累积的暴露和男性年龄相关白内障的风险
Debra A Schaumberg1, Flavia Mendes, Mini Balaram
1Division of Preventive Medicine, Brigham and Women's Hospital, Boston, Mass 02215-1204, USA. dschaumberg@rics.bwh.harvard.edu
JAMA
|December 9, 2004
概括
累积的暴露是老年人患白内障的重要危险因素. 减少环境暴露可能有助于全球预防白内障.
科学领域:
- 眼科医生 眼科 眼科
- 环境健康 环境健康
- 老年学是一门学科.
背景情况:
- 低水平的暴露与与年龄相关的慢性疾病有关.
- 在白内障透镜中含有的存在表明它可能在病变发生过程中起作用.
- 可能会破坏镜片的氧化还原状态和蛋白质结构,损害透明度.
研究的目的:
- 调查累积暴露与白内障发展之间的关联.
- 为了确定骨含量是否与白内障风险增加相关.
主要方法:
- 骨的含量 (骨和骨) 用KX射线光测量了来自规范衰老研究的642名60岁以上的男性.
- 在骨测量后,对视发育的眼科检查数据进行了审查.
- 后勤回归模型被用来计算白内障风险的几率比率 (ORs) 和95%置信区间 (CI).
主要成果:
- 在调整为混因素后,骨度最高五分之一的男性患白内障的风险明显更高 (OR=3.19).
- 带水平显示,白内障风险增加的趋势不显著 (OR=1.88,P=.16).
- 血液中的含量,表明短期暴露,与白内障没有显著相关 (OR=0.89,P=.73).
结论:
- 在美国成年人群中常见的累积暴露是白内障的重要,未被认可的风险因素.
- 减少环境中的暴露可能会降低白内障的全球发病率.
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