单位:[1]Department of Ophthalmology, Beijing Chao-Yang Hospital,Capital Medical University, Beijing, China北京朝阳医院[2]Jean Mayer U.S. Department of Agriculture Human NutritionResearch Center on Aging, Tufts University, Boston, MA, USA[3]Department of Ophthalmology, Beijing Haidian Hospital,Beijing, China[4]Department of Ophthalmology, Beijing Friendship Hospital,Capital Medical University, Beijing, China临床科室眼科眼科首都医科大学附属北京友谊医院[5]Beijing Tongren Eye Center, Beijing Tongren Hospital, CapitalMedical University, Beijing, China首都医科大学附属同仁医院
Background Diabetic retinopathy (DR) is related to oxidative stress and insufficient intake of dietary antioxidants may be associated with the onset and progression of DR. This study aimed to detect the association between main dietary antioxidants intake and the risk for DR. Methods This is a cross-sectional study of a Chinese urban population. Four hundred and fifty-five subjects with type 2 diabetes were recruited and divided into diabetic patients without retinopathy (DWR) group and DR group based on their retinal status. CSMO (clinically significant macular oedema) was diagnosed by stereoscopic photography. Demographic and lifestyle characteristics were ascertained by questionnaire. General physical and ophthalmic examinations were completed for all subjects. Dietary antioxidants were assessed by 3-day food records. Subjects who have taken any type of vitamin supplements were excluded from the study. The association of dietary antioxidants with the risk for DR was analysed by logistic regression with adjustment of other factors. The dietary antioxidants levels of the CSMO subjects and non-CSMO subjects were compared using the Wilcoxon rank sum test. Results One hundred and nineteen subjects in DR group and 336 subjects in DWR group participated in the study. Only ten DR subjects had CSMO. The results showed that higher vitamin E (OR (95% CI):0.97 (0.95, 1.00),P = 0.036) and selenium (OR (95% CI):0.98 (0.96, 1.00),P = 0.017) intake appear to be the protective factors of DR. The dietary antioxidants levels of CSMO and non-CSMO subjects had no statistical differences (P > 0.05). Conclusions Dietary antioxidants intake, particularly vitamin E and selenium, were observed to have protective effects on DR.
基金:
Beijing Natural Science FoundationBeijing Natural Science Foundation [7131007]; National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81070734]; Beijing Education Commission [KZ201110025028]
第一作者单位:[1]Department of Ophthalmology, Beijing Chao-Yang Hospital,Capital Medical University, Beijing, China
通讯作者:
推荐引用方式(GB/T 7714):
She Chongyang,Shang Fu,Cui Min,et al.Association between dietary antioxidants and risk for diabetic retinopathy in a Chinese population[J].EYE.2021,35(7):1977-1984.doi:10.1038/s41433-020-01208-z.
APA:
She, Chongyang,Shang, Fu,Cui, Min,Yang, Xiufen&Liu, Ningpu.(2021).Association between dietary antioxidants and risk for diabetic retinopathy in a Chinese population.EYE,35,(7)
MLA:
She, Chongyang,et al."Association between dietary antioxidants and risk for diabetic retinopathy in a Chinese population".EYE 35..7(2021):1977-1984