Vitreoretinal Service, Department of Ophthalmology and Vision Science, University of California Davis Eye Center, Sacramento, Calif 95817, USA.
Can J Ophthalmol. 2013 Jun;48(3):204-9. doi: 10.1016/j.jcjo.2013.01.013.
To evaluate the patient's understanding of the importance and adherence to the various lifestyle and Age-Related Eye Disease Study (AREDS) supplement recommendations for age-related macular degeneration (AMD).
Cross-sectional study.
Patients with AMD treated at the vitreoretinal service clinic.
Telephone questionnaire survey was administered to assess knowledge and adherence to various recommendations made to patients with AMD about lifestyle and AREDS supplements in this single-institution study.
Among 92 patients with AMD contacted, dietary modification, exercise and weight reduction, smoking cessation, and AREDS supplementation recommendations were recalled by 47 (51%), 21 (23%), 5 (5%), and 90 (98%) patients, respectively. The necessity of making these interventions was believed by 29 (62%), 16 (76%), 4 (80%), and 67 (74%) patients, respectively. Patient adherence to dietary modification was 81%, to exercise and weight reduction was 76%, to smoking cessation was 0%, and to AREDS supplementation was 88% (71% on correct dose). Financially, 29% of the patients noted a mean increase of $88 per month in expenditure because of making dietary modifications, but most reported such as justified; 61% noted a mean increase of $25 per month in expenditure from consumption of AREDS supplements, and most (96%) believed this was justified.
Patients with AMD recalled recommendations for AREDS supplementation more often than other lifestyle changes but generally felt recommendations were necessary and affordable. Adherence to smoking cessation recommendation was poor (0%), but to other recommendations was good.
评估患者对与年龄相关性黄斑变性（AMD）相关的生活方式和 Age-Related Eye Disease Study（AREDS）补充剂建议的重要性和依从性的理解。
横断面研究。
在玻璃体视网膜服务诊所接受治疗的 AMD 患者。
通过电话问卷调查评估了本单机构研究中向 AMD 患者提出的关于生活方式和 AREDS 补充剂的各种建议的知识和依从性。
在联系的 92 名 AMD 患者中，分别有 47（51％）、21（23％）、5（5％）和 90（98％）名患者回忆起了饮食改变、运动和减肥、戒烟和 AREDS 补充剂建议。分别有 29（62％）、16（76％）、4（80％）和 67（74％）名患者认为需要进行这些干预。患者对饮食改变的依从性为 81％，对运动和减肥的依从性为 76％，对戒烟的依从性为 0％，对 AREDS 补充剂的依从性为 88％（正确剂量为 71％）。在财务方面，由于进行了饮食改变，29％的患者每月平均增加 88 美元的支出，但大多数患者认为这是合理的；61％的患者每月平均增加 25 美元用于消费 AREDS 补充剂，大多数（96％）认为这是合理的。
AMD 患者回忆起 AREDS 补充剂的建议比其他生活方式改变更频繁，但普遍认为这些建议是必要的和负担得起的。戒烟建议的依从性很差（0％），但对其他建议的依从性很好。
