Inflammation and cigarette smoking predispose to macular diseases, and choroidal and retinal thinning. We explored the choroidal and retinal thicknesses in young adults against their 7-year C-reactive protein (CRP) level trajectory and pack-years smoked. Participants from the Raine study, a longitudinal cohort study, had serum CRP levels analysed at the 14-, 17-, and 20-year follow-ups. Group-based trajectory modelling was used to classify participants according to their 7-year CRP levels. At the 20-year follow-up (at 18-22 years old), participants completed questionnaires on their smoking history, and underwent optical coherence tomography imaging to obtain their choroidal and retinal thicknesses at the macula. Three CRP trajectories were identified: consistently low CRP levels (78% of sample), increasing (11%), or consistently high (11%). 340 and 1035 participants were included in the choroidal and retinal thickness analyses, respectively. Compared to those in the "Low" trajectory group, participants in the "Increasing" and "High" groups had 14-21 mu m thinner choroids at most macular regions. Every additional pack-year smoked was linked with a 0.06-0.10 mu m thinner retina at the inner and outer macular rings, suggesting a dose-dependent relationship between smoking and thinner retinas. These associations may suggest that an increased risk of future visual impairment or eye disease associated with these risk factors may be present since young adulthood.
Details
Title
Associations between seven-year C-reactive protein trajectory or pack-years smoked with choroidal or retinal thicknesses in young adults
Authors
Samantha Sze-Yee Lee (Corresponding Author) - The University of Western Australia
Darren John Beales (Author) - Curtin University
Fred K. Chen (Author) - The University of Western Australia
Seyhan Yazar (Author) - The University of Western Australia
David Alonso-Caneiro (Author) - Queensland University of Technology
David A. Mackey (Author) - The University of Western Australia
The datasets generated during and/or analysed during the current study are not publicly available due to the Raine Study’s policy. However, the codes used for statistical analyses and trajectory modelling, and the image analysis software are available from the authors upon request.
Grant note
The eye data collection of the Gen2 20-year follow-up of the Raine Study was funded by Australian National Health and Medical Research Council (NHMRC) (Grant 1021105), Ophthalmic Research Institute of Australia (ORIA), Alcon Research Institute, Lions Eye Institute, and the Australian Foundation for the Prevention of Blindness.
The core management of the Raine Study is funded by The University of Western Australia, Curtin University, Telethon Kids Institute, Women and Infants Research Foundation, Edith Cowan University, Murdoch University, The University of Notre Dame Australia and the Raine Medical Research Foundation. SY is supported by a NHMRC Early Career Fellowship. FKC is supported by a Medical Research Future Fund Career Development Fellowship. DAM is supported by a NHMRC Practitioner Fellowship. DA-C is supported by a NHMRC Ideas Grant (APP1186915).