Prevalence and Associated Factors of Pseudoexfoliation in a Russian Population: The Ural Eye and Medical Study

To assess the prevalence of pseudoexfoliation (PEX) and its associations in a Russian population. Population-based cross-sectional study. Setting: Ufa capital of Bashkortostan, Russia and a rural region in Bashkortostan. the Ural Eye and Medical Study included 5,899 (80.5%) of 7,328 eligible individ...

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Vydané v:	American journal of ophthalmology Ročník 210; s. 158 - 166
Hlavní autori:	Bikbov, Mukharram M., Zainullin, Rinat M., Gilmanshin, Timur R., Kazakbaeva, Gyulli M., Yakupova, Dilya F., Nuriev, Ildar F., Zaynetdinov, Artur F., Khalimov, Timur A., Panda-Jonas, Songhomitra, Uzianbaeva, Yulia V., Rakhimova, Ellina M., Rusakova, Iulia A., Salavatova, Venera F., Arslangareeva, Inga I., Bikbova, Guzel M., Nikitin, Nikolay A., Jonas, Jost B.
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	United States Elsevier Inc 01.02.2020 Elsevier Limited
Predmet:	Adult Age Age Distribution Aged Aged, 80 and over Blood pressure Cataracts Cross-Sectional Studies Diabetes Ethnicity Exfoliation Syndrome - epidemiology Exfoliation Syndrome - etiology Eye surgery Female Glaucoma Humans Male Middle Aged Prevalence Risk Factors Rural Population - statistics & numerical data Russia - epidemiology Secondary education Urban Population - statistics & numerical data Russia
ISSN:	0002-9394, 1879-1891, 1879-1891
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Abstract	To assess the prevalence of pseudoexfoliation (PEX) and its associations in a Russian population. Population-based cross-sectional study. Setting: Ufa capital of Bashkortostan, Russia and a rural region in Bashkortostan. the Ural Eye and Medical Study included 5,899 (80.5%) of 7,328 eligible individuals (mean age, 59.0 ± 10.7 years old; range, 40-94 years). Observation procedures: as part of an ophthalmological and general examination, presence and degree of PEX was assessed using slit-lamp biomicroscopy after medical pupillary dilation. Main outcome measurements: PEX prevalence. After excluding pseudophakic and aphakic individuals, the study included 5,451 (92.4%) participants. PEX prevalence (3.6%; 95% confidence interval [CI]:3.1-4.1), increased from 0.5% (95% CI, 0.1-0.9) in individuals 40 to <50 years old to 10.4% (95% CI, 5.0-15.8) in individuals aged 80+ years. Higher PEX prevalence was associated (multivariate analysis) with older age (odds ratio [OR], 1.09; 95% CI, 1.07-1.11; P < 0.001), Russian ethnicity (OR, 1.50; 95% CI, 2.09-1.11;P = 0.02), higher prevalence of open-angle glaucoma (OR, 2.40; 95% CI, 1.36-4.23;P = 0.003), and higher intraocular pressure (OR, 1.06; 95% CI, 1.02-1.09;P = 0.001). PEX prevalence was not significantly associated with gender (P = 0.49), region of habitation (P = 0.11), body mass index (P = 0.68), level of education (P = 0.26), smoking (P = 0.11), alcohol consumption (P = 0.52), history of cardiovascular or cerebrovascular disease (P = 0.94) and dementia (P = 0.77), prevalence of diabetes mellitus (P = 0.16), arterial hypertension (P = 0.45), chronic obstructive pulmonary disease (P = 0.73), chronic kidney disease (P = 0.09), and hearing loss (P = 0.31). In this typical, ethnically mixed, population from Russia with an age of 40+ years, PEX prevalence (3.6%; 95% CI, 3.1-4.1) was associated with older age, Russian ethnicity, higher intraocular pressure and open-angle glaucoma. It was independent of any systemic parameter including diabetes, arterial hypertension, previous cardiovascular and cerebrovascular diseases and dementia.
