Prevalence of diabetic retinopathy and vision-threatening diabetic retinopathy in adults with diabetes in China

Xuhong Hou, Limin Wang, Dalong Zhu, Lixin Guo, Jianping Weng, Mei Zhang, Zhiguang Zhou, Dajin Zou, Qiuhe Ji, Xiaohui Guo, Qiang Wu, Siyu Chen, Rong Yu, Hongli Chen, Zhengjing Huang, Xiao Zhang, Jiarui Wu, Jing Wu () and Weiping Jia ()
Additional contact information
Xuhong Hou: Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai Clinical Center for Diabetes, Shanghai Key Clinical Center for Metabolic Disease
Limin Wang: Chinese Center for Disease Control and Prevention
Dalong Zhu: Drum Tower Hospital Affiliated to Nanjing University Medical School
Lixin Guo: Department of Endocrinology, Beijing Hospital
Jianping Weng: the First Affiliated Hospital, Division of Life Sciences and Medicine, University of Science and Technology of China
Mei Zhang: Chinese Center for Disease Control and Prevention
Zhiguang Zhou: Central South University
Dajin Zou: Changhai Hospital, Second Military Medical University
Qiuhe Ji: Department of Endocrinology, Xijing Hospital
Xiaohui Guo: Peking University First Hospital
Qiang Wu: Shanghai Jiao Tong University Affiliated Sixth People’s Hospital
Siyu Chen: Suzhou Dushu Lake Hospital (Dushu Lake Hospital Affiliated to Soochow University)
Rong Yu: Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai Clinical Center for Diabetes, Shanghai Key Clinical Center for Metabolic Disease
Hongli Chen: Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai Clinical Center for Diabetes, Shanghai Key Clinical Center for Metabolic Disease
Zhengjing Huang: Chinese Center for Disease Control and Prevention
Xiao Zhang: Chinese Center for Disease Control and Prevention
Jiarui Wu: University of Chinese Academy of Sciences
Jing Wu: Chinese Center for Disease Control and Prevention
Weiping Jia: Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai Clinical Center for Diabetes, Shanghai Key Clinical Center for Metabolic Disease

Nature Communications, 2023, vol. 14, issue 1, 1-11

Abstract: Abstract The current epidemic status of diabetic retinopathy in China is unclear. A national prevalence survey of diabetic complications was conducted. 50,564 participants with gradable non-mydriatic fundus photographs were enrolled. The prevalence rates (95% confidence intervals) of diabetic retinopathy and vision-threatening diabetic retinopathy were 16.3% (15.3%–17.2%) and 3.2% (2.9%–3.5%), significantly higher in the northern than in the southern regions. The differences in prevalence between those who had not attained a given metabolic goal and those who had were more pronounced for Hemoglobin A1c than for blood pressure and low-density lipoprotein cholesterol. The participants with vision-threatening diabetic retinopathy had significantly higher proportions of visual impairment and blindness than those with non-vision-threatening diabetic retinopathy. The likelihoods of diabetic retinopathy and vision-threatening diabetic retinopathy were also associated with education levels, household income, and multiple dietary intakes. Here, we show multi-level factors associated with the presence and the severity of diabetic retinopathy.

Date: 2023
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DOI: 10.1038/s41467-023-39864-w

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