J Korean Ophthalmol Soc > Volume 57(5); 2016 > Article
Journal of the Korean Ophthalmological Society 2016;57(5):779-785.
DOI: https://doi.org/10.3341/jkos.2016.57.5.779    Published online May 15, 2016.
The Association between Diabetic Retinopathy and Framingham Risk Score in Koreans with Type II Diabetes.
Da Yeong Kim, Su Jeong Song, Jeong Hun Bae, Cheol Young Park, Eun Jung Rhee
1Department of Ophthalmology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. eye-su@hanmail.net
2Department of Endocrinology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
서울시 당뇨예방사업의 제2형 당뇨 환자에서 당뇨망막병증과 프래밍험 위험도 점수와의 관계
김다영1⋅송수정1⋅배정훈1⋅박철영2⋅이은정2
성균관대학교 의과대학 강북삼성병원 안과학교실1, 성균관대학교 의과대학 강북삼성병원 내분비내과학교실2
Received: 3 December 2015   • Revised: 9 March 2016   • Accepted: 11 April 2016
Abstract
PURPOSE
In this study, we compared the risk of cardiovascular complications between diabetic retinopathy (DR) groups based on the Framingham Risk Score. METHODS: Subjects 40 years of age or older were enrolled in the present study from September 2008 to September 2009. Five scales were used to evaluate the severity of DR for the most severely affected eye in each patient: no DR, mild nonproliferative DR (NPDR), moderate NPDR, severe NPDR and proliferative DR (PDR). The first group included no DR patients and the second group included mild NPDR patients. The third group included moderate NPDR, severe NPDR and PDR patients. The Framingham Risk Score was analyzed among the groups to determine whether a difference in score existed. RESULTS: DR was found in 126 subjects. The first group included 403 subjects, the second group 22 subjects and the third group 104 subjects. The average Framingham Risk Score that appeared with increasing severity of DR was 10.89 ± 7.98 in the first group, 12.25 ± 10.84 in the second group and 13.25 ± 10.66 in the third group. The average difference between the first and third groups was statistically significant (p = 0.014). CONCLUSIONS: In our study, the Framingham Risk Score increased significantly with more severe DR (p = 0.042). Our results are useful when considering the easily accessible identification of DR and that cardiovascular disease is one of the main causes of death worldwide. However, confirming the exact causal relationship based on our results is difficult because the study design was cross-sectional and additional studies are necessary.
Key Words: Cardiovascular complication;Diabetic retinopathy;Framingham Risk Score;Macrovascular complication;Microvascular complication


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