The prevalence of retinopathy in diabetes mellitus and associated risk factors: a community-based cross sectional study in peri urban area

Authors

  • Sanjeev K. Gupta Department of Community Medicine, RKDF Medical College and RC, Bhopal, Madhya Pradesh, India
  • Anshuman Sharma Department of Community Medicine, RKDF Medical College and RC, Bhopal, Madhya Pradesh, India
  • Sanjay Agarwal Department of Community Medicine, RD Gardi Medical College, Ujjain, Bhopal, Madhya Pradesh, India
  • Sanjay Gupta Department of Community Medicine, Peoples College of Medical Science & RC, Bhopal, Madhya Pradesh, India
  • Shalini Sarouthia Department of Community Medicine, RKDF Medical College and RC, Bhopal, Madhya Pradesh, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20181991

Keywords:

Prevalence, Diabetes mellitus, Diabetes retinopathy, Visual impairment, Community, Factors

Abstract

Background: Visual impairment i.e. diabetic retinopathy is the one of most common manifestation of diabetes mellitus. Globally it is becoming an increasing public health problem especially in the developing countries because of increase in number of diabetic patients.

Methods: A cross sectional study was conducted in the vicinity of Urban Heath and Training Centre (UHTC), Peoples University, Bhopal over a period of 6 months through screening in camps held, which included a total of 840 participants (aged ≥25 years) by following simple random procedure and in those who had newly diagnosed or long standing diabetes were referred to ophthalmologist for further evaluation. Retinopathy was determined by ophthalmoscopy and fundus photography. Anthropometric measurements (BMI), glycosylated haemoglobin were also evaluated among the confirmed diabetic patients in the study.

Results: An increased prevalence of diabetes (5.95%) and retinopathy (28%) (95% CI 11.2-32.0) was found. In all age groups prevalence of bilateral blindness, bilateral low vision, unilateral blindness and unilateral low vision were respectively 2%, 28%, 0%, 70%. Independent risk indicators for the occurrence of diabetes such as age, BMI, HbA1c, were found significant for the occurrence of retinopathy in the study population.

Conclusions: Visual impairment due to diabetic retinopathy remains an important public health problem in people with diabetes so timely interventions are required to resolve this major issue.

Author Biographies

Sanjeev K. Gupta, Department of Community Medicine, RKDF Medical College and RC, Bhopal, Madhya Pradesh, India

Dept. of Community Medicine

Associate Professor

Anshuman Sharma, Department of Community Medicine, RKDF Medical College and RC, Bhopal, Madhya Pradesh, India

RKDF Medical College and RC, Jatkhadi Bhopal. MP, India.  Former Assistant Professor,

Sanjay Agarwal, Department of Community Medicine, RD Gardi Medical College, Ujjain, Bhopal, Madhya Pradesh, India

Department of Community Medicine, R D Gardi Medical College, Ujjain, Madhya Pradesh, India.

Sanjay Gupta, Department of Community Medicine, Peoples College of Medical Science & RC, Bhopal, Madhya Pradesh, India

Department of Community Medicine, Peoples College of Medical Science & RC, Bhopal, Madhya Pradesh, India.

Former Professor

Shalini Sarouthia, Department of Community Medicine, RKDF Medical College and RC, Bhopal, Madhya Pradesh, India

Department of Community Medicine, RKDF Medical College and RC, Jatkhedi Bhopal. MP, India.

Tutor

References

Foulds WS, McCuısh A, Barie T, Green F, Scobie IN, Ghafour IM, et al. Diabetic retinopathy in the west of Scotland: its detection and prevalence, and the cost-effectiveness of a proposed screening programme. Health Bull (Edinb). 1983;41:318-26.

Blankenship GW, Skyler JS. Diabetic retinopathy; a general survey. Diabetes Care. 1978;1:127-37.

Foster A, Johnson GJ. Magnitude and causes of blindness in the developing world. Int Ophthalmol. 1990;14:135-40.

Klein R, Klein BEK. Vision disorders in diabetes. In: Hamman R, Harris MWH, eds. Diabetes in America, U.S. Public Health Service NIH Pub. No. 85-1468. Bethesda, MD: National Institutes of Health; 1983: 1-36.

Sjöleie AK. Eye diseases. In: Williams DRR, Papoz L, Fuller JH, eds. Diabetes in Europe. London: John Libbey; 1994: 61-71.

Shaw JE, Sicree RA, Zimmet PZ. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract. 2010;87:4–14.

Zhang P, Zhang X, Brown J, Vistisen D, Sicree R, Shaw J, et al. Global healthcare expenditure on diabetes for 2010 and 2030. Diabetes Res Clin Pract. 2010;87:293–301.

