Evidence map›Paper›PMID 35852586›Full record

ArticleDiabetologia2022

Retinal microvascular associations with cardiometabolic risk factors differ by diabetes status: results from the UK Biobank.

Robyn J Tapp, Christopher G Owen, Sarah A Barman, David P Strachan, Roshan A Welikala, Paul J Foster, Peter H Whincup, Alicja R Rudnicka, UK Biobank Eyes and Vision Consortium

Open access · hybridAbstract read
In one paragraph

Article in Diabetologia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 28 citations in OpenAlex.

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  18. Retinal vasculometry associations with cognition status in UK Biobank.Alzheimer's & dementia (Amsterdam, Netherlands)
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Robyn J TappPopulation Health Research Institute, St George's, University of London, London, UK. ad5266@coventry.ac.uk.ORCID 0000-0002-8553-2684
Christopher G OwenPopulation Health Research Institute, St George's, University of London, London, UK.ORCID 0000-0003-1135-5977
Sarah A BarmanFaculty of Science, Engineering and Computing, Kingston University, Kingston upon Thames, Surrey, UK.ORCID 0000-0001-5302-0169
David P StrachanPopulation Health Research Institute, St George's, University of London, London, UK.ORCID 0000-0001-7854-1366
Roshan A WelikalaFaculty of Science, Engineering and Computing, Kingston University, Kingston upon Thames, Surrey, UK.ORCID 0000-0001-8503-6536
Paul J FosterIntegrative Epidemiology Research Group, UCL Institute of Ophthalmology, London, UK.ORCID 0000-0002-4755-177X
Peter H WhincupPopulation Health Research Institute, St George's, University of London, London, UK.ORCID 0000-0002-5589-4107
Alicja R RudnickaPopulation Health Research Institute, St George's, University of London, London, UK. arudnick@sgul.ac.uk.ORCID 0000-0003-0369-8574
UK Biobank Eyes and Vision Consortium
St George's, University of London · GBKingston University · GBMoorfields Eye Hospital · GB

Funding

British Heart Foundation PG/15/101/31889Medical Research Council MC_PC_17228Medical Research Council MC_QA137853Medical Research Council MR/L02005X/1
6 · The paper itself

Abstract

aims/hypothesisThe aim of the study was to examine the association of retinal vessel morphometry with BP, body composition and biochemistry, and to determine whether these associations differ by diabetes status.

methodsThe UK Biobank ocular assessment included 68,550 participants aged 40-70 years who underwent non-mydriatic retinal photography, BP and body composition measurements, and haematological analysis. A fully automated image analysis program provided measurements of retinal vessel diameter and tortuosity. The associations between retinal vessel morphology and cardiometabolic risk factors by diabetes status were examined using multilevel linear regression, to provide absolute differences in vessel diameter and percentage differences in tortuosity (allowing for within-person clustering).

resultsA total of 50,233 participants (a reduction from 68,550) were included in these analyses. Overall, those with diabetes had significantly more tortuous venules and wider arteriolar diameters compared with those without. Associations between venular tortuosity and cardiometabolic risk factors differed according to diabetes status (p interaction <0.01) for total fat mass index, HbA CONCLUSIONS/

interpretationWe provide clear evidence of the modifying effect of diabetes on cardiometabolic risk factor associations with retinal microvascular architecture. These observations suggest the occurrence of preclinical disease processes, and may be a sign of impaired autoregulation due to hyperglycaemia, which has been suggested to play a pivotal role in the development of diabetes-related microvascular complications. DATA AVAILABILITY: The data supporting the results reported here are available through the UK Biobank ( https://www.ukbiobank.ac.uk/enable-your-research/apply-for-access ).

Indexed as

Cardiometabolic Risk FactorsDiabetes MellitusArteriolesBiological Specimen BanksBlood PressureCholesterolC-Reactive ProteinHumansRetinal VesselsRisk FactorsUnited KingdomCholesterolC-Reactive ProteinCardiometabolic riskDiabetesDiametersEpidemiologyRetinal imagingRetinal microvasculatureTortuosity

Identifiers

PMID35852586
PMCPMC9477904
OpenAlexW4285795637

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.