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Metabolic Syndrome Components and Age-related Cataract: The Singapore Malay Eye Study.
MedLine Citation:
PMID:  21228391     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Purpose: To examine the relationship between metabolic syndrome and its components, diabetes mellitus, high blood pressure (BP), obesity, and dyslipidemia, with age-related cataract. Methods: A population-based sample of 2,794 Malay adults aged 40-80 years in Singapore was used for this analysis. Cataract (n=1,268) was defined as the presence of nuclear, cortical or posterior subcapsular (PSC) cataract, from standardized grading of lens photographs, or previous cataract surgery. Metabolic syndrome was defined as the presence of ≥3 of the following components: body mass index (BMI) ≥25 kg/m(2), triglycerides ≥1.7 mmol/L, high density-lipoprotein (HDL) cholesterol <1.0 mmol/L in men and <1.3 mmol/L in women, BP ≥130/85 mm Hg or use of BP medication and diabetes mellitus. Results: Cataract prevalence increased with higher quartiles of blood glucose, systolic BP and metabolic syndrome components (p-trend<0.0001). The multivariable odds ratio (OR) (95% confidence interval [CI]) of cataract was 1.89 (1.42-2.40) for diabetes, 1.92 (1.47-2.52) for high BP, and 1.27 (1.04-1.55) for metabolic syndrome. Of the individual metabolic syndrome components, high BP was associated with all three cataract types; diabetes was associated with cortical and PSC; low HDL, high BMI and metabolic syndrome were associated with cortical cataract. The presence of both high BP and diabetes was associated with four-fold odds of having cataract (OR [95% CI] = 4.73 [2.16-10.34]). Conclusions: Metabolic syndrome and its two key components, high BP and diabetes were associated with age-related cataract.
Authors:
Charumathi Sabanayagam; Jie Jin Wang; Paul Mitchell; Shyong E Tai; Ava Grace Tan; Tin Aung; Seang-Mei Saw; Tien Y Wong
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-1-12
Journal Detail:
Title:  Investigative ophthalmology & visual science     Volume:  -     ISSN:  1552-5783     ISO Abbreviation:  -     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-1-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7703701     Medline TA:  Invest Ophthalmol Vis Sci     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Community Medicine, West Virginia University School of Medicine, Morgantown, WV, USA;
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