Vitamin D deficiency is associated with retinopathy in children and adolescents with type 1 diabetes

Diabetes Care. 2011 Jun;34(6):1400-2. doi: 10.2337/dc11-0103. Epub 2011 Apr 22.

Abstract

Objective: To examine the hypothesis that vitamin D deficiency (VDD) is associated with an increased prevalence of microvascular complications in young people with type 1 diabetes.

Research design and methods: In a cross-sectional study of 517 patients, 25-hydroxyvitamin D was measured. Retinopathy was assessed by 7-field stereoscopic retinal photography, peripheral neuropathy by thermal and vibration threshold testing, and microalbuminuria by albumin excretion rate or albumin-to-creatinine ratio.

Results: Retinopathy prevalence was higher in cases with VDD versus sufficiency (18 vs. 9%, P = 0.02); deficiency was not associated with microalbuminuria or neuropathy. In logistic regression, retinopathy was associated with VDD (odds ratio 2.12 [95% CI 1.03-4.33]), diabetes duration (1.13, 1.05-1.23), and HbA(1c) (1.24, 1.02-1.50).

Conclusions: VDD is associated with an increased prevalence of retinopathy in young people with type 1 diabetes. The inflammatory and angiogenic effects of VDD may contribute to early retinal vascular damage; however, further investigations are warranted.

MeSH terms

  • Adolescent
  • Australia / epidemiology
  • Child
  • Cross-Sectional Studies
  • Diabetes Mellitus, Type 1 / complications*
  • Diabetic Retinopathy / epidemiology
  • Diabetic Retinopathy / etiology*
  • Female
  • Glycated Hemoglobin A / metabolism
  • Humans
  • Male
  • Prevalence
  • Vitamin D Deficiency / complications*
  • Young Adult

Substances

  • Glycated Hemoglobin A