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Published in: Graefe's Archive for Clinical and Experimental Ophthalmology 12/2012

01-12-2012 | Basic Science

Associations between metabolic syndrome and syndrome components and retinal microvascular signs in a rural Chinese population: the Handan Eye Study

Authors: Yang Zhao, Ke Yang, Fenghua Wang, Yuanbo Liang, Yi Peng, Ran Shen, Tienyin Wong, Ningli Wang

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 12/2012

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Abstract

Background

Our purpose was to determine the relationship of metabolic syndrome (MetS) and its components with retinal microvascular abnormalities in a rural Chinese population.

Methods

The Handan Eye Study, a population-based survey, recruited 6,830 (90.4 % of eligible) rural Chinese ≥30 years of age. A diagnosis of metabolic syndrome was based on the International Diabetes Federation definition. Retinal microvascular signs and arteriolar and venular diameters were assessed from fundus photographs by graders who were trained at the Retinal Vascular Imaging Centre, University of Melbourne.

Results

After adjusting for age, gender, and smoking status, 5,519 participants with MetS, or with the specific components of large waist circumference, elevated blood pressure (BP), or elevated fasting blood glucose (FG), were more likely to have retinopathy, arteriovenous nicking, focal arteriolar narrowing, enhanced arteriolar wall reflex, and generalized retinal arteriolar narrowing than those without MetS or the corresponding component. Individuals with elevated triglycerides were significantly more likely to have arteriovenous nicking and retinopathy.

Conclusion

These results show that individual components of MetS are associated with different retinal microvascular signs and with changes in retinal arteriolar and venular diameters.
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Metadata
Title
Associations between metabolic syndrome and syndrome components and retinal microvascular signs in a rural Chinese population: the Handan Eye Study
Authors
Yang Zhao
Ke Yang
Fenghua Wang
Yuanbo Liang
Yi Peng
Ran Shen
Tienyin Wong
Ningli Wang
Publication date
01-12-2012
Publisher
Springer-Verlag
Published in
Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 12/2012
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI
https://doi.org/10.1007/s00417-012-2109-2

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