Association of abdominal obesity with crossing capillaries in the finger nailfold in type 2 diabetes mellitus.
Abdominal obesity
Microvascular dysfunction
Nailfold capillaroscopy
Nailfold capillary
Journal
Diabetology international
ISSN: 2190-1678
Titre abrégé: Diabetol Int
Pays: Japan
ID NLM: 101553224
Informations de publication
Date de publication:
Jul 2021
Jul 2021
Historique:
received:
19
08
2020
accepted:
13
11
2020
entrez:
21
6
2021
pubmed:
22
6
2021
medline:
22
6
2021
Statut:
epublish
Résumé
Increased crossing of finger nailfold capillaries could be a novel visual marker of early microvascular damage among type 2 diabetes mellitus patients. Although abdominal obesity is an important driver of early microvascular damage, its association with an increase in the percentage of crossing capillaries remains uncertain. We investigated the association between abdominal obesity and an increase in the percentage of crossing capillaries in the finger nailfold in patients with type 2 diabetes mellitus. This cross-sectional study enrolled 123 type 2 diabetes mellitus patients (age 40-75 years) who visited the outpatient diabetic clinic at Osaka University Hospital between May and October 2019. Abdominal obesity was defined as a waist circumference ≥ 90 cm in women and ≥ 85 cm in men. Capillary morphology was assessed by nailfold capillaroscopy based on the simple capillaroscopic definitions of the European League Against Rheumatism Study Group. The association between abdominal obesity and a high percentage of crossing capillaries in the finger nailfold (defined as the highest tertile of crossing capillaries) was analyzed using multivariable logistic regression. After adjusting for age, sex, smoking status, regular exercise, duration of diabetes, glycated hemoglobin, hypertension, and dyslipidemia, abdominal obesity was significantly associated with a high percentage of crossing capillaries (multivariable-adjusted odds ratios [95% confidence interval] = 2.70 [1.05-6.90], Abdominal obesity may play an important role in the increase in the percentage of crossing capillaries in the finger nailfold in patients with type 2 diabetes mellitus.
Identifiants
pubmed: 34150434
doi: 10.1007/s13340-020-00480-4
pii: 480
pmc: PMC8172675
doi:
Types de publication
Journal Article
Langues
eng
Pagination
260-267Informations de copyright
© The Japan Diabetes Society 2021.
Déclaration de conflit d'intérêts
Conflict of interestMaiko Shikama, Nao Sonoda, Akiko Morimoto, Sayaka Suga, Tetsuya Tajima, Junji Kozawa, Norikazu Maeda, Michio Otsuki, Taka-Aki Matsuoka, Iichiro Shimomura, and Yuko Ohno declare that they have no conflict of interest.
Références
Diabetes. 2002 Oct;51(10):3107-12
pubmed: 12351455
Diabet Med. 2011 Sep;28(9):1039-44
pubmed: 21517956
Microvasc Res. 2020 Sep;131:104036
pubmed: 32603698
Diabetes Res Clin Pract. 2014 Mar;103(3):382-7
pubmed: 24438874
Diabetes Res Clin Pract. 2019 Nov;157:107843
pubmed: 31518657
Rheumatol Int. 2017 Nov;37(11):1879-1890
pubmed: 28894946
Biomed Res Int. 2015;2015:974530
pubmed: 26421308
Am J Cardiol. 2007 Feb 19;99(4A):68B-79B
pubmed: 17307059
Clin Rheumatol. 2019 Sep;38(9):2343-2354
pubmed: 31278512
Cardiovasc Diabetol. 2017 Jan 19;16(1):11
pubmed: 28103890
Rheumatology (Oxford). 2018 Apr 1;57(4):757-759
pubmed: 29361155
Hypertens Res. 2014 Apr;37(4):253-390
pubmed: 24705419
Invest Ophthalmol Vis Sci. 2018 May 1;59(6):2325-2338
pubmed: 29847637
Nat Rev Dis Primers. 2019 Jun 13;5(1):41
pubmed: 31197153
Diabetologia. 2015 May;58(5):871-85
pubmed: 25669631
Medicine (Baltimore). 2016 Dec;95(52):e5714
pubmed: 28033273
J Diabetes Investig. 2021 Jun;12(6):1007-1014
pubmed: 33070436
Circulation. 2016 Nov 1;134(18):1339-1352
pubmed: 27678264
J Diabetes Complications. 2016 Nov - Dec;30(8):1643-1650
pubmed: 27592245
Lancet Diabetes Endocrinol. 2019 Feb;7(2):140-149
pubmed: 30005958
Clin Chem. 1972 Jun;18(6):499-502
pubmed: 4337382
J Hypertens. 2014 Dec;32(12):2439-49; discussion 2449
pubmed: 25222377
Diabetes. 2018 Sep;67(9):1729-1741
pubmed: 30135134
J Diabetes Res. 2016;2016:7592402
pubmed: 28058264
Physiology (Bethesda). 2007 Aug;22:252-60
pubmed: 17699878
Cardiovasc Diabetol. 2018 Jun 8;17(1):83
pubmed: 29884191
Adv Chronic Kidney Dis. 2018 Mar;25(2):121-132
pubmed: 29580576
Diabetes Care. 2003 Nov;26(11):3024-30
pubmed: 14578234
Wound Repair Regen. 2016 Mar;24(2):204-14
pubmed: 26969517
Circulation. 2004 Jun 1;109(21):2529-35
pubmed: 15136505
Circ J. 2002 Nov;66(11):987-92
pubmed: 12419927
J Gerontol A Biol Sci Med Sci. 2014 Nov;69(11):1339-52
pubmed: 24895269
J Atheroscler Thromb. 2007 Aug;14(4):155-8
pubmed: 17827859
Rheumatology (Oxford). 2016 May;55(5):883-90
pubmed: 26843483
Clin Exp Nephrol. 2015 Feb;19(1):1-5
pubmed: 25527479
Am J Kidney Dis. 2009 Jun;53(6):982-92
pubmed: 19339088
Best Pract Res Clin Rheumatol. 2013 Apr;27(2):237-48
pubmed: 23731933
J Clin Endocrinol Metab. 2006 Dec;91(12):5100-6
pubmed: 17003093