Association among Abdominal Obesity Induces, Diabetic Retinopathy and Metabolic Syndrome in Community: A Cross-Sectional Study

Background and aims: Obesity often coexists with diabetes has been recognized as a risk factor for diabetic complications. Diabetic retinopathy (DR) is one of the most common microvascular complications of diabetes, and the metabolic syndrome (MetS) is one of the most common symptoms of diabetes. The purpose of this study was to explore the relationship between DR and some induces, including NC, CVAI, PWNC and so on; as well as the relationship between DR and MetS.

Methods: From 2018 to 2019, a total of 562 diabetics from the Hulan District of Harbin, Heilongjiang, were selected and completed a questionnaire survey. The questionnaire included basic patient information, anthropometric parameters, blood pressure, biochemical parameters and fundus photography results.

Results: In both men and women, a one Standard Deviation (SD) increase in NCCVAI and PWNC was not associated with the prevalence of DR (P>0.05). However, in both men and women, a one SD increase in NC、CVAI and PWNC was significantly associated with the prevalence of MetS (P<0.05). These associations were all adjusted for potential confounding factors. Moreover, DR was not associated with MetS (P>0.05).

Conclusion: NC, CVAI and PWNC are associated with the prevalence of MetS. NC in men and CVAI in women had the largest area under the ROC curve compared to the other induces, which may be convenient and valuable anthropometric measurements for early prevention of MetS. However, these induces had no association with DR and there is no relationship between DR and MetS.

Author(s): Xin Li, Zi-Wei Yu, Chang-Wei Yang, Ming Hao, Xin-Yuan Gao, Hong-Yu Kuang, Yong Yu, and Xu Peng

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