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Associations between Fatty Acid Intake and Diabetic retinopathy in a Japanese Population

Research Project

Project/Area Number 17K09150
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Epidemiology and preventive medicine
Research Institution独立行政法人国立病院機構(東京医療センター臨床研究センター)

Principal Investigator

Sasaki Mariko  独立行政法人国立病院機構(東京医療センター臨床研究センター), その他部局等, 研究員 (60276342)

Project Period (FY) 2017-04-01 – 2022-03-31
Project Status Completed (Fiscal Year 2021)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2019: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2018: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2017: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords糖尿病網膜症 / 脂肪酸摂取 / 不飽和脂肪酸 / 多価不飽和脂肪酸 / 疫学コホート / 日本人 / 糖尿病黄斑浮腫 / 疫学研究
Outline of Final Research Achievements

We found that the total fat and saturated fatty acid (SFA) intakes were positively associated with the presence of diabetic retinopathy (DR) in participants with diabetes from a Japanese population-based cohort. Our findings suggest that higher fat intake may affect the prevalence of DR even in individuals whose total fat intake is below the recommended levels. Moreover, the prevalence of DR was associated with over 25% and 10% of the total energy intake for total fat and SFA, respectively, supporting the diabetes guidelines in Japan from the perspective of preventing DR. On the other hand, further studies are needed to clarify the association between PUFA intake and DR risk. Although prospective longitudinal studies are warranted to confirm this observation, these findings would help us understand the potential role of dietary fatty acid intake and better management of DR.

Academic Significance and Societal Importance of the Research Achievements

本研究では、日本人コホートデータを用いて、総脂肪および飽和脂肪酸摂取量が、糖尿病網膜症の有病と正に関連することを明らかにした。この結果は、日本人のように脂肪摂取が少ない集団においても、飽和脂肪酸摂取量の増加は糖尿病網膜症の有病に影響を与えること、また糖尿病網膜症の予防の観点からも糖尿病ガイドラインの摂取基準が妥当であることを示している。一方、不飽和脂肪酸摂取と糖尿病網膜症の有病には関連を認めなかった。これらの知見は栄養指導の指針として、糖尿病網膜症の予防や進行の抑止に役立つ。また、日本人を含むアジア人での脂肪酸摂取と糖尿病網膜症の有病の関連の研究はこれまでになく、学術的にも大きな意義があった。

Report

(6 results)
  • 2021 Annual Research Report   Final Research Report ( PDF )
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • 2017 Research-status Report

Research Products

(26 results)

All 2022 2021 2020 2019 2018 2017

All Journal Article (17 results) (of which Peer Reviewed: 9 results,  Open Access: 7 results) Presentation (9 results) (of which Int'l Joint Research: 3 results,  Invited: 4 results)

  • [Journal Article] 36.Treatment of diabetic macular edema in real-world clinical practice: the effect of aging.2022

    • Author(s)
      Japan Clinical Retina Study (J-CREST) group
    • Journal Title

      J Diabetes Investig

      Volume: 1 Pages: 1-8

    • DOI

      10.1111/jdi.13801

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 糖尿病網膜症で視力を低下させないための全身管理とは?2021

    • Author(s)
      佐々木真理子
    • Journal Title

      あたらしい眼科

      Volume: 4 Pages: 27-36

    • Related Report
      2021 Annual Research Report
  • [Journal Article] 血糖だけが原因ではない!? 糖尿病網膜症と糖尿病黄斑浮腫2021

    • Author(s)
      佐々木真理子
    • Journal Title

      あたらしい眼科

      Volume: 5 Pages: 523-532

    • Related Report
      2021 Annual Research Report
  • [Journal Article] Relationships of diabetes and hyperglycaemia with intraocular pressure in a Japanese population: the JPHC-NEXT Eye Study.2020

    • Author(s)
      Hanyuda A, Sawada N, Yuki K, Uchino M, Ozawa Y, Sasaki M, Yamagishi K, Iso H, Tsubota K, Tsugane S.
    • Journal Title