AbstractList	PurposeTo assess the prevalence of pseudoexfoliation (PEX) and its associations in a Russian population.DesignPopulation-based cross-sectional study.MethodsSetting: Ufa capital of Bashkortostan, Russia and a rural region in Bashkortostan.Participantsthe Ural Eye and Medical Study included 5,899 (80.5%) of 7,328 eligible individuals (mean age, 59.0 ± 10.7 years old; range, 40-94 years). Observation procedures: as part of an ophthalmological and general examination, presence and degree of PEX was assessed using slit-lamp biomicroscopy after medical pupillary dilation. Main outcome measurements: PEX prevalence.ResultsAfter excluding pseudophakic and aphakic individuals, the study included 5,451 (92.4%) participants. PEX prevalence (3.6%; 95% confidence interval [CI]:3.1-4.1), increased from 0.5% (95% CI, 0.1-0.9) in individuals 40 to <50 years old to 10.4% (95% CI, 5.0-15.8) in individuals aged 80+ years. Higher PEX prevalence was associated (multivariate analysis) with older age (odds ratio [OR], 1.09; 95% CI, 1.07-1.11; P < 0.001), Russian ethnicity (OR, 1.50; 95% CI, 2.09-1.11;P = 0.02), higher prevalence of open-angle glaucoma (OR, 2.40; 95% CI, 1.36-4.23;P = 0.003), and higher intraocular pressure (OR, 1.06; 95% CI, 1.02-1.09;P = 0.001). PEX prevalence was not significantly associated with gender (P = 0.49), region of habitation (P = 0.11), body mass index (P = 0.68), level of education (P = 0.26), smoking (P = 0.11), alcohol consumption (P = 0.52), history of cardiovascular or cerebrovascular disease (P = 0.94) and dementia (P = 0.77), prevalence of diabetes mellitus (P = 0.16), arterial hypertension (P = 0.45), chronic obstructive pulmonary disease (P = 0.73), chronic kidney disease (P = 0.09), and hearing loss (P = 0.31).ConclusionsIn this typical, ethnically mixed, population from Russia with an age of 40+ years, PEX prevalence (3.6%; 95% CI, 3.1-4.1) was associated with older age, Russian ethnicity, higher intraocular pressure and open-angle glaucoma. It was independent of any systemic parameter including diabetes, arterial hypertension, previous cardiovascular and cerebrovascular diseases and dementia. To assess the prevalence of pseudoexfoliation (PEX) and its associations in a Russian population. Population-based cross-sectional study. Setting: Ufa capital of Bashkortostan, Russia and a rural region in Bashkortostan. the Ural Eye and Medical Study included 5,899 (80.5%) of 7,328 eligible individuals (mean age, 59.0 ± 10.7 years old; range, 40-94 years). Observation procedures: as part of an ophthalmological and general examination, presence and degree of PEX was assessed using slit-lamp biomicroscopy after medical pupillary dilation. Main outcome measurements: PEX prevalence. After excluding pseudophakic and aphakic individuals, the study included 5,451 (92.4%) participants. PEX prevalence (3.6%; 95% confidence interval [CI]:3.1-4.1), increased from 0.5% (95% CI, 0.1-0.9) in individuals 40 to <50 years old to 10.4% (95% CI, 5.0-15.8) in individuals aged 80+ years. Higher PEX prevalence was associated (multivariate analysis) with older age (odds ratio [OR], 1.09; 95% CI, 1.07-1.11; P < 0.001), Russian ethnicity (OR, 1.50; 95% CI, 2.09-1.11;P = 0.02), higher prevalence of open-angle glaucoma (OR, 2.40; 95% CI, 1.36-4.23;P = 0.003), and higher intraocular pressure (OR, 1.06; 95% CI, 1.02-1.09;P = 0.001). PEX prevalence was not significantly associated with gender (P = 0.49), region of habitation (P = 0.11), body mass index (P = 0.68), level of education (P = 0.26), smoking (P = 0.11), alcohol consumption (P = 0.52), history of