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Is blood pressure a predictor of the incidence or progression of diabetic retinopathy?
Arch Intern Med 1989; 149(11):2427-32AI

Abstract

The relationship between blood pressure and the 4-year incidence and progression of diabetic retinopathy was examined in a population-based study in Wisconsin. Younger- (n = 891) and older-onset (n = 987) persons participating in baseline and follow-up examinations were included. Blood pressure was measured using the Hypertension Detection and Follow-up Program protocol. Retinopathy was determined from stereoscopic fundus photographs. In the younger-onset group, comparing the highest with the lowest quartile of systolic blood pressure, the relative risk for developing any diabetic retinopathy was 1.8 and for diastolic blood pressure it was 1.2; for progression of diabetic retinopathy, it was 1.1 and 1.3 for systolic and diastolic blood pressure, respectively. After controlling for other risk variables, systolic blood pressure remained a significant predictor of the incidence of diabetic retinopathy; diastolic blood pressure was of borderline significance in predicting progression in the younger-onset group. Blood pressure was not related to incidence or progression of retinopathy either in the older-onset group using insulin or the older-onset group not using insulin.

Authors+Show Affiliations

Department of Ophthalmology, University of Wisconsin Medical School, Madison.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

2684072

Citation

Klein, R, et al. "Is Blood Pressure a Predictor of the Incidence or Progression of Diabetic Retinopathy?" Archives of Internal Medicine, vol. 149, no. 11, 1989, pp. 2427-32.
Klein R, Klein BE, Moss SE, et al. Is blood pressure a predictor of the incidence or progression of diabetic retinopathy? Arch Intern Med. 1989;149(11):2427-32.
Klein, R., Klein, B. E., Moss, S. E., Davis, M. D., & DeMets, D. L. (1989). Is blood pressure a predictor of the incidence or progression of diabetic retinopathy? Archives of Internal Medicine, 149(11), pp. 2427-32.
Klein R, et al. Is Blood Pressure a Predictor of the Incidence or Progression of Diabetic Retinopathy. Arch Intern Med. 1989;149(11):2427-32. PubMed PMID: 2684072.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Is blood pressure a predictor of the incidence or progression of diabetic retinopathy? AU - Klein,R, AU - Klein,B E, AU - Moss,S E, AU - Davis,M D, AU - DeMets,D L, PY - 1989/11/1/pubmed PY - 1989/11/1/medline PY - 1989/11/1/entrez SP - 2427 EP - 32 JF - Archives of internal medicine JO - Arch. Intern. Med. VL - 149 IS - 11 N2 - The relationship between blood pressure and the 4-year incidence and progression of diabetic retinopathy was examined in a population-based study in Wisconsin. Younger- (n = 891) and older-onset (n = 987) persons participating in baseline and follow-up examinations were included. Blood pressure was measured using the Hypertension Detection and Follow-up Program protocol. Retinopathy was determined from stereoscopic fundus photographs. In the younger-onset group, comparing the highest with the lowest quartile of systolic blood pressure, the relative risk for developing any diabetic retinopathy was 1.8 and for diastolic blood pressure it was 1.2; for progression of diabetic retinopathy, it was 1.1 and 1.3 for systolic and diastolic blood pressure, respectively. After controlling for other risk variables, systolic blood pressure remained a significant predictor of the incidence of diabetic retinopathy; diastolic blood pressure was of borderline significance in predicting progression in the younger-onset group. Blood pressure was not related to incidence or progression of retinopathy either in the older-onset group using insulin or the older-onset group not using insulin. SN - 0003-9926 UR - https://www.unboundmedicine.com/medline/citation/2684072/Is_blood_pressure_a_predictor_of_the_incidence_or_progression_of_diabetic_retinopathy L2 - https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/vol/149/pg/2427 DB - PRIME DP - Unbound Medicine ER -