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老年人饮食中牛奶摄入量与白内障摘除史有关吗?来自美国人群的分析。

Is Dietary Milk Intake Associated with Cataract Extraction History in Older Adults? An Analysis from the US Population.

作者信息

Mustafa Osama M, Daoud Yassine J

机构信息

Cornea, Cataract, and Refractive Surgery Division, The Johns Hopkins University Wilmer Eye Institute, Baltimore, MD 21287, USA.

出版信息

J Ophthalmol. 2020 Feb 19;2020:2562875. doi: 10.1155/2020/2562875. eCollection 2020.

Abstract

BACKGROUND

Galactose accumulation in the lens tissue is known to be cataractogenic. Whether consistent dietary intake of lactose-which consists of glucose and galactose-predisposes to senile cataract remains unclear. This study was conducted to investigate the association between a number of dietary milk intake indicators and cataract extraction history in a representative sample of older adults from the US population. . This is a cross-sectional, population-based study. Participants of the United States National Health and Nutrition Examination Survey 2001-2008 who were ≥50 years old and provided a complete history of their usual daily dietary intake were included. Exclusion criteria were special diets, extreme daily energy intake, and missing outcome (i.e., cataract extraction history). Indicators of milk intake used were early-life intake regularity, current daily milk/total dairy intake amounts, and estimated lifelong milk exposure. Odds ratios (OR) and 99% confidence intervals (99% CI) were calculated with fitting weights to better represent the population-based estimates.

RESULTS

Among the 5930 studied participants, early-life milk intake regularity was not associated with cataract extraction history in age/sex/ethnicity-adjusted and multivariable-adjusted models ( trend = 0.064 and 0.094, respectively). Current daily milk intake was associated with a slight reduction in the likelihood of cataract extraction in the age/sex/ethnicity-adjusted model (OR = 0.885 per cup equivalents, 99% CI = 0.795-0.986) and in the multivariable model (OR = 0.871 per cup equivalents, 99% CI = 0.746-0.993). However, no such association was observed between quartiles of current dietary milk intake and cataract extraction history ( trend = 0.064 and 0.094, respectively). Current daily milk intake was associated with a slight reduction in the likelihood of cataract extraction in the age/sex/ethnicity-adjusted model (OR = 0.885 per cup equivalents, 99% CI = 0.795-0.986) and in the multivariable model (OR = 0.871 per cup equivalents, 99% CI = 0.746-0.993). However, no such association was observed between quartiles of current dietary milk intake and cataract extraction history ( trend = 0.064 and 0.094, respectively). Current daily milk intake was associated with a slight reduction in the likelihood of cataract extraction in the age/sex/ethnicity-adjusted model (OR = 0.885 per cup equivalents, 99% CI = 0.795-0.986) and in the multivariable model (OR = 0.871 per cup equivalents, 99% CI = 0.746-0.993). However, no such association was observed between quartiles of current dietary milk intake and cataract extraction history (.

CONCLUSION

There appears to be no direct relationship between several indicators of dietary milk consumption and cataract extraction history in the general American population.

摘要

背景

晶状体组织中半乳糖的积累已知具有致白内障性。持续从饮食中摄入由葡萄糖和半乳糖组成的乳糖是否会导致老年性白内障仍不清楚。本研究旨在调查美国老年人群代表性样本中多种膳食牛奶摄入量指标与白内障摘除史之间的关联。这是一项基于人群的横断面研究。纳入了2001 - 2008年美国国家健康与营养检查调查中年龄≥50岁且提供了完整日常饮食摄入史的参与者。排除标准为特殊饮食、每日能量摄入极端以及缺失结局(即白内障摘除史)。所使用的牛奶摄入量指标包括早年摄入规律性、当前每日牛奶/总乳制品摄入量以及估计的终身牛奶摄入量。通过拟合权重计算比值比(OR)和99%置信区间(99%CI),以更好地代表基于人群的估计值。

结果

在5930名研究参与者中,在年龄/性别/种族调整模型和多变量调整模型中,早年牛奶摄入规律性与白内障摘除史均无关联(趋势分别为0.064和0.094)。在年龄/性别/种族调整模型中,当前每日牛奶摄入量与白内障摘除可能性略有降低相关(每杯当量的OR = 0.885,99%CI = 0.795 - 0.986),在多变量模型中也是如此(每杯当量的OR = 0.871,99%CI = 0.746 - 0.993)。然而,当前膳食牛奶摄入量四分位数与白内障摘除史之间未观察到此类关联(趋势分别为0.064和0.094)。当前每日牛奶摄入量与白内障摘除可能性略有降低相关(每杯当量的OR = 0.885,99%CI = 0.795 - 0.986),在多变量模型中也是如此(每杯当量的OR = 0.871,99%CI = 0.746 - 0.993)。然而,当前膳食牛奶摄入量四分位数与白内障摘除史之间未观察到此类关联(趋势分别为0.064和0.094)。当前每日牛奶摄入量与白内障摘除可能性略有降低相关(每杯当量的OR = 0.885,99%CI = 0.795 - 0.986),在多变量模型中也是如此(每杯当量的OR = 0.871,99%CI = 0.746 - 0.993)。然而,当前膳食牛奶摄入量四分位数与白内障摘除史之间未观察到此类关联(。

结论

在美国普通人群中,几种膳食牛奶消费指标与白内障摘除史之间似乎没有直接关系。

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本文引用的文献

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Sweet and sour: an update on classic galactosemia.酸甜:经典半乳糖血症的最新进展
J Inherit Metab Dis. 2017 May;40(3):325-342. doi: 10.1007/s10545-017-0029-3. Epub 2017 Mar 9.
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The physiological optics of the lens.晶状体的生理光学。
Prog Retin Eye Res. 2017 Jan;56:e1-e24. doi: 10.1016/j.preteyeres.2016.09.002. Epub 2016 Sep 14.
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Diet and cataract: a case-control study.饮食与白内障:一项病例对照研究。
Int Ophthalmol. 2014 Feb;34(1):59-68. doi: 10.1007/s10792-013-9795-6. Epub 2013 May 29.
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Diet, vegetarianism, and cataract risk.饮食、素食主义与白内障风险。
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