Research Article

Renin-Angiotensin System Inhibitor Usage and Age-Related Macular Degeneration among Hypertensive Patients: Results from the National Health and Nutrition Examination Survey, 2005–2008

Table 1

Characteristics of the study population.

CharacteristicsAMD
No AMD (n = 2,727)Early AMD (n = 256)Late AMD (n = 40)

Demographics
 Age, years (%)<0.001
  40–5440.9 (±1.7)13.6 (±3.5)1.9 (±1.9)
  55–6426.8 (±1.1)16.3 (±3.1)5.3 (±3.5)
  65–7420.2 (±0.9)28.7 (±3.3)5.7 (±4.0)
  75–8411.4 (±0.9)35.6 (±3.6)74.9 (±9.0)
  ≥850.7 (±0.1)5.8 (±1.1)12.2 (±5.9)
 Gender (%)0.07
  Male46.7 (±1.1)49.1 (±3.9)24.9 (±7.7)
 Race (%)0.25
  Non-Hispanic white75.5 (±2.4)85.4 (±2.8)93.5 (±3.4)
  Non-Hispanic black12.6 (±1.8)5.8 (±1.5)2.4 (±2.0)
  Mexican American4.3 (±0.7)4.2 (±1.2)0.9 (±0.9)
  Other races7.6 (±0.9)4.6 (±2.0)3.2 (±2.5)
 Education level (%)0.20
  <9th grade7.8 (±0.9)12.2 (±3.7)13.4 (±4.4)
  9–11th grade (including 12th grade with no diploma)12.6 (±0.9)17.1 (±3.7)12.4 (±5.5)
  High school graduate/GED or equivalent28.3 (±1.3)26.7 (±3.5)28.4 (±6.2)
  Some college or associate degree27.0 (±1.3)26.5 (±3.9)29.9 (±6.4)
  College graduate or above24.3 (±1.8)17.4 (±3.0)15.9 (±4.9)
Health-related behaviors
 Consuming ≥100 cigarettes in life (%)52.5 (±1.5)55.8 (±3.2)44.9 (±9.7)0.48
 Alcohol consumed in life ≥12 drinks (%)17.6 (±1.1)17.4 (±3.3)3.1 (±3.1)0.61
Systemic and ocular health conditions
 General health condition (%)0.16
  Excellent or good76.4 (±1.4)69.2 (±6.4)100
  Fair20.0 (±1.0)24.0 (±4.6)0
  Poor3.6 (±0.6)6.8 (±3.3)0
 Body mass index (%)0.12
  <2521.4 (±0.9)22.0 (±2.6)34.7 (±11.0)
  25–3033.3 (±1.2)36.0 (±3.0)44.2 (±7.6)
  >3045.3 (±1.3)42.2 (±3.4)21.1 (±8.2)
Previous cataract surgery (%)11.0 (±0.7)31.1 (±3.6)67.3 (±9.5)<0.001
Diabetes mellitus (%)23.0 (±1.2)27.9 (±4.5)29.3 (±6.3)0.31
Heart diseases history (%)14.5 (±1.3)24.7 (±4.3)33.2 (±12.7)0.02
Stroke history (%)6.0 (±0.7)17.0 (±5.5)22.6 (±14.6)<0.01
Cancer or malignancy (%)13.6 (±1.1)16.6 (±4.3)31.2 (±11.0)0.13
Arthritis (%)44.8 (±1.6)50.0 (±5.8)69.6 (±9.3)0.13
Liver problem (%)4.9 (±1.0)3.8 (±1.9)00.57
Thyroid problem (%)16.0 (±1.7)21.3 (±4.5)27.2 (±10.6)0.47
LDL cholesterol (mg/dL)114.9 (±1.2)109.7 (±3.4)120.9 (±8.6)0.27
Apolipoprotein (B) (mg/dL)100.9 (±0.9)96.5 (±2.62)98.1 (±7.18)0.24
Direct HDL cholesterol (mg/dL)52.6 (±0.44)55.3 (±0.99)58.5 (±2.22)<0.01
RASIs
 RASI utilization (%)42.2 (±0.9)49.3 (±3.7)64.5 (±6.3)<0.01
 RASI category (%)0.01
  ACEI25.8 (±1.0)32.8 (±3.1)40.8 (±7.2)
  ARB15.5 (±1.0)15.9 (±2.7)12.2 (±4.3)

Except participants taking both ACEI and ARB. AMD: age-related macular degeneration; GED: general equivalency diploma/general educational development; LDL: low-density lipoprotein; HDL: high-density lipoprotein; RASI: renin-angiotensin system inhibitor; ACEI: angiotensin-converting enzyme inhibitor; ARB: angiotensin receptor blocker; CI: confidence interval; SE: standard error. Note. Data are presented by weight-adjusted proportion (±SE) or mean (±SE).