Journal of The Korean Ophthalmological Society (대한안과학회지)

The Korean Ophthalmological Society (대한안과학회)
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The Relationship Between Intraocular Pressure and Health Parameters

건강지수와 안압과의 상관관계

Lee, Ja-Kyun;Lee, Jong-Soo;Kim, Yoon-Kyung
이자균;이종수;김윤경

  • Published : 2009.01.15
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Abstract

Purpose: This study analyzed the relationship between intraocular pressure (IOP) and health parameters, including waist circumference, in healthy Koreans. Methods: A total of 6169 healthy participants underwent automated multi-phasic tests including tonometry, automated perimetry, and fundus photography. Parameters of these patients including height, weight, degree of obesity, body fat percentage, waist circumference, body mass index, and body muscle rate, were recorded. The subjects were divided into six age groups by decades ranging from 20$\sim$29 years to over 70 years. Multiple regression analysis was used to examine the relationship between IOP and the parameters mentioned above. Results: The mean age of the participants was 47.87 years, and 3015 (51.1%) of the participants were men. The mean IOP was 13.58$\pm$3.1 mmHg, and was significantly higher in men than in women (p<0.05). The prevalence of ocular hypertension was 2.0% in men and 2.2% in women. IOP was associated with gender, age, height, weight, degree of obesity, body fat percentage, waist circumference, and body mass index (p<0.05). The relation between IOP and age showed a significantly negative tendency (p<0.05). Height, weight, degree of obesity, body fat percentage, waist circumference, and body mass index had a significantly positive relation with IOP (p<0.05). There was no significant relation between IOP and body muscle percentage (p>0.05). Conclusions: Because increased IOP is associated with several health parameters that can be modified by diet and exercise such as weight, body fat percentage, body mass index, and waist circumference, it is recommended that these be reduced.

목적: 안압은 건강지수와 연관이 있기에 비만의 기준이 되는 허리둘레를 포함한 건강지수와 안압과의 상관관계를 알아보았다. 대상과 방법: 정상인 6169명을 대상으로 안압측정 및 안저사진, 신장, 체중, 비만도, 체지방율, 체질량지수, 근육량을 측정하여 연령과 성별에 따른 측정치의 비교, 안압과 연령 그리고 건강지수 특히 허리둘레와의 연관성을 다중회귀분석을 사용하여 분석하였다. 결과: 평균안압은13.97$\pm$3.2 mmHg, 여성의 경우 13.58$\pm$3.1 mmHg, 남성의 경우 14.34$\pm$3.3 mmHg로 남성이 통계학적으로 유의하게 높았다. 안압은 여자의경우 연령이 증가함에따라 변화는 없었으나 남성의경우 20대에서 50대까지는 연령이 증가함에따라 안압이 증가하였다. 연령이 증가할수록 신장, 체중, 근육량의 경우는 감소하였으나, 비만도, 체지방율, 체질량지수, 허리둘레는 증가하였다. 다중회귀분석상 안압은 성별, 나이, 신장, 체중, 비만도, 체지방율, 허리둘레, 체질량지수과 연관성이 있고, 근육량과는 연관성이 없었다. 결론: 안압은 허리둘레를 포함한 건강지수와 직접적인 연관성이 있었고, 안압조절을 목적으로 비만, 특히 허리둘레의 적극적인 감소가 필요함을 알 수 있었다.

Keywords

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