Comparison of Coronary Heart Disease and Stroke in Association with Diabetic Retinopathy in Adults with Diabetes Using a National Survey

Diabetic retinopathy (DR) was reported to have higher prevalence of coronary heart disease (CHD) and stroke compared with people without DR. However, whether DR had similar effects on CHD and stroke in US adults with diabetes was not well known. This study was to compare the association between DR,...

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Bibliographic Details
Published in:Diabetes, metabolic syndrome and obesity metabolic syndrome and obesity, 2020-01, Vol.13, p.5079-5084
Main Authors: Yang, Guang-Ran, Li, Dongmei, Li, Lin
Format: Article
Language:English
Subjects:
Adults
Age
Body mass index
Cardiovascular disease
Cellular telephones
Chronic illnesses
Comparative analysis
Coronary heart disease
Diabetes
Diabetic retinopathy
Diabetics
Education
Ethnicity
Health surveys
Heart
Hypercholesterolemia
Hyperglycemia
Hypertension
Insulin
Original Research
Overweight
Public opinion
risk factor
Risk factors
Secondary schools
Stroke
Stroke (Disease)
Surveys
Type 2 diabetes
Variables
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Summary:Diabetic retinopathy (DR) was reported to have higher prevalence of coronary heart disease (CHD) and stroke compared with people without DR. However, whether DR had similar effects on CHD and stroke in US adults with diabetes was not well known. This study was to compare the association between DR, CHD and stroke in US adults with diabetes using the 2015 Behavioral Risk Factor Surveillance System (BRFSS). Respondents with diabetes aged over 18 years and undergone a fundus examination over the past 2 years were included in this study. DR, CHD and stroke were self-reported. A weighted hierarchical logistic regression was used to examine the association of DR with CHD and stroke. A total of 21,049 respondents with diabetes aged over 18 years having undergone a fundus examination over the past 2 years were included in the analysis. There were 4690 people reported having CHD, accounting for the weighted prevalence 22.1%. The weighted prevalence of stroke was 9.6%. There was 28.3% of CHD people who had DR which was higher than that in people without CHD. Differences in weighted frequency distributions of gender, age category (over 45 years or not), current smoking, hypercholesterolemia, hypertension and insulin treatment were significantly different between the CHD and without CHD groups (p
ISSN:1178-7007
1178-7007
DOI:10.2147/DMSO.S292934