Department of Visual Optics, Far East University, Eumseong 27601, Republic of Korea.
Department of Food and Nutrition, Sahmyook University, 815, Hwarang-ro, Nowon-gu, Seoul 01795, Republic of Korea.
Nutrients. 2024 Jan 26;16(3):372. doi: 10.3390/nu16030372.
This study aimed to assess the prevalence of dry eye syndrome among Korean women aged 40 and above and explore the correlation between the syndrome and daily dietary nutrient intake. We analyzed data from 92,888 female participants (mean age: 63.35 ± 8.86 years) from the 8th Korea National Health and Nutrition Examination Survey (KNHANES 2019). Dietary intake was evaluated using a personalized 24 h recall method for 21 nutrients, including macronutrients, macro- and micro-minerals, and both water- and fat-soluble vitamins. Associations between nutrient intake and dry eye syndrome were determined using odds ratios from multivariate logistic regression. We found a 7.7% prevalence of dry eye syndrome in the population studied. Intake of dietary fiber (adjusted OR: 0.72), protein (adjusted OR: 0.84), omega-3 fatty acids (adjusted OR: 0.90), water (adjusted OR: 0.76), calcium (adjusted OR: 0.82), phosphate (adjusted OR: 0.87), potassium (adjusted OR: 0.88), magnesium (adjusted OR: 0.87), vitamin A (adjusted OR: 0.78), vitamin C (adjusted OR: 0.73), and vitamin E (adjusted OR: 0.86) was inversely associated with dry eye syndrome prevalence ( < 0.0001 for all). Conversely, a higher intake of carbohydrates (adjusted OR: 1.23), sugar (adjusted OR: 1.30), fat (adjusted OR: 1.25), cholesterol (adjusted OR: 1.32), sodium (adjusted OR: 1.18), iron (adjusted OR: 1.28), and zinc (adjusted OR: 1.26) correlated with an increased risk ( < 0.0001 for all). No significant associations were found between the prevalence of dry eye syndrome and the intake of omega-6 fatty acids and vitamin D. Our study identified significant associations between specific dietary nutrients and the risk of dry eye syndrome among Korean women aged 40 and above. These findings suggest that dietary choices could influence the likelihood of developing dry eye syndrome, indicating a potential role for dietary intervention in its management. However, it is important to note that these observations are preliminary, and further research is necessary to confirm these relationships and explore their implications for dietary recommendations in dry eye syndrome prevention and management.
本研究旨在评估韩国 40 岁及以上女性干眼症综合征的患病率,并探讨该综合征与日常膳食营养素摄入之间的相关性。我们分析了第八次韩国国家健康和营养检查调查(KNHANES 2019)中 92888 名女性参与者(平均年龄:63.35±8.86 岁)的数据。使用个性化 24 小时回忆法评估 21 种营养素的饮食摄入,包括宏量营养素、宏量和微量矿物质以及水和脂溶性维生素。使用多元逻辑回归的比值比确定营养素摄入与干眼症综合征之间的关联。我们发现该人群中干眼症综合征的患病率为 7.7%。膳食纤维(调整后的 OR:0.72)、蛋白质(调整后的 OR:0.84)、ω-3 脂肪酸(调整后的 OR:0.90)、水(调整后的 OR:0.76)、钙(调整后的 OR:0.82)、磷(调整后的 OR:0.87)、钾(调整后的 OR:0.88)、镁(调整后的 OR:0.87)、维生素 A(调整后的 OR:0.78)、维生素 C(调整后的 OR:0.73)和维生素 E(调整后的 OR:0.86)的摄入量与干眼症综合征的患病率呈负相关(所有 p<0.0001)。相反,碳水化合物(调整后的 OR:1.23)、糖(调整后的 OR:1.30)、脂肪(调整后的 OR:1.25)、胆固醇(调整后的 OR:1.32)、钠(调整后的 OR:1.18)、铁(调整后的 OR:1.28)和锌(调整后的 OR:1.26)的摄入量较高与风险增加相关(所有 p<0.0001)。干眼症综合征的患病率与 ω-6 脂肪酸和维生素 D 的摄入之间没有显著关联。本研究确定了特定膳食营养素与韩国 40 岁及以上女性干眼症综合征风险之间的显著关联。这些发现表明,饮食选择可能会影响干眼症综合征的发生几率,这表明饮食干预在其管理中可能发挥作用。然而,需要注意的是,这些观察结果是初步的,需要进一步的研究来证实这些关系,并探讨它们对干眼症综合征预防和管理中饮食建议的意义。