Serum cholinesterase is associated with incident diabetic retinopathy: the Shanghai Nicheng cohort study

Nutrition & Metabolism

Research

Xuhong Hou¹  Rong Yu¹  Xiaoqi Ye¹  Weiping Jia¹  Yuqian Bao¹  Xiangning Wang²  Qiang Wu²  Lili Jia²  Zhijun Zhu³  Keqing Dong³ 

[1] Department of Endocrinology and Metabolism, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai Clinical Center for Diabetes, Shanghai Key Clinical Center for Metabolic Disease, Shanghai, China;Department of Ophthalmology, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China;General Practitioner Teams in Community Health Service Center of Nicheng, Pudong New District, Shanghai, China;

关键词: Diabetic retinopathy;    Serum cholinesterase;    Metabolism;    Observational study;   

DOI  :  10.1186/s12986-023-00743-2

 received in 2023-02-22, accepted in 2023-04-13,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundSerum cholinesterase (ChE) is positively associated with incident diabetes and dyslipidemia. We aimed to investigate the relationship between ChE and the incidence of diabetic retinopathy (DR).MethodsBased on a community-based cohort study followed for 4.6 years, 1133 participants aged 55–70 years with diabetes were analyzed. Fundus photographs were taken for each eye at both baseline and follow-up investigations. The presence and severity of DR were categorized into no DR, mild non-proliferative DR (NPDR), and referable DR (moderate NPDR or worse). Binary and multinomial logistic regression models were used to estimate the risk ratio (RR) and 95% confidence interval (CI) between ChE and DR.ResultsAmong the 1133 participants, 72 (6.4%) cases of DR occurred. The multivariable binary logistic regression showed that the highest tertile of ChE (≥ 422 U/L) was associated with a 2.01-fold higher risk of incident DR (RR 2.01, 95%CI 1.01-4.00; P for trend < 0.05) than the lowest tertile (< 354 U/L). The multivariable binary and multinomial logistic regression showed that the risk of DR increased by 41% (RR 1.41, 95%CI 1.05–1.90), and the risk of incident referable DR was almost 2-fold higher than no DR (RR 1.99, 95%CI 1.24–3.18) with per 1-SD increase of loge-transformed ChE. Furthermore, multiplicative interactions were found between ChE and elderly participants (aged 60 and older; P for interaction = 0.003) and men (P for interaction = 0.044) on the risk of DR.ConclusionsIn this study, ChE was associated with the incidence of DR, especially referable DR. ChE was a potential biomarker for predicting the incident DR.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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