Brandl Caroline, Heid Iris M, Helbig H, Holz Frank G, Finger Robert P, Mauschitz Matthias M
Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Deutschland.
Lehrstuhl für Genetische Epidemiologie, Universität Regensburg, Regensburg, Deutschland.
Ophthalmologie. 2025 Jun 13. doi: 10.1007/s00347-025-02257-z.
Identifying risk factors for age-related macular degeneration (AMD) is crucial for patient counseling and the development of potential prevention strategies.
This study summarizes the current epidemiological evidence on AMD risk factors, analyzes their clinical relevance, and discusses potential preventive measures.
A systematic literature review was conducted to assess demographic, genetic, and modifiable risk factors for AMD, including smoking, diet, and physical activity.
Age is the strongest risk factor for early and advanced AMD. Genetic predisposition also plays a critical role, particularly from genetic variants in the complement and lipid metabolism pathways and extracellular matrix. Modifiable factors such as smoking, dietary habits, and physical activity significantly influence the risk of AMD. Recent studies further suggest a potentially beneficial effect of medication intake, such as metformin and statins.
Epidemiological data indicate that smoking cessation, adherence to a Mediterranean diet, and regular physical activity are associated with a reduced risk of AMD over time. These factors should be integral to patient counseling. The continued extension of longitudinal study data will be key to refining individual risk profiles and optimizing prevention strategies.
识别年龄相关性黄斑变性(AMD)的危险因素对于患者咨询和潜在预防策略的制定至关重要。
本研究总结了当前关于AMD危险因素的流行病学证据,分析其临床相关性,并讨论潜在的预防措施。
进行了一项系统的文献综述,以评估AMD的人口统计学、遗传和可改变的危险因素,包括吸烟、饮食和身体活动。
年龄是早期和晚期AMD最强的危险因素。遗传易感性也起着关键作用,特别是来自补体和脂质代谢途径以及细胞外基质中的基因变异。吸烟、饮食习惯和身体活动等可改变因素显著影响AMD的风险。最近的研究进一步表明药物摄入,如二甲双胍和他汀类药物,具有潜在的有益作用。
流行病学数据表明,戒烟、坚持地中海饮食和定期进行体育活动与随着时间推移AMD风险降低相关。这些因素应成为患者咨询的组成部分。纵向研究数据的持续扩展将是完善个体风险概况和优化预防策略的关键。