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Elevated intraocular pressure is associated with insulin resistance and metabolic syndrome

Authors

  • Sang Woo Oh,

    Corresponding author
    1. Department of Family Medicine and Center for Health Promotion, Ilsan-paik Hospital, Inje University, College of Medicine, Gyeonggi-Do, South Korea
    • Departments of Family Medicine and Health Promotion Center, Inje University Ilsan-paik Hospital, Daewha-Dong, Ilsan-Gu, Goyang-Si, Gyeonggi-Do, 411–706, (South) Korea.
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  • Sangyeoup Lee,

    1. Department of Family Medicine, Pusan National University, College of Medicine, Busan, South Korea
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  • Cheolyoung Park,

    1. Department of Internal Medicine, Hallym Sacred Heart Hospital, Hallym University, College of Medicine, Gyeonggi-Do, South Korea
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  • Dong Jun Kim

    1. Department of Internal Medicine, Ilsan-paik Hospital, Inje University, College of Medicine, Gyeonggi-Do, South Korea
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Abstract

Background and aim

Elevated intraocular pressure (IOP), a well-known risk factor for glaucoma, has recently been shown to be associated with some metabolic complications and obesity. We investigated the link between IOP and metabolic disturbances, focusing especially on metabolic syndrome and insulin resistance.

Methods

Eye examinations, including IOP measurement, were conducted on 943 subjects (533 men and 410 women). Body mass index (BMI), percent body fat, waist circumference, systolic and diastolic pressure, fasting insulin, glucose, lipids, and other metabolic parameters were measured. The homeostasis model assessment (HOMA) score and McAuley index were calculated to assess whole-body insulin resistance.

Results

Both of these insulin resistance indices showed positive associations with IOP (p < 0.05), even after statistical adjustment for other risk factors. IOP was higher in participants with metabolic syndrome, as compared to those who did not have metabolic syndrome. The mean IOP tended to increase linearly with the presence of increasing numbers of components for metabolic syndrome.

Conclusions

These results suggest that insulin resistance might contribute to an explanation that would account for many previous findings concerning the association between IOP and obesity, hypertension, and diabetes. Copyright © 2005 John Wiley & Sons, Ltd.

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