1 research outputs found
ΠΡΡΠΎΡΠΈΠ°ΡΠΈΠΈ ΡΠ΅ΡΠ΄Π΅ΡΠ½ΠΎ-ΡΠΎΡΡΠ΄ΠΈΡΡΡΡ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ ΠΈ ΡΠ°Ρ Π°ΡΠ½ΠΎΠ³ΠΎ Π΄ΠΈΠ°Π±Π΅ΡΠ° 2 ΡΠΈΠΏΠ° Ρ ΠΎΡΡΠ°Π»ΡΠΌΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΠΌΠΈ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡΠΌΠΈ Π² ΠΏΠΎΠΏΡΠ»ΡΡΠΈΠΎΠ½Π½ΠΎΠΉ Π²ΡΠ±ΠΎΡΠΊΠ΅ ΡΡΠ°ΡΡΠ΅ 55 Π»Π΅Ρ = Associations of cardiovascular diseases and type 2 diabetes with ophthalmic diseases in a population sample over 55 years old
Π¦Π΅Π»Ρ. ΠΠ·ΡΡΠ΅Π½ΠΈΠ΅ Π°ΡΡΠΎΡΠΈΠ°ΡΠΈΠΉ ΡΠ΅ΡΠ΄Π΅ΡΠ½ΠΎ-ΡΠΎΡΡΠ΄ΠΈΡΡΡΡ
Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ ΠΈ ΡΠ°Ρ
Π°ΡΠ½ΠΎΠ³ΠΎ Π΄ΠΈΠ°Π±Π΅ΡΠ° 2 ΡΠΈΠΏΠ° (Π‘Π-2) Ρ ΠΎΡΡΠ°Π»ΡΠΌΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΠΌΠΈ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡΠΌΠΈ Π² ΠΏΠΎΠΏΡΠ»ΡΡΠΈΠΎΠ½Π½ΠΎΠΉ Π²ΡΠ±ΠΎΡΠΊΠ΅ ΠΌΡΠΆΡΠΈΠ½ ΠΈ ΠΆΠ΅Π½ΡΠΈΠ½ ΠΎΡ ΡΡΠ΅Π΄Π½Π΅Π³ΠΎ Π΄ΠΎ ΡΡΠ°ΡΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π²ΠΎΠ·ΡΠ°ΡΡΠ° (ΠΠΎΠ²ΠΎΡΠΈΠ±ΠΈΡΡΠΊ). /
ΠΠ°ΡΠ΅ΡΠΈΠ°Π» ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ. ΠΠΎΠΏΡΠ»ΡΡΠΈΠΎΠ½Π½Π°Ρ ΠΊΠΎΠ³ΠΎΡΡΠ° ΠΈΡΡ
ΠΎΠ΄Π½ΠΎ ΠΎΠ±ΡΠ»Π΅Π΄ΠΎΠ²Π°Π½Π° Π² 2003-2005Π³Π³ (n=9360, 45-69 Π»Π΅Ρ, ΠΠΎΠ²ΠΎΡΠΈΠ±ΠΈΡΡΠΊ, ΠΏΡΠΎΠ΅ΠΊΡ HAPIEE (Health, Alcohol and Psychosocial factors in Eastern Europe). ΠΡΠΈ ΠΏΠΎΠ²ΡΠΎΡΠ½ΠΎΠΌ ΠΎΠ±ΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠΈ (2015-2017Π³Π³) Π² ΡΠ»ΡΡΠ°ΠΉΠ½ΠΎΠΉ ΠΏΠΎΠ΄Π²ΡΠ±ΠΎΡΠΊΠ΅ (n=1011) ΠΈΠ΄Π΅Π½ΡΠΈΡΠΈΡΠΈΡΠΎΠ²Π°Π»ΠΈ ΠΎΡΡΠ°Π»ΡΠΌΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΠ΅ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡ (ΠΠ) β Π³ΠΈΠΏΠ΅ΡΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΡΡ ΡΠ΅ΡΠΈΠ½ΠΎΠΏΠ°ΡΠΈΡ (ΠΠ ), Π΄ΠΈΠ°Π±Π΅ΡΠΈΡΠ΅ΡΠΊΡΡ ΡΠ΅ΡΠΈΠ½ΠΎΠΏΠ°ΡΠΈΡ (ΠΠ ), ΠΊΠ°ΡΠ°ΡΠ°ΠΊΡΡ, Π³Π»Π°ΡΠΊΠΎΠΌΡ, Π²ΠΎΠ·ΡΠ°ΡΡΠ½ΡΡ ΠΌΠ°ΠΊΡΠ»ΡΡΠ½ΡΡ Π΄ΠΈΡΡΡΠΎΡΠΈΡ (ΠΠΠ), ΠΏΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΡ ΠΎΠΏΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π΄ΠΈΡΠΊΠ° ΠΈ Π΄ΡΡΠ³ΠΈΠ΅ ΠΠ. /
Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ. Π Π°ΡΠΏΡΠΎΡΡΡΠ°Π½Π΅Π½Π½ΠΎΡΡΡ ΠΏΡΠΈΠ·Π½Π°ΠΊΠΎΠ² ΠΠ Ρ Π»ΠΈΡ Ρ Π°ΡΡΠ΅ΡΠΈΠ°Π»ΡΠ½ΠΎΠΉ Π³ΠΈΠΏΠ΅ΡΡΠ΅Π½Π·ΠΈΠΈ (ΠΠ) ΠΈ Π±Π΅Π· ΠΠ ΡΠΎΡΡΠ°Π²ΠΈΠ»Π° 81 ΠΈ 46%, ΡΠΎΠΎΡΠ²Π΅ΡΡΡΠ²Π΅Π½Π½ΠΎ (p<0,001), Π°ΡΡΠΎΡΠΈΠ°ΡΠΈΡ ΡΠΎΡ
ΡΠ°Π½ΡΠ»Π°ΡΡ Π½Π΅Π·Π°Π²ΠΈΡΠΈΠΌΠΎ ΠΎΡ Π΄ΡΡΠ³ΠΈΡ
ΡΠ°ΠΊΡΠΎΡΠΎΠ², ΠΎΡΠ½ΠΎΡΠ΅Π½ΠΈΠ΅ ΡΠ°Π½ΡΠΎΠ² =2,27 (95% Π΄ΠΎΠ²Π΅ΡΠΈΡΠ΅Π»ΡΠ½ΡΠΉ ΠΈΠ½ΡΠ΅ΡΠ²Π°Π»: 1,78-4,17). Π‘Π²ΡΠ·ΠΈ ΠΠΠ, ΠΊΠ°ΡΠ°ΡΠ°ΠΊΡΡ ΠΈ ΠΠ Ρ ΠΠ Π² ΠΌΠ½ΠΎΠ³ΠΎΡΠ°ΠΊΡΠΎΡΠ½ΡΡ
ΠΌΠΎΠ΄Π΅Π»ΡΡ
Π½ΠΈΠ²Π΅Π»ΠΈΡΠΎΠ²Π°Π»ΠΈΡΡ ΠΈ ΠΏΡΠ΅ΠΈΠΌΡΡΠ΅ΡΡΠ²Π΅Π½Π½ΠΎ ΠΎΠ±ΡΡΡΠ½ΡΠ»ΠΈΡΡ ΠΌΠ΅ΡΠ°Π±ΠΎΠ»ΠΈΡΠ΅ΡΠΊΠΈΠΌΠΈ ΡΠ°ΠΊΡΠΎΡΠ°ΠΌΠΈ. Π£ Π»ΠΈΡ Ρ Π‘Π-2 ΡΠ°ΡΠ΅, ΡΠ΅ΠΌ Π±Π΅Π· Π‘Π-2, Π²ΡΡΡΠ΅ΡΠ°Π»ΠΈΡΡ ΠΏΡΠΈΠ·Π½Π°ΠΊΠΈ ΠΠ (9,3 vs 0,4%, p<0,001), ΠΠΠ (22 vs 17%, p=0,042) ΠΈ Π³Π»Π°ΡΠΊΠΎΠΌΠ° (14 vs 7%, p=0,001); Π°ΡΡΠΎΡΠΈΠ°ΡΠΈΠΈ Π‘Π-2 Ρ ΠΠ ΠΈ Π³Π»Π°ΡΠΊΠΎΠΌΠΎΠΉ ΡΠΎΡ
ΡΠ°Π½ΡΠ»ΠΈΡΡ Π½Π΅Π·Π°Π²ΠΈΡΠΈΠΌΠΎ ΠΎΡ Π΄ΡΡΠ³ΠΈΡ
ΡΠ°ΠΊΡΠΎΡΠΎΠ². Π¨Π°Π½Ρ ΠΈΠΌΠ΅ΡΡ ΠΏΡΠΈΠ·Π½Π°ΠΊΠΈ ΠΠ Ρ Π»ΠΈΡ Ρ ΠΊΠ°ΡΠΎΡΠΈΠ΄Π½ΡΠΌ Π°ΡΠ΅ΡΠΎΡΠΊΠ»Π΅ΡΠΎΠ·ΠΎΠΌ (ΠΠ‘Π) Π±ΡΠ» Π²ΡΡΠ΅ Π² 1,6 ΡΠ°Π·, ΡΠ΅ΠΌ Ρ Π»ΠΈΡ Π±Π΅Π· ΠΠ‘Π ΠΏΡΠΈ ΠΏΠΎΠΏΡΠ°Π²ΠΊΠ΅ Π½Π° ΠΏΠΎΠ», Π²ΠΎΠ·ΡΠ°ΡΡ ΠΈ ΠΊΡΡΠ΅Π½ΠΈΠ΅ (p=0,013). /
ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅. Π ΠΎΠ±ΡΠ»Π΅Π΄ΠΎΠ²Π°Π½Π½ΠΎΠΉ ΠΏΠΎΠΏΡΠ»ΡΡΠΈΠΎΠ½Π½ΠΎΠΉ Π²ΡΠ±ΠΎΡΠΊΠ΅ ΠΏΡΠ΅ΠΈΠΌΡΡΠ΅ΡΡΠ²Π΅Π½Π½ΠΎ ΠΏΠΎΠΆΠΈΠ»ΠΎΠ³ΠΎ Π²ΠΎΠ·ΡΠ°ΡΡΠ° Π²ΡΡΠ²ΠΈΠ»ΠΈ ΡΡΠ΄ Π°ΡΡΠΎΡΠΈΠ°ΡΠΈΠΉ ΠΌΠ΅ΠΆΠ΄Ρ ΠΊΠ°ΡΠ΄ΠΈΠΎΠΌΠ΅ΡΠ°Π±ΠΎΠ»ΠΈΡΠ΅ΡΠΊΠΈΠΌΠΈ ΠΈ ΡΠ°ΡΠΏΡΠΎΡΡΡΠ°Π½Π΅Π½Π½ΡΠΌΠΈ ΠΠ. ΠΠ΄Π΅Π½ΡΠΈΡΠΈΡΠΈΡΠΎΠ²Π°Π½Π½ΡΠ΅ Π²Π°ΡΠΈΠ°Π½ΡΡ ΠΊΠΎΠΌΠΎΡΠ±ΠΈΠ΄Π½ΠΎΡΡΠΈ ΠΌΠΎΠ³ΡΡ ΠΈΠΌΠ΅ΡΡ Π²Π°ΠΆΠ½ΠΎΠ΅ Π»Π΅ΡΠ΅Π±Π½ΠΎ-ΠΏΡΠΎΡΠΈΠ»Π°ΠΊΡΠΈΡΠ΅ΡΠΊΠΎΠ΅ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ Π² ΡΡΠ°ΡΠ΅ΡΡΠ΅ΠΉ ΠΏΠΎΠΏΡΠ»ΡΡΠΈΠΈ. //
