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Prevalence and factors associated with uncorrected presbyopia in a rural population of Japan: the Locomotive Syndrome and Health Outcome in Aizu Cohort Study

  • Clinical Investigation
  • Published:
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Abstract

Purpose

To investigate the prevalence and factors associated with uncorrected presbyopia among rural community dwellers in Japan.

Study design

A population-based cross-sectional study was conducted in 2011 among community dwellers aged 40–74 years who received specific health checkups in Minamiaizu and Tadami, Fukushima Prefecture, Japan.

Methods

Uncorrected presbyopia was considered as when the distance-corrected visual acuity in the better eye was ≥0.5 and the near-presenting visual acuity in the better eye was <0.4, regardless of distance refractive status. Multiple logistic regression analysis was employed to calculate the odds ratios (ORs) for uncorrected presbyopia and to adjust for possible confounders.

Results

A total of 2054 individuals participated in the specific health checkups. In the 1156 individuals (response rate: 56.28%) analyzed in the study, the mean (SD) age was 63.0 (8.7) years, the percentage of women was higher (57.87%), and the prevalence of uncorrected presbyopia was 26.38% (95% CI 23.86%–29.03%). Multivariate analysis revealed that the factors associated with uncorrected presbyopia were older age (adjusted OR: 1.054 [95% CI: 1.034–1.075]), female sex (adjusted OR: 1.388 [95% CI: 1.006–1.915]), and distance-presenting vision impairment (adjusted OR: 2.651 [95% CI: 1.697–4.143]).

Conclusion

Approximately one-quarter of the participants in this study from a rural population of Japan did not have adequate near vision. It is recommended that a public health intervention should be enacted to correct presbyopia, especially in the older age group, women, and those with uncorrected refractive errors.

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Acknowledgements

This work was supported by grants from the Ministry of Health, Labor and Welfare, Japan (19AA2007, 20AA2005, and 19FA1010) and the Ministry of Education, Culture, Sports, Science and Technology, Japan (20H03907). The funding organizations had no role in the design or conduct of this research.

Author information

Authors and Affiliations

  1. Department of Ophthalmology, Faculty of Medicine, Juntendo University, 2-1-1 Hongo Bunkyo-ku, Tokyo, 113-8421, Japan

    Yoshinari Sadamatsu, Koichi Ono, Yoshimune Hiratsuka, Atsuhide Takesue, Takatoshi Tano & Akira Murakami

  2. Sadamatsu Eye Clinic, Saitama, Japan

    Yoshinari Sadamatsu

  3. Department of Ophthalmology, Juntendo University Graduate School of Medicine, Tokyo, Japan

    Akira Murakami

  4. Tano Eye Clinic, Shizuoka, Japan

    Takatoshi Tano

  5. Department of Ophthalmology, Kyorin University School of Medicine, Tokyo, Japan

    Masakazu Yamada

  6. Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine, Fukushima, Japan

    Koji Otani, Miho Sekiguchi, Shinichi Konno & Shinichi Kikuchi

  7. Section of Clinical Epidemiology, Department of Community Medicine, School of Medicine, Kyoto University, Kyoto, Japan

    Shunichi Fukuhara

  8. Shirakawa STAR in General Medicine, Fukushima Medical University, Fukushima, Japan

    Shunichi Fukuhara

  9. Department of Health Policy and Management, Johns Hopkins University, Baltimore, USA

    Shunichi Fukuhara

Authors
  1. Yoshinari Sadamatsu
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  2. Koichi Ono
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  3. Yoshimune Hiratsuka
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  4. Atsuhide Takesue
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  5. Takatoshi Tano
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  6. Masakazu Yamada
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  7. Koji Otani
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  8. Miho Sekiguchi
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  9. Shinichi Konno
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  10. Shinichi Kikuchi
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  11. Shunichi Fukuhara
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  12. Akira Murakami
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Corresponding author

Correspondence to Koichi Ono.

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Conflicts of interest

Y. Sadamatsu, None; K. Ono, None; Y. Hiratsuka, None; A. Takesue, None; T. Tano, None; M. Yamada, None; K. Otani, None; M. Sekiguchi, None; S. Konno, None; S. Kikuchi, None; S. Fukuhara, None; A. Murakami, None.

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Corresponding Author: Koichi Ono

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Sadamatsu, Y., Ono, K., Hiratsuka, Y. et al. Prevalence and factors associated with uncorrected presbyopia in a rural population of Japan: the Locomotive Syndrome and Health Outcome in Aizu Cohort Study. Jpn J Ophthalmol 65, 724–730 (2021). https://doi.org/10.1007/s10384-021-00863-3

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  • DOI: https://doi.org/10.1007/s10384-021-00863-3

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