The Association between Dietary Intake of Antioxidants and Ocular Disease

Andrea Braakhuis, Ryan Raman, Ehsan Vaghefi, Andrea Braakhuis, Ryan Raman, Ehsan Vaghefi

Abstract

To assess the association between dietary antioxidant intake and the incidence of the three major oxidative stress-related eye diseases, cataracts, glaucoma, and age-related macular degeneration, 78 cases from the University of Auckland Optometry and Vision Science clinic and 149 controls were recruited. Participants completed an antioxidant food-frequency questionnaire, analysed through multiple logistic regression. Protective associations were identified with higher consumption of fruit and vegetables (OR = 0.99; 95% CI: 0.98, 1.00; p = 0.004), vitamin C (OR = 0.63; 95% CI: 0.23, 1.03; p = 0.022), and β-carotene (OR = 0.56; 95% CI: 0.15, 0.98; p = 0.007). Meanwhile, harmful associations were observed with greater consumption of meat/nuts (OR = 1.03; 95% CI: 1.01, 1.05; p = 0.006) and cholesterol (OR = 1.09; 95% CI: 1.50, 2.46; p = 0.005). Diets rich in fruit and vegetables appear to be protective against cataracts, glaucoma, and age-related macular degeneration, while diets higher in meat and nuts may increase the risk of oxidative stress-related eye diseases. In addition, higher intakes of vitamin C and β-carotene from food, with reduction of dietary cholesterol intake, may be beneficial towards the outcome of oxidative stress-related eye diseases.

Keywords: diet; nutrition; ocular pathology; oxidants.

Conflict of interest statement

The authors declare no conflict of interest.

