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Effect of physical activity on severity of primary angle closure glaucoma

Objective: To determine the association between physical activity and severity of primary angle closure glaucoma in Malay patients. Methods: A cross-sectional study was conducted involving 150 primary angle closure glaucoma patients between April 2014 and August 2016. Using the International Physica...

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Published in:Therapeutic advances in ophthalmology 2019-01, Vol.11, p.2515841419864855-2515841419864855
Main Authors: Chong Seong, Niven Teh, Yaakub, Azhany, Jalil, Rohana Abdul, Tirmandas VN, Karunakar, A/P Sandragasu, Thayanithi, Noor, Jelinar Binti Mohd, Husain, Norhalwani Bt, Mustari, Zuraidah Binti, Hamid, Siti Azrin Ab, Mt Saad, Ahmad B, AT, Liza-Sharmini
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Language:English
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Summary:Objective: To determine the association between physical activity and severity of primary angle closure glaucoma in Malay patients. Methods: A cross-sectional study was conducted involving 150 primary angle closure glaucoma patients between April 2014 and August 2016. Using the International Physical Activity Questionnaire, the physical activity status was assessed and divided into three categories: mild, moderate and heavy physical activity. The duration of physical activity and corresponding minimum energy requirements were calculated. Ocular examination was performed including Humphrey visual field 24-2 analysis assessment. Based on two consecutive reliable Humphrey visual fields, the severity of glaucoma was scored according to modified Advanced Glaucoma Intervention Study and classified as mild (0–5), moderate (6–11) and severe (12–20). Association between physical activity and Advanced Glaucoma Intervention Study score was determined with multiple linear regression analysis. Results: A total of 150 Malay patients with primary angle closure glaucoma were included (50 patients with mild, 50 with moderate and 50 with severe glaucoma). Physical activity showed inverse association with the severity of primary angle closure glaucoma. After calculating adjustments for age, sex, duration of glaucoma, body mass index, systemic co-morbidities, family history of glaucoma, myopia and educational status [adjusted b –3.41, 95% confidence interval (–5.23, –1.59), p 
ISSN:2515-8414
2515-8414
DOI:10.1177/2515841419864855