Journal of Postgraduate Medicine
 Open access journal indexed with Index Medicus & EMBASE  
     Home | Subscribe | Feedback  

ORIGINAL ARTICLE
[View FULLTEXT] [Download PDF
 
Year : 2009  |  Volume : 55  |  Issue : 2  |  Page : 92-96  

Risk factors for diabetic retinopathy in self-reported rural population with diabetes

PK Rani, R Raman, A Chandrakantan, SS Pal, GM Perumal, T Sharma 
 Vision Research Foundation, Sankara Nethralaya Diabetic Retinopathy Project, 18, College Road, Sankara Nethralaya, Chennai - 600 006, Tamil Nadu, India

Correspondence Address:
T Sharma
Vision Research Foundation, Sankara Nethralaya Diabetic Retinopathy Project, 18, College Road, Sankara Nethralaya, Chennai - 600 006, Tamil Nadu
India

Background: Diabetes and its related microvascular complications like diabetic retinopathy (DR) are showing increased prevalence in India. However, the magnitude of DR in rural population with diabetes needs exploration. Aim: To estimate the prevalence and risk factors for the presence and severity of diabetic retinopathy in the self-reported rural population with diabetes. Settings and Design: In a cross-sectional study, a total of 26,519 participants (age ≥ 30 years) attended 198 diabetic retinopathy screening camps conducted in three southern districts of Tamilnadu, India, between February 2004 and April 2006. Materials and Methods: All the participants underwent a dilated eye examination to detect DR by indirect ophthalmoscopy. Systemic and ocular risk factor estimation was done in a comprehensive examination. Statistical Analysis: Univariate and stepwise regression analyses were done to identify the independent risk factors associated with the presence and severity of retinopathy. Results: The prevalence of diabetic retinopathy was 17.6% among the self-reported rural population with diabetes. The prevalence of referable (sight threatening) retinopathy was 5.3%. Risk factors associated with the development of any DR were male gender (OR= 1.37), longer duration of diabetes (per year, OR= 1.07), lean body mass index (OR= 1.30), higher systolic blood pressure (per 10 mm Hg, OR= 1.18), and insulin treatment (OR= 1.34; P < 0.0001). Risk factors associated with referable retinopathy included longer duration of diabetes (per year, OR= 1.22), lean body mass index (OR= 1.25), higher systolic blood pressure (per 10 mm Hg, OR= 1.03), and insulin treatment (OR= 1.36; P < 0.0001).Conclusion: The study identified risk factors associated with DR in the rural population with diabetes. The results suggested that there was a need for formulating effective preventive strategies to minimize avoidable blindness due to diabetes, in rural areas.


How to cite this article:
Rani P K, Raman R, Chandrakantan A, Pal S S, Perumal G M, Sharma T. Risk factors for diabetic retinopathy in self-reported rural population with diabetes.J Postgrad Med 2009;55:92-96


How to cite this URL:
Rani P K, Raman R, Chandrakantan A, Pal S S, Perumal G M, Sharma T. Risk factors for diabetic retinopathy in self-reported rural population with diabetes. J Postgrad Med [serial online] 2009 [cited 2019 Oct 19 ];55:92-96
Available from: http://www.jpgmonline.com/article.asp?issn=0022-3859;year=2009;volume=55;issue=2;spage=92;epage=96;aulast=Rani;type=0


 
Saturday, October 19, 2019
 Site Map | Home | Contact Us | Feedback | Copyright  and disclaimer