title: Community-based study of cataracts among type 2 diabetics in Kinmen.
abstract: The purpose of this study was to assess the prevalence and risk factors of each type of cataract among type 2 diabetics in Kinmen, Taiwan. There were 971 type 2 diabetics ascertained from a community-based mass screening between 1991 and 1993. In 1999, a total of 578 (59.5%) patients with type 2 diabetes were examined with an eye screening performed by two senior ophthalmologists using a 45-degree thin slit-lamp biomicroscopy and ophthalmoscopy to examine the lens after dilating the pupils. The overall prevalence, including subjects with or without surgery, was 31.0% (179/578, 95% CI: 27.3-34.7%), and had a statistically significant difference for gender (chi2 = 8.78, p = 0.003) and age (chi2-trend = 11.89, p < 0.0001). Based on multiple logistic regression, the significant risk factors of all types of cataracts were age (OR = 1.16, 95% CI: 1.12-1.20), lower diastolic blood pressure (DBP) at baseline (OR = 0.47, 95% CI: 0.25-0.88), and higher triglyceride at baseline (OR = 2.19, 95% CI: 1.07-4.45). In conclusion, our results found that in addition to age, lower DBP and higher triglyceride at baseline may increase the risk of prevalent cataracts in type 2 diabetics.
authors.affiliation: Community Medicine Research Center & Institute of Public Health, National Yang-Ming University, Taipei, Taiwan.
authors.forename: Tao-Hsin
authors.initials: TH
authors.lastname: Tung
authors.forename: Jorn-Hon
authors.initials: JH
authors.lastname: Liu
authors.forename: Fenq-Lih
authors.initials: FL
authors.lastname: Lee
authors.forename: Shih-Jen
authors.initials: SJ
authors.lastname: Chen
authors.forename: Ching-Yao
authors.initials: CY
authors.lastname: Tsai
authors.forename: Pesus
authors.initials: P
authors.lastname: Chou
mesh_terms: D000367:Age Factors; D000368:Aged; D002386:Cataract / Q000453:epidemiology* / Q000209:etiology; D003695:Delivery of Health Care; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D003971:Diastole; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D015995:Prevalence; D012307:Risk Factors; D013624:Taiwan / Q000453:epidemiology; D013997:Time Factors; D014280:Triglycerides / Q000097:blood
chemical_list: D014280:Triglycerides