Korean Journal of Community Nutrition (대한지역사회영양학회지)

The Korean Society of Community Nutrition (대한지역사회영양학회)
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Intakes of Antioxidant Nutrients and Carotenoids according to Lens Turbidity Level among Adults Visiting Cataract Clinic

백내장클리닉을 내원한 성인의 렌즈혼탁지수에 따른 항산화 영양소 및 카로티노이드 섭취량 평가

  • Kim, Ji-Sun (Department of Food and Nutrition, Sungshin Women's University) ;
  • Lee, Seung-Min (Department of Food and Nutrition, Sungshin Women's University) ;
  • Kang, Ja-Heon (Department of Ophthalmology, Kyung Hee University Hospital at Gangdong, College of Medicine) ;
  • Ahn, Hong-Seok (Department of Food and Nutrition, Sungshin Women's University)
  • 김지선 (성신여자대학교 생활과학대학 식품영양학과) ;
  • 이승민 (성신여자대학교 생활과학대학 식품영양학과) ;
  • 강자헌 (경희대학교 의과대학 강동경희대병원 안과) ;
  • 안홍석 (성신여자대학교 생활과학대학 식품영양학과)
  • Received : 2011.10.20
  • Accepted : 2011.12.19
  • Published : 2012.04.30
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Abstract

This study examined intakes of nutrients, carotenoids and polyphenols according to lens turbidity levels among adults visiting a cataract clinic. A total of 102 males and females aged 40 years or higher agreed to participate in the study, and a face-to-face survey interview was conducted to obtain information on general characteristics, health behaviors, and dietary intakes of each participant. The dietary data were collected by a food frequency questionnaire which was previously validated in a Korean population. In addition to essential nutrients, intakes of a total of 10 carotenoids and polyphenols were calculated based on the tables of food functional composition developed by National Academy of Agricultural Science. The subjects were divided into 3 groups according to turbidity levels (< 16, ${\geq}16$ and < 25, ${\leq}25$), and health behaviors and dietary intakes were compared among the turbidity groups. Data showed seemingly higher energy intake and lower dietary antioxidant (i.e., vitamin A, ${\beta}$-carotene, lutein, zeazanthin, lycopene, cryptozanthin) intakes in the highest turbidity group. However, no statistically significant findings were found in all the comparative analysis on characteristics of health behavior and intakes of nutrients, carotenoids and polyphenols. The current study findings should be cautiously interpreted in consideration of several limitations including a cross-sectional study design, a small sample size, uneven sample size distribution across turbidity groups, and limited generalizability due to using a convenience sample. Therefore we cannot conclude that the risk of cataract is unrelated with dietary antioxidant intakes based solely on the results of this study.

