Dyslipidemia, body mass index, and blood glucose levels in patients with meibomian gland dysfunction

Background Systemic dyslipidemia, obesity, and elevated blood sugars may theoretically affect the meibomian lipid composition and therefore, can cause meibomian gland dysfunction (MGD). Objective This study aimed to evaluate the association of serum lipid levels, body mass index (BMI), and se...

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Main Authors: Meenu Babber, Reena Sharma, Brijesh Singh, Vandana Yadav, Ravi Ranjan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-04-01
Series:Delta Journal of Ophthalmology
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Online Access:https://journals.lww.com/djop/fulltext/2024/25020/dyslipidemia,_body_mass_index,_and_blood_glucose.1.aspx
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author Meenu Babber
Reena Sharma
Brijesh Singh
Vandana Yadav
Ravi Ranjan
author_facet Meenu Babber
Reena Sharma
Brijesh Singh
Vandana Yadav
Ravi Ranjan
author_sort Meenu Babber
collection DOAJ
description Background Systemic dyslipidemia, obesity, and elevated blood sugars may theoretically affect the meibomian lipid composition and therefore, can cause meibomian gland dysfunction (MGD). Objective This study aimed to evaluate the association of serum lipid levels, body mass index (BMI), and serum blood glucose (BG) levels in patients with MGD compared with healthy controls. Patients and methods This is a comparative observational case-control study that enrolled 40 MGD patients (cases) and 40 controls. One eye of each participant was included in the study. After a detailed history, ocular examination was done by slit lamp biomicroscopy to grade/stage the MGD. The BMI, serum fasting total cholesterol, low-density lipoprotein (LDL), high-density lipoprotein (HDL), triglycerides, and BG levels were measured. Results The mean age of the cases was 46.75±10.93 years compared with 45.55±10.62 years in controls (P=0.620). Patients with MGD showed significantly higher serum fasting cholesterol (188.62±62.24 mg/dl),;Deg;BM;Deg;I (24.45±1.75 kg/m2), and fasting BG (110.35±32.30 mg/dl) compared with the controls (159.60±20.19 mg/dl, 23.45±1.35 kg/m2, and 98.43±27.69 mg/dl, respectively, P=0.022, 0.005, and 0.030, respectively). With increasing severity of MGD, the fasting serum cholesterol increased significantly from 136.73±24.88 mg/dl in grade 1 to 285.20±85.99 mg/dl in grade 4 (P<0.001) and the fasting serum LDL levels increased from 72.64±20.33 mg/dl in grade 1 to 202.60±95.66 mg/dl in grade 4 (P<0.001). In addition, the fasting serum triglycerides increased significantly as the severity of MGD increased from grade I (96.00±22.56 mg/dl) to grade III (227.09±83.44 mg/dl), (P<0.001). However, The fasting HDL and BG values did not increase significantly with increasing severity of the MGD (P=0.135 and 0.181, respectively). Conclusion There is importance for screening for dyslipidemia, BMI, and BG levels in MGD cases.
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spelling doaj-art-d5c41bc3bbee4f99a7a41aed285139322025-08-20T02:31:37ZengWolters Kluwer Medknow PublicationsDelta Journal of Ophthalmology2090-48352024-04-01252616510.4103/djo.djo_81_23Dyslipidemia, body mass index, and blood glucose levels in patients with meibomian gland dysfunctionMeenu BabberReena SharmaBrijesh SinghVandana YadavRavi RanjanBackground Systemic dyslipidemia, obesity, and elevated blood sugars may theoretically affect the meibomian lipid composition and therefore, can cause meibomian gland dysfunction (MGD). Objective This study aimed to evaluate the association of serum lipid levels, body mass index (BMI), and serum blood glucose (BG) levels in patients with MGD compared with healthy controls. Patients and methods This is a comparative observational case-control study that enrolled 40 MGD patients (cases) and 40 controls. One eye of each participant was included in the study. After a detailed history, ocular examination was done by slit lamp biomicroscopy to grade/stage the MGD. The BMI, serum fasting total cholesterol, low-density lipoprotein (LDL), high-density lipoprotein (HDL), triglycerides, and BG levels were measured. Results The mean age of the cases was 46.75±10.93 years compared with 45.55±10.62 years in controls (P=0.620). Patients with MGD showed significantly higher serum fasting cholesterol (188.62±62.24 mg/dl),;Deg;BM;Deg;I (24.45±1.75 kg/m2), and fasting BG (110.35±32.30 mg/dl) compared with the controls (159.60±20.19 mg/dl, 23.45±1.35 kg/m2, and 98.43±27.69 mg/dl, respectively, P=0.022, 0.005, and 0.030, respectively). With increasing severity of MGD, the fasting serum cholesterol increased significantly from 136.73±24.88 mg/dl in grade 1 to 285.20±85.99 mg/dl in grade 4 (P<0.001) and the fasting serum LDL levels increased from 72.64±20.33 mg/dl in grade 1 to 202.60±95.66 mg/dl in grade 4 (P<0.001). In addition, the fasting serum triglycerides increased significantly as the severity of MGD increased from grade I (96.00±22.56 mg/dl) to grade III (227.09±83.44 mg/dl), (P<0.001). However, The fasting HDL and BG values did not increase significantly with increasing severity of the MGD (P=0.135 and 0.181, respectively). Conclusion There is importance for screening for dyslipidemia, BMI, and BG levels in MGD cases.https://journals.lww.com/djop/fulltext/2024/25020/dyslipidemia,_body_mass_index,_and_blood_glucose.1.aspxblood glucose; body mass index; dyslipidemia; meibomian gland dysfunction
spellingShingle Meenu Babber
Reena Sharma
Brijesh Singh
Vandana Yadav
Ravi Ranjan
Dyslipidemia, body mass index, and blood glucose levels in patients with meibomian gland dysfunction
Delta Journal of Ophthalmology
blood glucose; body mass index; dyslipidemia; meibomian gland dysfunction
title Dyslipidemia, body mass index, and blood glucose levels in patients with meibomian gland dysfunction
title_full Dyslipidemia, body mass index, and blood glucose levels in patients with meibomian gland dysfunction
title_fullStr Dyslipidemia, body mass index, and blood glucose levels in patients with meibomian gland dysfunction
title_full_unstemmed Dyslipidemia, body mass index, and blood glucose levels in patients with meibomian gland dysfunction
title_short Dyslipidemia, body mass index, and blood glucose levels in patients with meibomian gland dysfunction
title_sort dyslipidemia body mass index and blood glucose levels in patients with meibomian gland dysfunction
topic blood glucose; body mass index; dyslipidemia; meibomian gland dysfunction
url https://journals.lww.com/djop/fulltext/2024/25020/dyslipidemia,_body_mass_index,_and_blood_glucose.1.aspx
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