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Cataract subtype risk factors identified from the Korea National Health and Nutrition Examination survey 2008–2010

Authors
 Tyler Hyung Taek Rim  ;  Min-hyung Kim  ;  Woon Cho Kim  ;  Tae-Im Kim  ;  Eung Kweon Kim 
Citation
 BMC Ophthalmology, Vol.14(1) : 1-15, 2014 
Journal Title
 BMC Ophthalmology 
ISSN
 1471-2415 
Issue Date
2014
Abstract
BACKGROUND: To assess the socio-demographic and health-related risk factors associated with cataract subtypes in Korea. METHODS: A total of 11,591 participants (aged ≥40 years) were selected from the Korean National Health and Nutrition Examination Survey between 2008 and 2010. The Korean Ophthalmologic Society conducted detailed ophthalmologic examinations on these participants based on the Lens Opacity Classification System III. Risk factors for developing any type of cataract, and its subtypes (nuclear, cortical, posterior subcapsular and mixed), were identified from univariate and multivariate logistic regression analysis. RESULTS: The prevalence of cataracts was 40.1% (95% CI, 37.8 - 42.3%) in participants over 40 years old. Older age, lower monthly household income, lower education, hypercholesterolemia, hypertension, and diabetes mellitus (DM) were independent risk factors for development of any cataract. Older age, lower monthly household income, lower education, hypercholesterolemia, and DM were independent risk factors for development of pure cortical cataracts. Older age, lower education, metabolic syndrome, and DM were independent risk factors for development of pure nuclear cataracts. Older age and DM were independent risk factors for development of pure posterior subcapsular cataracts. Older age, lower monthly household income, lower education, and DM were independent risk factors for development of mixed cataracts. CONCLUSION: Although socioeconomic disparities are related to cataract development, this study identified several "modifiable" risk factors that may help to lower the incidence of cataracts and associated vision loss. Improved control of blood pressure, blood, glucose, and cholesterol may help to reduce the incidence of cataracts in the general Korean population.
Files in This Item:
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DOI
10.1186/1471-2415-14-4
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Min Hyung(김민형)
Kim, Eung Kweon(김응권) ORCID logo https://orcid.org/0000-0002-1453-8042
Kim, Tae Im(김태임) ORCID logo https://orcid.org/0000-0001-6414-3842
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/98271
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