Visual acuity and the risk of cycling injuries: register-based cohort study from adolescence to middle-age

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Hiyoshi, Ayako,1972-Stockholms universitet,Örebro universitet,Institutionen för medicinska vetenskaper,Department of Public Health Sciences, Stockholm University, Stockholm, Sweden; Department of Epidemiology and Public Health, University College London, London, UK; Public Health, Department of Social Medicine, Osaka University Graduate School of Medicine, Osaka, Japan,Clinical Epidemiology and Biostatistics,Institutionen för folkhälsovetenskap,Örebro University, Sweden; University College London, United Kingdom; Osaka University Graduate School of Medicine, Japan (author)

Visual acuity and the risk of cycling injuries : register-based cohort study from adolescence to middle-age

Article/chapterEnglish2022

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Lippincott Williams & Wilkins,2022
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LIBRIS-ID:oai:DiVA.org:oru-95766
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-95766URI
https://doi.org/10.1097/EDE.0000000000001450DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-202280URI
http://kipublications.ki.se/Default.aspx?queryparsed=id:148726348URI

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Language:English
Summary in:English

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Subject category:art swepub-publicationtype

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Funding agencies:Economic and Social Research Council (ESRC, the United Kingdom) RES-596-28-0001 ES/JO19119/1 Nyckelfonden
BACKGROUND: Cycling is increasingly encouraged in many countries as an inexpensive and healthy choice of transportation. Operating any vehicle on the road requires high visual acuity, but few studies to our knowledge have examined the association between vision and cycling injuries.METHODS: We examined whether poorer visual acuity is associated with increased risk of fatal and non-fatal cycling injuries. We used prospectively recorded register data for 691,402 men born between 1970 and 1992 in Sweden. We followed these men from an average age of 18 years, when visual acuity was assessed during the conscription assessment, to age 45 at the latest. We identified fatal and non-fatal cycling and car injuries using Patient and Cause of Death registers. Cox regression models were used to estimate hazard ratios (HR) and 95% confidence intervals (95%CI).RESULTS: Based on visual acuity for the eye with the best vision, moderately impaired acuity 0.9 to 0.6 when wearing refractive correction was associated with increased risk for cycling injuries (HR=1.44, 95%CI 1.16-1.79) compared with unimpaired vision (uncorrected visual acuity 1.0) and after adjustment for a wide range of potential confounders. This association remained consistent across various sensitivity analyses. Visual acuity was not associated with car injury risk.CONCLUSIONS: In this cohort study, poorer vision was specifically associated with a higher rate of cycling injuries.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Oftalmologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Ophthalmology hsv//eng
accidents
bicycling
cohort study
injuries
visual acuity

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Sato, YukiOccupational Stress and Health Management Research Group, National Institute of Occupational Safety and Health, Japan (author)
Grotta, AlessandraStockholms universitet,Centrum för forskning om ojämlikhet i hälsa (CHESS)(Swepub:su)agrot (author)
Fall, Katja,1971-Örebro universitet,Institutionen för medicinska vetenskaper,Integrative Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden,Clinical Epidemiology and Biostatistics(Swepub:oru)kafl (author)
Montgomery, Scott,1961-Karolinska Institutet,Örebro universitet,Institutionen för medicinska vetenskaper,Department of Epidemiology and Public Health, University College London, London, UK; Clinical Epidemiology Division, Department of Medicine, Solna, Karolinska Institutet, Stockholm, UK,Clinical Epidemiology and Biostatistics(Swepub:oru)smy (author)
Örebro universitetInstitutionen för medicinska vetenskaper (creator_code:org_t)

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In:Epidemiology: Lippincott Williams & Wilkins33:2, s. 246-2531044-39831531-5487

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Ophthalmology

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