Prevalence, characteristics and risk factors of diabetic retinopathy in type 2 diabetes mellitus patients in Jordan: a cross-sectional study

Objectives To measure the prevalence of diabetic retinopathy in patients with type 2 diabetes, to define their characteristics, and identify the associated risk factors. Methods We performed a cross sectional study of 1316 adult patients with type 2 diabetes mellitus who attended an ophthalmology cl...

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Main Authors: Allaa Roto, Randa Farah, Mahmood Al-imam, Mohammed Q. Al-Sabbagh, Nakhleh Abu-Yaghi
Format: Article
Language:English
Published: SAGE Publishing 2022-08-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605221115156
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author Allaa Roto
Randa Farah
Mahmood Al-imam
Mohammed Q. Al-Sabbagh
Nakhleh Abu-Yaghi
author_facet Allaa Roto
Randa Farah
Mahmood Al-imam
Mohammed Q. Al-Sabbagh
Nakhleh Abu-Yaghi
author_sort Allaa Roto
collection DOAJ
description Objectives To measure the prevalence of diabetic retinopathy in patients with type 2 diabetes, to define their characteristics, and identify the associated risk factors. Methods We performed a cross sectional study of 1316 adult patients with type 2 diabetes mellitus who attended an ophthalmology clinic. Demographic, clinical, and laboratory data were analyzed. Diabetic retinopathy (DR) was diagnosed using a complete ophthalmic evaluation, including a fundic examination. Two regression models were constructed to identify the risk factors associated with DR and the parameters associated with the stage of retinopathy. Results Men accounted for 774 (58.8%) of the participants. The prevalence of DR was 28.2% (371 participants). DR was significantly more common in participants who were ≥60 years old, were women, had had diabetes for >10 years, were taking insulin, were not taking metformin, had a body mass index >30 kg/m 2 , were current smokers, or had a history of hypertension. Advanced stages of DR were more common in participants in the later stages of nephropathy and with albuminuria. Conclusions Poor glycemic control, smoking, and advanced diabetic kidney disease are most closely associated with retinopathy. Further longitudinal studies are necessary to identify the mechanisms underlying these relationships and to guide community-based interventions.
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spelling doaj.art-4c1cbfba0d844152b097558f3a4cf18e2022-12-22T01:32:41ZengSAGE PublishingJournal of International Medical Research1473-23002022-08-015010.1177/03000605221115156Prevalence, characteristics and risk factors of diabetic retinopathy in type 2 diabetes mellitus patients in Jordan: a cross-sectional studyAllaa RotoRanda FarahMahmood Al-imamMohammed Q. Al-SabbaghNakhleh Abu-YaghiObjectives To measure the prevalence of diabetic retinopathy in patients with type 2 diabetes, to define their characteristics, and identify the associated risk factors. Methods We performed a cross sectional study of 1316 adult patients with type 2 diabetes mellitus who attended an ophthalmology clinic. Demographic, clinical, and laboratory data were analyzed. Diabetic retinopathy (DR) was diagnosed using a complete ophthalmic evaluation, including a fundic examination. Two regression models were constructed to identify the risk factors associated with DR and the parameters associated with the stage of retinopathy. Results Men accounted for 774 (58.8%) of the participants. The prevalence of DR was 28.2% (371 participants). DR was significantly more common in participants who were ≥60 years old, were women, had had diabetes for >10 years, were taking insulin, were not taking metformin, had a body mass index >30 kg/m 2 , were current smokers, or had a history of hypertension. Advanced stages of DR were more common in participants in the later stages of nephropathy and with albuminuria. Conclusions Poor glycemic control, smoking, and advanced diabetic kidney disease are most closely associated with retinopathy. Further longitudinal studies are necessary to identify the mechanisms underlying these relationships and to guide community-based interventions.https://doi.org/10.1177/03000605221115156
spellingShingle Allaa Roto
Randa Farah
Mahmood Al-imam
Mohammed Q. Al-Sabbagh
Nakhleh Abu-Yaghi
Prevalence, characteristics and risk factors of diabetic retinopathy in type 2 diabetes mellitus patients in Jordan: a cross-sectional study
Journal of International Medical Research
title Prevalence, characteristics and risk factors of diabetic retinopathy in type 2 diabetes mellitus patients in Jordan: a cross-sectional study
title_full Prevalence, characteristics and risk factors of diabetic retinopathy in type 2 diabetes mellitus patients in Jordan: a cross-sectional study
title_fullStr Prevalence, characteristics and risk factors of diabetic retinopathy in type 2 diabetes mellitus patients in Jordan: a cross-sectional study
title_full_unstemmed Prevalence, characteristics and risk factors of diabetic retinopathy in type 2 diabetes mellitus patients in Jordan: a cross-sectional study
title_short Prevalence, characteristics and risk factors of diabetic retinopathy in type 2 diabetes mellitus patients in Jordan: a cross-sectional study
title_sort prevalence characteristics and risk factors of diabetic retinopathy in type 2 diabetes mellitus patients in jordan a cross sectional study
url https://doi.org/10.1177/03000605221115156
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