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Urinary albumin excretion rate: a risk factor for retinal hard exudates in macular region in type 2 diabetic patients
Background The various risk factors for retinal hard exudates are still poorly understood in type 2 diabetic patients.The aim of this study was to determine the association between urinary albumin excretion rate (UAER) and hard exudates in macular region in north Chinese patients.Methods A total of...
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Published in: | Chinese medical journal 2014, Vol.127 (12), p.2293-2298 |
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description | Background The various risk factors for retinal hard exudates are still poorly understood in type 2 diabetic patients.The aim of this study was to determine the association between urinary albumin excretion rate (UAER) and hard exudates in macular region in north Chinese patients.Methods A total of 272 patients (272 eyes) were enrolled for this study,including 154 subjects from group 1 (mild hard exudates),91 subjects from group 2 (moderate hard exudates) and 27 subjects from group 3 (severe hard exudates) confirmed using colour fundus photography,optical coherence tomography (OCT) as well as slit-lamp biomicroscopy with 78 diopter (D) lens.Each participant underwent a comprehensive assessment that included biochemical,clinical characteristics test and detailed ophthalmic evaluation.One-way analysis of variance (ANOVA) test and chi-square test were performed to analyze the fasting blood glucose (FBG),glycated hemoglobin (HbA1c),total cholesterol (TC),low density lipoprotein (LDL),high density lipoprotein (HDL),triglycerides (TG),full blood counts,urinary albumin excretion rate (UAER),blood creatinine (CREA),duration of diabetes,body mass index (BMI),systolic blood pressures (SBP) and diastolic blood pressures (DBP) between groups.Ordinal logistic regression analysis was further performed in order to eliminating the possible confounding factors.Results Three groups were matched in terms of age and gender.Risk factors which showed significant difference between groups include FBG (P <0.001),HbA1c (P <0.001),LDL (P <0.001),UAER (P <0.001),duration of diabetes (P=0.001),TC (P=0.005),SBP (P=0.026),CREA (P=0.004) and haemoglobin (Hb) (P=0.012).There was no significant difference between groups for the TG,HDL,DBP,platelet,total white blood cells and BMI.Using ordinal Logistic regression analyses,of all the variables,HbA1c,LDL and UAER which were independent risk factor for hard exudates showed a significantly odds ratio of 1.25,3.07,and 1.39,respectively.There were also significant differences in UAER level between patients with mild,moderate,severe hard exudates groups (P <0.001).Conclusions UAER was an independent risk factor associated with retinal hard exudates in macular region in type 2 diabetic patients.This study highlights the need for close monitoring and fundus examination for hard exudates in patients with elevated UAER to prevent irreversible visual loss. |
doi_str_mv | 10.3760/cma.j.issn.0366-6999.20140327 |
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Ltd. All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c378t-5d9de50e1f01bc6f5a7cc113937a3354ea18ab984ff138e259c58efde5b7633f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://image.cqvip.com/vip1000/qk/85656X/85656X.jpg</thumbnail><link.rule.ids>315,786,790,4043,27956,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24931245$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Shaocheng</creatorcontrib><creatorcontrib>Lin, Siyong</creatorcontrib><creatorcontrib>Cao, Xi</creatorcontrib><creatorcontrib>Zheng, Yuezhong</creatorcontrib><creatorcontrib>Wang, Jinyang</creatorcontrib><creatorcontrib>Lu, Na</creatorcontrib><creatorcontrib>Yang, Jinkui</creatorcontrib><title>Urinary albumin excretion rate: a risk factor for retinal hard exudates in macular region in type 2 diabetic patients</title><title>Chinese medical journal</title><addtitle>Chinese Medical Journal</addtitle><description>Background The various risk factors for retinal hard exudates are still poorly understood in type 2 diabetic