Research Article

A Metabolism-Based Interpretable Machine Learning Prediction Model for Diabetic Retinopathy Risk: A Cross-Sectional Study in Chinese Patients with Type 2 Diabetes

Table 1

Characteristics of patients with T2D according to DR status.

TotalaDRbNo-DRc valued

1032162870
Age, years57 (14)58 (10)57 (14).491
Sex, male549 (53.2%)73 (45.1%)476 (54.7%).030
Duration of T2D, years5 (0-10)13 (6-20)4 (0-10)<.001
Body mass index, kg/m225.3 (3.9)25.1 (3.3)25.3 (4.0).368
 ~18.527 (2.6%)1 (0.6%)26 (3.0%).162
 18.5 ~ 23.9352 (34.1%)64 (39.5%)288 (33.1%)
 24.0 ~ 27.9430 (41.7%)66 (40.7%)364 (41.8%)
 28.0 ~223 (21.6%)31 (19.1%)192 (22.1%)
Systolic blood pressure, mmHg145.6 (25.2)139.5 (23.6).004
Diastolic blood pressure, mmHg82.0 (73.3-90.0)81.0 (74.0-90.0).647
Glycosylated hemoglobin, %9.5 (7.4-11.0)9.6 (7.8-11.1).380
 <715 (15.8%)62 (11.6%).323
 ≥780 (84.2%)474 (88.4%)
 Missing67334
Triglyceride, mmol/L1.72 (1.14-2.46)1.66 (1.11-2.37).544
  <1.7046 (48.9%)337 (51.8%).676
  ≥1.7048 (51.1%)313 (48.2%)
 Missing68220
High-density lipoprotein cholesterol, mmol/L1.04 (0.87-1.31)1.01 (0.85-1.25).254
 <1.00 in men or <1.30 in women57 (60.6%)429 (66.3%).335
 ≥1.00 in men or ≥1.30 in women37 (39.4%)218 (33.7%)
 Missing68223
Low-density lipoprotein cholesterol, mmol/L2.83 (2.27-3.36)2.78 (2.20-3.38).583
 <2.60269 (41.6%)38 (40.4%).921
 ≥2.60378 (58.4%)56 (59.6%)
 Missing68223
Total cholesterol, mmol/L4.84 (4.00-5.66)4.63 (3.83-5.27).043
Serum creatinine, μmol/L56.65 (48.77-72.49)60.22 (49.39-74.49).314
Current smoking42 (25.9%)289 (33.2%).083
Current drinking42 (25.9%)248 (28.5%).565
Antidiabetic agents137 (84.6%)730 (83.9%).925
Lipid-lowering agents63 (38.9%)325 (37.4%).778
Hypotensive agents86 (53.1%)457 (52.5%).964

Notes: data are mean (standard deviation), median (IQR), or (%). aAll subjects were analyzed for age, sex, duration of type 2 diabetes, body mass index, and body mass index categories. bType 2 diabetic patients with retinopathy. cType 2 diabetic patients without retinopathy. d values were derived from independent sample Student’s -test for normally distributed variables, Mann–Whitney test for skewed distributions, and Chi-square test (or Fisher’s test if appropriate) for categorical variables. was defined as statistically significant. Abbreviations: T2D: type 2 diabetes; DR: diabetic retinopathy.