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The Relationship of Dietary Lipid Intake and Age-Related Macular Degeneration in a Case-Control Study: AREDS Report No. 20
Open accessAbstract
OBJECTIVE: To evaluate the association of lipid intake with baseline severity of age-related macular degeneration (AMD) in the Age-Related Eye Disease Study (AREDS). METHODS: Age-Related Eye Disease Study participants aged 60 to 80 years at enrollment (N = 4519) provided estimates of habitual nutrient intake through a self-administered semiquantitative food frequency questionnaire. Stereoscopic color fundus photographs were used to categorize participants into 4 AMD severity groups and a control group (participants with <15 small drusen). RESULTS: Dietary total omega-3 long-chain polyunsaturated fatty acid (LCPUFA) intake was inversely associated with neovascular (NV) AMD (odds ratio [OR], 0.61; 95% confidence interval [CI], 0.41-0.90), as was docosahexaenoic acid, a retinal omega-3 LCPUFA (OR, 0.54; 95% CI, 0.36-0.80), comparing highest vs lowest quintile of intake, after adjustment for total energy intake and covariates. Higher fish consumption, both total and broiled/baked, was also inversely associated with NV AMD (OR, 0.61; 95% CI, 0.37-1.00 and OR, 0.65; 95% CI, 0.45-0.93, respectively). Dietary arachidonic acid was directly associated with NV AMD prevalence (OR, 1.54; 95% CI, 1.04-2.29). No statistically significant relationships existed for the other lipids or AMD groups. CONCLUSION: Higher intake of omega-3 LCPUFAs and fish was associated with decreased likelihood of having NV AMD.
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“Some case–control studies have found evidence of decreasing risk of neovascular age-related macular degeneration among individuals reporting the highest intake of omega-3 fatty acids and fish,105,106 especially if in conjunction with lower levels of intake of linoleic acid.107”
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Metadata
- Authors
- Age-Related Eye Disease Study Research Group
- Affiliations
- Emmes (United States) (US)
- Corresponding author
- Age-Related Eye Disease Study Research Group
- Venue
- Archives of Ophthalmology
- Publisher
- American Medical Association (AMA)
- Published
- 2007-05-01
- Volume
- 125
- Issue
- 5
- Pages
- 671
- ISSN
- 0003-9950 (ISSN-L)
- OpenAlex
- W1534606983
- Cited by
- 283
- References
- 47
- Citations by year
- 2025: 12 · 2024: 8 · 2023: 8 · 2022: 7 · 2021: 20 · 2020: 14 · 2019: 8 · 2018: 11 · 2017: 9 · 2016: 15 · 2015: 7 · 2014: 16 · 2013: 20 · 2012: 22
- FWCI
- 22.78
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Archives of Ophthalmology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (Z99 EY999999)
- National Eye Institute (ZIAEY000489)
- Topics
- Health Sciences › Medicine › Ophthalmology › Retinal Diseases and Treatments
- Health Sciences › Nursing › Nutrition and Dietetics › Fatty Acid Research and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Keywords
- age-related macular degeneration, neovascular AMD, dietary fat intake, n-3 long-chain polyunsaturated fatty acids, docosahexaenoic acid, fish consumption, arachidonic acid, drusen, dietary fat
- MeSH terms
- Aged, Aged, 80 and over, Energy Intake, Diet, Dietary Fats, Unsaturated, Feeding Behavior, Female, Humans, Macular Degeneration, Male, Middle Aged, Surveys and Questionnaires, Models, Statistical, Fatty Acids, Omega-3, Odds Ratio, Case-Control Studies
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