title: Sensory impairments and their associations with functional disability in a sample of the oldest-old.
abstract: OBJECTIVE
  Research focusing on the consequences of sensory impairments for the everyday competence of the oldest-old is emerging. The two main goals of this study were to document the prevalence of self-reported vision, hearing, and dual sensory impairment and to explore associations of these impairments with functional disability in near-centenarians and centenarians.
  
  
  METHODS
  Centenarians and near-centenarians (N = 119; average age = 99) were recruited, with about 80% living in the community. In-person interviews included self-ratings of vision and hearing impairment and functional disability conceptualized as having difficulties performing personal and instrumental activities of daily livings (PADLs and IADLs).
  
  
  RESULTS
  Based on self-report ratings, 17% of participants were classified as having a visual impairment only, 18% as having a hearing impairment only, and 38% with both a visual and hearing impairment (dual sensory impairment). Regression analyses demonstrated that having a vision impairment only and being dual sensory impaired were the strongest predictors of functional disability. They were associated with higher levels of functional disability over and above higher levels of depressive symptomatology, interference of health with desired activities, and living in a nursing home.
  
  
  CONCLUSIONS
  Sensory impairments-especially dual sensory impairment-are prevalent in the oldest-old. Having dual sensory impairment or a single visual impairment among other factors are strongly associated with less-optimal everyday functioning in the oldest-old.
authors.affiliation: Research Institute on Aging, The Guild Center for Research in Vision and Aging, Jewish Home Lifecare, 120 West 106th Street, New York, NY, 10025, USA, vcimarolli@jewishhome.org.
authors.forename: Verena R
authors.initials: VR
authors.lastname: Cimarolli
authors.forename: Daniela S
authors.initials: DS
authors.lastname: Jopp
mesh_terms: D000203:Activities of Daily Living; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D005260:Female; D006311:Hearing Disorders / Q000150:complications / Q000453:epidemiology / Q000523:psychology*; D006801:Humans; D008297:Male; D009519:New York City / Q000453:epidemiology; D015995:Prevalence; D011788:Quality of Life; D012044:Regression Analysis; D057566:Self Report; D014786:Vision Disorders / Q000150:complications / Q000453:epidemiology / Q000523:psychology*