Relationship between intraocular pressure and parameters of obesity in ocular hypertension

AIM: To evaluate the correlation between intraocular pressure (IOP) and various obesity-related health factors in patients with ocular hypertension in Korea. METHODS: A total of 40 850 subjects underwent age, sex, body weight, and height assessments and automated multiphasic tests, including non-co...

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Main Authors: Min Won Ahn, Ji Woong Lee, Jong Hoon Shin, Jong Soo Lee
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2020-05-01
Series:International Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.cn/en_publish/2020/5/20200515.pdf
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author Min Won Ahn
Ji Woong Lee
Jong Hoon Shin
Jong Soo Lee
author_facet Min Won Ahn
Ji Woong Lee
Jong Hoon Shin
Jong Soo Lee
author_sort Min Won Ahn
collection DOAJ
description AIM: To evaluate the correlation between intraocular pressure (IOP) and various obesity-related health factors in patients with ocular hypertension in Korea. METHODS: A total of 40 850 subjects underwent age, sex, body weight, and height assessments and automated multiphasic tests, including non-contact tonometry, automated perimetry, fundus photography, systolic/diastolic blood pressure measurement, and evaluation of obesity-related health parameters such as obesity index, body mass index (BMI), a body shape index (ABSI), and waist-to-height ratio (WtHR). Subjects were divided into ocular hypertension group and normal IOP group according to IOP after matching of age and sex. RESULTS: Of 40 850 participants, 1515 (3.7%) had ocular hypertension, and 1515 with normal IOP were selected as controls using propensity score matching. The mean IOP of control group was 15.3±2.3 mm Hg, compared with 23.3±1.6 mm Hg in ocular hypertension group. Height, obesity index, BMI, and WtHR in the ocular hypertension group were significantly higher than in the normal IOP group (P<0.001, P<0.001, P=0.009, P=0.002). IOP of ocular hypertension was positively correlated with obesity index (P=0.027) and BMI (P=0.016), whereas IOP of control was positively correlated with blood pressure (P<0.001, P=0.002), obesity index (P<0.001), BMI (P<0.001), and WHtR (P=0.002). Systolic blood pressure (β=0.022, P<0.001) and body weight (β=0.016, P=0.02) were precursors of IOP in normal subjects, but sex (male; β=-0.231, P=0.008) and obesity index (β=-0.007, P=0.017) were precursors of ocular hypertension according to multiple regression analysis . CONCLUSION: Among various obesity-related health parameters, obesity index is the best indicator for further increase in IOP in ocular hypertension group.
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spelling doaj.art-e4afd2dfc8dd41c4b8955c64bc1d4fa72022-12-21T23:45:49ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982020-05-0113579480010.18240/ijo.2020.05.15Relationship between intraocular pressure and parameters of obesity in ocular hypertensionMin Won Ahn0Ji Woong Lee1Jong Hoon Shin2Jong Soo Lee3Busan Sungmo Eye Hospital, Busan 48064, KoreaDepartment of Ophthalmology, Pusan National University College of Medicine and Medical Research Institute of Pusan National University Hospital, Busan 49241, KoreaDepartment of Ophthalmology, Pusan National University Yangsan Hospital, Yangsan 50612, KoreaDepartment of Ophthalmology, Pusan National University College of Medicine and Medical Research Institute of Pusan National University Hospital, Busan 49241, KoreaAIM: To evaluate the correlation between intraocular pressure (IOP) and various obesity-related health factors in patients with ocular hypertension in Korea. METHODS: A total of 40 850 subjects underwent age, sex, body weight, and height assessments and automated multiphasic tests, including non-contact tonometry, automated perimetry, fundus photography, systolic/diastolic blood pressure measurement, and evaluation of obesity-related health parameters such as obesity index, body mass index (BMI), a body shape index (ABSI), and waist-to-height ratio (WtHR). Subjects were divided into ocular hypertension group and normal IOP group according to IOP after matching of age and sex. RESULTS: Of 40 850 participants, 1515 (3.7%) had ocular hypertension, and 1515 with normal IOP were selected as controls using propensity score matching. The mean IOP of control group was 15.3±2.3 mm Hg, compared with 23.3±1.6 mm Hg in ocular hypertension group. Height, obesity index, BMI, and WtHR in the ocular hypertension group were significantly higher than in the normal IOP group (P<0.001, P<0.001, P=0.009, P=0.002). IOP of ocular hypertension was positively correlated with obesity index (P=0.027) and BMI (P=0.016), whereas IOP of control was positively correlated with blood pressure (P<0.001, P=0.002), obesity index (P<0.001), BMI (P<0.001), and WHtR (P=0.002). Systolic blood pressure (β=0.022, P<0.001) and body weight (β=0.016, P=0.02) were precursors of IOP in normal subjects, but sex (male; β=-0.231, P=0.008) and obesity index (β=-0.007, P=0.017) were precursors of ocular hypertension according to multiple regression analysis . CONCLUSION: Among various obesity-related health parameters, obesity index is the best indicator for further increase in IOP in ocular hypertension group.http://www.ijo.cn/en_publish/2020/5/20200515.pdfintraocular pressureocular hypertensionbody mass indexbody shape indexwaist-to-height ratio
spellingShingle Min Won Ahn
Ji Woong Lee
Jong Hoon Shin
Jong Soo Lee
Relationship between intraocular pressure and parameters of obesity in ocular hypertension
International Journal of Ophthalmology
intraocular pressure
ocular hypertension
body mass index
body shape index
waist-to-height ratio
title Relationship between intraocular pressure and parameters of obesity in ocular hypertension
title_full Relationship between intraocular pressure and parameters of obesity in ocular hypertension
title_fullStr Relationship between intraocular pressure and parameters of obesity in ocular hypertension
title_full_unstemmed Relationship between intraocular pressure and parameters of obesity in ocular hypertension
title_short Relationship between intraocular pressure and parameters of obesity in ocular hypertension
title_sort relationship between intraocular pressure and parameters of obesity in ocular hypertension
topic intraocular pressure
ocular hypertension
body mass index
body shape index
waist-to-height ratio
url http://www.ijo.cn/en_publish/2020/5/20200515.pdf
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AT jongsoolee relationshipbetweenintraocularpressureandparametersofobesityinocularhypertension