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Prevalence and Associated Risk Indicators of Retinopathy in a Rural Bangladeshi Population with and without Diabetes
- Source :
- Ophthalmic Epidemiology. 20:220-227
- Publication Year :
- 2013
- Publisher :
- Informa UK Limited, 2013.
-
Abstract
- To determine the prevalence of retinopathy among people with normal and abnormal glucose metabolism in a remote rural community of Bangladesh, and to identify the associated risk indicators for developing retinopathy in this population.A population-based cross-sectional study was conducted through screening in camp settings, which included a total of 836 participants (468 male and 368 female) aged 30 years or over. Retinopathy was determined by fundus photography. Anthropometric measures (body mass index and waist-to-hip ratio), oral glucose tolerance, glycosylated hemoglobin (HbA1c), blood pressure, lipid profile, serum creatinine and urine albumin creatinine ratio (UACR) were measured. Logistic regression analysis was used with adjustment for potential confounders.The overall prevalence of retinopathy was 5.4% (95% confidence interval, CI, 3.9-6.9). The prevalence rates of retinopathy among diabetic, impaired glucose regulation and non-diabetic subjects were 21.6%, 13% and 3.5%, respectively. Adjusted odds ratios for retinopathy were 2.53 (95% CI 1.52-5.41) for abnormal glucose metabolism and 1.98 (95% CI 1.17-5.63), 1.74 (95% CI 1.09-3.02) and 1.63 (95% CI 1.08-3.12) for hypertension, HbA1c and UACR, respectively. Additionally, age, body mass index, triglyceride and total cholesterol were also found to be significant independent risk indicators for the occurrence of retinopathy in this population.A high prevalence of retinopathy was observed in this rural Bangladeshi population. In addition to blood glucose control for diabetes, screening for hypertension, obesity, hyperlipidemia and proteinuria as well as adequate treatment of these risk indicators may prevent retinopathy in rural Bangladeshi populations.
- Subjects :
- Adult
Male
Rural Population
medicine.medical_specialty
Epidemiology
Cross-sectional study
Population
Prevalence
Blood Pressure
Young Adult
Risk Factors
Diabetes mellitus
Internal medicine
Diabetes Mellitus
medicine
Albuminuria
Humans
education
Glycated Hemoglobin
Bangladesh
Glucose tolerance test
education.field_of_study
Diabetic Retinopathy
Anthropometry
medicine.diagnostic_test
business.industry
Fundus photography
Glucose Tolerance Test
Middle Aged
Creatine
medicine.disease
Lipids
Ophthalmology
Cross-Sectional Studies
Endocrinology
Female
business
Body mass index
Retinopathy
Subjects
Details
- ISSN :
- 17445086 and 09286586
- Volume :
- 20
- Database :
- OpenAIRE
- Journal :
- Ophthalmic Epidemiology
- Accession number :
- edsair.doi.dedup.....91b733fa0ff9369842d4b8e8a59c1838