First Clinical Medical College, Shandong University of Traditional Chinese Medicine, Jinan, China.
Ophthalmology Department, Shandong Hospital of Traditional Chinese Medicine, Jinan, China.
Front Endocrinol (Lausanne). 2023 Aug 2;14:1195647. doi: 10.3389/fendo.2023.1195647. eCollection 2023.
The aim of this study was to explore the connection between hemoglobin levels and diabetic retinopathy (DR).
Cross-sectional research used data from the National Health and Nutrition Examination Survey (NHANES) 2005-2008. A multiple logistic regression analysis was performed to investigate the association between DR and hemoglobin levels. Additionally, generalized additivity models and smoothed curve fitting were carried out.
After adjusting for several covariates, there was a negative association between hemoglobin levels and DR in the study, which included 837 participants. The negative association between hemoglobin levels and DR was present in men and women, the obese (BMI > 30), and 60- to 69-year-olds in subgroup analyses stratified by sex, BMI, and age. The association between hemoglobin levels and DR in the normal weight group (BMI < 25) displayed an inverted U-shaped curve with an inflection point of 13.7 (g/dL).
In conclusion, our research reveals that high hemoglobin levels are related to a decreased risk of DR. Ascertaining the hemoglobin levels ought to be regarded as an integral facet of the monitoring regimen for patients with diabetic complications and that the risk of DR is reduced through the detection and management of hemoglobin levels.
本研究旨在探讨血红蛋白水平与糖尿病视网膜病变(DR)之间的关系。
本研究采用 2005-2008 年全国健康和营养调查(NHANES)的数据进行横断面研究。采用多因素逻辑回归分析来探讨 DR 与血红蛋白水平之间的关系。此外,还进行了广义加性模型和平滑曲线拟合。
在调整了几个协变量后,研究包括 837 名参与者,发现血红蛋白水平与 DR 呈负相关。血红蛋白水平与 DR 之间的负相关在男性和女性、肥胖者(BMI>30)以及按性别、BMI 和年龄分层的 60-69 岁亚组分析中均存在。在 BMI<25 的正常体重组中,血红蛋白水平与 DR 之间的关联呈倒 U 形曲线,拐点为 13.7(g/dL)。
总之,我们的研究表明,高血红蛋白水平与 DR 风险降低有关。确定血红蛋白水平应该被视为监测糖尿病并发症患者的综合方案的一个组成部分,通过检测和管理血红蛋白水平可以降低 DR 的风险。