Laboratory for Nutrition and Vision Research, JM USDA Human Nutrition Research Center on Aging Tufts University, 711 Washington St, Boston, MA 02111, USA.
Nutrients. 2013 Jul 2;5(7):2405-56. doi: 10.3390/nu5072405.
Age-related macular degeneration (AMD) is the leading cause of blindness in the elderly. Clinical hallmarks of AMD are observed in one third of the elderly in industrialized countries. Preventative interventions through dietary modification are attractive strategies, because they are more affordable than clinical therapies, do not require specialists for administration and many studies suggest a benefit of micro- and macro-nutrients with respect to AMD with few, if any, adverse effects. The goal of this review is to provide information from recent literature on the value of various nutrients, particularly omega-3 fatty acids, lower glycemic index diets and, perhaps, some carotenoids, with regard to diminishing risk for onset or progression of AMD. Results from the upcoming Age-Related Eye Disease Study (AREDS) II intervention trial should be particularly informative.
年龄相关性黄斑变性(AMD)是老年人致盲的主要原因。在工业化国家,三分之一的老年人有 AMD 的临床特征。通过饮食改变进行预防性干预是一种有吸引力的策略,因为它们比临床治疗更实惠,不需要专家进行管理,而且许多研究表明,微营养素和宏营养素对 AMD 有益,几乎没有(如果有的话)不良影响。本综述的目的是提供最近文献中关于各种营养素价值的信息,特别是ω-3 脂肪酸、低血糖指数饮食,以及某些类胡萝卜素,以降低 AMD 发病或进展的风险。即将进行的年龄相关性眼病研究(AREDS)II 干预试验的结果应该特别有启发性。