We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Different associations of anthropometric indices with diabetic retinopathy and diabetic kidney disease in chinese patients with type 2 diabetes mellitus.
- Authors
Wang, Yujie; Pang, Xin; Gu, Chufeng; Li, Chenxin; Li, Bo; Zhou, Chuandi; Chen, Haibing; Zheng, Zhi
- Abstract
Aims: To investigate the associations of anthropometric indices, including body mass index (BMI), waist-to-hip ratio (WHR), waist-to-height ratio (WHtR), waist circumference (WC) and hip circumference (HC), with diabetic retinopathy (DR) and diabetic kidney disease (DKD) in Chinese patients with type 2 diabetes mellitus (T2DM). Materials and methods: This cross-sectional study evaluated 5226 Chinese participants with T2DM at three hospitals between 2005 and 2016. Logistic regression models and restricted cubic spline analysis were used to assess the associations of anthropometric indices with DR and DKD. Results: A BMI of around 25 kg/m2 was related to a low risk of DR (OR based on the third fifth: 0.752, 95%CI: 0.615–0.920). Besides, HC had an inverse association with DR in men independently of BMI (OR based on the highest fifth: 0.495, 95%CI: 0.350–0.697). In the restricted cubic spline models, BMI, WHtR, WC, and HC showed J-shaped associations with DKD, while WHR showed an S-shaped association with DKD. Compared to the lowest fifth, the odds ratios (OR) based on the highest fifth of BMI, WHR, WHtR, WC and HC for DKD were 1.927 (1.572–2.366), 1.566 (1.277–1.923), 1.910 (1.554–2.351), 1.624 (1.312–2.012) and 1.585 (1.300–1.937) respectively in multivariable models. Conclusions: A median BMI and a large hip might be related to a low risk of DR, while lower levels of all the anthropometric indices were associated with a lower risk of DKD. Our findings suggested maintain a median BMI, a low WHR, a low WHtR and a large hip for prevention of DR and DKD.
- Subjects
DIABETIC nephropathies; TYPE 2 diabetes; DIABETIC retinopathy; CHINESE people; WAIST-hip ratio; BODY mass index
- Publication
Acta Diabetologica, 2023, Vol 60, Issue 9, p1187
- ISSN
0940-5429
- Publication type
Article
- DOI
10.1007/s00592-023-02111-1