Visual acuity, self-reported vision and falls in the EPIC-Norfolk Eye study

Jennifer L.Y. Yip*, Anthony P. Khawaja, David Broadway, Robert Luben, Shabina Hayat, Nichola Dalzell, Amit Bhaniani, Nicholas Wareham, Kay Tee Khaw, Paul J. Foster

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

40 Citations (Scopus)


Purpose: To examine the relationship between visual acuity (VA) and self-reported vision (SRV) in relation to falls in 8317 participants of the European Prospective Investigation into Cancer-Norfolk Eye study. Methods: All participants completed a health questionnaire that included a question regarding SRV and questions regarding the number of falls in the past year. Distance VA was measured using a logMAR chart for each eye. Poor SRV was defined as those reporting fair or poor distance vision. The relationship between VA and SRV and self-rated falls was analysed by logistic regression, adjusting for age, sex, physical activity, body mass index, chronic disease, medication use and grip strength. Results: Of 8317 participants, 26.7% (95% CI 25.7% to 27.7%) had fallen in the past 12 months. Worse VA and poorer SRV were associated with one or more falls in multivariable analysis (OR for falls=1.31, 95% CI 1.04 to 1.66 and OR=1.32, 95% CI 1.09 to 1.61, respectively). Poorer SRV was significantly associated with falls even after adjusting for VA (OR=1.28, 95% CI 1.05 to 1.57). Conclusions: SRV was associated with falls independently of VA and could be used as a simple proxy measure for other aspects of visual function to detect people requiring vision-related falls interventions.

Original languageEnglish
Pages (from-to)377-382
Number of pages6
JournalBritish Journal of Ophthalmology
Issue number3
Publication statusPublished - Mar 2014
Externally publishedYes


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