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. 2020 Sep 3;8(1):e000877. doi: 10.1136/bmjdrc-2019-000877

Table 3.

Additive interaction of Tyr, Phe and DN for DR in type 2 diabetes

OR 95% CI P value
Tyr and Phe (μmol/L)
 Tyr≥64 and Phe≥64 Reference
 Tyr <64 and Phe≥64 0.64 0.08 to 5.05 0.671
 Tyr≥64 and Phe<64 1.52 0.25 to 9.26 0.652
 Tyr<64 and Phe<64 6.01 1.35 to 26.8 0.019
Measure
 RERI 4.85 −1.27 to 11.0
 AP 0.81 0.42 to 1.20
 S 32.5 6.94 to 15.2e10
Tyr, Phe and DN (μmol/L)
 Tyr≥64 or Phe≥64 and non-DN Reference
 Tyr≥64 or Phe≥64 and DN 5.65 1.20 to 26.5 0.028
 Tyr<64 and Phe<64 and non-DN 6.68 2.36 to 18.9 <0.001
 Tyr<64 and Phe<64 and DN 25.9 8.71 to 76.9 <0.000
Measure
 RERI 14.6 −3.84 to 33.0
 AP 0.56 0.25 to 0.88
 S 2.41 1.10 to 5.27

Adjusted for age, sex, body mass index, duration of diabetes, systolic blood pressure, glycated hemoglobin, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, triglyceride, DN, antidiabetic drugs, lipid-lowering drugs and antihypertensive drugs. Significant RERI>0, AP due to interaction>0 or S>1 indicate a significant additive interaction.

AP, attributable proportion; DN, diabetic nephropathy; DR, diabetic retinopathy; Phe, phenylalanine; RERI, relative excess risk due to interaction; S, synergy index; Tyr, tyrosine.