Relationship of dietary fat to age-related maculopathy in the Third National Health and Nutrition Examination Survey
Abstract
OBJECTIVE: To evaluate the associations between dietary fat and age-related maculopathy (ARM) in persons 40 years or older who participated in the Third National Health and Nutrition Examination Survey. METHODS: We used a single, nonmydriatic, fundus photograph of 1 eye to ascertain ARM status in 7883 of 11 448 survey participants. Intake of fat was estimated from 24-hour recall, and specific sources of dietary fat were estimated from responses to food frequency questionnaires. Logistic regression was used to compute odds ratios (ORs) and 95% confidence intervals (CIs) that accounted for complex survey design, nonresponse, and potential risk factors for ARM (age, smoking, race, sex, body mass index, history of cardiovascular disease or hypertension, eye color, and sedentary lifestyle). Persons aged 40 to 79 years (n = 7405) were included in analyses for early ARM (n = 644); those 60 years or older (n = 4294) were included in analyses for late ARM (n = 53). RESULTS: After adjustment for age, race, eye color, and sedentary lifestyle, OR for early ARM was 1.4 (95% CI, 0.9-2.2; P for trend,.10) among persons in high vs low quintiles of total fat intake (percentage of total energy). Associations for specific types of fatty acids (as percentages of caloric intake) were in the same direction and unrelated to ARM. The OR for late ARM was 0.7 (95% CI, 0.2-2.6; P for trend,.60) in persons 60 years or older. Further adjustments for other potential confounders did not significantly affect the ORs. CONCLUSION: Age-related maculopathy was not significantly associated with dietary fat in this large cross-sectional survey.
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Some evidence exists for a link between risk for age-related macular degeneration and increased levels of total dietary fat, although other studies have refuted this link.
“Some evidence exists for a link between risk for age-related macular degeneration and increased levels of total dietary fat,84 although other studies have refuted this link.85”
From Age-related macular degeneration (2008) · cites this paper as [85]
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- Authors
- Heuberger, R. A.
- Affiliations
- University of Wisconsin–Madison (US)
- Corresponding author
- Heuberger, Roschelle A.
- Venue
- Archives of Ophthalmology
- Publisher
- American Medical Association (AMA)
- Published
- 2001-12-01
- Volume
- 119
- Issue
- 12
- Pages
- 1833
- ISSN
- 0003-9950 (ISSN-L)
- OpenAlex
- W2089158230
- Cited by
- 105
- References
- 36
- Citations by year
- 2024: 1 · 2023: 1 · 2021: 3 · 2020: 1 · 2019: 1 · 2018: 2 · 2017: 2 · 2016: 1 · 2015: 1 · 2014: 6 · 2013: 4 · 2012: 10
- FWCI
- 3.91
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Ophthalmology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01ey011722-03)
- National Eye Institute (EY 11722)
- Topics
- Health Sciences › Medicine › Ophthalmology › Retinal Diseases and Treatments
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Retinal Imaging and Analysis
- Keywords
- age-related maculopathy, dietary fat, total fat intake, fatty acids, macular degeneration, dietary risk factors, older adults
- MeSH terms
- Adult, Aged, Body Constitution, Cross-Sectional Studies, Dietary Fats, Eating, Eye Color, Feeding Behavior, Female, Humans, Life Style, Macular Degeneration, Male, Middle Aged, Nutrition Surveys, Risk Factors, United States
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