J Prev Med Public Health.  2010 Mar;43(2):125-130. 10.3961/jpmph.2010.43.2.125.

The Distribution of Intraocular Pressure and Its Association With Metabolic Syndrome in a Community

Affiliations
  • 1Graduate School of Public Health, Seoul National University, Korea. scho@snu.ac.kr
  • 2Department of Veterinary Integrative Biosciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, USA.
  • 3Department of Visual Optics, Far East University, USA.
  • 4Gradute School of Health Science, Far East University, USA.

Abstract


OBJECTIVES
The current study was performed to assess the distribution of intraocular pressure (IOP) and its association with metabolic syndrome (MS) in a community.
METHODS
We measured IOP and MS components from 446 adults, age 20 or more years old, who reside in a community in Kyunggi Province, South Korea. We compared the level of IOP according to the number of metabolic abnormalities and between normal and abnormal metabolic components. Linear regression analyses were used to determine the relationship between IOP and metabolic components.
RESULTS
No significant difference in IOP (mean +/- SE) was found between men (12.24 +/- 2.42) and women (12.55 +/- 2.41 mmHg, p > 0.1), while IOP of men tended to decrease as age increased (p for trend < 0.01). After adjusting for age, IOP of subjects with abdominal obesity in men and high blood pressure in women were significantly higher than those without abdominal obesity or high blood pressure (p < 0.05). Female subjects with MS showed significantly higher IOP than those without MS. Participants with more metabolic disturbances tended to have a greater IOP elevation with a linear trend after adjusting for age and sex. In the univariate regression analysis, age and waist circumference were significantly associated with IOP in men, but systolic and diastolic blood pressure were associated with IOP in women. In final multiple regression model, age, systolic blood pressure, and triglyceride were associated with IOP in women, and age in men.
CONCLUSIONS
These findings suggest that MS and its components may be important determinants of elevated IOP.

Keyword

Metabolic syndrome; Intraocular pressure; Insulin resistance; Obesity; Glaucoma

MeSH Terms

Adult
Age Factors
Body Mass Index
Female
Health Behavior
Humans
Hypertension/physiopathology
Insulin Resistance/physiology
*Intraocular Pressure
Linear Models
Lipids/blood
Male
Metabolic Syndrome X/*complications/epidemiology/physiopathology
Middle Aged
Republic of Korea/epidemiology
Sex Factors
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