PMID- 31464408 OWN - NLM STAT- MEDLINE DCOM- 20200211 LR - 20200211 IS - 1440-6047 (Electronic) IS - 0964-7058 (Linking) VI - 28 IP - 3 DP - 2019 TI - Relationship between retinol and risk of diabetic retinopathy: a case-control study. PG - 607-613 LID - 10.6133/apjcn.201909_28(3).0021 [doi] AB - BACKGROUND AND OBJECTIVES: The aim of the present study was to evaluate the relationship between retinol and risk of diabetic retinopathy in Chinese adults. METHODS AND STUDY DESIGN: Eighty-six subjects with type 2 diabetes mellitus (T2DM) and 40 healthy subjects (healthy comparison group, HCG) were recruited in Beijing Luhe Hospital. Of the 86 T2DM subjects, 43 subjects were diagnosed with diabetic retinopathy (DRG), and 43 subjects had no retinopathy (DNRG). RESULTS: Dietary intake of retinol (p<0.001) and retinol equivalent (p<0.05) was significantly higher but serum retinol and (p<0.001) retinol binding protein 4 (RBP4) (p<0.05) were significantly lower in DNRG compared with HCG. Dietary intake of retinol (p<0.05) and retinol equivalent (p<0.05) was significantly lower, and serum retinol and (p<0.01) retinol binding protein 4 (RBP4) (p<0.01) were significantly higher in DRG compared with DNRG. In T2DM subjects, per 100 mug/day higher dietary retinol intake was associated with 17% lower risk of diabetic retinopathy (odds ratio (OR), 0.83; 95% CI, 0.70 to 0.98; p=0.032), and after adjusting for potential confounding factors, the OR was 0.82 (95% CI, 0.69 to 0.99; p=0.036); per 100 mug/day higher in dietary retinol equivalent intake was associated with 12% lower risk of diabetic retinopathy (OR, 0.88; 95% CI, 0.79 to 0.97; p=0.010), and after adjusting for potential confounding factors, the OR was 0.88 (95% CI, 0.79 to 0.98; p=0.025). CONCLUSIONS: Higher dietary intake of retinol or retinol equivalent is associated with lower risk of diabetic retinopathy. FAU - Zhang, Chunmei AU - Zhang C AD - Beijing Luhe Hospital, Capital Medical University, China. FAU - Li, Kelei AU - Li K AD - Institute of Nutrition and Health, Qingdao University, Qingdao, China. FAU - Zhang, Jiayu AU - Zhang J AD - Beijing Luhe Hospital, Capital Medical University, China. FAU - Kuang, Xiaotong AU - Kuang X AD - Institute of Nutrition and Health, Qingdao University, Qingdao, China. FAU - Liu, Chunxiao AU - Liu C AD - Institute of Nutrition and Health, Qingdao University, Qingdao, China. FAU - Deng, Qingxue AU - Deng Q AD - Institute of Nutrition and Health, Qingdao University, Qingdao, China. FAU - Li, Duo AU - Li D AD - Institute of Nutrition and Health, Qingdao University, Qingdao, China. duoli@qdu.edu.cn; duoli@zju.edu.cn. LA - eng PT - Journal Article PL - China TA - Asia Pac J Clin Nutr JT - Asia Pacific journal of clinical nutrition JID - 9440304 RN - 0 (Blood Glucose) RN - 11103-57-4 (Vitamin A) RN - 36-88-4 (Carotenoids) SB - IM MH - Aged MH - Blood Glucose MH - Carotenoids MH - Case-Control Studies MH - Diabetes Mellitus, Type 2/*complications MH - Diabetic Retinopathy/*prevention & control MH - Diet/standards MH - Female MH - Humans MH - Male MH - Middle Aged MH - Nutritional Status MH - Odds Ratio MH - Risk Factors MH - Vitamin A/*administration & dosage/*pharmacology EDAT- 2019/08/30 06:00 MHDA- 2020/02/12 06:00 CRDT- 2019/08/30 06:00 PHST- 2019/08/30 06:00 [entrez] PHST- 2019/08/30 06:00 [pubmed] PHST- 2020/02/12 06:00 [medline] AID - 10.6133/apjcn.201909_28(3).0021 [doi] PST - ppublish SO - Asia Pac J Clin Nutr. 2019;28(3):607-613. doi: 10.6133/apjcn.201909_28(3).0021.