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Food groups and risk of age-related macular degeneration: a systematic review with meta-analysis

  • Monica Dinu
  • Giuditta Pagliai
  • Alessandro Casini
  • Francesco Sofi
Original Contribution

Abstract

Objective

To systematically review all the available evidence from prospective cohort studies that investigated the association between consumption of food groups and the occurrence of age-related macular degeneration (AMD).

Methods

We conducted an electronic literature search through MedLine, Embase, Google Scholar, Web of Science, and bibliographies of retrieved articles up to January, 2018. Studies were included if they analysed prospectively the association between consumption of food groups and AMD.

Results

At the end of the selection process, 26 articles were included in the meta-analysis, for a total of 211,676 subjects and 7154 cases of AMD. By comparing the highest vs. the lowest consumption, pooled analyses showed no significant association with AMD for vegetables, fruit, nuts, grains, dairy products, as well as dietary fats such as oils, butter and margarine. Fish determined a significant (p < 0.05) reduction of risk for total AMD (RR 0.82 95% CI 0.75–0.90), as well as for both early (RR 0.84 95% CI 0.73–0.97), and late (RR 0.79 95% CI 0.70–0.90) AMD. On the other hand, high meat consumption was associated with a significant increased risk of early (RR 1.17 95% CI 1.02–1.34), but not late AMD. Finally, a significant increased risk of AMD for the highest consumption of alcohol (RR 1.20 95% CI 1.04–1.39) was reported.

Conclusions

The results of the present meta-analysis show a significant 18% reduced risk for fish and a 20% increased risk for alcohol consumption. In addition, an increased risk was observed for meat, but only in the subgroup of early AMD.

Keywords

Food Macular degeneration Nutrition Diet 

Notes

Author contributions

Conception and design: MD, FS. Analysis and interpretation of the data: MD, GP, FS. Drafting of the article: MD, FS. Critical revision of the article for important intellectual content: GP, AC, FS. Final approval of the article: AC, FS. Statistical expertise: MD.

Funding

Nothing to declare.

Compliance with ethical standards

Conflict of interest

All authors declare that there are no conflicts of interest.

Supplementary material

394_2018_1771_MOESM1_ESM.tiff (3.5 mb)
Supplementary figure 1: Funnel plot for studies investigating alcohol consumption and occurrence of AMD (TIFF 3633 KB)
394_2018_1771_MOESM2_ESM.docx (79 kb)
Supplementary material 2 (DOCX 79 KB)

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Experimental and Clinical MedicineUniversity of FlorenceFlorenceItaly
  2. 2.Clinical Nutrition UnitCareggi University HospitalFlorenceItaly
  3. 3.Don Carlo Gnocchi Foundation Italy, Onlus IRCCSFlorenceItaly

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