机构:[1]Beijing Tongren Hospital, Capital Medical University, Beijing, China.首都医科大学附属北京同仁医院首都医科大学附属同仁医院[2]Department of Endocrinology, Beijing Tongren Hospital, Capital Medical University, Beijing, China.临床科室内分泌科首都医科大学附属北京同仁医院首都医科大学附属同仁医院
Accumulating evidence has demonstrated that hyperglycemia is a possible risk factor for mild cognitive impairment or Alzheimer's disease. Diabetic retinopathy (DR) has been identified as a risk factor for dementia in patients with diabetes.This study aimed to investigate the causal relationships between DR and brain structure, cognitive function, and dementia.We performed bidirectional two-sample Mendelian randomization for DR, brain structure, cognitive function, and dementia using the inverse-variance weighted method.Inverse-variance weighted analysis showed the association of DR with vascular dementia (OR = 1.68, 95% CI: 1.01-2.82), and dementia was significantly associated with the increased risk of non-proliferative DR (NPDR) (OR = 1.76, 95% CI: 1.04-2.98). Furthermore, better cognitive performance was significantly associated with a reduced risk of NPDR (OR = 0.85, 95% CI: 0.74-0.98). No association was observed between DR and brain structure.These findings suggest that the association of DR with vascular dementia. The reciprocal effect of cognitive performance and dementia on NPDR risk highlights the potential benefits of dementia prevention for reducing the burden of DR.
第一作者机构:[1]Beijing Tongren Hospital, Capital Medical University, Beijing, China.
通讯作者:
通讯机构:[2]Department of Endocrinology, Beijing Tongren Hospital, Capital Medical University, Beijing, China.[*1]Department of Endocrinology, Beijing Tongren Hospital, Capital Medical University, Beijing 100176, China.
推荐引用方式(GB/T 7714):
Chai Yin-He,Han Yi-Peng,Zhang Jin-Yan,et al.Diabetic Retinopathy and Brain Structure, Cognition Function, and Dementia: A Bidirectional Mendelian Randomization Study[J].JOURNAL OF ALZHEIMERS DISEASE.2024,97(3):1211-1221.doi:10.3233/JAD-231022.
APA:
Chai Yin-He,Han Yi-Peng,Zhang Jin-Yan&Zhou Jian-Bo.(2024).Diabetic Retinopathy and Brain Structure, Cognition Function, and Dementia: A Bidirectional Mendelian Randomization Study.JOURNAL OF ALZHEIMERS DISEASE,97,(3)
MLA:
Chai Yin-He,et al."Diabetic Retinopathy and Brain Structure, Cognition Function, and Dementia: A Bidirectional Mendelian Randomization Study".JOURNAL OF ALZHEIMERS DISEASE 97..3(2024):1211-1221