Evidence map›Paper›PMID 40514440›Full record

ArticleEye (London, England)2025

Prevalence and risk factors of pre-senile lens opacities in the 1969-73 Vellore Birth Cohort.

Padma Paul, Belavendra Antonisamy, Neena John, Andrew Braganza, Thomas Kuriakose, Rita Isaac, Lekha Abraham, Anika Amritanand, Prasanna Samuel, Hepsy Y Chelliah and 10 more

Abstract read
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Article in Eye (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

20 authors.

Padma PaulDepartment of Ophthalmology, Christian Medical College and Hospital, Vellore, India. padmapaul@cmcvellore.ac.in.ORCID http://orcid.org/0000-0001-5367-4680
Belavendra AntonisamyDepartment of Biostatistics, Christian Medical College and Hospital, Vellore, India.
Neena JohnIndian Institute of Public Health, Hyderabad, India.
Andrew BraganzaDepartment of Ophthalmology, Christian Medical College and Hospital, Vellore, India.
Thomas KuriakoseDepartment of Ophthalmology, Christian Medical College and Hospital, Vellore, India.
Rita IsaacRUHSA Department, Christian Medical College and Hospital, Vellore, India.
Lekha AbrahamDepartment of Ophthalmology, Christian Medical College and Hospital, Vellore, India.
Anika AmritanandDepartment of Ophthalmology, Christian Medical College and Hospital, Vellore, India.
Prasanna SamuelDepartment of Biostatistics, Christian Medical College and Hospital, Vellore, India.
Hepsy Y ChelliahDepartment of Biostatistics, Christian Medical College and Hospital, Vellore, India.
Mahasampath Gowri SDepartment of Biostatistics, Christian Medical College and Hospital, Vellore, India.
Nancy MagdaleneDepartment of Ophthalmology, Christian Medical College and Hospital, Vellore, India.
Jophy Philips CherryDepartment of Ophthalmology, Christian Medical College and Hospital, Vellore, India.
Thomas V PaulDepartment of Endocrinology, Christian Medical College and Hospital, Vellore, India.
Felix JebasinghDepartment of Endocrinology, Christian Medical College and Hospital, Vellore, India.
Geetanjali ArulappanDepartment of Clinical Biochemistry, Christian Medical College and Hospital, Vellore, India.
Nihal ThomasDepartment of Endocrinology, Christian Medical College and Hospital, Vellore, India.
Senthil K VasanSalford Royal NHS foundation Trust, Manchester, United Kingdom.
G V S MurthyIndian Institute of Public Health, Hyderabad, India.
Clare GilbertInternational Centre for Eye Health, Department of Clinical Research, London School of Hygiene & Tropical Medicine (LSHTM), London, UK.

Funding

Christian Medical College, Vellore (CMC Vellore) IRB 8920/05-2014Christian Medical College, Vellore (CMC Vellore) IRB 8920/05-2014)Public Health Foundation of India (PHFI) F012/RF/NJ/06Wellcome Trust
6 · The paper itself

Abstract

purposeTo estimate the prevalence and determine predictors of lens opacities (LO) among South Asian Indians aged 41-44 years.

methodsThis cross-sectional study included 1080 participants from the Vellore Birth Cohort, Vellore, South India. All underwent anthropometric measurements, detailed ophthalmic examination including assessment of LO by LOCS III classification and biochemical metabolic measurements. 'Any cataract' was defined as any opacity type with a score of >2 or evidence of cataract surgery in either eye. Data collected included information on ocular history, life-style factors, socio-economic and educational status, cooking fuel and sunlight exposure. Multivariable logistic regression analysis was used to examine the association between risk predictors and LO.

resultsThe mean age (SD) of participants was 41.8 (1.0) years; 53.8% were male and 50% were rural residents. The overall prevalence of 'any cataract' was 13.8% (148/1075, 95% confidence interval (CI) 11.8,16.0). The types of cataract were nuclear 59.1%, cortical 16.9%, posterior subcapsular 4.1%, mixed cataracts 18.9% and pseudophakia 0.7%. Increased risk for LO was observed with a history of asthma (OR 4.51; 95% CI 2.1, 9.7), HbA1C of ≥6.5% (OR 2.29; 95% CI 1.4, 3.7), hypertension (OR 1.73; 95% CI 1.1, 2.7) and, in a subgroup (n = 372), lower 25(OH) vitamin D levels (≤20 ng/dL)(OR 5.56; 95% CI 2.3, 13.2).

conclusionThe high prevalence of LO at a relatively young age in South Asian Indians suggests earlier onset of ageing. History of asthma, higher HbA1C, hypertension and lower 25(OH) vitamin D levels were associated with LO.

Indexed as

CataractAdultBirth CohortCross-Sectional StudiesFemaleGlycated HemoglobinHumansIndiaMalePrevalenceRisk FactorsGlycated Hemoglobin

Identifiers

PMID40514440
PMCPMC12325792

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