{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T22:14:52Z","timestamp":1777932892484,"version":"3.51.4"},"reference-count":34,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2016,6,1]],"date-time":"2016-06-01T00:00:00Z","timestamp":1464739200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Rejuvenation Research"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:p>\n                    Cataract surgery improves visual acuity and drastically increases the capacity for light reception to the retina. Although previous studies suggested that both light exposure and visual acuity were associated with cognitive function, the relationships between cataract surgery, visual acuity, and cognitive function have not been evaluated in large populations. In this cross-sectional study, we measured cognitive function using the Mini\u2013Mental State Examination and best-corrected visual acuity in pseudophakic (previous cataract surgery) and phakic (no previous cataract surgery) elderly individuals. Of 945 participants (mean age 71.7 years), 166 (17.6%) had pseudophakia and 317 (33.5%) had impaired cognitive function (score \u226426). The pseudophakic group showed significantly better visual acuity than the phakic group (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.003) and lower age-adjusted odds ratio (ORs) for cognitive impairment (OR 0.66;\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.038). Consistently, in multivariate logistic regression models, after adjusting for confounding factors, including visual acuity and socioeconomic status, ORs for cognitive impairment were significantly lower in the pseudophakic group than in the phakic group (OR 0.64; 95% confidence interval 0.43\u20130.96;\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.031). This association remained significant in sensitivity analysis, excluding participants with low cognitive score \u226423 (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200936). In conclusion, in a general elderly population, prevalence of cognitive impairment was significantly lower in pseudophakic individuals independently of visual acuity. The association was also independent of several major causes of cognitive impairment such as aging, gender, obesity, socioeconomic status, hypertension, diabetes, sleep disturbances, depressive symptoms, and physical inactivity.\n                  <\/jats:p>","DOI":"10.1089\/rej.2015.1718","type":"journal-article","created":{"date-parts":[[2015,9,28]],"date-time":"2015-09-28T11:46:40Z","timestamp":1443440800000},"page":"239-243","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Higher Cognitive Function in Elderly Individuals with Previous Cataract Surgery: Cross-Sectional Association Independent of Visual Acuity in the HEIJO-KYO Cohort"],"prefix":"10.1177","volume":"19","author":[{"given":"Kimie","family":"Miyata","sequence":"first","affiliation":[{"name":"Nara Medical University School of Medicine","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenji","family":"Obayashi","sequence":"additional","affiliation":[{"name":"Nara Medical University School of Medicine","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keigo","family":"Saeki","sequence":"additional","affiliation":[{"name":"Nara Medical University School of Medicine","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuhiro","family":"Tone","sequence":"additional","affiliation":[{"name":"Nara Medical University School of Medicine","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kunihiko","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Osaka City University","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomo","family":"Nishi","sequence":"additional","affiliation":[{"name":"Nara Medical University School of Medicine","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masayuki","family":"Morikawa","sequence":"additional","affiliation":[{"name":"Mie Prefectural Mental Care Center","place":["Japan"]},{"name":"Nara Medical University School of Medicine","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norio","family":"Kurumatani","sequence":"additional","affiliation":[{"name":"Nara Medical University School of Medicine","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nahoko","family":"Ogata","sequence":"additional","affiliation":[{"name":"Nara Medical University School of Medicine","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,6,1]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp0910237"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)67889-0"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)11920-9"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2796.2004.01388.x"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2011.57"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0594.2008.00452.x"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.60.4.577"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.124.4.537"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2013-304149"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(13)70113-X"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2009.165902"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2005.07.040"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2008.05.014"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2003.10.019"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1355617706060954"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1126\/science.2734611"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.299.22.2642"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2010.183"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1210\/jcem.86.1.7097"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2009.11.002"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2012-1873"},{"key":"e_1_3_3_23_2","first-page":"963","article-title":"Detecting dementia with the mini-mental state examination in highly educated individuals","volume":"65","author":"O'Bryant SE","year":"2008","unstructured":"O'Bryant SE, , Humphreys JD, , Smith GE, , Ivnik RJ, , Graff-Radford NR, , Petersen RC, , Lucas JA. Detecting dementia with the mini-mental state examination in highly educated individuals. 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