Association of visceral adiposity index with incident nephropathy and retinopathy: a cohort study in the diabetic population

Cardiovascular Diabetology

Lixin Tao¹  Zhiyuan Wu¹  Xiangtong Liu¹  Zongkai Xu¹  Yue Liu¹  Siqi Yu¹  Zhiwei Li¹  Xinlei Miao¹  Jinqi Wang¹  Xiuhua Guo¹  Jingbo Zhang²  Xiaoping Kang³  Wei Wang⁴  Xia Li⁵ 

[1] Beijing Municipal Key Laboratory of Clinical Epidemiology, Department of Epidemiology and Health Statistics, School of Public Health, Capital Medical University;Beijing Physical Examination Center;Beijing Xiaotangshan Hospital;Centre for Precision Health, Edith Cowan University;Department of Mathematics and Statistics, La Trobe University;

关键词: Visceral adiposity index;    Abdominal obesity;    Diabetic nephropathy;    Diabetic retinopathy;   

DOI  :  10.1186/s12933-022-01464-1

来源: DOAJ

【 摘 要 】

Abstract Background The association between visceral adiposity index (VAI) and diabetic complications has been reported in cross-sectional studies, while the effect of VAI on complication development remains unclear. This study aims to evaluate the longitudinal association of VAI and Chinese VAI (CVAI) with the incidence of diabetic nephropathy and retinopathy using a Chinese cohort. Methods A total of 8 948 participants with type 2 diabetes from Beijing Health Management Cohort were enrolled during 2013–2014, and followed until December 31, 2019. Nephropathy was confirmed by urine albumin/creatinine ratio and estimated glomerular filtration rate; retinopathy was diagnosed using fundus photograph. Results The mean (SD) age was 53.35 (14.66) years, and 6 154 (68.8%) were men. During a median follow-up of 4.82 years, 467 participants developed nephropathy and 90 participants developed retinopathy. One-SD increase in VAI and CVAI levels were significantly associated with an increased risk of nephropathy, and the adjusted hazard ratios (HR) were 1.127 (95% CI 1.050–1.210) and 1.165 (95% CI 1.003–1.353), respectively. On contrary, VAI and CVAI level were not associated with retinopathy after adjusting confounding factors. Conclusion VAI and CVAI are independently associated with the development of nephropathy, but not retinopathy in Chinese adults with diabetes.

【 授权许可】

Unknown