The prevalence and related factors of diabetic retinopathy in Shanghai Songnan community_Chinese Journal of Ocular Fundus Diseases

Authors：

 LiuLiping , ZhuJiwei , XiongYi , 陈雁 , 黄红儿

Shanghai Baoshan District Community Health Center, Songnan Town, Shanghai 200441, China;

Corresponding author：

LiuLiping, Email: snywk@126.com

Keywords：

Diabetic retinopathy/epidemiology; Prevalence; Root cause analysis

DOI：

10.3760/cma.j.issn.1005-1015.2015.02.004

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective In order to provide guidance for early interference of diabetic retinopathy (DR) in patients with diabetes mellitus (DM), we surveyed the prevalence and analysis the related factors of DR in Shanghai Songnan community. Methods Based on an established resident health database, an epidemiology study was performed on the residents with DM in Shanghai Songnan community.1177 patients completed questionnaire survey, and received physical examination and laboratory tests. The diagnosis and grading of DR were established based on the ocular fundus images acquired by digital non-mydriasis fundus camera. Patients with incomplete questionnaires were excluded. Results There were 1120 DM patients with valid questionnaires. DR was found in 264 (23.57%) patients. The prevalence of mild, moderate, severe non-proliferative DR and proliferative DR was 17.05%, 5.09%, 1.16% and 0.27% respectively. There was significant differences in age, disease course, systolic blood pressure, insulin usage between the DR group and NDR group(t=-2.647, 2.688, 2.204, 2.291;χ²=12.527;P=0.008, 0.007, 0.028, 0.022, 0.000). There was significant differences in fasting blood-glucose and insulin usage between the mild, the moderate and the severe DR group(t=21.964, χ²=14.996;P=0.000, 0.001). Stepwise logistic analysis identified that age, DM course, and insulin usage were the related factors of DR (OR=0.769, 1.239, 1.100, 1.071, 1.682;P=0.001, 0.043, 0.176, 0.097, 0.005). Conclusion The age, DM course, and insulin usage were the related factors of DR. The high prevalence of DR indicated the importance of the management of diabetic patients.

Citation： LiuLiping, ZhuJiwei, XiongYi. The prevalence and related factors of diabetic retinopathy in Shanghai Songnan community. Chinese Journal of Ocular Fundus Diseases, 2015, 31(2): 126-129. doi: 10.3760/cma.j.issn.1005-1015.2015.02.004 Copy

1.	谢田华, 朱靖傅, 傅东红, 等.无锡市滨湖区50岁及以上人群糖尿病视网膜病变患病情况调查[J].中华眼底病杂志, 2013, 29(5):495-498.
2.	中国2型糖尿病防治指南(2013版)[J].中华糖尿病杂志, 2014, 6(7):447-498.
3.	耿燕, 刘超, 许军, 等.糖尿病患者视网膜病变知识的认知度及影响因素的Logistic回归分析[J].中华临床医师杂志, 2010, 4(7):1017-1022.
4.	Klein R, Sharrett AR, Klein BE, et al. The association of atherosclerosis, vascular risk factors, and retinopathy in adults with diabetes:the atherosclerosis risk in communities study[J].Ophthalmology, 2002, 109(7):1225-1234.
5.	许迅, 邹海东.糖尿病视网膜病变的社区筛查和防治[J].中国眼耳鼻喉科杂志, 2008, 8(5):276-279.
6.	Hansen AB, Sander B, Larsen M, et al.Screening for diabetic retinopathy using a digital non-mydriatic camera compared with standard 35-mm stereo colour transparencies[J].Acta Ophthalmol Scand, 2004, 82(6):656-665.
7.	马学清, 宋建明, 曹雅莉, 等.彩色眼底照相在社区糖尿病视网膜病变筛查中的应用[J].中华全科医师杂志, 2012, 11(6):433.
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10.	Varma R, Torres M, Peña F, et al. Prevalence of diabetic retinopathy in adult Latinos:the Los Angles Latino Eye Study[J].Ophthalmology, 2004, 111(7):1298-1306.
11.	McKay R, McCarry CA, Taylor HR. Diabetic retinopathy in Victoria, Australia:the visual impairment project[J]. Br J Ophthalmol, 2000, 84(8):865-870.
12.	Kempen JH, O'Colmain BJ, Leske MC, et al.The prevalence of diabetic retinopathy among adults in the United States[J].Arch Ophthalmol, 2004, 122(4):522-563.
13.	邹海东, 张皙, 朱剑锋, 等.上海市北新泾街道糖尿病视网膜病变的患病率调查[J].中华眼底病杂志, 2006, 22(1):31-34.
14.	胡安娣娜, 李涛, 罗燕, 等.增殖性糖尿病视网膜病变的危险因素分析[J].中国实用眼科杂志, 2011, 29(9):925-928.
15.	Klein R, Klein BE, Moss SE, et al.The Wisconsin epidemiologic study of diabetic retinopathy.Ⅲ. Prevalence and risk of diabetic retinopathy whenage at diagnosis is 30 or more years[J].Arch Ophthalmol, 1984, 102(4):527-532.
16.	Lim MC, Lee SY, Cheng BC, et al.Diabetic retinopathy in diabetics referred to a tertiary centre from a nationwide screening programme[J].Ann Acad Med Singapore, 2008, 37(9):753-759.
17.	张丹, 欧阳金芝.2型糖尿病视网膜病变的危险因素分析[J].临床内科杂志, 2008, 25(7):463-465.
18.	Nagi DK, Pettitt DJ, Bennett PH, et al. Diabetic retinopathy assessed by fundus photography in Pima Indians with impaired glucose tolerance and NIDDM[J]. Diabet Med, 1997, 14(6):449-456.
19.	Varma R, Macias GL, Torres M, et al. Biologic risk factors associated with diabetic retinopathy:the Los Angeles Latino Eye Study[J].Ophthalmology, 2007, 114(7):1332-1340.

