Cited by 385Retinal Diseases and TreatmentsRetinal Imaging and AnalysisAntioxidant Activity and Oxidative Stress

The DOI matches its Crossref record, with a small difference in title or year; 39 of the 40 references it cites were found in a registry or an index; none of the 31 sources its claims cite is checked for support yet.

Progression of Age-Related Macular Degeneration: Association With Dietary Fat, Transunsaturated Fat, Nuts, and Fish Intake

Open access
Seddon, Johanna M.·2003·Archives of Ophthalmology

Abstract

BACKGROUND: Individuals with early or intermediate stages of age-related macular degeneration (AMD) make up a large, growing segment of the elderly population. Evidence is sparse regarding modifiable factors that may decrease the risk of progression to the advanced forms of AMD. OBJECTIVE: To advise patients with a high risk for advanced forms of AMD about preventive measures through our evaluation of the relationship between dietary fat intake and the progression of early or intermediate AMD to the advanced stages of the disease associated with visual loss. DESIGN: A prospective cohort study with an average follow-up time of 4.6 years. SETTING: A hospital-based clinical retinal practice specializing in macular degeneration. Patients The 261 participants were aged 60 years and older and had some sign of nonexudative AMD and visual acuity of 20/200 or better in at least 1 eye. Main Outcome Measure Progression to advanced AMD, which was defined as having geographic atrophy or neovascular disease. RESULTS: Higher total fat intake increased the risk of progression to the advanced forms of AMD, with a relative risk (RR) of 2.90 (95% confidence interval, 1.15-7.32) for the highest fat-intake quartile relative to the lowest fat-intake quartile, after controlling for other factors (P trend =.01). Animal fat intake was associated with a 2-fold increased risk of progression (RR, 2.29 for the highest quartile compared with the lowest quartile; 95% confidence interval, 0.91-5.72), although the trend for increasing risk with higher animal fat intake was not significant (P=.09). Higher vegetable fat intake had a stronger relationship with increased risk of AMD progression with an RR of 3.82 (95% confidence interval, 1.58-9.28) for the highest quartile compared with the lowest quartile (P trend =.003). Saturated, monounsaturated, polyunsaturated, and transunsaturated fats increased the likelihood of progression (RR, 2.09 and P trend =.08; RR, 2.21 and P trend =.04; RR, 2.28 and P trend =.04; RR, 2.39 and P trend =.008, respectively). Higher fish intake was associated with a lower risk of AMD progression among subjects with lower linoleic acid intake. Processed baked goods, which are higher in some of these fats, increased the rate of AMD progression approximately 2-fold, and nuts were protective. CONCLUSIONS: Among individuals with the early or intermediate stages of AMD, total and specific types of fat intake, as well as some fat-containing food groups, modified the risk of progression to advanced AMD. Fish intake and nuts reduced risk. Since advanced AMD is associated with visual loss and reduced quality of life, these preventive measures deserve additional research and greater emphasis.

Overview

Integrity signals

Registry

Crossref · 10.1001/archopht.121.12.1728

Cites

39 of 39 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

40 Own result · 26 Not checked yet · 26 Own method · 12 Own interpretation · 1 No basis given

Verify all 31 references — free account

Show all 47 claims

  • It may state two separate claims as one. 23
  • Probably not a substantial claim. 42
  • The quote only partly states this claim. 2
58 of 58
  • The paper relies on this without support.

    No studies have evaluated the association between dietary fat intake and progression of AMD among individuals already diagnosed with early or intermediate stages.

    “However, to our knowledge, no studies have evaluated the association between dietary fat intake and progression of AMD among individuals already diagnosed with the early or intermediate stages of the disease.”
  • The paper relies on this without support.

    Evidence is sparse regarding modifiable factors that may decrease the risk of progression to advanced AMD.

    “Evidence is sparse regarding modifiable factors that may decrease the risk of progression to the advanced forms of AMD.”
    “However, despite these advances, evidence is sparse regarding other modifiable factors that could reduce the rate of conversion from early or intermediate disease to the advanced stages that cause irreversible visual loss.”
  • The paper relies on this without support.

    The Wisconsin Fundus Photographic Reading Center uses a 4-point grading system to measure AMD.

    “The reading center uses a 4-point grading system to measure AMD; so we created an algorithm to convert their 4-point grade scale into our 5-grade scale for comparison.”
  • The paper relies on this without support.

    Reading center grades 1 and 2 are similar to the study's grades 1 and 2.

    “Reading center grades 1 and 2 did not require conversion because they were similar to our grades 1 and 2.”
  • The paper relies on this without support.

    Linoleic acid is the primary dietary source of omega-6 fatty acids.

    “linoleic acid, the major source of ω-6 fatty acids”
  • The paper relies on this without support.

    Participants' dietary reports at baseline reflect their habitual intake over the follow-up period during which AMD progression was ascertained.

    “since they were reported prior to the progression of AMD”
6 of 6

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

1 of 1

Citations

Cites

Research works printed but not linked: 1

  1. Sunness JS, Gonzalez-Baron J, Bressler NM, Hawkins B, Applegate CA. The development of choroidal neovascularization in eyes with the geographic atrophy form of age-related macular degeneration. Ophthalmology. 1999;106:910-919. [PubMed: 10328389]

Cited by

Sorted by citations

See all 385

Metadata

Authors
Seddon, J. M.
Affiliations
Massachusetts Eye and Ear Infirmary (US)
Corresponding author
Seddon, Johanna M.
Venue
Archives of Ophthalmology
Published
2003-12-01
Volume
121
Issue
12
Pages
1728
ISSN
0003-9950 (ISSN-L)
OpenAlex
W2099756978
Cited by
384
References
40
Citations by year
2026: 6 · 2025: 7 · 2024: 9 · 2023: 10 · 2022: 15 · 2021: 10 · 2020: 15 · 2019: 12 · 2018: 16 · 2017: 19 · 2016: 14 · 2015: 13 · 2014: 14 · 2013: 19 · 2012: 21
FWCI
19.69
Type
journal article
Language
en
Open access
Locations
  • Archives of Ophthalmology (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • Foundation Fighting Blindness
  • Research to Prevent Blindness
  • Harvard University
  • Massachusetts Eye and Ear
  • Massachusetts Lions Eye Research Fund
  • National Eye Institute (R01EY011309)
Topics
  • Health Sciences › Medicine › Ophthalmology › Retinal Diseases and Treatments
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Retinal Imaging and Analysis
  • Health Sciences › Medicine › Biochemistry (medical) › Antioxidant Activity and Oxidative Stress
Keywords
age-related macular degeneration, disease progression, dietary fat intake, animal fats, vegetable fats, saturated fat, monounsaturated fatty acids, polyunsaturated fat, trans fatty acids, fish consumption, linoleic acid, geographic atrophy, neovascular AMD, vision loss, older adults, preventive nutrition, modifiable risk factors, nutrition counseling
MeSH terms
Aged, Animals, Energy Intake, Diet, Dietary Fats, Dietary Fats, Unsaturated, Female, Fish Products, Humans, Macular Degeneration, Male, Middle Aged, Nuts, Prospective Studies, Surveys and Questionnaires, Risk Factors, Cohort Studies, Diet Records, Disease Progression

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

A language model drew the claims from the paper on 2026-10-05, under version 3 of the claim definition (model deepseek-v4.1-flash, prompt extract-v3).

A second model labelled each claim on 2026-10-05 (model jev-1.13-20260917, definition revision gold-guideline-v0.2).

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review