Keywords

References

  1. Ahn YJ, Lee JE, Cho NH, Shin C, Park C, Oh BS, Kim KC (2004): Validation and calibration of semi-quantitative food frequency questionnaire-with participants of the Korean health and genome study-. Korean J Community Nutr 9(2): 173-182
  2. Bone RA, Landrum JT, Fernandez L, Tarsis SL (1988): Analysis of the macular pigment by HPLC : retinal distribution and age study. Invest Ophthalmol Vis Sci 29(6): 843-849
  3. Brown L, Rimm EB, Seddon JM, Giovannucci EL, Chasan-Taber L, Spiegelman D, Willett WC, Hankinson SE (1999): A prospective study of carotenoid intake and risk of cataract extraction in US men. Am J Clin Nutr 70(4): 517-524 https://doi.org/10.1093/ajcn/70.4.517
  4. Christen WG Jr (1994): Antioxidants and eye disease. Am J Med 97(3S): 14S-17S https://doi.org/10.1016/0002-9343(94)90293-3
  5. Christen WG, Glynn RJ, Hennekens CH (1996): Antioxidants and age-related eye disease; current and future perspectives. Ann Epidemiol 6: 60-66 https://doi.org/10.1016/1047-2797(95)00094-1
  6. Christen WG, Liu S, Glynn RJ, Gaziano JM, Buring JE (2008): Dietary carotenoids, vitamins and E, and risk of cataract in women: a prospective study. Arch Ophthalmol 126(1): 102-109 https://doi.org/10.1001/archopht.126.1.102
  7. Christen WG, Liu S, Schaumberg DA, Buring JE (2005): Fruit and vegetable intake and the risk of cataract in women. Am J Clin Nutr 81(6): 1417-1422 https://doi.org/10.1093/ajcn/81.6.1417
  8. Chung HW, Shyn KH (1995): An epidemiological study for relationship between risk factors and types of cataract. J Korean Ophthalmol Soc 36(2): 227-233
  9. Delcourt C, Carriere I, Delage M, Barberger-Gateau P, Schalch W, POLA Study Group (2006): Plasma lutein and zeaxanthin and other carotenoids as modifiable risk factors for age-related maculopathy and cataract : the POLA Study. Invest Ophthalmol Vis Sci 47(6): 2379-2335
  10. Dherani M, Murthy GV, Gupta Sk, Young IS, Maraini G, Camparini M, Price GM, John N, Chakravarthy U, Fletcher AE (2008):Blood levels of vitamin C, carotenoids and retinol are inversely associated with cataract in a North Indian Population. Invest Ophthalmol Vis Sci 49(8): 3328-3335 https://doi.org/10.1167/iovs.07-1202
  11. Fernandez MM, Afshari NA (2008): Nutrition and the prevention of cataracts. Curr Opin Ophthalmol 19(1): 66-70 https://doi.org/10.1097/ICU.0b013e3282f2d7b6
  12. Gritz DC, Srinivasan M, Smith SD, kim U, Lietman TM, Wilkins JH, Priyadharshini B, John RK, Aravind S, Prajna NV,Duraisami Thulasiraj R, Whitcher JP (2006): The Antioxidants in prevention of cataract study : effects of antioxidant supplements on cataract progression in South India. Br J Ophthalmol 90(7): 847-851 https://doi.org/10.1136/bjo.2005.088104
  13. Hong SJ, Park WC, Rho SH (1998): Epidemiology of risk factors for cataract at Chang-Nyung district, Kyung-Nam province. J Korean Ophthalmol 39(1): 80-91
  14. Kanthan GL, Mitchell P, Burlutsky G, Wang JJ (2010): Alcohol consumption and the long-term incidence of cataract and cataract surgery : the blue mountains eye study. Am J Ophthalmol 150(3): 434-440 https://doi.org/10.1016/j.ajo.2010.04.020
  15. Kim JH (2002): Cataract. Ilchokak, Seoul, pp. 18-20
  16. Kim BG, Yoo YS, Kim HK (2002): The role of nitric oxide in the cataract development : a possible mechanism of lens opacity. J Korean Ophthalmol Soc 43(4): 757-763
  17. Kim YO, Choi HJ, Lee SY (2000): The relationship between ophthalmic refractive errors and factors of nutrition and health. Korean J Community Nutr 5(4): 608-614
  18. Ko YS, Hong YJ, Chung HY, Kim SY, Lee YC (2002): A study on antioxidant system in cataract patients. Korean J Nutr 35(2): 229-236
  19. Ko YS, Park JW, Lee SH, Lee YC, Hong YJ (2003): Serum concentration of antioxidant minerals in cataract patients. J Korean Ophthalmol Soc 44(10): 2358-2363
  20. Koo JY, Kim WK, Seo JS, Son SM, Lee YS (2007): Diet therapy principle & practice. Kyomunsa, Paju, p. 305
  21. Korea Centers for Disease Control and Prevention (2009): The third Korea national health and nutrition examination survey (KNHANES VI-3). Korea Centers for Disease Control and Prevention, Seoul
  22. Krishnaiah S, Vilas K, Shamanna BR, Rao GN, Thomas R, Balasubramanian D (2005): Smoking and its association with cataract : results of the Andhra Pradesh eye disease study from India. Invest Ophthalmol Vis Sci 46(1): 58-65 https://doi.org/10.1167/iovs.04-0089
