Student Research Committee, Department of Nutrition, Faculty of Medicine, The Urmia University of Medical Sciences, Urmia, Iran.
Department of Ophthalmology, The Urmia University of Medical Sciences, Urmia, Iran.
Clin Nutr ESPEN. 2021 Feb;41:325-330. doi: 10.1016/j.clnesp.2020.11.008. Epub 2020 Dec 13.
Dietary pattern (DP) may play an important role in the formation of Age-related cataract (ARC). The objective of the study was to investigate the association between DP and ARC.
Participants (120 cases and 240 controls) aged 50-80 years were selected from the ophthalmology clinic of Urmia Imam Khomeini Educational Hospital in the Northwest of Iran by the simple random sampling method between 2017 and 2018. Participants in matched case-control study were free of diabetes, autoimmune diseases and cancer. Factor analysis method was used to identify the major DPs. The association between participants' DPs and ARC were evaluated using logistic regression analysis in SPSS20.
Four major DPs were found and nominated: "Unhealthy", "Healthy", "Salty foods" and "Mixed" patterns. In continues model the Unhealthy pattern was positively associated with the risk of ARC disease (odds ratio in adjusted model was 5.71; 95% CI: 3.68-8.87, P < 0.001). The Healthy pattern was inversely associated with the ARC (odds ratio in adjusted model was 0.48; 95% CI: 0.34-0.67, P = 0.02). The Salty foods pattern was associated with ARC (odds ratio in adjusted model was 1.45; 95% CI; 1.04-2.02, P = 0.03). The association between ARC disease and Mixed patterns was not statistically significant.
The results indicate that Unhealthy and Salty foods patterns were associated with increased risk of ARC. Further prospective studies are needed to confirm such an association.
饮食模式(DP)可能在年龄相关性白内障(ARC)的形成中起重要作用。本研究的目的是探讨 DP 与 ARC 之间的关系。
2017 年至 2018 年,采用简单随机抽样法,从伊朗西北部乌尔米亚伊玛目霍梅尼教育医院的眼科诊所中选择了 120 例病例和 240 例对照,年龄在 50-80 岁之间。匹配病例对照研究的参与者无糖尿病、自身免疫性疾病和癌症。采用因子分析方法确定主要 DP。使用 SPSS20 中的逻辑回归分析评估参与者 DP 与 ARC 之间的关系。
发现并命名了四种主要的 DP:“不健康”、“健康”、“咸食”和“混合”模式。在连续模型中,不健康模式与 ARC 疾病的风险呈正相关(调整后的模型中的优势比为 5.71;95%CI:3.68-8.87,P<0.001)。健康模式与 ARC 呈负相关(调整后的模型中的优势比为 0.48;95%CI:0.34-0.67,P=0.02)。咸食模式与 ARC 相关(调整后的模型中的优势比为 1.45;95%CI:1.04-2.02,P=0.03)。ARC 疾病与混合模式之间的关联没有统计学意义。
结果表明,不健康和咸食模式与 ARC 风险增加有关。需要进一步的前瞻性研究来证实这种关联。