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The Related Risk Factors of Diabetic Retinopathy in Elderly Patients with Type 2 Diabetes Mellitus: A Hospital-Based Cohort Study in Taiwan.
Chiu, Tsai-Tung; Tsai, Tien-Lung; Su, Mei-Yin; Yang, Tsan; Tseng, Peng-Lin; Lee, Yau-Jiunn; Lee, Chao-Hsien.
Afiliación
  • Chiu TT; Department of Health Business Administration, Meiho University, Pingtung 912009, Taiwan.
  • Tsai TL; Lee's Endocrinology Clinic, Pingtung 900028, Taiwan.
  • Su MY; Department of Applied Mathematics, National Pingtung University, Pingtung 900391, Taiwan.
  • Yang T; Athletic Department, National Taiwan University, Taipei 106216, Taiwan.
  • Tseng PL; Department of Health Business Administration, Meiho University, Pingtung 912009, Taiwan.
  • Lee YJ; Department of Nursing, Pingtung Christian Hospital, Pingtung 900026, Taiwan.
  • Lee CH; Department of Nursing, Meiho University, Pingtung 912009, Taiwan.
Int J Environ Res Public Health ; 18(1)2021 01 04.
Article en En | MEDLINE | ID: mdl-33406594
Diabetic retinopathy (DR), caused by small vessel disease, is the main cause of blindness in persons with diabetes. Taiwan is one of the Asian countries with the highest prevalence rate of DR. The purpose was to investigate the related risk factors of DR in elderly patients with type 2 diabetes mellitus (T2DM), in Lee's Endocrinology Clinic. 792 T2DM patients over 60 years old were invited to have an outpatient visit at least every three months, and all of them were asked to undergo a standardized interview and collect their blood samples. Significant factors were being female (adjusted hazard ratio (HR): 1.287; 95% CI, 1.082-1.531), higher glycated hemoglobin (HbA1c) (HR: 1.067; 95% CI: 1.016-1.119), higher mean low density of lipoprotein cholesterol (LDL-c) (HR: 1.004; 95% CI: 1.001-1.006), and chewing betel nut (HR: 1.788; 95% CI: 1.362-2.347). This study showed that gender, the behavior of chewing betel nut, HbA1c, and LDL-c are important factors for the development of DR in elderly patients with T2DM. It is suggested that patients should control their HbA1c and LDL-c and quit chewing betel nut to prevent DR. This suggestion applies especially to female patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Diabetes Mellitus Tipo 2 / Retinopatía Diabética Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Int J Environ Res Public Health Año: 2021 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Suiza
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Diabetes Mellitus Tipo 2 / Retinopatía Diabética Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Int J Environ Res Public Health Año: 2021 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Suiza