patients.The aim of this study was to determine the association between urinary albumin excretion rate (UAER) and hard exudates in macular region in north Chinese patients.Methods A total of 272 patients (272 eyes) were enrolled for this study,including 154 subjects from group 1 (mild hard exudates),91 subjects from group 2 (moderate hard exudates) and 27 subjects from group 3 (severe hard exudates) confirmed using colour fundus photography,optical coherence tomography (OCT) as well as slit-lamp biomicroscopy with 78 diopter (D) lens.Each participant underwent a comprehensive assessment that included biochemical,clinical characteristics test and detailed ophthalmic evaluation.One-way analysis of variance (ANOVA) test and chi-square test were performed to analyze the fasting blood glucose (FBG),glycated hemoglobin (HbA1c),total cholesterol (TC),low density lipoprotein (LDL),high density lipoprotein (HDL),triglycerides (TG),full blood counts,urinary albumin excretion rate (UAER),blood creatinine (CREA),duration of diabetes,body mass index (BMI),systolic blood pressures (SBP) and diastolic blood pressures (DBP) between groups.Ordinal logistic regression analysis was further performed in order to eliminating the possible confounding factors.Results Three groups were matched in terms of age and gender.Risk factors which showed significant difference between groups include FBG (P <0.001),HbA1c (P <0.001),LDL (P <0.001),UAER (P <0.001),duration of diabetes (P=0.001),TC (P=0.005),SBP (P=0.026),CREA (P=0.004) and haemoglobin (Hb) (P=0.012).There was no significant difference between groups for the TG,HDL,DBP,platelet,total white blood cells and BMI.Using ordinal Logistic regression analyses,of all the variables,HbA1c,LDL and UAER which were independent risk factor for hard exudates showed a significantly odds ratio of 1.25,3.07,and 1.39,respectively.There were also significant differences in UAER level between patients with mild,moderate,severe hard exudates groups (P <0.001).Conclusions UAER was an independent risk factor associated with retinal hard exudates in macular region in type 2 diabetic patients.This study highlights the need for close monitoring and fundus examination for hard exudates in patients with elevated UAER to prevent irreversible visual loss.</description><subject>2型糖尿病</subject><subject>Aged</subject><subject>Albuminuria - physiopathology</subject><subject>Diabetes Mellitus, Type 2 - physiopathology</subject><subject>Diabetes Mellitus, Type 2 - urine</subject><subject>Female</subject><subject>Humans</subject><subject>Logistic回归分析</subject><subject>Macular Edema - physiopathology</subject><subject>Macular Edema - urine</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>危险因素</subject><subject>排泄率</subject><subject>渗出</subject><subject>白蛋白</subject><subject>硬性</subject><subject>视网膜</subject><issn>0366-6999</issn><issn>2542-5641</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNo9kc9O3DAQh60KVBbaV6gsJKpeEvwndpIDB4TaUgmJC5ytiWPvOk2cxU5E6aP0WXinvgKOdpeDbcn6fjOj-RC6oCTnpSSXeoC8y12MPidcykzWdZ0zQgvCWfkBrZgoWCZkQY_Q6h04QacxdoQwIUr5EZ2wouaUFWKFnh-D8xBeMPTNPDiPzR8dzORGjwNM5v_rPww4uPgbW9DTGLBNZwE89HgDoU2BuU1kxCk8gJ57WID1UiH9TC9bgxluHTQppPEWJmf8FD-hYwt9NJ_37xl6_PH94eY2u7v_-evm-i7TvKymTLR1awQx1BLaaGkFlFpTymteAueiMEAraOqqsJbyyjBRa1EZmzJNKTm3_Ax93dV9Bm_Br1U3ziHNHtXfjR66ZXE0XVUCv-3AbRifZhMnNbioTd-DN-McFRVpmZXglCT0aofqMMYYjFXb4Ia0REWJWiSpJEl1apGkFgdqcaAOklL-y77V3AymfU8frCTgfN9gM_r1k0tjHxgpqWSEC8nfAOnknrQ</recordid><startdate>2014</startdate><enddate>2014</enddate><creator>Wang, Shaocheng</creator><creator>Lin, Siyong</creator><creator>Cao, Xi</creator><creator>Zheng, Yuezhong</creator><creator>Wang, Jinyang</creator><creator>Lu, Na</creator><creator>Yang, Jinkui</creator><general>Department of Endocrinology,Beijing Tongren Hospital,Capital Medical University,Beijng Key Laboratory of Diabetes Research and Care,Beijing 100730,China%Clinical College of Ophthalmology,Tianjin Medical University,Tianjin Eye Hospital,Tianjin 300070,China</general><scope>2RA</scope><scope>92L</scope><scope>CQIGP</scope><scope>W91</scope><scope>~WA</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>2B.