Aim. To study associations of cardiovascular diseases and type 2 diabetes (T2D) with ophthalmic diseases in a population sample of men and women from middle to old age (Novosibirsk). /
Material and methods. The population cohort was initially studied in 2003-2005 (n=9360, 45-69 years old, Novosibirsk, the Health, Alcohol and Psychosocial factors in Eastern Europe (HAPIEE) project). At the second survey (2015-2017) in a random subsample (n=1011), the following ophthalmic diseases were identified: hypertensive retinopathy (HR), diabetic retinopathy (DR), cataract, glaucoma, age-related macular degeneration (AMD), optic disc abnormalities, etc. /
Results. The prevalence of HR signs in persons with and without hypertension (HTN) was 81 and 46%, respectively (p<0,001). This association persisted regardless of other factors (odds ratio, 2,27 (95% confidence interval: 1,78-4,17). The prevalence of AMD, cataract and DR increased in HTN, but associations were largely explained by metabolic factors in multivariate models. People with T2D more often than without T2D had signs of DR (9,3 vs 0,4%, p<0,001), AMD (22 vs 17%, p=0,042) and glaucoma (14 vs 7%, p=0,001). Associations of T2D with DR and glaucoma persisted regardless of other factors. Individuals with carotid atherosclerosis (CA) were 1,6 times more likely to have HR than those without CA when adjusted for sex, age, and smoking (p=0,013). /
Conclusion. In the surveyed population sample of mainly elderly people, a number of associations between cardiometabolic and common ophthalmic diseases were revealed. The identified comorbidities may have important therapeutic and prophylactic applications in an aging population