cardiovascular or cerebrovascular disease (P = 0.94) and dementia (P = 0.77), prevalence of diabetes mellitus (P = 0.16), arterial hypertension (P = 0.45), chronic obstructive pulmonary disease (P = 0.73), chronic kidney disease (P = 0.09), and hearing loss (P = 0.31). In this typical, ethnically mixed, population from Russia with an age of 40+ years, PEX prevalence (3.6%; 95% CI, 3.1-4.1) was associated with older age, Russian ethnicity, higher intraocular pressure and open-angle glaucoma. It was independent of any systemic parameter including diabetes, arterial hypertension, previous cardiovascular and cerebrovascular diseases and dementia. To assess the prevalence of pseudoexfoliation (PEX) and its associations in a Russian population.PURPOSETo assess the prevalence of pseudoexfoliation (PEX) and its associations in a Russian population.Population-based cross-sectional study.DESIGNPopulation-based cross-sectional study.Setting: Ufa capital of Bashkortostan, Russia and a rural region in Bashkortostan.METHODSSetting: Ufa capital of Bashkortostan, Russia and a rural region in Bashkortostan.the Ural Eye and Medical Study included 5,899 (80.5%) of 7,328 eligible individuals (mean age, 59.0 ± 10.7 years old; range, 40-94 years).PARTICIPANTSthe Ural Eye and Medical Study included 5,899 (80.5%) of 7,328 eligible individuals (mean age, 59.0 ± 10.7 years old; range, 40-94 years).as part of an ophthalmological and general examination, presence and degree of PEX was assessed using slit-lamp biomicroscopy after medical pupillary dilation.OBSERVATION PROCEDURESas part of an ophthalmological and general examination, presence and degree of PEX was assessed using slit-lamp biomicroscopy after medical pupillary dilation.PEX prevalence.MAIN OUTCOME MEASUREMENTSPEX prevalence.After excluding pseudophakic and aphakic individuals, the study included 5,451 (92.4%) participants. PEX prevalence (3.6%; 95% confidence interval [CI]:3.1-4.1), increased from 0.5% (95% CI, 0.1-0.9) in individuals 40 to <50 years old to 10.4% (95% CI, 5.0-15.8) in individuals aged 80+ years. Higher PEX prevalence was associated (multivariate analysis) with older age (odds ratio [OR], 1.09; 95% CI, 1.07-1.11; P < 0.001), Russian ethnicity (OR, 1.50; 95% CI, 2.09-1.11;P = 0.02), higher prevalence of open-angle glaucoma (OR, 2.40; 95% CI, 1.36-4.23;P = 0.003), and higher intraocular pressure (OR, 1.06; 95% CI, 1.02-1.09;P = 0.001). PEX prevalence was not significantly associated with gender (P = 0.49), region of habitation (P = 0.11), body mass index (P = 0.68), level of education (P = 0.26), smoking (P = 0.11), alcohol consumption (P = 0.52), history of cardiovascular or cerebrovascular disease (P = 0.94) and dementia (P = 0.77), prevalence of diabetes mellitus (P = 0.16), arterial hypertension (P = 0.45), chronic obstructive pulmonary disease (P = 0.73), chronic kidney disease (P = 0.09), and hearing loss (P = 0.31).RESULTSAfter excluding pseudophakic and aphakic individuals, the study included 5,451 (92.4%) participants. PEX prevalence (3.6%; 95% confidence interval [CI]:3.1-4.1), increased from 0.5% (95% CI, 0.1-0.9) in individuals 40 to <50 years old to 10.4% (95% CI, 5.0-15.8) in individuals aged 80+ years. Higher PEX prevalence was associated (multivariate analysis) with older age (odds ratio [OR], 1.09; 95% CI, 1.07-1.11; P < 0.001), Russian ethnicity (OR, 1.50; 95% CI, 2.09-1.11;P = 0.02), higher prevalence of open-angle glaucoma (OR, 2.40; 95% CI, 1.36-4.23;P = 0.003), and higher intraocular pressure (OR, 1.06; 95% CI, 1.02-1.09;P = 0.001). PEX prevalence was not significantly associated with