1. 谢田华, 朱靖傅, 傅东红, 等.无锡市滨湖区50岁及以上人群糖尿病视网膜病变患病情况调查[J].中华眼底病杂志, 2013, 29(5):495-498.
2. 中国2型糖尿病防治指南(2013版)[J].中华糖尿病杂志, 2014, 6(7):447-498.
3. 耿燕, 刘超, 许军, 等.糖尿病患者视网膜病变知识的认知度及影响因素的Logistic回归分析[J].中华临床医师杂志, 2010, 4(7):1017-1022.
4. Klein R, Sharrett AR, Klein BE, et al. The association of atherosclerosis, vascular risk factors, and retinopathy in adults with diabetes:the atherosclerosis risk in communities study[J].Ophthalmology, 2002, 109(7):1225-1234.
5. 许迅, 邹海东.糖尿病视网膜病变的社区筛查和防治[J].中国眼耳鼻喉科杂志, 2008, 8(5):276-279.
6. Hansen AB, Sander B, Larsen M, et al.Screening for diabetic retinopathy using a digital non-mydriatic camera compared with standard 35-mm stereo colour transparencies[J].Acta Ophthalmol Scand, 2004, 82(6):656-665.
7. 马学清, 宋建明, 曹雅莉, 等.彩色眼底照相在社区糖尿病视网膜病变筛查中的应用[J].中华全科医师杂志, 2012, 11(6):433.
8. 许迅.糖尿病性视网膜病变新的国际临床分型[J].上海医学, 2005, 28(1):8-9.
9. West SK, Muunoz B, Klein R, et al. Risk factors for typeⅡdiabetes and diabetic retinopathy in a mexican-american population:proyecto VER[J]. Am J Ophthalmol, 2002, 134(3):390-398.
10. Varma R, Torres M, Peña F, et al. Prevalence of diabetic retinopathy in adult Latinos:the Los Angles Latino Eye Study[J].Ophthalmology, 2004, 111(7):1298-1306.
11. McKay R, McCarry CA, Taylor HR. Diabetic retinopathy in Victoria, Australia:the visual impairment project[J]. Br J Ophthalmol, 2000, 84(8):865-870.
12. Kempen JH, O'Colmain BJ, Leske MC, et al.The prevalence of diabetic retinopathy among adults in the United States[J].Arch Ophthalmol, 2004, 122(4):522-563.
13. 邹海东, 张皙, 朱剑锋, 等.上海市北新泾街道糖尿病视网膜病变的患病率调查[J].中华眼底病杂志, 2006, 22(1):31-34.
14. 胡安娣娜, 李涛, 罗燕, 等.增殖性糖尿病视网膜病变的危险因素分析[J].中国实用眼科杂志, 2011, 29(9):925-928.
15. Klein R, Klein BE, Moss SE, et al.The Wisconsin epidemiologic study of diabetic retinopathy.Ⅲ. Prevalence and risk of diabetic retinopathy whenage at diagnosis is 30 or more years[J].Arch Ophthalmol, 1984, 102(4):527-532.
16. Lim MC, Lee SY, Cheng BC, et al.Diabetic retinopathy in diabetics referred to a tertiary centre from a nationwide screening programme[J].Ann Acad Med Singapore, 2008, 37(9):753-759.
17. 张丹, 欧阳金芝.2型糖尿病视网膜病变的危险因素分析[J].临床内科杂志, 2008, 25(7):463-465.
18. Nagi DK, Pettitt DJ, Bennett PH, et al. Diabetic retinopathy assessed by fundus photography in Pima Indians with impaired glucose tolerance and NIDDM[J]. Diabet Med, 1997, 14(6):449-456.
19. Varma R, Macias GL, Torres M, et al. Biologic risk factors associated with diabetic retinopathy:the Los Angeles Latino Eye Study[J].Ophthalmology, 2007, 114(7):1332-1340.

Chinese Journal of Ocular Fundus Diseases

The prevalence and related factors of diabetic retinopathy in Shanghai Songnan community

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