Chong Elaine W-T, Simpson Julie A, Robman Luibov D, Hodge Allison M, Aung Khin Zaw, English Dallas R, Giles Graham G, Guymer Robyn H
Centre for Eye Research Australia, University of Melbourne, 32 Gisborne Street, East Melbourne 3002, Victoria, Australia.
Am J Epidemiol. 2009 Apr 1;169(7):867-76. doi: 10.1093/aje/kwn393. Epub 2009 Feb 20.
Age-related macular degeneration (AMD) is the leading cause of blindness among older people, and diet has been postulated to alter risk of AMD. To evaluate associations between red meat and chicken intake and AMD, the authors conducted a cohort study of 6,734 persons aged 58-69 years in 1990-1994 in Melbourne, Australia. Meat intake was estimated from a food frequency questionnaire at baseline. At follow-up (2003-2006), bilateral digital macular photographs were taken and evaluated for AMD (1,680 cases of early AMD, 77 cases of late AMD). Logistic regression was used to estimate odds ratios, adjusted for age, smoking, and other potential confounders. Higher red meat intake was positively associated with early AMD; the odds ratio for consumption of red meat > or =10 times/week versus <5 times/week was 1.47 (95% confidence interval: 1.21, 1.79; P-trend < 0.001). Similar trends toward increasing prevalence of early AMD were seen with higher intakes of fresh and processed red meat. Conversely, consumption of chicken > or =3.5 times/week versus <1.5 times/week was inversely associated with late AMD (odds ratio = 0.43, 95% confidence interval: 0.20, 0.91; P-trend = 0.007). These results suggest that different meats may differently affect AMD risk and may be a target for lifestyle modification.
年龄相关性黄斑变性(AMD)是老年人失明的主要原因,并且据推测饮食会改变AMD的风险。为了评估红肉和鸡肉摄入量与AMD之间的关联,作者于1990年至1994年在澳大利亚墨尔本对6734名年龄在58 - 69岁的人进行了一项队列研究。通过基线时的食物频率问卷估计肉类摄入量。在随访期间(2003年至2006年),拍摄了双眼黄斑数码照片,并对AMD进行评估(1680例早期AMD,77例晚期AMD)。使用逻辑回归来估计比值比,并对年龄、吸烟和其他潜在混杂因素进行了调整。较高的红肉摄入量与早期AMD呈正相关;每周食用红肉≥10次与每周<5次相比,比值比为1.47(95%置信区间:1.21,1.79;P趋势<0.001)。随着新鲜和加工红肉摄入量的增加,早期AMD患病率也有类似的上升趋势。相反,每周食用鸡肉≥3.5次与每周<1.5次相比,与晚期AMD呈负相关(比值比 = 0.43,95%置信区间:0.20,0.91;P趋势 = 0.007)。这些结果表明,不同的肉类可能对AMD风险有不同的影响,并且可能是生活方式改变的一个目标。