References

    1. Pascolini D., Mariotti S.P. Global estimates of visual impairment: 2010. Br. J. Ophthalmol. 2011 doi: 10.1136/bjophthalmol-2011-300539.
    1. Sies H. Stress: Oxidants and antioxidants. Exp. Physiol. 1997;82:291–295. doi: 10.1113/expphysiol.1997.sp004024.
    1. Raman R., Vaghefi E., Braakhuis A.J. Food components and ocular pathophysiology: A critical appraisal of the role of oxidative mechanisms (in press) Asia Pac. J. Clin. Nutr. 2016 doi: 10.6133/apjcn.082016.01.
    1. Cao G., Booth S.L., Sadowski J.A., Prior R.L. Increases in human plasma antioxidant capacity after consumption of controlled diets high in fruit and vegetables. Am. J. Clin. Nutr. 1998;68:1081–1087.
    1. Age-Related Eye Disease Study Research Group A Randomized, Placebo-Controlled, Clinical Trial of High-Dose Supplementation With Vitamins C and E, Beta Carotene, and Zinc for Age-Related Macular Degeneration and Vision Loss: AREDS Report No. 8. Arch. Ohthalmol. 2001;119:1417–1436.
    1. McNeil J.J., Robman L., Tikellis G., Sinclair M.I., McCarty C.A., Taylor H.R. Vitamin E supplementation and cataract: Randomized controlled trial. Ophthalmology. 2004;111:75–84. doi: 10.1016/j.ophtha.2003.04.009.
    1. Kang J.H., Pasquale L.R., Willett W., Rosner B., Egan K.M., Faberowski N., Hankinson S.E. Antioxidant Intake and Primary Open-Angle Glaucoma: A Prospective Study. Am. J. Epidemiol. 2003;158:337–346. doi: 10.1093/aje/kwg167.
    1. Garcia-Medina J.J., Garcia-Medina M., Garrido-Fernandez P., Galvan-Espinosa J., Garcia-Maturana C., Zanon-Moreno V., Pinazo-Duran M.D. A two-year follow-up of oral antioxidant supplementation in primary open-angle glaucoma: An open-label, randomized, controlled trial. Acta. Ophthalmol. 2014;93:546–554. doi: 10.1111/aos.12629.
    1. Mares-Perlman J.A., Brady W.E., Klein R., Klein R., Klein B.E., Bowen P., Stacewicz-Sapuntzakis M., Palta M. Serum antioxidants and age-related macular degeneration in a population-based case-control study. Arch. Ophthalmol. 1995;113:1518–1523. doi: 10.1001/archopht.1995.01100120048007.
    1. Appleby P.N., Allen N.E., Key T.J. Diet, vegetarianism, and cataract risk. Am. J. Clin. Nutr. 2011;93:1128–1135. doi: 10.3945/ajcn.110.004028.
    1. Ersoy L., Ristau T., Lechanteur Y.T., Hahn M., Hoyng C.B., Kirchhof B., Den Hollander A.I., Fauser S. Nutritional risk factors for age-related macular degeneration. BioMed Res. Int. 2014;6 doi: 10.1155/2014/413150.
    1. Chong E.W.-T., Simpson J.A., Robman L.D., Hodge A.M., Aung K.Z., English D.R., Giles G.G., Guymer R.H. Red meat and chicken consumption and its association with age-related macular degeneration. Am. J. Epidemiol. 2009;169:867–876. doi: 10.1093/aje/kwn393.
    1. Theodoropoulou S., Samoli E., Theodossiadis P., Papathanassiou M., Lagiou A., Lagiou P., Tzonou A. Diet and cataract: A case-control study. Int. Ophthalmol. 2014;34:59–68. doi: 10.1007/s10792-013-9795-6.
    1. Boeing H., Bechthold A., Bub A., Ellinger S., Haller D., Kroke A., Leschik-Bonnet E., Müller M.J., Oberritter H., Schulze M., et al. Critical review: Vegetables and fruit in the prevention of chronic diseases. Eur. J. Nutr. 2012;51:637–663. doi: 10.1007/s00394-012-0380-y.
    1. Ablonczy Z., Dahrouj M., Tang P.H., Liu Y., Sambamurti K., Marmorstein A.D., Crosson C.E. Human retinal pigment epithelium cells as functional models for the RPE in vivo. Invest. Ophthalmol. Vis. Sci. 2011;52:8614–9620. doi: 10.1167/iovs.11-8021.
    1. De la Paz M.A., Epstein D.L. Effect of age on superoxide dismutase activity of human trabecular meshwork. Invest. Ophthalmol. Vis. Sci. 1996;37:1849–1853.
    1. Could what you eat affect your eyesight? Questionnaire. 2015. [(accessed on 1 January 2015)]. Available online: .
    1. McCarty C.A., de Paola C., Livingston P.M., Taylor H.R. Reliability of a food frequency questionnaire to assess dietary antioxidant intake. Ophthalmic epidemiol. 1997;4:33–39. doi: 10.3109/09286589709058059.
