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超加工食品的消费与与年龄相关眼病的风险:一项基于英国生物库的前瞻性队列研究。

Ultra-processed foods consumption and risk of age-related eye diseases: a prospective cohort study with UK biobank.

机构信息

Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, PR China.

Shanghai Key Laboratory of Orbital Diseases and Ocular Oncology, Shanghai, China.

出版信息

Eur J Nutr. 2024 Dec;63(8):3175-3186. doi: 10.1007/s00394-024-03498-5. Epub 2024 Sep 20.

Abstract

PURPOSE

Consumption of ultra-processed foods (UPF) has been associated with increased risks of various age-related diseases. However, the potential association between UPF consumption and age-related eye diseases (AREDs) remains unclear. We aim to assess the associations between consumption of UPF and risk of AREDs including age-related macular degeneration (AMD), cataract and glaucoma.

METHODS

We included 156,232 individuals aged 50 or older, who were free from AREDs from UK biobank study. Dietary intake data were collected using 24-h dietary assessments. UPF is defined according to the NOVA classification, and all participants are divided into four quartiles based on the weight proportion (%) of UPF. During a median of 10 years of follow-up. Cox proportional hazards were used to estimate the association between the proportion of UPF in the diet and the subsequent risk of various AREDs.

RESULTS

After adjusting for multiple variables, individuals in the highest quartiles for UPF consumption exhibited an increased risk of AMD (hazard ratio (HR): 1.28; 95% confidence interval (CI): 1.01-1.63; p = 0.03), cataract (HR: 1.10; 95% CI: 1.01-1.20; p = 0.04), and glaucoma (HR: 1.27; 95% CI: 0.98-1.63; p = 0.06) compared to those in the lowest quartiles. Moreover, a 10% increase in the weight of UPF in diet was associated with an 8% higher risk of AMD (HR: 1.08; 95% CI: 1.01-1.15; p = 0.03), a 3% higher risk of cataract (HR: 1.03; 95% CI: 1.00-1.06; p = 0.04), and a 7% higher risk of glaucoma (HR: 1.07; 95% CI: 1.00-1.15; p = 0.05).

CONCLUSION

Our results suggest that a higher proportion of UPF in the diet was significantly link with an elevated risk of AMD and cataract. While additional research is necessary to validate these findings in diverse populations and settings, these results offer initial evidence to endorse public health initiatives that encourage limiting consumption of UPF.

摘要

目的

消费超加工食品(UPF)与多种与年龄相关的疾病的风险增加有关。然而,UPF 消费与年龄相关性眼病(ARED)之间的潜在关联尚不清楚。我们旨在评估 UPF 消费与 ARED 风险之间的关联,包括年龄相关性黄斑变性(AMD)、白内障和青光眼。

方法

我们纳入了来自英国生物库研究的 156232 名年龄在 50 岁或以上、无 ARED 的个体。通过 24 小时膳食评估收集饮食摄入数据。根据 NOVA 分类定义 UPF,所有参与者根据 UPF 重量比例(%)分为四个四分位组。在中位 10 年的随访期间。使用 Cox 比例风险模型估计饮食中 UPF 比例与各种 ARED 随后发生风险之间的关系。

结果

在调整了多个变量后,与 UPF 消费最高四分位数的个体相比,AMD(风险比(HR):1.28;95%置信区间(CI):1.01-1.63;p=0.03)、白内障(HR:1.10;95%CI:1.01-1.20;p=0.04)和青光眼(HR:1.27;95%CI:0.98-1.63;p=0.06)的风险增加。此外,饮食中 UPF 重量增加 10%与 AMD 的风险增加 8%相关(HR:1.08;95%CI:1.01-1.15;p=0.03),白内障的风险增加 3%(HR:1.03;95%CI:1.00-1.06;p=0.04),青光眼的风险增加 7%(HR:1.07;95%CI:1.00-1.15;p=0.05)。

结论

我们的结果表明,饮食中 UPF 比例较高与 AMD 和白内障风险增加显著相关。虽然需要在不同人群和环境中进行更多研究来验证这些发现,但这些结果提供了初步证据,支持鼓励限制 UPF 消费的公共卫生倡议。

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