Use of Anthropometric Measures of Obesity to Predict Diabetic Retinopathy in Patients with Type 2 Diabetes in China

Qiu-Xue Yi,1 Li-Na Zhu,1 Jing Ma,2 Xin-Jie Yu,1 Lin Liu,1 Jie Shen1 1Department of Ophthalmology, Renji Hospital Affiliated with Shanghai Jiao Tong University School of Medicine, Shanghai, 200127, People’s Republic of China; 2Department of Endocrinology, Renji Hospital Affiliated with Shanghai Jiao...

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Autores principales:	Yi QX, Zhu LN, Ma J, Yu XJ, Liu L, Shen J
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	t2d diabetic retinopathy risk factor obesity bmi whr whtr Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/87cd1787aa654485a8bfe70132460839
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spelling	oai:doaj.org-article:87cd1787aa654485a8bfe701324608392021-12-02T17:44:33ZUse of Anthropometric Measures of Obesity to Predict Diabetic Retinopathy in Patients with Type 2 Diabetes in China1178-7007https://doaj.org/article/87cd1787aa654485a8bfe701324608392021-09-01T00:00:00Zhttps://www.dovepress.com/use-of-anthropometric-measures-of-obesity-to-predict-diabetic-retinopa-peer-reviewed-fulltext-article-DMSOhttps://doaj.org/toc/1178-7007Qiu-Xue Yi,1 Li-Na Zhu,1 Jing Ma,2 Xin-Jie Yu,1 Lin Liu,1 Jie Shen1 1Department of Ophthalmology, Renji Hospital Affiliated with Shanghai Jiao Tong University School of Medicine, Shanghai, 200127, People’s Republic of China; 2Department of Endocrinology, Renji Hospital Affiliated with Shanghai Jiao Tong University School of Medicine, Shanghai, 200127, People’s Republic of ChinaCorrespondence: Lin Liu; Jie ShenDepartment of Ophthalmology, Renji Hospital Affiliated with Shanghai Jiao Tong University School of Medicine, No. 160 Pujian Road, Pudong New District, Shanghai, 200127, People’s Republic of ChinaEmail 18918358758@163.com; jshenrenji@163.comPurpose: Obesity is an established risk factor for type 2 diabetes (T2D). Diabetic retinopathy (DR) is a major microvascular complication of T2D. In this cross-sectional study, we investigated the association between various anthropometric indices of obesity and DR.Patients and Methods: A representative sample of 1952 patients with T2D participated in this cross-sectional study conducted in Shanghai, China. Anthropometric measures of obesity including weight, height, waist circumference, hip circumference, body mass index (BMI), waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR) were evaluated. The association between WHtR, WHR, and BMI and the presence of DR was examined with logistic regression models.Results: The prevalence of DR was higher in T2D patients with high WHtR compared to those with normal WHtR (p< 0.05). A higher BMI was associated with elevated risk of DR (model 1, p=0.034; model 2, p=0.036). WHR was unrelated to the occurrence of DR (p> 0.05).Conclusion: WHtR and BMI but not WHR are risk factors for DR in obese patients with T2D. Patients with high WHtR and BMI should be closely monitored to prevent the development of DR.Keywords: T2D, diabetic retinopathy, risk factor, obesity, BMI, WHR, WHtRYi QXZhu LNMa JYu XJLiu LShen JDove Medical Pressarticlet2ddiabetic retinopathyrisk factorobesitybmiwhrwhtrSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 14, Pp 4089-4095 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	t2d diabetic retinopathy risk factor obesity bmi whr whtr Specialties of internal medicine RC581-951
spellingShingle	t2d diabetic retinopathy risk factor obesity bmi whr whtr Specialties of internal medicine RC581-951 Yi QX Zhu LN Ma J Yu XJ Liu L Shen J Use of Anthropometric Measures of Obesity to Predict Diabetic Retinopathy in Patients with Type 2 Diabetes in China
description	Qiu-Xue Yi,1 Li-Na Zhu,1 Jing Ma,2 Xin-Jie Yu,1 Lin Liu,1 Jie Shen1 1Department of Ophthalmology, Renji Hospital Affiliated with Shanghai Jiao Tong University School of Medicine, Shanghai, 200127, People’s Republic of China; 2Department of Endocrinology, Renji Hospital Affiliated with Shanghai Jiao Tong University School of Medicine, Shanghai, 200127, People’s Republic of ChinaCorrespondence: Lin Liu; Jie ShenDepartment of Ophthalmology, Renji Hospital Affiliated with Shanghai Jiao Tong University School of Medicine, No. 160 Pujian Road, Pudong New District, Shanghai, 200127, People’s Republic of ChinaEmail 18918358758@163.com; jshenrenji@163.comPurpose: Obesity is an established risk factor for type 2 diabetes (T2D). Diabetic retinopathy (DR) is a major microvascular complication of T2D. In this cross-sectional study, we investigated the association between various anthropometric indices of obesity and DR.Patients and Methods: A representative sample of 1952 patients with T2D participated in this cross-sectional study conducted in Shanghai, China. Anthropometric measures of obesity including weight, height, waist circumference, hip circumference, body mass index (BMI), waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR) were evaluated. The association between WHtR, WHR, and BMI and the presence of DR was examined with logistic regression models.Results: The prevalence of DR was higher in T2D patients with high WHtR compared to those with normal WHtR (p< 0.05). A higher BMI was associated with elevated risk of DR (model 1, p=0.034; model 2, p=0.036). WHR was unrelated to the occurrence of DR (p> 0.05).Conclusion: WHtR and BMI but not WHR are risk factors for DR in obese patients with T2D. Patients with high WHtR and BMI should be closely monitored to prevent the development of DR.Keywords: T2D, diabetic retinopathy, risk factor, obesity, BMI, WHR, WHtR
format	article
author	Yi QX Zhu LN Ma J Yu XJ Liu L Shen J
author_facet	Yi QX Zhu LN Ma J Yu XJ Liu L Shen J
author_sort	Yi QX
title	Use of Anthropometric Measures of Obesity to Predict Diabetic Retinopathy in Patients with Type 2 Diabetes in China
title_short	Use of Anthropometric Measures of Obesity to Predict Diabetic Retinopathy in Patients with Type 2 Diabetes in China
title_full	Use of Anthropometric Measures of Obesity to Predict Diabetic Retinopathy in Patients with Type 2 Diabetes in China
title_fullStr	Use of Anthropometric Measures of Obesity to Predict Diabetic Retinopathy in Patients with Type 2 Diabetes in China
title_full_unstemmed	Use of Anthropometric Measures of Obesity to Predict Diabetic Retinopathy in Patients with Type 2 Diabetes in China
title_sort	use of anthropometric measures of obesity to predict diabetic retinopathy in patients with type 2 diabetes in china
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/87cd1787aa654485a8bfe70132460839
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Use of Anthropometric Measures of Obesity to Predict Diabetic Retinopathy in Patients with Type 2 Diabetes in China

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