gender (P = 0.49), region of habitation (P = 0.11), body mass index (P = 0.68), level of education (P = 0.26), smoking (P = 0.11), alcohol consumption (P = 0.52), history of cardiovascular or cerebrovascular disease (P = 0.94) and dementia (P = 0.77), prevalence of diabetes mellitus (P = 0.16), arterial hypertension (P = 0.45), chronic obstructive pulmonary disease (P = 0.73), chronic kidney disease (P = 0.09), and hearing loss (P = 0.31).In this typical, ethnically mixed, population from Russia with an age of 40+ years, PEX prevalence (3.6%; 95% CI, 3.1-4.1) was associated with older age, Russian ethnicity, higher intraocular pressure and open-angle glaucoma. It was independent of any systemic parameter including diabetes, arterial hypertension, previous cardiovascular and cerebrovascular diseases and dementia.CONCLUSIONSIn this typical, ethnically mixed, population from Russia with an age of 40+ years, PEX prevalence (3.6%; 95% CI, 3.1-4.1) was associated with older age, Russian ethnicity, higher intraocular pressure and open-angle glaucoma. It was independent of any systemic parameter including diabetes, arterial hypertension, previous cardiovascular and cerebrovascular diseases and dementia. To assess the prevalence of pseudoexfoliation (PEX) and its associations in a Russian population. Population-based cross-sectional study. Setting: Ufa capital of Bashkortostan, Russia and a rural region in Bashkortostan. the Ural Eye and Medical Study included 5,899 (80.5%) of 7,328 eligible individuals (mean age, 59.0 ± 10.7 years old; range, 40-94 years). as part of an ophthalmological and general examination, presence and degree of PEX was assessed using slit-lamp biomicroscopy after medical pupillary dilation. PEX prevalence. After excluding pseudophakic and aphakic individuals, the study included 5,451 (92.4%) participants. PEX prevalence (3.6%; 95% confidence interval [CI]:3.1-4.1), increased from 0.5% (95% CI, 0.1-0.9) in individuals 40 to <50 years old to 10.4% (95% CI, 5.0-15.8) in individuals aged 80+ years. Higher PEX prevalence was associated (multivariate analysis) with older age (odds ratio [OR], 1.09; 95% CI, 1.07-1.11; P < 0.001), Russian ethnicity (OR, 1.50; 95% CI, 2.09-1.11;P = 0.02), higher prevalence of open-angle glaucoma (OR, 2.40; 95% CI, 1.36-4.23;P = 0.003), and higher intraocular pressure (OR, 1.06; 95% CI, 1.02-1.09;P = 0.001). PEX prevalence was not significantly associated with gender (P = 0.49), region of habitation (P = 0.11), body mass index (P = 0.68), level of education (P = 0.26), smoking (P = 0.11), alcohol consumption (P = 0.52), history of cardiovascular or cerebrovascular disease (P = 0.94) and dementia (P = 0.77), prevalence of diabetes mellitus (P = 0.16), arterial hypertension (P = 0.45), chronic obstructive pulmonary disease (P = 0.73), chronic kidney disease (P = 0.09), and hearing loss (P = 0.31). In this typical, ethnically mixed, population from Russia with an age of 40+ years, PEX prevalence (3.6%; 95% CI, 3.1-4.1) was associated with older age, Russian ethnicity, higher intraocular pressure and open-angle glaucoma. It was independent of any systemic parameter including diabetes, arterial hypertension, previous cardiovascular and cerebrovascular diseases and dementia.
Author	Bikbova, Guzel M. Arslangareeva, Inga I. Nikitin, Nikolay A. Uzianbaeva, Yulia V. Rusakova, Iulia A. Jonas, Jost B. Bikbov, Mukharram M. Yakupova, Dilya F. Panda-Jonas, Songhomitra Zaynetdinov, Artur F. Salavatova, Venera F. Kazakbaeva, Gyulli M. Gilmanshin, Timur R. Khalimov, Timur A. Nuriev, Ildar F. Rakhimova, Ellina M. Zainullin, Rinat M.