      Scientific Reports

      Volume: 10 Pages: 5355-5355

    • DOI

      10.1038/s41598-020-62135-3

    • NAID

      120007144780

    • Related Report
      2020 Research-status Report 2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Real-world management of treatment-naive diabetic macular oedema: 2-year visual outcome focusing on the starting year of intervention from STREAT-DMO study2020

    • Author(s)
      Shimura M, Kitano S, Muramatsu D, Fukushima H, Takamura Y, Matsumoto M, Kokado M, Kogo J, Sasaki M,
    • Journal Title

      British Journal of Ophthalmology

      Volume: - Pages: 1755-1761

    • DOI

      10.1136/bjophthalmol-2019-315726

    • Related Report
      2020 Research-status Report 2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 糖尿病網膜症ガイドライン 第1. VI 糖尿病網膜症の全身管理と眼科受診.1 糖尿病網膜症の発症予防・進展抑制が期待される内科薬物治療および生活習慣改善2020

    • Author(s)
      佐々木真理子:日本糖尿病眼学会編
    • Journal Title

      日本眼科学会雑誌

      Volume: 124 Pages: 971-973

    • Related Report
      2020 Research-status Report
    • Peer Reviewed
  • [Journal Article] Real-world management of treatment-naive diabetic macular edema in Japan: Two-year visual outcomes with and without anti-VEGF therapy in the STREAT-DME study2020

    • Author(s)
      Shimura M, Kitano S, Muramatsu D, Fukushima H, Takamura Y, Matsumoto M, Kokado M, Kogo J, Sasaki M
    • Journal Title

      Br J Ophthalmol

      Volume: - Pages: 1209-1215

    • DOI

      10.1136/bjophthalmol-2019-315199

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Quantitative Assessment of the Retina Using OCT and Associations with Cognitive Function2020

    • Author(s)
      Ito Y, Sasaki M, Takahashi H, Nozaki S, Matsuguma S, Motomura K, Ui R, Shikimoto R, Kawasaki R, Yuki K, Sawada N, Mimura M, Tsubota K, Tsugane S
    • Journal Title

      Ophthalmology

      Volume: 127 Pages: 107-118

    • DOI

      10.1016/j.ophtha.2019.05.021

    • Related Report
      2019 Research-status Report
    • Peer Reviewed
  • [Journal Article] Dietary Saturated Fatty Acid Intake and Early Age-Related Macular Degeneration in a Japanese Population2020

    • Author(s)
      Sasaki M, Harada S, Tsubota K, Yasukawa T, Takebayashi T, Nishiwaki Y, Kawasaki R
    • Journal Title

      Invest Ophthalmol Vis Sci.

      Volume: 61 Pages: 23-23

    • DOI

      10.1167/iovs.61.3.23

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 眼科」からみた「内科」―眼科の現状と内科に期待すること―講演要旨(合同シンポジウム4:それぞれの糖尿病療養の立場からお互いの眺め方を知る)2019

    • Author(s)
      佐々木真理子
    • Journal Title

      糖尿病合併症学会誌

      Volume: 23

    • Related Report
      2019 Research-status Report
  • [Journal Article] 糖尿病網膜症:最近の疫学、診断、治療.講演要旨(教育講演:日本糖尿病学会専門医更新のための指定講演)2019

    • Author(s)
      佐々木真理子
    • Journal Title

      糖尿病合併症学会誌

      Volume: 23

    • Related Report
      2019 Research-status Report
  • [Journal Article] 特集 糖尿病網膜症.糖尿病網膜症の疫学と診断2019

    • Author(s)
      佐々木真理子
    • Journal Title

      内分泌・糖尿病・代謝内科

      Volume: 48 Pages: 318-324

    • Related Report
      2019 Research-status Report
  • [Journal Article] Gender-specific association of early age-related macular degeneration with systemic and genetic factors in a Japanese population2018

    • Author(s)
      Sasaki M, Harada S, Kawasaki Y, Watanabe M, Ito H, Tanaka H, Takeuchi A, Tsubota K, Takebayashi T, Nishiwaki Y, Kawasaki R
    • Journal Title

