Resilience of patients with sarcopenic obesity and age-related visual pathology

INTRIDUCTION. The development of visual deficits due to glaucoma significantly limits vitality among older patients. However, the impact of primary open-angle glaucoma and sarcopenic obesity on patient resilience remains virtually unexplored. OBJECTIVE. To assess the impact of sarcopenic obesity and primary glaucoma on resilience in older patients. METHODS. Two groups of patients participated in the study: older patients with sarcopenic obesity and primary glaucoma, as well as patients of the same age with primary glaucoma but without sarcopenic obesity received inpatient treatment at S.N. Fedorov National Medical Research Center “Eye Microsurgery” in Tambov. The study on sarcopenic obesity was conducted using the standards of reduced muscle strength, decreased muscle mass, and increased body mass index. To study the resilience of patients, the Connor-Davidson Resilience Scale-25, validated in the Russian Federation, was used. RESULTS. To a large extent, individuals with primary open-angle glaucoma aged 60-74 and individuals with primary open-angle glaucoma combined with sarcopenic obesity also aged 60-74 differed significantly in terms of the subdomains of security in relationships and positive acceptance of change. A statistically significant difference was also observed between the two groups in terms of another important subdomain, individual perseverance and competence, as measured by average scores in each group. At the same time, there was a decrease in age-related resilience, as measured by the final parameter on the Connor-Davidson Resilience Scale-25. Additionally, the average value for the integral parameter used to measure resilience in the study decreased by 23.4 points in the group aged 60-74 with glaucoma, with a statistically significant difference. CONCLUSION. Sarcopenic obesity in combination with glaucoma statistically significant and to a greater extent reduces the resilience of patients than glaucoma alone. Among the domains under consideration, in patients with sarcopenic obesity and glaucoma, vitality decreases in the domains of resilience to adverse influences, trust in personal abilities, spirituality, and level of self-control.