Association of the apolipoproteins with retinal arteriosclerosis in a health examination population - Report - MDSpire

Association of the apolipoproteins with retinal arteriosclerosis in a health examination population

  • By

  • Xinghe Sun

  • Lijuan Guo

  • Hui Lv

  • Xian Zhang

  • Chaoqun Wu

  • Xiaohui Liu

  • June 17, 2026

  • 0 min

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Clinical Report: Link Between Apolipoproteins and Retinal Arteriosclerosis

Overview

This study investigates the association between apolipoproteins and retinal arteriosclerosis in a health examination cohort of 4,938 adults. Findings indicate that higher levels of ApoB and the ApoB/ApoA1 ratio are linked to increased prevalence of retinal arteriosclerosis, particularly in older adults.

Background

Retinal arteriosclerosis serves as a non-invasive marker for systemic microvascular damage and early atherosclerosis. Understanding the relationship between apolipoproteins and retinal health is important. Traditional lipid measures may not fully capture the atherogenic burden, making apolipoproteins a valuable focus for research.

Data Highlights

GroupPrevalence of Retinal Arteriosclerosis
Males13.98%
Females8.57%

Key Findings

  • Retinal arteriosclerosis prevalence was 13.98% in males and 8.57% in females.
  • Individuals with retinal arteriosclerosis had significantly higher ApoB levels.
  • ApoB (per 1-SD increase) was associated with retinal arteriosclerosis (OR 1.12, 95% CI 1.01–1.24).
  • ApoB/ApoA1 ratio (per 1-SD increase) was also linked to retinal arteriosclerosis (OR 1.14, 95% CI 1.03–1.27).
  • Significant associations were found in adults aged ≥45 years, non-smokers, and non-hypertensive individuals.

Clinical Implications

The findings suggest that integrating apolipoprotein profiling into cardiovascular risk assessments may enhance early detection of microvascular damage. This could lead to improved strategies for identifying individuals at risk for cardiovascular events.

Conclusion

The study establishes a link between apolipoproteins and retinal arteriosclerosis.

Related Resources & Content

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  3. JAMA Cardiology -- Advancing Retinal Imaging for Cardiovascular Risk Assessment
  4. Retinal Physician, 2024 -- Cardiovascular Health Linked to Lower Retinopathy Risk in US Adults
  5. American College of Cardiology -- ACC, AHA Release New Clinical Guideline For Managing Dyslipidemia
  6. PubMed -- Role of apolipoprotein B in the clinical management of cardiovascular risk in adults: An Expert Clinical Consensus from the National Lipid Association
  7. ScienceDirect -- Hypertensive retinopathy can predict stroke: A systematic review and meta-analysis based on observational studies
  8. ACC, AHA Release New Clinical Guideline For Managing Dyslipidemia - American College of Cardiology
  9. Role of apolipoprotein B in the clinical management of cardiovascular risk in adults: An Expert Clinical Consensus from the National Lipid Association - PubMed
  10. Hypertensive retinopathy can predict stroke: A systematic review and meta-analysis based on observational studies - ScienceDirect

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