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白内障发生与营养之间相关性的研究进展

Research progress on the correlation between cataract occurrence and nutrition.

作者信息

Zhang Yi, Qin Xiang, Xu Tianyu, Chu Fangjing, He Beihui

机构信息

The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, China.

出版信息

Front Nutr. 2024 Jul 1;11:1405033. doi: 10.3389/fnut.2024.1405033. eCollection 2024.

Abstract

Cataract is a common eye disease characterized by lens opacity, leading to blurred vision and progressive blindness of the eye. Factors affecting the development of cataracts include nutrition, oxidative stress, micronutrients and inflammatory factors, and also include genetics, toxicity, infrared exposure, hyperuricemia, and mechanical injuries. Among the nutritional factors, a balanced diet, vegetarian diet, dairy products and vegetables are protective against cataracts; high-sodium diet, high intake of carbohydrates and polyunsaturated fatty acids may increase the risk of cataracts; and increased intake of proteins, especially animal proteins, may prevent nuclear cataracts. Intake of antioxidants such as β-carotene, lutein, or zeaxanthin is associated with a reduced risk of cataracts. Minerals such as zinc, selenium, calcium and sodium have also been associated with cataract development. Oxidative stress plays an important role in the development of cataracts and is associated with several antioxidative enzymes and biomarkers such as glutathione (GSH), superoxide dismutase (SOD), malondialdehyde (MDA) and 4-hydroxynonenal (4-HNE). Insulin resistance is also an essential risk factor for cataracts, especially in diabetic patients. In conclusion, understanding these influencing factors helps us to better prevent cataracts. And in this article, we will focus on the important factor of diet and nutrition for a detailed discussion.

摘要

白内障是一种常见的眼部疾病,其特征为晶状体混浊,可导致视力模糊和眼睛逐渐失明。影响白内障发展的因素包括营养、氧化应激、微量营养素和炎症因子,还包括遗传、毒性、红外线照射、高尿酸血症和机械损伤。在营养因素中,均衡饮食、素食、乳制品和蔬菜对白内障有预防作用;高钠饮食、高碳水化合物摄入和多不饱和脂肪酸可能会增加患白内障的风险;蛋白质摄入量增加,尤其是动物蛋白,可能预防核性白内障。摄入抗氧化剂如β-胡萝卜素、叶黄素或玉米黄质与降低患白内障的风险有关。锌、硒、钙和钠等矿物质也与白内障的发展有关。氧化应激在白内障的发展中起重要作用,并与几种抗氧化酶和生物标志物如谷胱甘肽(GSH)、超氧化物歧化酶(SOD)、丙二醛(MDA)和4-羟基壬烯醛(4-HNE)有关。胰岛素抵抗也是白内障的一个重要危险因素,尤其是在糖尿病患者中。总之,了解这些影响因素有助于我们更好地预防白内障。在本文中,我们将重点讨论饮食和营养这一重要因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f79/11249779/a737cac714d6/fnut-11-1405033-g001.jpg

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