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美国 40 岁及以上人群中哮喘与白内障相关性的横断面研究。

Cross-sectional study of the association between asthma and cataract among 40 years and older in the USA.

机构信息

Department of Ophthalmology, Tongde Hospital of Zhejiang Province, 234 Gucui Road, Hangzhou, 310012, China.

出版信息

BMC Ophthalmol. 2022 Aug 10;22(1):340. doi: 10.1186/s12886-022-02564-y.

Abstract

BACKGROUND

This study is aimed to assess the association between asthma and cataract in a representative sample in the United States.

METHODS

The National Health Interview Survey (NHIS) is the principal source of information on the health of the civilian noninstitutionalized population of the United States. Ten years (2010-2019) of NHIS were analyzed in this study. Asthma and cataract status were collected from relevant questionnaires among participants aged 40 years and older. Multivariate regression analyses were applied to explore the association between asthma and cataract.

RESULTS

From 40,457 participants included, those with asthma had higher prevalence of cataract than those without asthma (29.41% vs 25.87%, p < 0.001). Participants who had asthma had 40% higher odds of cataract compared to those without, after adjusting for potential confounding covariates (Odds Ratio [OR] = 1.40, 95% Confidence Interval [CI]: 1.29-1.52, p < 0.001). When viewing asthma as the outcome, participants who had cataract had 36% higher odds of asthma compared to those without, after adjusting for potential confounding covariates (Odds Ratio [OR] = 1.36, 95% Confidence Interval [CI]: 1.25-1.47, p < 0.001).

CONCLUSIONS

With our study, we demonstrated that individuals with asthma were more likely to develop cataract compared with those without asthma. Further RCTs are needed to confirm this potential impact of asthma on cataract and to investigate the underlying mechanisms.

摘要

背景

本研究旨在评估美国代表性样本中哮喘与白内障之间的关联。

方法

国家健康访谈调查(NHIS)是美国非住院平民人口健康状况的主要信息来源。本研究分析了 10 年(2010-2019 年)的 NHIS 数据。哮喘和白内障状况从年龄在 40 岁及以上的参与者的相关问卷中收集。采用多变量回归分析来探讨哮喘与白内障之间的关联。

结果

在纳入的 40457 名参与者中,患有哮喘的患者白内障患病率高于无哮喘者(29.41% vs 25.87%,p<0.001)。调整潜在混杂因素后,与无哮喘者相比,患有哮喘的患者发生白内障的几率高 40%(优势比[OR] = 1.40,95%置信区间[CI]:1.29-1.52,p<0.001)。当将哮喘视为结局时,调整潜在混杂因素后,患有白内障的参与者发生哮喘的几率比无白内障者高 36%(OR = 1.36,95% CI:1.25-1.47,p<0.001)。

结论

通过本研究,我们表明与无哮喘者相比,哮喘患者更有可能发展为白内障。需要进一步的 RCT 来证实哮喘对白内障的潜在影响,并探讨潜在的机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33d6/9364527/adf7c9fb690d/12886_2022_2564_Fig1_HTML.jpg

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