Relationship between body fat and diabetic retinopathy in patients with type 2 diabetes: a nationwide survey in Korea View Full Text


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Article Info

DATE

2019-02-13

AUTHORS

In Cheol Hwang, Jeong Hun Bae, Joon Mo Kim

ABSTRACT

PURPOSE: To evaluate the association of body mass index (BMI), waist circumference, and body fat with diabetic retinopathy (DR) in Korean patients with type 2 diabetes. METHODS: Among the 1130 participants 19 years of age or older with type 2 diabetes enrolled in the nationwide survey, a total of 887 participants were included in the analyses after excluding patients with ungradable fundus images. The presence and severity of DR were graded with seven-field fundus photographs. The associations between DR and anthropometric parameters and total body fat, which was assessed by dual-energy X-ray absorptiometry, were analysed using multivariate logistic regression models. RESULTS: Patients were divided into three groups according to severity of DR: no DR (n = 702, 79.1%), mild/moderate DR (n = 130, 14.7%), and vision-threatening DR (n = 55, 6.2%). In multivariate-adjusted analyses, higher BMI (adjusted odds ratio [aOR], 0.80; 95% confidence interval [CI], 0.70-0.92; P = 0.001), larger waist circumference (aOR, 0.96; 95% CI, 0.91-1.00; P = 0.047), and higher total body fat (aOR, 0.86; 95% CI, 0.79-0.92; P < 0.001) were significantly associated with a lower risk of vision-threatening DR. In sex-stratified analyses, however, only total body fat in women showed a significant inverse association with the presence of DR (aOR, 0.93; 95% CI, 0.88-0.98; P < 0.001) and independently with the severity of DR (P for trend = 0.004). CONCLUSION: In Korean patients with type 2 diabetes, obese patients might be less likely to have vision-threatening DR. Total body fat in women appears to be inversely and independently associated with DR prevalence and progression. More... »

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URI

http://scigraph.springernature.com/pub.10.1038/s41433-019-0352-z

DOI

http://dx.doi.org/10.1038/s41433-019-0352-z

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1112093611

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30760896


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    "description": "PURPOSE: To evaluate the association of body mass index (BMI), waist circumference, and body fat with diabetic retinopathy (DR) in Korean patients with type 2 diabetes.\nMETHODS: Among the 1130 participants 19 years of age or older with type 2 diabetes enrolled in the nationwide survey, a total of 887 participants were included in the analyses after excluding patients with ungradable fundus images. The presence and severity of DR were graded with seven-field fundus photographs. The associations between DR and anthropometric parameters and total body fat, which was assessed by dual-energy X-ray absorptiometry, were analysed using multivariate logistic regression models.\nRESULTS: Patients were divided into three groups according to severity of DR: no DR (n\u2009=\u2009702, 79.1%), mild/moderate DR (n\u2009=\u2009130, 14.7%), and vision-threatening DR (n\u2009=\u200955, 6.2%). In multivariate-adjusted analyses, higher BMI (adjusted odds ratio [aOR], 0.80; 95% confidence interval [CI], 0.70-0.92; P\u2009=\u20090.001), larger waist circumference (aOR, 0.96; 95% CI, 0.91-1.00; P\u2009=\u20090.047), and higher total body fat (aOR, 0.86; 95% CI, 0.79-0.92; P\u2009<\u20090.001) were significantly associated with a lower risk of vision-threatening DR. In sex-stratified analyses, however, only total body fat in women showed a significant inverse association with the presence of DR (aOR, 0.93; 95% CI, 0.88-0.98; P\u2009<\u20090.001) and independently with the severity of DR (P for trend\u2009=\u20090.004).\nCONCLUSION: In Korean patients with type 2 diabetes, obese patients might be less likely to have vision-threatening DR. Total body fat in women appears to be inversely and independently associated with DR prevalence and progression.", 
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Download the RDF metadata as:  json-ld nt turtle xml License info

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RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1038/s41433-019-0352-z'


 

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