Glokom hastalarında D vitamini eksikliği ile ilişkili artan demans riski: TriNetX kohort çalışması.

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IntroductionGlaucoma is a progressive optic neuropathy associated with increased neurodegenerative risk. Vitamin D Deficiency (VDD) is a widespread systemic factor linked to neurobiological dysfunction. This study investigated the longitudinal association between VDD and the 5-year incidence of neurodegenerative outcomes in this glaucoma population.MethodsThis retrospective cohort study used a large electronic health records (EHRs) network. Glaucoma patients were classified as VDD (ResultsAfter PSM, VDD was associated with a higher 5-year risk of unspecified dementia (HR 1.241, 95% CI 1.066-1.446; p = 0.005), with greater risk in severe deficiency (p p = 0.053), suggesting NSAID anti-inflammatory effects may not counteract VDD-related dementia risk in glaucoma patients.ConclusionVDD is significantly associated with an increased risk of developing dementia in patients with glaucoma. These time-dependent and dose-response findings raise the possibility that correcting vitamin D deficiency may influence neurodegenerative outcomes, additional prospective studies are required to establish causality and clarify clinical implications.

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