Arslan S, Kiraği D, Kadayifçilar S, Samur G
Department of Nutrition and Dietetics, Hacettepe University, Ankara, Turkey.
Department of Ophtalmology, Ankara, Turkey.
Acta Endocrinol (Buchar). 2022 Jul-Sep;18(3):278-287. doi: 10.4183/aeb.2022.278.
AIM: Diabetic macular oedema (DME) can develop at all stages of diabetic retinopathy, causing visual impairment and blindness. Modern diets are high in advanced glycation end products (dAGEs), derived from processing methods, exerting a pivotal role in promoting diabetic retinopathy risk. In present study, we investigate the relationship between dietary and serum levels of AGEs and DME in type 2 diabetic subjects. METHODS: This case-control study was conducted between July 2018 and February 2019 on 50 case subjects with DME and 40 healthy controls without DM without DME. The sociodemographic characteristics, nutritional status, and anthropometric measurements were evaluated. The advanced glycation end products (AGEs) and receptor for AGEs (sRAGE) levels in serum were analysed. RESULTS: The AGEs levels of the DME group were higher than in the control group (p <0.05). sRAGE levels were higher in the DME group, but not statistically significant (p >0.05). The dietary intake of AGEs was higher in the DME group (p <0.05). It was found that an increase in neck circumference increased the risk of DME (p <0.001). CONCLUSION: A positive correlation was found between DME and AGEs, dAGE, neck circumference, and waist circumference. For the validity of these results, studies, including controlled nutrition interventions, are needed.
目的:糖尿病性黄斑水肿(DME)可在糖尿病视网膜病变的各个阶段发生,导致视力损害和失明。现代饮食中晚期糖基化终产物(dAGEs)含量很高,这些产物源于加工方法,在促进糖尿病视网膜病变风险方面发挥着关键作用。在本研究中,我们调查了2型糖尿病患者饮食和血清中晚期糖基化终产物(AGEs)水平与DME之间的关系。 方法:本病例对照研究于2018年7月至2019年2月进行,纳入50例DME患者和40例无糖尿病且无DME的健康对照者。评估了社会人口学特征、营养状况和人体测量指标。分析了血清中晚期糖基化终产物(AGEs)和晚期糖基化终产物受体(sRAGE)水平。 结果:DME组的AGEs水平高于对照组(p<0.05)。DME组的sRAGE水平较高,但无统计学意义(p>0.05)。DME组的AGEs饮食摄入量较高(p<0.05)。发现颈围增加会增加DME的风险(p<0.001)。 结论:发现DME与AGEs、dAGE、颈围和腰围之间存在正相关。为验证这些结果的有效性,需要开展包括对照营养干预在内的研究。
BMC Endocr Disord. 2018-11-13
Lancet Glob Health. 2017-10-11