</scope><scope>4A8</scope><scope>92I</scope><scope>93N</scope><scope>PSX</scope><scope>TCJ</scope></search><sort><creationdate>2014</creationdate><title>Urinary albumin excretion rate: a risk factor for retinal hard exudates in macular region in type 2 diabetic patients</title><author>Wang, Shaocheng ; Lin, Siyong ; Cao, Xi ; Zheng, Yuezhong ; Wang, Jinyang ; Lu, Na ; Yang, Jinkui</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c378t-5d9de50e1f01bc6f5a7cc113937a3354ea18ab984ff138e259c58efde5b7633f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>2型糖尿病</topic><topic>Aged</topic><topic>Albuminuria - physiopathology</topic><topic>Diabetes Mellitus, Type 2 - physiopathology</topic><topic>Diabetes Mellitus, Type 2 - urine</topic><topic>Female</topic><topic>Humans</topic><topic>Logistic回归分析</topic><topic>Macular Edema - physiopathology</topic><topic>Macular Edema - urine</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>危险因素</topic><topic>排泄率</topic><topic>渗出</topic><topic>白蛋白</topic><topic>硬性</topic><topic>视网膜</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Shaocheng</creatorcontrib><creatorcontrib>Lin, Siyong</creatorcontrib><creatorcontrib>Cao, Xi</creatorcontrib><creatorcontrib>Zheng, Yuezhong</creatorcontrib><creatorcontrib>Wang, Jinyang</creatorcontrib><creatorcontrib>Lu, Na</creatorcontrib><creatorcontrib>Yang, Jinkui</creatorcontrib><collection>维普_期刊</collection><collection>中文科技期刊数据库-CALIS站点</collection><collection>维普中文期刊数据库</collection><collection>中文科技期刊数据库-医药卫生</collection><collection>中文科技期刊数据库- 镜像站点</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Wanfang Data Journals - Hong Kong</collection><collection>WANFANG Data Centre</collection><collection>Wanfang Data Journals</collection><collection>万方数据期刊 - 香港版</collection><collection>China Online Journals (COJ)</collection><collection>China Online Journals (COJ)</collection><jtitle>Chinese medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Shaocheng</au><au>Lin, Siyong</au><au>Cao, Xi</au><au>Zheng, Yuezhong</au><au>Wang, Jinyang</au><au>Lu, Na</au><au>Yang, Jinkui</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Urinary albumin excretion rate: a risk factor for retinal hard exudates in macular region in type 2 diabetic patients</atitle><jtitle>Chinese medical journal</jtitle><addtitle>Chinese Medical Journal</addtitle><date>2014</date><risdate>2014</risdate><volume>127</volume><issue>12</issue><spage>2293</spage><epage>2298</epage><pages>2293-2298</pages><issn>0366-6999</issn><eissn>2542-5641</eissn><notes>exudates; macular edema; albuminuia; risk factors; diabetes mellitus</notes><notes>11-2154/R</notes><notes>Background The various risk factors for retinal hard exudates are still poorly understood in type 2 diabetic patients.The aim of this study was to determine the association between urinary albumin excretion rate (UAER) and hard exudates in macular region in north Chinese patients.Methods A total of 272 patients (272 eyes) were enrolled for this study,including 154 subjects from group 1 (mild hard exudates),91 subjects from group 2 (moderate hard exudates) and 27 subjects from group 3 (severe hard exudates) confirmed using colour fundus photography,optical coherence tomography (OCT) as well as slit-lamp biomicroscopy with 78 diopter (D) lens.Each participant underwent a comprehensive assessment that included biochemical,clinical characteristics test and detailed ophthalmic evaluation.One-way analysis of variance (ANOVA) test and chi-square test were performed to analyze the fasting blood glucose (FBG),glycated hemoglobin (HbA1c),total cholesterol (TC),low density lipoprotein (LDL),high density lipoprotein (HDL),triglycerides (TG),full blood counts,urinary albumin excretion rate (UAER),blood creatinine (CREA),duration of diabetes,body mass index (BMI),systolic blood pressures (SBP) and diastolic blood pressures (DBP) between groups.Ordinal logistic regression analysis was further performed in order to eliminating the possible confounding factors.Results Three groups were matched in terms of age and gender.Risk factors which showed significant difference between groups include FBG (P <0.001),HbA1c (P <0.001),LDL (P <0.001),UAER (P <0.001),duration of diabetes (P=0.001),TC (P=0.005),SBP (P=0.026),CREA (P=0.004) and haemoglobin (Hb) (P=0.012).There was no significant difference between groups for the TG,HDL,DBP,platelet,total white blood cells and BMI.Using ordinal Logistic regression analyses,of all the variables,HbA1c,LDL and UAER which were independent risk factor for hard exudates showed a significantly odds ratio of 1.25,3.07,and 1.39,respectively.There were also significant differences in UAER level between patients with mild,moderate,severe hard exudates groups (P <0.001).Conclusions UAER was an independent risk factor associated with retinal hard exudates in macular region in type 2 diabetic patients.This study highlights the need for close monitoring and fundus examination for hard exudates in patients with elevated UAER to prevent irreversible visual loss.</notes><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Background The various risk factors for retinal hard exudates are still poorly understood in type 2 diabetic patients.The aim of this study was to determine the association between urinary albumin excretion rate (UAER) and hard exudates in macular region in north Chinese patients.Methods A total of 272 patients (272 eyes) were enrolled for this study,including 154 subjects from group 1 (mild hard exudates),91 subjects from group 2 (moderate hard exudates) and 27 subjects from group 3 (severe hard exudates) confirmed using colour fundus photography,optical coherence tomography (OCT) as well as slit-lamp biomicroscopy with 78 diopter (D) lens.Each participant underwent a comprehensive assessment that included biochemical,clinical characteristics test and detailed ophthalmic evaluation.One-way analysis of variance (ANOVA) test and chi-square test were performed to analyze the fasting blood glucose (FBG),glycated hemoglobin (HbA1c),total cholesterol (TC),low density lipoprotein (LDL),high density lipoprotein (HDL),triglycerides (TG),full blood counts,urinary albumin excretion rate (UAER),blood creatinine (CREA),duration of diabetes,body mass index (BMI),systolic blood pressures (SBP) and diastolic blood pressures (DBP) between groups.Ordinal logistic regression analysis was further performed in order to eliminating the possible confounding factors.Results Three groups were matched in terms of age and gender.Risk factors which showed significant difference between groups include FBG (P <0.001),HbA1c (P <0.001),LDL (P <0.001),UAER (P <0.001),duration of diabetes (P=0.001),TC (P=0.005),SBP (P=0.026),CREA (P=0.004) and haemoglobin (Hb) (P=0.012).There was no significant difference between groups for the TG,HDL,DBP,platelet,total white blood cells and BMI.Using ordinal Logistic regression analyses,of all the variables,HbA1c,LDL and UAER which were independent risk factor for hard exudates showed a significantly odds ratio of 1.25,3.07,and 1.39,respectively.There were also significant differences in UAER level between patients with mild,moderate,severe hard exudates groups (P <0.001).Conclusions UAER was an independent risk factor associated with retinal hard exudates in macular region in type 2 diabetic patients.This study highlights the need for close monitoring and fundus examination for hard exudates in patients with elevated UAER to prevent irreversible visual loss.</abstract><cop>China</cop><pub>Department of Endocrinology,Beijing Tongren Hospital,Capital Medical University,Beijng Key Laboratory of Diabetes Research and Care,Beijing 100730,China%Clinical College of Ophthalmology,Tianjin Medical University,Tianjin Eye Hospital,Tianjin 300070,China</pub><pmid>24931245</pmid><doi>10.3760/cma.j.issn.0366-6999.20140327</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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subjects | 2型糖尿病 Aged Albuminuria - physiopathology Diabetes Mellitus, Type 2 - physiopathology Diabetes Mellitus, Type 2 - urine Female Humans Logistic回归分析 Macular Edema - physiopathology Macular Edema - urine Male Middle Aged Retrospective Studies Risk Factors 危险因素 排泄率 渗出 白蛋白 硬性 视网膜 |
title | Urinary albumin excretion rate: a risk factor for retinal hard exudates in macular region in type 2 diabetic patients |
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