2021
Correlation between vitamin D serum levels and severity of diabetic retinopathy in patients with type 2 diabetes mellitus
NADRI, G.; S. SAXENA; A. KAUR; K. AHMAD; P. GARG et al.Základní údaje
Originální název
Correlation between vitamin D serum levels and severity of diabetic retinopathy in patients with type 2 diabetes mellitus
Autoři
NADRI, G.; S. SAXENA; A. KAUR; K. AHMAD; P. GARG; A. A. MAHDI; L. AKDUMAN; K. GAZDIKOVA; M. CAPRNDA; P. VESELY; Peter KRUŽLIAK a V. KRASNIK
Vydání
JOURNAL OF ENDOCRINOLOGY METABOLISM AND DIABETES OF SOUTH AFRICA, ABINGDON, ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD, 2021, 1608-9677
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30202 Endocrinology and metabolism
Stát vydavatele
Velká Británie a Severní Irsko
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Označené pro přenos do RIV
Ano
Kód RIV
RIV/00216224:14110/21:00124187
Organizační jednotka
Lékařská fakulta
UT WoS
Klíčová slova anglicky
Diabetic retinopathy (DR); disorganization of retinal inner layer (DRIL); spectral domain optical coherence tomography (SD-OCT); vitamin D
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 16. 2. 2022 12:51, Mgr. Tereza Miškechová
Anotace
V originále
Purpose: To study the correlation of serum vitamin D levels with quantitative (central subfield thickness [CST], cube average thickness [CAT]), cross-sectional (disorganisation of retinal inner layer [DRIL] and ellipsoid zone [EZ]) and topographic parameters (retinal pigment epithelium [RPE]) on spectral domain optical coherence tomography (SD-OCT) in diabetic retinopathy (DR), for the first time. Methods: Eighty-eight consecutive cases of type 2 diabetes mellitus with no retinopathy (No DR; n = 22); non-proliferative DR (NPDR; n = 22); proliferative DR (PDR; n = 22) and healthy controls (n = 22) were included, after sample size calculation. On SDOCT, physician-friendly grading systems were created for DRIL, EZ disruption and RPE alterations. Serum vitamin D was analysed using a standard protocol. Statistical analysis was done using Pearson correlation, Student's t-test, ANOVA, Newman-Keuls test, chi-square test and univariate ordinal logistic regression analysis. Results: Mean serum vitamin D levels (ng/ml) were: No DR = 23.36 +/- 2.00, NPDR = 17.88 +/- 1.86, PDR = 14.07 +/- 1.21, and controls = 25.11 +/- 1.59. Low vitamin D levels correlated significantly with severity of retinopathy, VA (r = 0.50), CST (r = 0.36), CAT (r = 0.41), DRIL (r = 0.35), EZ disruption (r =0.40) and RPE alterations (r=0.37), respectively (p <0.01). Significantly low vitamin D levels were observed in subjects with DRIL present versus DRIL absent; EZ disruption, focal versus global versus intact; RPE alterations, focal versus global versus none, respectively (p < 0.05). Conclusions: Low serum vitamin D levels correlate with the presence of DRIL, EZ disruption and RPE alterations and increased severity of DR.