Low prevalence of retinopathy among Greenland Inuit

To assess the prevalence of diabetic retinopathy (DR) among persons with diabetes and prediabetes participating in the 2018 Population Health Survey in Greenland (B2018), a follow-up survey of three previous health surveys. Participants were invited to a diabetes complication screening. We assessed...

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Bibliographic Details
Published in:International Journal of Circumpolar Health
Main Authors: Larsen, Trine Louise Jul, Jørgensen, Marit Eika, Pedersen, Michael Lynge, Lund-Andersen, Henrik, Valerius, Marianne, Juul, Ellen, Byberg, Stine
Format: Article in Journal/Newspaper
Language:English
Published: 2021
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Online Access:https://portal.findresearcher.sdu.dk/da/publications/fa9c9624-cbd3-43a0-ae95-4bff83d5fde3
https://doi.org/10.1080/22423982.2021.1938420
https://findresearcher.sdu.dk/ws/files/184489698/Low_prevalence_of_retinopathy_among_Greenland_Inuit.pdf
Description
Summary:To assess the prevalence of diabetic retinopathy (DR) among persons with diabetes and prediabetes participating in the 2018 Population Health Survey in Greenland (B2018), a follow-up survey of three previous health surveys. Participants were invited to a diabetes complication screening. We assessed the prevalence of DR using Optos Daytona Ultra-wide field fundus camera and assessed differences in prevalence according to demographic and clinical characteristics using chi square test and a t-test and assessed DR based on ethnicity. The overall prevalence of DR was 2% (10/483). Among participants with HbA 1c ≥48 mmol/mol (6.5%) DR prevalence was 9% (9/91), compared with <1% (1/382) among participants with HbA 1c <48 mmol/mol (6.5%). All participants with DR lived in towns. The mean Inuit genetic admixture was lower among participants with DR. The prevalence of DR is low in Greenland and almost non-existent among persons with HbA 1c below the diabetes threshold.