Author_xml	– sequence: 1 givenname: Mukharram M. surname: Bikbov fullname: Bikbov, Mukharram M. email: Bikbov.m@gmail.com organization: Ufa Eye Research Institute, Ufa, Bashkortostan, Russia – sequence: 2 givenname: Rinat M. surname: Zainullin fullname: Zainullin, Rinat M. organization: Ufa Eye Research Institute, Ufa, Bashkortostan, Russia – sequence: 3 givenname: Timur R. surname: Gilmanshin fullname: Gilmanshin, Timur R. organization: Ufa Eye Research Institute, Ufa, Bashkortostan, Russia – sequence: 4 givenname: Gyulli M. surname: Kazakbaeva fullname: Kazakbaeva, Gyulli M. organization: Ufa Eye Research Institute, Ufa, Bashkortostan, Russia – sequence: 5 givenname: Dilya F. surname: Yakupova fullname: Yakupova, Dilya F. organization: Ufa Eye Research Institute, Ufa, Bashkortostan, Russia – sequence: 6 givenname: Ildar F. surname: Nuriev fullname: Nuriev, Ildar F. organization: Ufa Eye Research Institute, Ufa, Bashkortostan, Russia – sequence: 7 givenname: Artur F. surname: Zaynetdinov fullname: Zaynetdinov, Artur F. organization: Ufa Eye Research Institute, Ufa, Bashkortostan, Russia – sequence: 8 givenname: Timur A. surname: Khalimov fullname: Khalimov, Timur A. organization: Ufa Eye Research Institute, Ufa, Bashkortostan, Russia – sequence: 9 givenname: Songhomitra surname: Panda-Jonas fullname: Panda-Jonas, Songhomitra organization: Department of Ophthalmology, Medical Faculty Mannheim of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany – sequence: 10 givenname: Yulia V. surname: Uzianbaeva fullname: Uzianbaeva, Yulia V. organization: Ufa Eye Research Institute, Ufa, Bashkortostan, Russia – sequence: 11 givenname: Ellina M. surname: Rakhimova fullname: Rakhimova, Ellina M. organization: Ufa Eye Research Institute, Ufa, Bashkortostan, Russia – sequence: 12 givenname: Iulia A. surname: Rusakova fullname: Rusakova, Iulia A. organization: Ufa Eye Research Institute, Ufa, Bashkortostan, Russia – sequence: 13 givenname: Venera F. surname: Salavatova fullname: Salavatova, Venera F. organization: Ufa Eye Research Institute, Ufa, Bashkortostan, Russia – sequence: 14 givenname: Inga I. surname: Arslangareeva fullname: Arslangareeva, Inga I. organization: Ufa Eye Research Institute, Ufa, Bashkortostan, Russia – sequence: 15 givenname: Guzel M. surname: Bikbova fullname: Bikbova, Guzel M. organization: Ufa Eye Research Institute, Ufa, Bashkortostan, Russia – sequence: 16 givenname: Nikolay A. surname: Nikitin fullname: Nikitin, Nikolay A. organization: Ufa Eye Research Institute, Ufa, Bashkortostan, Russia – sequence: 17 givenname: Jost B. surname: Jonas fullname: Jonas, Jost B. email: Jost.Jonas@medma.uni-heidelberg.de organization: Department of Ophthalmology, Medical Faculty Mannheim of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany
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PublicationTitle	American journal of ophthalmology
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PublicationYear	2020
Publisher	Elsevier Inc Elsevier Limited
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Snippet	To assess the prevalence of pseudoexfoliation (PEX) and its associations in a Russian population. Population-based cross-sectional study. Setting: Ufa capital... PurposeTo assess the prevalence of pseudoexfoliation (PEX) and its associations in a Russian population.DesignPopulation-based cross-sectional... To assess the prevalence of pseudoexfoliation (PEX) and its associations in a Russian population.PURPOSETo assess the prevalence of pseudoexfoliation (PEX) and...
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SubjectTerms	Adult Age Age Distribution Aged Aged, 80 and over Blood pressure Cataracts Cross-Sectional Studies Diabetes Ethnicity Exfoliation Syndrome - epidemiology Exfoliation Syndrome - etiology Eye surgery Female Glaucoma Humans Male Middle Aged Prevalence Risk Factors Rural Population - statistics & numerical data Russia - epidemiology Secondary education Urban Population - statistics & numerical data
Title	Prevalence and Associated Factors of Pseudoexfoliation in a Russian Population: The Ural Eye and Medical Study
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