Klein BE, Klein R, Wang Q, Moss SE. Older-onset diabetes and lens opacities: the Beaver Dam Eye Study. Ophthalmic Epidemiol. 1995;2:49–55.

Klein BE, Klein R, Jensen SC. Open-angle glaucoma and older-onset diabetes: the Beaver Dam Eye Study. Ophthalmology. 1994;101:1173–7.

Pasquale LR, Kang JH, Manson JE, Willett WC, Rosner BA. Prospective study of type 2 diabetes mellitus and risk of primary open-angle glaucoma in women. Ophthalmology. 2006;113:1081–6.

Klein R, Lee KE, Knudtson MD, Gangnon RE, Klein BE. Changes in visual impairment prevalence by period of diagnosis of diabetes: the Wisconsin Epidemiologic Study of Diabetic Retinopathy. Ophthalmology. 2009;116:1937–42.

Sayeed MA, Mahtab H, Khanam PA, Latif ZA, Ali SMK, Banu A. Diabetes and impaired fasting glycemia in a rural population of Bangladesh. Diabetes Care. 2003;26:1034-9.

Sayeed MA, Hossain MZ, Banu A, Rumi MAK, Khan AKA. Prevalence of diabetes in a suburban population of Bangladesh. Diabetes Res Clin Pract. 1997;34:149-55.

Sayeed MA, Khan AR, Banu A, Hussain MZ. Prevalence of diabetes and hypertension in a rural population of Bangladesh. Diabetes Care. 1995;18:555-8.

Hussain A, Vaaler S, Sayeed MA, Mahtab H, Ali SMK, et al. Type 2 diabetesand impaired fasting blood glucose in rural Bangladesh: a population-based study. Eur J Public Health. 2006;17:291–6.

Rahim MA, Hussain A, Khan AKA, Sayeed MA, Ali SMK, Vaaler S. Rising prevalence of type 2 diabetes in rural Bangladesh: A population based study. Diabetes Res Clin Pract. 2006;77(2):300-5.

Hussain A, Rahim MA, Khan AKA, Ali SMK, Vaaler S. Type 2 diabetes in rural and urban population: diverse prevalence and associated risk factors in Bangladesh. Diabetic Med. 2005;22:931-6.

Dong Y, Gao W, Nan H, Yu H, Li F, Duan W, et al. Prevalence of type 2 diabetes in urban and rural Chinese population in Qingdao, China. Diab Med 2005;22:1427-33.

Ramachandran A, Snehalatha C, Basker ADS, Mary S, Kumar CKS, Selvam S, et al. Temporal changes in prevalence of diabetes and impaired glucose tolerance associated with lifestyle transition occurring in the rural population in India. Diabetologia. 2004;47:860–5.

Satman I, Yilmaz T, Sengul A, Salman S, Salman F, Uygur S, et al., Population-based study of diabetes and risk characteristics in Turkey: results of the Turkish Diabetes Epidemiology Study (TURDEP). Diabetes Care. 2002;25:1515–56.

Shera AS, Rafique G, Khwaja IA, Baqai S, Khan IA, King H, et al. Pakistan National Diabetes Survey prevalence of glucose intolerance and associated factors in North West at Frontier Province (NWFP) of Pakistan. J Pak Med Assoc. 1999;49:206–11.

Ramaiya KL, Kodali VRR, Alberti KGMM. Epidemiology of diabetes in Asians of the Indian subcontinent. Diabet Metab. 1990;6:125–46.

Ramachandran A, Snehalatha C, Dharmaraj D, Viswanathan M. Prevalence of glucose intolerance in Asian Indians: urban-rural difference and significance of upper body adiposity. Diabetes Care. 1992;15:1348–55.

Cheah JS, Thai AC. Epidemiology of non-insulin dependent diabetes mellitus (NIDDM) in ASEAN. Proceedings of the 7th Congress of the ASEAN Federation of Endocrine Societies, 1993;6:1-58.

Snehalatha C, Vijay V, Ramachandran A. Cut off values for normal anthropometric variables in Asian Indian adults. Diabetes Care. 2003;26:1380–4.

Ramachandran A, Snehalatha C, Shyamala P, Vishanathan V, Vishanathan M. High prevalence of NIDDM and IGT in an elderly south Indian population with low rates of obesity. Diabetes Care. 1994;17:1190-2.

Downloads

Published

2018-05-22

How to Cite

Gupta, S. K., Sharma, A., Agarwal, S., Gupta, S., & Sarouthia, S. (2018). The prevalence of retinopathy in diabetes mellitus and associated risk factors: a community-based cross sectional study in peri urban area. International Journal Of Community Medicine And Public Health, 5(6), 2226–2231. https://doi.org/10.18203/2394-6040.ijcmph20181991

Issue

Section

Original Research Articles