THE EFFECT OF SARCOPENIC OBESITY AND CATARACTS ON PATIENT RESILIENCE

Abstract

Sarcopenic obesity, either alone or in combination with ophthalmopathology, has a negative impact on the resilience of the elderly. Objective. Study the effect of sarcopenic obesity and cataracts on the resilience of elderly patients. Materials and methods. The study involved 168 patients aged 60–74 years with age-related cataract and 172 patients of the same age with cataract and sarcopenic obesity. All patients underwent a comprehensive clinical and instrumental ophthalmological examination. The appropriate criteria presented in the clinical guidelines were used in the diagnosis of cataract. Sarcopenia was determined by the European Working Group on Sarcopenia in older people scale, supplemented by carpal dynamometry, and obesity was determined by body mass index. Results. There was a distinct deterioration in the parameters of the resilience of the examined patients in both cohorts, but more significant among patients with combined sarcopenic obesity and cataract than among representatives with only the discussed ophthalmology. When analyzing the domains of resilience separately for patients with cataract and patients of the same age with sarcopenic obesity and cataract, statistically significant differences were found for all the selected parameters. Conclusion. Sarcopenic obesity in combination with age-related cataracts statistically significantly and to a greater extent reduce the resilience of patients than age-related cataract alone. Among the domains under consideration, in patients with sarcopenic obesity and cataract, resilience deteriorates in the domains of resistance to adverse influences and trust in personal instincts, the spiritual sphere and the level of control.