Table1.
Factors affecting diabetic retinopathy
Factors | Correlation with DR | Modifiable | Comments | Reference | |
---|---|---|---|---|---|
Yes | No | ||||
Age | Positive | No | Patient age (≥50 years) is associated with increased frequency of DR | [38] | |
Duration of diabetes | Positive | No | Longer duration of diabetes (≥20 years) increases the risk of DR | [39];[40] | |
Pregnancy | Positive | No | Pregnancy increase the risk of DR | [41];[42] | |
Hyperglycemia | Positive | Yes | HbA1c > 7% would increase the risk of DR development | [43, 44] | |
Systolic blood pressure | Positive | Yes | Every increase of 10mmHg in systolic blood pressure leads to 10% risk of early DR and 15% risk of PDR or DME. | [32];[45] | |
Hyperlipidemia | Indeterminate | Yes | Inconsistent results on the effect of lipid associated with the development and progression of DR and DME | [45];[46] | |
Obesity | Positive | Yes | Increased waist-hip ratio and waist circumference are positively associated with DR | [47];[40] | |
Smoking | Positive | Yes | Non-significant positive trend | [48];[49];[50] | |
Physical activity | Moderate | Yes | Slightly protective effect | [51];[52] | |
Male Sex | Positive | No | Increased incidence in male | [48];[53] | |
Myopia | Negative | No | Protective effect towards DR | [54];[55] |