Relationship between Open-angle Glaucoma and Stroke

A 2010 to 2012 Korea National Health and Nutrition Examination Survey

Won June Lee, Jin Wook Jeoung, Kyeong Ik Na, Young Kook Kim, chanyun kim, Ki Ho Park

Research output: Contribution to journalArticle

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Abstract

Purpose:To determine the relationship between open-angle glaucoma (OAG) and stroke in the Korean population.Materials and Methods:This study was a population-based, cross-sectional study that used data from the Korea National Health and Nutrition Examination Survey (KNHANES), a complex, stratified, multistage, probability-cluster survey. We analyzed a total of 11,959 participants who were above 40 years old and were included in the fifth KNHANES database (2010 to 2012 data). Weighted prevalence of OAG and stroke in various populations were estimated. Univariate and multivariate logistic regressions were performed to examine potential risk factors for stroke, including OAG. Multivariate adjusted odds ratios (OR) for stroke were examined in subjects with and without OAG. Subjects were also examined by hypertension and diabetes status.Results:Stroke patients had a significantly higher OAG prevalence (8.5%) than nonstroke patients (3.8%; P<0.001). After adjusting for selected risk factors, the presence of OAG tended to be associated with stroke (adjusted OR=1.629), but this result was not statistically significant (P=0.053). Stroke and OAG were significantly associated with each other in subjects with hypertension (OR=2.059; P=0.010) and diabetes (OR=2.649; P=0.040). In addition, the associations of stroke and other systemic diseases were stronger when OAG was a comorbid condition.Conclusions:Although there was no overall statistical significance, patients with OAG had an increased risk of stroke, among those with systemic comorbidities, including hypertension and diabetes. Our results may provide insight on the underlying mechanisms of OAG and their association with stroke development.

Original languageEnglish
Pages (from-to)22-27
Number of pages6
JournalJournal of Glaucoma
Volume27
Issue number1
DOIs
Publication statusPublished - 2018 Jan 1

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Nutrition Surveys
Open Angle Glaucoma
Korea
Stroke
Odds Ratio
Hypertension
Population
Comorbidity
Cross-Sectional Studies
Logistic Models
Databases

All Science Journal Classification (ASJC) codes

  • Ophthalmology

Cite this

Lee, Won June ; Jeoung, Jin Wook ; Na, Kyeong Ik ; Kim, Young Kook ; kim, chanyun ; Park, Ki Ho. / Relationship between Open-angle Glaucoma and Stroke : A 2010 to 2012 Korea National Health and Nutrition Examination Survey. In: Journal of Glaucoma. 2018 ; Vol. 27, No. 1. pp. 22-27.
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abstract = "Purpose:To determine the relationship between open-angle glaucoma (OAG) and stroke in the Korean population.Materials and Methods:This study was a population-based, cross-sectional study that used data from the Korea National Health and Nutrition Examination Survey (KNHANES), a complex, stratified, multistage, probability-cluster survey. We analyzed a total of 11,959 participants who were above 40 years old and were included in the fifth KNHANES database (2010 to 2012 data). Weighted prevalence of OAG and stroke in various populations were estimated. Univariate and multivariate logistic regressions were performed to examine potential risk factors for stroke, including OAG. Multivariate adjusted odds ratios (OR) for stroke were examined in subjects with and without OAG. Subjects were also examined by hypertension and diabetes status.Results:Stroke patients had a significantly higher OAG prevalence (8.5{\%}) than nonstroke patients (3.8{\%}; P<0.001). After adjusting for selected risk factors, the presence of OAG tended to be associated with stroke (adjusted OR=1.629), but this result was not statistically significant (P=0.053). Stroke and OAG were significantly associated with each other in subjects with hypertension (OR=2.059; P=0.010) and diabetes (OR=2.649; P=0.040). In addition, the associations of stroke and other systemic diseases were stronger when OAG was a comorbid condition.Conclusions:Although there was no overall statistical significance, patients with OAG had an increased risk of stroke, among those with systemic comorbidities, including hypertension and diabetes. Our results may provide insight on the underlying mechanisms of OAG and their association with stroke development.",
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Relationship between Open-angle Glaucoma and Stroke : A 2010 to 2012 Korea National Health and Nutrition Examination Survey. / Lee, Won June; Jeoung, Jin Wook; Na, Kyeong Ik; Kim, Young Kook; kim, chanyun; Park, Ki Ho.

In: Journal of Glaucoma, Vol. 27, No. 1, 01.01.2018, p. 22-27.

Research output: Contribution to journalArticle

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