Associations between psycho-behavioral risk factors and diabetic retinopathy: NHANES (2005–2018)

Sun, Xiaojia; Zhang, Guo-Heng; Guo, Changmei; Zhou, Ziyi; Niu, Yali; Dou, Guo‐Rui

doi:10.3389/fpubh.2022.966714

Cited by 19 publications

(15 citation statements)

References 46 publications

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“…Many domestic research on the burden of treatment for diabetic patients has focused on financial, family, and psychological aspects. 36,37 Excessive attention unpleasant emotional experiences or difficulties in follow-up treatment due to various reasons while neglecting the burden of the patient's inability to tolerate their current medication in the context of the need for long-term or lifelong medication. Meanwhile, during the survey, we found that only 8.5% of respondents regularly monitored their blood sugar, which was much lower than that in Western countries, indicating that Chinese T2DM patients should pay more attention to this aspect.…”

Section: Discussionmentioning

confidence: 99%

Validity and Reliability of the Chinese Version of the Diabetes Treatment Burden Questionnaire (DTBQ) Among Patients with Type 2 Diabetes

Mei¹,

Yang²,

Li³

et al. 2023

DMSO

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Background: In China, diabetes has become a serious healthcare problem that plagues individuals and the government because of its high mortality rate and social burden, with type 2 diabetes mellitus (T2DM) accounting for the vast majority (about 90%) of cases. T2DM patients face a huge medication burden and it is imperative to find appropriate tools to assess the medication burden for patients. This study aimed to translate the original Diabetes Treatment Burden Questionnaire (DTBQ) into Chinese and assessed the reliability and validity of the DTBQ concerning the burden of medication treatment in patients with type 2 diabetes. Methods: A total of 329 T2DM patients were recruited to participate in the survey. The original version scale was first translated into Chinese using the backward and forward translation procedures. The internal consistency reliability of the scale was measured by the Cronbach alpha coefficient, the test-retest reliability, and the item-total correlation. The validity of the scale was assessed by the content validity index, exploratory factor analysis and confirmatory factor analysis. Results:The content validity index of the scale was 0.920. Cronbach alpha coefficient for the scale was 0.831. Exploratory factor analysis (EFA) supported a 15-item and 3-factor structure of the translated questionnaire. Confirmatory factor analysis (CFA) showed in the model fitness index, the chi-square degree of freedom was 3.575, the incremental fit index (IFI) was 0.917, the comparative fit index(CFI) was 0.916, the Tucker Lewis Index(TLI) was 0.900, all within acceptable limits. The retest reliability was 0.892, and the corrected item-total correlations for the items ranged from 0.293 to 0.729. Conclusion: Verification results showed that the Chinese version of the 15-item DTBQ had reliable reliability and validity. Therefore, it can be considered as an appropriate tool to assess the burden of drug treatment for patients with type 2 diabetes in China.

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Section: Discussionmentioning

confidence: 99%

Validity and Reliability of the Chinese Version of the Diabetes Treatment Burden Questionnaire (DTBQ) Among Patients with Type 2 Diabetes

Mei¹,

Yang²,

Li³

et al. 2023

DMSO

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“…Compared to LS7, LE8 score is a more composite score that includes sleep as a new component of CVH [6,31] . Although the relationship between the comprehensive level of CVH and DR remains unexplored, diet, physical activity, intake of nicotine, sleep, obesity, and diabetes have been proven to be related to DR [32][33][34][35][36] . A further study has shown that LE8 scores is signi cantly associated with premature mortality, particularly among individuals with type 2 diabetes (T2D) [37] .…”

Section: Discussionmentioning

confidence: 99%

Phenotypic age and biological age mediate the association between Life's Essential 8 and diabetic retinopathy among US adults

Wang,

Jin,

et al. 2023

Preprint

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Background Cardiovascular disease (CVD) is closely associated with Diabetic retinopathy (DR), and the prevalence of DR is steadily increasing. Life's Essential 8 (LE8), a recently updated assessment of cardiovascular health (CVH), was examined in this study to determine if it was related to diabetes among adults in the United States. Methods 316 DR participants and 2,314 non-DR participants were included in the analyses using data from the National Health and Nutrition Examination Survey (NHANES) database (2005–2018). LE8 scores, derived from eight individual metrics, were categorized into three groups: low (0–49), moderate (50–74), and high (75–100). Combining certain biomarker sets allowed for the measurement of both phenotypic age (PA) and biological age (BA). In order to evaluate the relationship between LE8 scores and DR, weighted logistic regression and linear analysis were used. The mediating function of PA and BA was investigated by mediation analysis. Results After adjusting for all covariates, higher LE8 scores were associated with a lower risk of DR (odds ratio [OR], 0.49; 95% confidence interval [CI], 0.26–0.93; P for trend = 0.027). A 10-score increase in LE8 score was related to a 17% decrease in the risk of DR (multivariate-adjusted OR = 0.83, 95% CI: 0.73–0.95). Mediation analysis indicated that PA and BA partially mediated 47.57% and 28.11% of the association between LE8 scores and DR, respectively. Conclusion A negative association was found between LE8 scores and the presence of DR, possibly mediated by PA and BA. As a result of these findings, encouraging adherence to optimal CVH levels may be beneficial in reducing the prevalence of DR.

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“…On the one hand, earlier disease detection and DR prevention are made possible by improved diabetes diagnosis and management D standards. Potential psychological stress may accelerate the progression of DR through biological pathways (9) or through behavioral pathways (10), which can result in poor blood sugar control and increase the risk of DR. On the other hand, psychological factors are significantly related to the occurrence and development of DR (11), active diabetes health management, psychological intervention, and DR can be slowed down (12). In order to prevent and treat visual impairment as well as manage diabetes holistically, it is important to pay attention to psychological aspects and their underlying mechanisms and to act quickly.…”

Section: Epidemiology Of Diabetic Retinopathymentioning

confidence: 99%

Anxiety and Depression in Patients with Diabetic Retinopathy

Ortiz

2023

Sci Insights

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The blinding eye condition known as diabetic retinopathy (DR) is preventable and manageable. DR is becoming more common right now, and both prevention and therapy are extremely difficult. However, the precise mechanism of the association between DR and anxiety and depression has not yet been fully elucidated. Recent studies have demonstrated that DR is linked to negative psychology, and research on DR accompanied by anxiety and depression has also made some headway. In addition to offering fresh perspectives on the multi-factor regulation mechanism of DR, early detection and prevention, and bolstering diabetes health management, this paper examines the clinical, mechanism, and influencing aspects of DR and anxiety and depression in recent years.

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Associations between psycho-behavioral risk factors and diabetic retinopathy: NHANES (2005–2018)

Abstract: of DR should also be paid attention. Our study highlights that mild and moderate depression and ≤ h of sleep are distinguishably associated with DM complicated with DR. It indicates that psycho-behavioral risk factors confer a vital influence on diabetic health care and DR.

Cited by 19 publications

References 46 publications

Validity and Reliability of the Chinese Version of the Diabetes Treatment Burden Questionnaire (DTBQ) Among Patients with Type 2 Diabetes

Validity and Reliability of the Chinese Version of the Diabetes Treatment Burden Questionnaire (DTBQ) Among Patients with Type 2 Diabetes

Phenotypic age and biological age mediate the association between Life's Essential 8 and diabetic retinopathy among US adults

Anxiety and Depression in Patients with Diabetic Retinopathy

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