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Incidence and Predictors of Cataract among People with Type 2 Diabetes Mellitus: Using Secondary Data Analysis from the Ansan Cohort of the Korean Genome and Epidemiology Study
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Ihn Sook Jeong, Eun Joo Lee, Myo Sung Kim, Jung Ok Yu, Hae Sun Yun, Jeong Hee Jeong, Youn Sun 6 Hwang
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J Korean Acad Nurs 2022;52(1):24-35. Published online February 28, 2022
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DOI: https://doi.org/10.4040/jkan.21081
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 Abstract
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- Purpose
This study investigated the incidence and risk factors of cataract in people with diabetes mellitus (DM) using data from Ansan cohort of the Korean Genome and Epidemiology Study (KoGES).
Methods
Data from a total of 329 patients with type 2 DM without cataract who participated in Ansan cohort of the KoGES from baseline survey (2001–2002) to fifth follow-up visit (2011–2012) were examined.
The characteristics of the subjects were analyzed with frequency and percentage, and mean and standard deviation. Cataract incidence was measured as incidence proportion (%). For risk factors of cataract, hazard ratio (HR) and 95% confidence interval (CI) were obtained using the Cox proportional hazard model.
Results
The cataract incidence over a 10-year follow-up period was 19.1% (15.1 in males and 25.8 in females), and mean age at the incidence of cataract was 63.48 years (61.58 years in males and 65.31 years in females). Age (HR=1.09, 95% CI=1.05–1.13) and HbA1c (HR=1.21, 95% CI=1.07–1.37) or the duration of DM (HR=1.05, 95% CI=1.00–1.09) were found to be independently associated with cataract development.
Conclusion
Cataract development in people with DM is common, and its likelihood increases with age, HbA1c, and the duration of DM. Considering negative effect of cataract on their quality of life and economic burden, nurses should identify people with DM at a higher risk of cataract development, and plan individual eye examination programs to detect cataract development as early as possible.
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Citations
Citations to this article as recorded by  - Prevalence and factors associated with visual impairment in middle-aged and older Chinese population
Hanyuan Ye, Yun Zeng, Hongxia Xiao, Jing Yu, Yun Liu, Shuang Zhang, Bingjie Zhang
Frontiers in Medicine.2022;[Epub] CrossRef
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