  23. Lee JS (2009): Risk factors of dietary intake affecting cataract. MS thesis, Ewha Woman University, pp. 1-3, 51-53
  24. Ma L, Lin XM (2010): Effects of lutein and zeaxanthin on aspects of eye health. J Sci Food Agric 90(1): 2-12 https://doi.org/10.1002/jsfa.3785
  25. Mares-Perlman JA, Millen AE, Ficek TL, Hankinson SE (2002): The body of evidence to support a protective role for lutein and zeaxanthin in delaying chronic disease. Overview. J Nutr 32(3): 518-524
  26. Ministry of Health & Welfare, Korea Centers for Disease Control and Prevention (2008): 2008 National health statistics - The 4th Korea national health and nutrition examination survey, the second year (2008). Korea Centers for Disease Control and Prevention, Korea
  27. National Academy of Agricultural Science (2009): Tables of food functional composition first edition, National academy of agricultural science. Munyoungdang, Suwon, pp. 1-349
  28. National Health Insurance Corperation (2002): Annual statistics. Available from http://www.nhic.or.kr [ cited 2003 October 18 ]
  29. Olmedilla B, Granado F, Blanco I, Vaquero M (2003): Lutein, but Not $\alpha$-tocopherol, supplementation improves visual funtion in patients with age-related cataracts : a 2-y double-blind, placebocontroled Pilot Study. Nutr 19(1): 21-24 https://doi.org/10.1016/S0899-9007(02)00861-4
  30. Park SS, Lee EH (2009): Relations of cataract to metabolic syndrome and its components-based on the KNHANES 2005, 2007. J Korean Oph Opt Soc 14(3): 103-108
  31. Prevent Blindness America (2008): Vision problems in the U.S. fourth edition. Available from http://www.preventblindness.org [cited 2011 June 28 ]
  32. Rautiainen S, Lindblad BE, Morgenstern R, Wolk A (2010): Vitamin C supplements and the risk of age-related cataract : a populationbased prospective cohort study in women. Am J Clin Nutr 91(2): 487-493 https://doi.org/10.3945/ajcn.2009.28528
  33. Rosales P, Marcos S (2009): Pentacam scheimpflug quantitative imaging of the crystalline lens and intraocular lens. J Refract Surq 25(5): 421-428 https://doi.org/10.3928/1081597X-20090422-04
  34. Selvi R, Angayarkanni N, Biswas J, Ramakrishan S (2011): Total antioxidant capacity in Eales' disease, uveitis & cataract. J Med Res 134(1): 83-90
  35. Shyn KH, Kim JC, Kim WS, Ahn BH, Lee JH, Ro SH, Song JK, Lee YH (1992): An epidemiological study of the risk factors contributing to the senile cataractogenesis by the Korea Cooperative Cataract Epidemiology Study Group(KCCESG). J Korean Ophthalmol Soc 33(2): 127-134
  36. Tan AG, Mitchell P, Flood VM, Burlutsky G, Rochtchina E, Cumming RG, Wang JJ (2008): Antioxidant nutrient intake and the long-term incidence of age-related cataract : the Blue Mountains Eye Study. Am J Clin Nutr 87(6): 1899-1905 https://doi.org/10.1093/ajcn/87.6.1899
  37. The Korean Nutrition Society (2005): Dietary reference intakes for Koreans. Korean Nutrition Society, Seoul
  38. Thylefors B, Negrel AD, Pararajasegaram R, Dadzie KY (1995): Golbal data on bilndness. Bull WHO 73: 115-21
  39. Valero MP, Fletcher AE, De Stavola BL, Vioque J, Alepuz VC (2002): Vitamin C is associated with reduced risk of cataract in a mediterranean population. J Nutr 132(6): 1299-1306 https://doi.org/10.1093/jn/132.6.1299
  40. Vu HT, Robman L, Hodge A, Mccarty CA, Taylor HR (2006): Lutein and zeaxanthin and the risk of cataract : the Melbourne Visual Impairment Project. Invest Ophthalmol Vis Sci 47(9): 3783-3786 https://doi.org/10.1167/iovs.05-0587
  41. West S, Munoz B, Schein OD, Vitale S, Maquire M, Taylor HR, Bressler NM (1995): Cigarette smoking and risk for progression of nuclear opacities. Arch Ophthalmol 113(11): 1377-1380 https://doi.org/10.1001/archopht.1995.01100110037022
  42. West SK, Valmadrid DT (1995): Epidemiology of risk factors for age related cataract. Surv Opthalmol 39(4): 323-334 https://doi.org/10.1016/S0039-6257(05)80110-9
  43. Williams PT (2009): Prospective epidemiological cohort study of reduced risk for incident cataract with vigorous physical activity and cardiorespiratory fitness during a 7-year follow-up. Invest Ophthalmol Vis Sci 50(1): 95-100 https://doi.org/10.1167/iovs.08-1797
  44. Zigler JS Jr, Jernigan HM Jr. Garland D, Reddy VN (1985): The effects of "oxygen radicals" generated in the medium in lenses in organ culture; inhibition of damage by chelated iron. Arch Biochem Biophys 241(1): 163-172 https://doi.org/10.1016/0003-9861(85)90372-8

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