      Scientific Report

      Volume: 8 Pages: 785-785

    • DOI

      10.1038/s41598-017-18487-4

    • Related Report
      2018 Research-status Report 2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 【糖尿病網膜症の最新情報を読み解く】 糖尿病網膜症と食事・栄養摂取(解説/特集)2018

    • Author(s)
      佐々木真理子
    • Journal Title

      眼科

      Volume: 60 Pages: 913-919

    • Related Report
      2018 Research-status Report
  • [Journal Article] 眼科の現状と内科に期待すること(解説)2018

    • Author(s)
      佐々木真理子
    • Journal Title

      糖尿病合併症

      Volume: 32 Pages: 76-79

    • Related Report
      2018 Research-status Report
  • [Journal Article] 糖尿病網膜症 1次予防と2次予防(解説/特集)2018

    • Author(s)
      佐々木真理子
    • Journal Title

      眼科グラフィック

      Volume: 7 Pages: 671-681

    • Related Report
      2018 Research-status Report
  • [Journal Article] Advanced quantitative analysis of the sub-retinal pigment epithelial space in recurrent neovascular age-related macular degeneration2017

    • Author(s)
      Sasaki M, Kato Y, Fujinami K, Hirakata T, Tsunoda K, Watanabe K, Akiyama K, Noda T
    • Journal Title

      PLoS One.

      Volume: 12 Pages: 11-11

    • DOI

      10.1371/journal.pone.0186955

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] Dietary intake of saturated fatty acid and early age-related macular degeneration in a Japanese population2019

    • Author(s)
      Sasaki M, Harada S, Tsubota K, Takebayashi T, Nishiwaki Y, Kawasaki R
    • Organizer
      Association for Research in Vision and Ophthalmology (ARVO) Annual Meeting
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] Dietary patterns and their associations with early age-related macular degeneration in a Japanese population2019

    • Author(s)
      Sasaki M, Harada S, Tsubota K, Takebayashi T, Nishiwaki Y, Kawasaki R
    • Organizer
      19th EURETINA Congress
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] 飽和脂肪酸摂取と早期加齢黄斑変性の関連:鶴岡メタボロームコホート研究2019

    • Author(s)
      佐々木真理子, 原田成, 坪田一男, 武林亨, 西脇裕司, 川崎良
    • Organizer
      第73回日本臨床眼科学会
    • Related Report
      2019 Research-status Report
  • [Presentation] 糖尿病網膜症の疫学~全身因子との関連~2018

    • Author(s)
      佐々木真理子
    • Organizer
      第18回日本抗加齢医学会総会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] 網膜症と大血管症網膜症と大血管障害~眼科の立場から~2018

    • Author(s)
      佐々木真理子
    • Organizer
      第24回日本糖尿病眼学会総会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] The differential association of early age-related macular degeneration with environmental and genetic factors in a Japanese population2017

    • Author(s)
      Sasaki1 M, Harada S, Tsubota K, Takebayashi T, Nishiwaki Y, Kawasaki R
    • Organizer
      17th EURETINA Congress
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 佐々木真理子, 原田成, 坪田一男, 武林亨, 西脇裕司, 川崎良2017

    • Author(s)
      早期加齢黄斑変性関連因子は性別により異なる:鶴岡メタボロームコホート
    • Organizer
      第71回日本臨床眼科学会
    • Related Report
      2017 Research-status Report
  • [Presentation] 糖尿病網膜症・最近の疫学・診断・治療2017

    • Author(s)
      佐々木真理子
    • Organizer
      第32回日本糖尿病合併症学会・第23回日本糖尿病眼学会総会
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] 「眼科」から見た「内科」~眼科の現状と内科に期待すること~2017

    • Author(s)
      佐々木真理子
    • Organizer
      第32回日本糖尿病合併症学会・第23回日本糖尿病眼学会総会
    • Related Report
      2017 Research-status Report
    • Invited

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Published: 2017-04-28   Modified: 2023-01-30  

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