The Distribution of Intraocular Pressure and Its Association With Metabolic Syndrome in a Community
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Objectives: The current study was performed to assess the distribution of intraocular pressure (IOP) and its association with metabolic syndrome (MS) in a community. Methods: We measured IOP and MS components from 446 adults, age 20 or more years old, who reside in a community in Kyunggi Province, South Korea. We compared the level of IOP according to the number of metabolic abnormalities and between normal and abnormal metabolic components. Linear regression analyses were used to determine the relationship between IOP and metabolic components. Results: No significant difference in IOP (mean±SE) was found between men (12.24 ± 2.42) and women (12.55 ± 2.41mmHg, p > 0.1), while IOP of men tended to decrease as age increased (p for trend < 0.01). After adjusting for age, IOP of subjects with abdominal obesity in men and high blood pressure in women were significantly higher than those without abdominal obesity or high blood pressure (p < 0.05). Female subjects with MS showed significantly higher IOP than those without MS. Participants with more metabolic disturbances tended to have a greater IOP elevation with a linear trend after adjusting for age and sex. In the univariate regression analysis, age and waist circumference were significantly associated with IOP in men, but systolic and diastolic blood pressure were associated with IOP in women. In final multiple regression model, age, systolic blood pressure, and triglyceride were associated with IOP in women, and age in men. Conclusions: These findings suggest that MS and its components may be important determinants of elevated IOP.
Abstract
Objectives: The current study was performed to assess the distribution of intraocular pressure (IOP) and its association with metabolic syndrome (MS) in a community. Methods: We measured IOP and MS components from 446 adults, age 20 or more years old, who reside in a community in Kyunggi Province, South Korea. We compared the level of IOP according to the number of metabolic abnormalities and between normal and abnormal metabolic components. Linear regression analyses were used to determine the relationship between IOP and metabolic components. Results: No significant difference in IOP (mean±SE) was found between men (12.24 ± 2.42) and women (12.55 ± 2.41mmHg, p > 0.1), while IOP of men tended to decrease as age increased (p for trend < 0.01). After adjusting for age, IOP of subjects with abdominal obesity in men and high blood pressure in women were significantly higher than those without abdominal obesity or high blood pressure (p < 0.05). Female subjects with MS showed significantly higher IOP than those without MS. Participants with more metabolic disturbances tended to have a greater IOP elevation with a linear trend after adjusting for age and sex. In the univariate regression analysis, age and waist circumference were significantly associated with IOP in men, but systolic and diastolic blood pressure were associated with IOP in women. In final multiple regression model, age, systolic blood pressure, and triglyceride were associated with IOP in women, and age in men. Conclusions: These findings suggest that MS and its components may be important determinants of elevated IOP.
참고문헌 (24)
- Bonomi L, "Prevalence of glaucoma and intraocular pressure distribution in a defined population", The Egna- Neumarkt Study. Ophthalmology, 105(2), pp.209~215 (1998)
- Resnikoff S, "Global data on visual impairment in the year 2002", Bull World Health Organ, 82(11), pp.844~851 (2004)
- Kass MA, "The Ocular Hypertension Treatment Study: A randomized trial determines that topical ocular hypotensive medication delays or prevents the onset of primary open-angle glaucoma", Arch Ophthalmol, 120(6), pp.701~713 (2002)
- Dielemans I, "Primary open-angle glaucoma, intraocular pressure, and diabetes mellitus in the general elderly population", The Rotterdam Study. Ophthalmology, 103(8), pp.1271~1275 (1996)
- Leske MC, "Risk factors for open-angle glaucoma. The Barbados Eye Study", Arch Ophthalmol, 113(7), pp.918~924 (1995)
- Shiose Y, "aging effect on intraocular pressure in an apparently normal population", Arch Ophthalmol, 102(6), pp.883~887 (1984)
- Wu SY, "Associations with intraocular pressure in the Barbados Eye Study", Arch Ophthalmol, 115(12), pp.1572~1576 (1997)
- Xu L, "Intraocular pressure in Northern China in an urban and rural population: The Beijing eye study", Am J Ophthalmol, 140(5), pp.913~915 (2005)
- Hirvela H, "pressure and prevalence of glaucoma in elderly people in Finland: A population-based study", Int Ophthalmol, 18(5), pp.299~307 (1994)
- Lin HY, "Intraocular pressure measured with a noncontact tonometer in an elderly Chinese population: The Shihpai Eye Study", Arch Ophthalmol, 123(3), pp.381~386 (2005)
- Memarzadeh F, "Associations with intraocular pressure in Latinos: The Los Angeles Latino Eye Study", Am J Ophthalmol, 146(1), pp.69~76 (2008)
- Nomura H, "-related changes in intraocular pressure in a large Japanese population: A cross-sectional and longitudinal study", Ophthalmology, 106(10), pp.2016~2022 (1999)
- Rochtchina E, "Relationship between age and intraocular pressure: The Blue Mountains Eye Study", Clin Experiment Ophthalmol, 30(3), pp.173~175 (2002)
- Fukuoka S, "Intraocular pressure in an ophthalmologically normal Japanese population", Acta Ophthalmol, 86(4), pp.434~439 (2008)
- Lee JS, "Relationship between intraocular pressure and systemic health parameters in a Korean population", Clin Experiment Ophthalmol, 30(4), pp.237~241 (2002)
- Mori K, "Relationship between intraocular pressure and obesity in Japan", Int J Epidemiol, 29(4), pp.661~666 (2000)
- Oh SW, "Elevated intraocular pressure is associated with insulin resistance and metabolic syndrome", Diabetes Metab Res Rev, 21(5), pp.434~440 (2005)
- National Cholesterol Education Program (NCEP), "Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report", Circulation, 106, pp.3143~3421 (2002)
- Lee SY, "Appropriate waist circumference cutoff points for central obesity in Korean adults", Diabetes Res Clin Pract, 75(1), pp.72~80 (2007)
- Chen HY, "Relation between intraocular pressure and systemic health parameters in Taiwan", South Med J, 98(1), pp.28~32 (2005)
- Yong Wha Lee, "The Association between Intraocular Pressure and Predictors of Coronary Heart Disease Risk in Koreans", Journal of Korean Medical Science, 23(1), pp.31~34 (2008), 대한의학회
- Klein BE, "Intraocular pressure and cardiovascular risk variables", Arch Ophthalmol, 99(5), pp.837~839 (1981)
- Hennis A, "Barbados Eye Studies Group. Hypertension, diabetes, and longitudinal changes in intraocular pressure", Ophthalmology, 110(5), pp.908~914 (2003)
- Laaksonen DE, "Metabolic syndrome and development of diabetes mellitus: Application and validation of recently suggested definitions of the metabolic syndrome in a prospective cohort study", Am J Epidemiol, 156(11), pp.1070~1077 (2002)
