PURPOSE: Managing stairs is a challenging aspect of daily activities of living for older @entity1 . We assessed whether older adults with @entity227 ( @entity227 ) have greater difficulties of managing stairs in daily lives. METHODS: The study was designed as a community-based cross-sectional study based on a Chinese cohort aged 60 years and older in rural China. Visual acuity (VA) was measured in both eyes using a retro-illuminated Snellen chart with tumbling-E optotypes. @entity227 (including @entity1939 ) was defined as presenting VA of worse than 20/60 in either eye. Having any difficulties in managing stairs was self-reported based on a question drawn from the Barthel Index. Information on @entity1 ' socioeconomic status, lifestyle-related factors, diseases histories and medication intake was collected using a questionnaire. RESULTS: The Barthel Index, Activities of Daily Living questionnaire was completed by 4597 (99.7%) @entity1 including 2218 @entity1 and 2379 @entity1 . The age of the @entity1 ranged from 60 to 93 years with a mean of 67.6    6.3 years. In age and gender adjusted models, adults with @entity227 had a higher likelihood of having difficulties in managing stairs (odds ratio [OR] = 2.7; 95% confidence interval [CI] 2.0, 3.7) compared with those without. The association of @entity227 with the likelihood of having difficulties in managing stairs was stronger in older adults who lived alone (OR = 3.2; 95%CI 1.8, 4.5) compared with those who lived with other family members (OR = 2.0; 95%CI 1.3, 4.3). Compared with @entity101 , @entity6 , @entity28 and @entity73 , @entity227 had the greatest impact on @entity1 's abilities of managing stairs. CONCLUSION: @entity227 was associated with an increased likelihood of having difficulties in managing stairs, especially in those who lived alone. However, whether the finding could be extrapolated to other populations warrants further studies as different environmental exposures such as illumination and types of stairs may alter the association observed in this study.

Increased Difficulties in Managing Stairs in XXXX Older Adults: A Community-Based Survey.

@entity1 :: ('9606', 'Species') :: ['men', 'participants', 'women', 'people'] @entity227 :: ('MESH:D014786', 'Disease') :: ['VI', 'visual impairment'] @entity101 :: ('MESH:D006973', 'Disease') :: ['hypertension'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetes'] @entity28 :: ('MESH:D009765', 'Disease') :: ['obesity'] @entity73 :: ('MESH:D003072', 'Disease') :: ['cognitive dysfunction'] @entity1939 :: ('MESH:D001766', 'Disease') :: ['blindness']
@entity227 :: (MESH:D014786,Disease) :: ['Visually Impaired']
