Novel measures of cardiovascular health and its association with prevalence and progression of age-related macular degeneration: the CHARM study
2008

Cardiovascular Health and Age-Related Macular Degeneration

Sample size: 320 publication 10 minutes Evidence: moderate

Author Information

Author(s): McCarty Catherine A, Dowrick Adam, Cameron James, McGrath Barry, Robman Luba D, Dimitrov Peter, Tikellis Gabriella, Nicolas Caroline, McNeil John, Guymer Robyn

Primary Institution: Center for Human Genetics, Marshfield Clinic Research Foundation

Hypothesis

Are novel measures of cardiovascular health associated with prevalence or progression of age-related macular degeneration (AMD)?

Conclusion

Unexpectedly, better cardiovascular health was associated with increased risk of prevalent AMD and progression.

Supporting Evidence

  • 160 cases and 160 controls were included in the prevalence component.
  • High PWV was associated with increased prevalent AMD.
  • Progression was observed in 82 (32.3%) of the 254 subjects recruited for the progression component.
  • Higher AI was protective for AMD progression.
  • Higher aortic PWV was associated with increased risk of AMD progression.

Takeaway

This study found that people with healthier hearts might actually be more likely to have eye problems as they get older.

Methodology

The study used non-invasive cardiovascular measures and compared AMD cases with age- and gender-matched controls.

Potential Biases

Recall bias and differences between participants and non-participants may affect results.

Limitations

Potential biases due to case-control study design and cardiovascular measures taken at follow-up.

Participant Demographics

Mean age was 73.9 years, with 40.9% male participants.

Statistical Information

P-Value

0.001

Confidence Interval

95% CL = 1.29, 4.99

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2415-8-25

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