muscle strength (or grip strength), reduced muscle mass and increased body mass index (EWGSOP2, 2018). Age-related macular degeneration was diagnosed based on clinical recommendations. Instrumental activity in everyday life was determined by the Lawton scale. It was found that sarcopenic obesity and age-related macular degeneration reduce instrumental activity in daily life to a greater extent (M=4,72±0,07 points) than only sarcopenic obesity (M=5,91±0,09 points), p<0,001. The greatest differences between the groups in the deterioration of instrumental activity in daily life were observed in such types as making phone calls - 0,57±0,05 points among patients with sarcopenic obesity and age-related macular degeneration and 0,89±0,07 points among patients with sarcopenic obesity by 1,56 times (p<0,001), shopping - 0,62±0,06 and 0,76±0,08 points (p<0,01), financial performance - 0,48±0,05 and 0,61±0,04 points (p<0,001), respectively. Therefore, according to these restrictions, patients with sarcopenic obesity and age-related macular degeneration need outside help.