RESILIENCE OF PATIENTS WITH AGE-RELATED VISUAL IMPAIRMENT AND SARCOPENIC OBESITY

Abstract

Introduction. Cataracts in combination with sarcopenic obesity, which develops mainly against the background of physical inactivity due to visual impairment, potentially contribute to a decrease in resilience, however, such an association has been established in a few studies. Aim. Study of resilience of patients with age-associated visual impairment due to cataracts and sarcopenic obesity. Materials and methods. In a clinical setting on the basis of the Tambov branch of the Federal State Institution S.N. Fedorov National medical research center “MNTK Eye Microsurgery” examined 127 patients aged 60–74 years with cataracts and sarcopenic obesity and 118 patients aged 60–74 years with cataracts without sarcopenic obesity. When diagnosing senile cataracts, the appropriate criteria presented in clinical guidelines were used. Sarcopenia was determined using the European Working Group on Sarcopenia in older people scale, supplemented by hand dynamometry, and obesity was determined by body mass index. Resilience was determined using the Connor–Davidson Resilience Scale-25. The responses received from this scale are formed into five subdomains: individual perseverance and competence, resistance to adverse influences and trust in personal instincts, security in relationships and the positivity of accepted changes, level of control, spiritual environment. Results and discussion. A separate assessment of the resilience of elderly patients with cataracts and sarcopenic obesity and cataracts without sarcopenic obesity, according to the integral value of the Connor–Davidson Resilience Scale-25, indicates a more significant decrease in the level of resilience among patients with cataracts and sarcopenic obesity with a statistically significant difference between the compared groups. Moreover, despite the significant differences between the groups in most subdomains, in patients with cataracts and sarcopenic obesity and cataracts without sarcopenic obesity, the greatest decrease in resilience was revealed on the subscale of security in relationships and the positivity of accepted changes, resistance to adverse influences and trust in personal instincts. Conclusions. Cataracts and sarcopenic obesity contribute to a more significant decrease in the resilience of elderly patients and mainly in the subscales of security in relationships and positivity of accepted changes, resistance to adverse influences and trust in personal instincts.