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. 2021 Feb 16;9(1):e001443. doi: 10.1136/bmjdrc-2020-001443

Table 3.

Association between the peak intensity of the four metabolites and the odds of diabetic retinopathy

Metabolites N Cases (%) Crude Adjusted*
OR (95% CI) P value OR (95% CI) P value
Phenylacetylglutamine
 Per IQR 4.45 (2.10 to 9.43) <0.001 4.64 (1.98 to 10.88) <0.001
 Quartiles
 Q1 23 3 (13) 1.00 (1.00 to 1.00) Ref. 1.00 (1.00 to 1.00) Ref.
 Q2 23 13 (57) 8.67 (2.00 to 37.58) 0.004 12.05 (2.34 to 61.98) 0.003
 Q3 23 13 (57) 8.67 (2.00 to 37.58) 0.004 11.78 (2.27 to 61.00) 0.003
 Q4 23 17 (74) 18.89 (4.09 to 87.17) <0.001 23.01 (3.98 to 133.20) <0.001
 P for trend <0.001 0.001
Linoleic acid
 Per IQR 0.26 (0.14 to 0.49) <0.001 0.22 (0.11 to 0.45) <0.001
 Quartiles
 Q1 23 19 (83) 1.00 (1.00 to 1.00) Ref. 1.00 (1.00 to 1.00) Ref.
 Q2 23 15 (65) 0.40 (0.10 to 1.57) 0.186 0.30 (0.07 to 1.42) 0.129
 Q3 23 9 (39) 0.14 (0.04 to 0.53) 0.004 0.11 (0.02 to 0.54) 0.006
 Q4 23 3 (13) 0.03 (0.01 to 0.16) <0.001 0.02 (0.00 to 0.14) <0.001
 P for trend <0.001 <0.001
Nicotinuric acid
 Per IQR 2.32 (1.42 to 3.78) 0.001 2.50 (1.47 to 4.25) 0.001
 Quartiles
 Q1 23 7 (30) 1.00 (1.00 to 1.00) Ref. 1.00 (1.00 to 1.00) Ref.
 Q2 23 10 (44) 1.76 (0.52 to 5.91) 0.361 1.45 (0.39 to 5.41) 0.578
 Q3 23 11 (48) 2.10 (0.63 to 7.01) 0.230 1.68 (0.48 to 5.84) 0.415
 Q4 23 18 (78) 8.23 (2.18 to 31.13) 0.002 13.02 (2.79 to 60.71) 0.001
 P for trend 0.002 0.002
Ornithine
 Per IQR 1.71 (1.09 to 2.69) 0.020 1.80 (1.12 to 2.89) 0.015
 Quartiles
 Q1 23 10 (44) 1.00 (1.00 to 1.00) Ref. 1.00 (1.00 to 1.00) Ref.
 Q2 23 9 (39) 0.84 (0.26 to 2.71) 0.765 0.74 (0.21 to 2.61) 0.643
 Q3 23 10 (44) 1.00 (0.31 to 3.21) 1.000 1.04 (0.30 to 3.64) 0.948
 Q4 23 17 (74) 3.68 (1.06 to 12.77) 0.040 4.46 (1.14 to 17.39) 0.031
 P for trend 0.043 0.028

In the present study, the T2DM duration for each participant was obtained mainly by the self-report and highly correlated to age. Furthermore, it might be inaccurate since many people may be suffering from unnoticed T2DM for a long time. So, to avoid collinearity and overfitting, it was not included in the multiple generalized linear regression models, although it was not comparable between the cases and controls.

*Adjusted for age, smoking habits and therapy history.

Q1, the first quartile; Q2, the second quartile; Q3, the third quartile; Q4, the fourth quartile; Ref., reference; T2DM, type 2 diabetes mellitus.