    1. University of Otago and Ministry of Health A Focus on Nutrition: Key Findings of the 2008/09 New Zealand Adult Nutrition Survey, 2011. [(accessed on 5 December 2015)]; Available online: .
    1. Bhagwat S., Haytowitz D.B., Holden J.M. USDA Database for the Flavonoid Content of Selected Foods, Release 3.1. [(accessed on 14 August 2015)];2014 Available online:
    1. Taylor P., Mapp K. Clear Focus—The economic impact of vision loss in New Zealand in 2009/2010. [(accessed 5 on December 2015)]. Available online: .
    1. Coleman A.L., Stone K.L., Kodjebacheva G., Yu F., Pedula K.L., Ensrud K.E., Cauley J.A., Hochberg M.C., Topouzis F., Mangione C.M. Glaucoma risk and the consumption of fruits and vegetables among older women in the study of osteoporotic fractures. Am. J. Ophthalmol. 2008;145:1081–1099. doi: 10.1016/j.ajo.2008.01.022.
    1. Carpentier S., Knaus M., Suh M. Associations between lutein, zeaxanthin, and age-related macular degeneration: An overview. Critical Rev. Food Sci. Nutr. 2009;49:313–326. doi: 10.1080/10408390802066979.
    1. Pham-Huy L.A., He H., Pham-Huy C. Free Radicals, Antioxidants in Disease and Health. Int. J. Biomed. Sci. 2008;4:89–96.
    1. Robertson J.M., Donner A.P., Trevithick J.R. A possible role for vitamins C and E in cataract prevention. Am. J. Clin. Nutr. 1991;53:346S–351S.
    1. Giaconi J.A., Yu F., Stone K.L., Pedula K.L., Ensrud K.E., Cauley J.A., Hochberg M.C., Coleman A.L. The association of consumption of fruits/vegetables with decreased risk of glaucoma among older African American women in the study of osteoporotic fractures. Am. J. Ophthalmol. 2012;154:635–644. doi: 10.1016/j.ajo.2012.03.048.
    1. Wang S.Y., Singh K., Lin S.C. Glaucoma and vitamins A, C, and E supplement intake and serum levels in a population-based sample of the United States. Eye. 2013;27:487–494. doi: 10.1038/eye.2013.10.
    1. Yuki K., Murat D., Kimura I., Ohtake Y., Tsubota K. Reduced-serum vitamin C and increased uric acid levels in normal-tension glaucoma. Graefes. Arch. Clin. Exp. Ophthalmol. 2010;248:243–248. doi: 10.1007/s00417-009-1183-6.
    1. Patel S., Mathan J.J., Vaghefi E., Braakhuis A.J. The effect of flavonoids on visual function in patients with glaucoma or ocular hypertension: A systematic review and meta-analysis. Graefe's Arch. Clini. Exp. Ophthalmol. 2015;253:1841–1850. doi: 10.1007/s00417-015-3168-y.
    1. Hankinson S.E., Stampfer M.J., Seddon J.M., Colditz G.A., Rosner B., Speizer F.E., Willett W.C. Nutrient intake and cataract extraction in women: A prospective study. Br. Med. J. 1992;305:335–339. doi: 10.1136/bmj.305.6849.335.
    1. Jacques P.F., Chylack L.T., Hankinson S.E., Khu P.M., Rogers G., Friend J., Tung W., Wolfe J.K., Padhye N., Taylor A. Long-term nutrient intake and early age-related nuclear lens opacities. Archive Ophthalmol. 2001;119:1009–1019. doi: 10.1001/archopht.119.7.1009.
    1. Jacques P.F., Taylor A., Hankinson S.E., Willett W.C., Mahnken B., Lee Y., Vaid K., Lahav M. Long-term vitamin C supplement use and prevalence of early age-related lens opacities. Am. J. Clin. Nutr. 1997;66:911–916.
    1. Leske M., Chylack L.T., Wu S. The lens opacities case-control study: Risk factors for cataract. Arch. Ophthalmol. 1991;109:244–251. doi: 10.1001/archopht.1991.01080020090051.
    1. Van Leeuwen R., Boekhoorn S., Vingerling J.R., Witteman J.C., Klaver C.C., Hofman A., de Jong P.T. Dietary intake of antioxidants and risk of age-related macular degeneration. JAMA. 2005;294:3101–3107. doi: 10.1001/jama.294.24.3101.
    1. Romeu M., Aranda N., Giralt M., Ribot B., Nogues M.R., Arija V. Diet, iron biomarkers and oxidative stress in a representative sample of Mediterranean population. Nutr. J. 2013;12:102–110. doi: 10.1186/1475-2891-12-102.
    1. Carvalho A.M., Miranda A.M., Santos F.A., Loureiro A.P., Fisberg R.M., Marchioni D.M. High intake of heterocyclic amines from meat is associated with oxidative stress. Br. J. Nutr. 2015;113:1301–1307. doi: 10.1017/S0007114515000628.

Source: PubMed

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