Research Article

Association between Metformin and a Lower Risk of Age-Related Macular Degeneration in Patients with Type 2 Diabetes

Table 2

Risk factors for AMD in metformin users and nonusers.

Predictive variableUnivariate analysisMultivariate analysis
Unadjusted HR (95% CI)-valueAdjusted HR (95% CI)-value

Metformin use (yes vs. no)0.52 (0.48–0.57)<0.00010.54 (0.50–0.58)<0.0001
Age group, years
 <50ReferenceReference
 50–602.63 (2.30–3.00)<0.00012.57 (2.25–2.94)<0.0001
 60–704.79 (4.22–5.45)<0.00014.54 (3.99–5.18)<0.0001
 ≥707.24 (6.37–8.23)<0.00016.44 (5.63–7.38)<0.0001
Sex (male vs. female)0.90 (0.83–0.97)0.0041.03 (0.96–1.11)0.47
Hypertension1.64 (1.52–1.77)<0.00011.13 (1.04–1.22)0.0003
Hyperlipidemia1.11 (1.03–1.19)0.0061.10 (1.02–1.17)0.008
Coronary artery disease1.41 (1.31–1.52)<0.00011.10 (1.01–1.20)0.028
Obesity1.49 (1.11–1.98)<0.00011.28 (1.03–1.63)0.030
Diabetic retinopathy1.51 (1.37–1.67)<0.00011.98 (1.78–2.20)<0.0001
Chronic kidney disease1.19 (1.08–1.31)0.00041.05 (0.95–1.15)0.36
Insulin treatment1.16 (0.97–1.37)0.101.04 (0.88–1.24)0.63

AMD: age-related macular degeneration; HR: hazard ratio; CI: confidence interval. In the multivariate analysis, all variables in the table are included for adjustment.