PMID- 33256661 OWN - NLM STAT- MEDLINE DCOM- 20210514 LR - 20210514 IS - 1471-2415 (Electronic) IS - 1471-2415 (Linking) VI - 20 IP - 1 DP - 2020 Nov 30 TI - Associations of serum uric acid and urinary albumin with the severity of diabetic retinopathy in individuals with type 2 diabetes. PG - 467 LID - 10.1186/s12886-020-01713-5 [doi] LID - 467 AB - BACKGROUND: Diabetic retinopathy (DR) is a serious microvascular complication of type 2 diabetes mellitus (T2DM). The aim of this retrospective study was to reveal the risk factors for the severity of DR in individuals with T2DM. Demographic data and biochemical parameters were collected and analyzed. METHODS: A total of 518 individuals with type 2 diabetes were included. These individuals were classified into three groups according to the severity of diabetic retinopathy: non-diabetic retinopathy (NDR) group (N = 172), non proliferative diabetic retinopathy (NPDR) group (N = 184), and proliferative diabetic retinopathy (PDR) group (N = 162). Demographic and clinical measurement data of the individuals were collected by reviewing medical records and direct interview. The demographic data and biochemical parameters between groups were compared using Student's t-test. Moreover, the factors related to severity of diabetic retinopathy were identified by using the multivariate logistic regression analysis. RESULTS: No significant difference in age, gender, body mass index (BMI), and diabetes duration was found among these three groups. The serum uric acid (SUA), total cholesterol (TC), low density lipoprotein cholesterol (LDL-c), homocysteine, and urinary albumin levels were significantly higher in the NPDR and PDR group than those in the NDR group (P < 0.05). The individuals in the PDR group had obviously higher levels of SUA, homocysteine, and urinary albumin than individuals in the NPDR group (P < 0.05). The multivariate logistic regression analysis revealed that high SUA, homocysteine, TC, LDL-c, and urinary albumin levels were associated with more serious diabetic retinopathy (OR > 1; P < 0.05). CONCLUSION: The concentrations of SUA and urinary albumin are associated with the severity of DR in individuals with T2DM. FAU - Chen, Donghe AU - Chen D AD - Department of Endocrinology, Daqing People's Hospital, the Fifth Affiliated Hospital of Harbin Medical University, No.213, Jianshe Road, Development zone, Daqing, 163000, China. FAU - Sun, Xiufang AU - Sun X AD - Department of Endocrinology, the First Affiliated Hospital of Qiqihar Medical University, Qiqihar, 161041, China. FAU - Zhao, Xinxin AU - Zhao X AD - Department of Endocrinology, the First Hospital of Suihua, No. 180 Beilin Road, Beilin District, Suihua, 152000, China. 13945500835@163.com. FAU - Liu, Ying AU - Liu Y AD - Department of Endocrinology, Daqing People's Hospital, the Fifth Affiliated Hospital of Harbin Medical University, No.213, Jianshe Road, Development zone, Daqing, 163000, China. daqingyingl66@163.com. LA - eng PT - Journal Article DEP - 20201130 PL - England TA - BMC Ophthalmol JT - BMC ophthalmology JID - 100967802 RN - 0 (Albumins) RN - 268B43MJ25 (Uric Acid) SB - IM MH - Albumins MH - *Diabetes Mellitus, Type 2/complications MH - *Diabetic Retinopathy MH - Humans MH - Retrospective Studies MH - Uric Acid PMC - PMC7706232 OTO - NOTNLM OT - Diabetic retinopathy OT - Serum uric acid OT - Type 2 diabetes mellitus OT - Urinary albumin COIS- The authors declare that they have no competing interests. EDAT- 2020/12/02 06:00 MHDA- 2021/05/15 06:00 PMCR- 2020/11/30 CRDT- 2020/12/01 05:35 PHST- 2019/12/18 00:00 [received] PHST- 2020/11/01 00:00 [accepted] PHST- 2020/12/01 05:35 [entrez] PHST- 2020/12/02 06:00 [pubmed] PHST- 2021/05/15 06:00 [medline] PHST- 2020/11/30 00:00 [pmc-release] AID - 10.1186/s12886-020-01713-5 [pii] AID - 1713 [pii] AID - 10.1186/s12886-020-01713-5 [doi] PST - epublish SO - BMC Ophthalmol. 2020 Nov 30;20(1):467. doi: 10.1186/s12886-020-01713-5.