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

IF 4.1 2区 医学 Q2 NUTRITION & DIETETICS European Journal of Nutrition Pub Date : 2024-12-01 Epub Date: 2024-09-20 DOI:10.1007/s00394-024-03498-5
Jianping Hu, Yiran Yao, Tongxin Ge, Shaoyun Wang, Shuyu Liu, Qiuyi Zhu, Xin Song, Renbing Jia, Ai Zhuang
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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.

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超加工食品消费与老年性眼病风险:英国生物数据库前瞻性队列研究。
目的:食用超加工食品(UPF)与罹患各种老年相关疾病的风险增加有关。然而,UPF 消费量与老年性眼病(AREDs)之间的潜在关联仍不清楚。我们旨在评估UPF摄入量与AREDs(包括老年性黄斑变性(AMD)、白内障和青光眼)风险之间的关联:我们从英国生物库研究中纳入了 156,232 名年龄在 50 岁或以上、未患 AREDs 的人。通过 24 小时饮食评估收集饮食摄入数据。UPF根据NOVA分类法进行定义,所有参与者根据UPF的体重比例(%)分为四个四分位数。随访时间中位数为 10 年。结果显示,在对多种变量进行调整后,UPF比例越高的人,其罹患各种ARED的风险越高:在对多种变量进行调整后,UPF摄入量最高四分位数的人与最低四分位数的人相比,患老年性痴呆症(AMD)(危险比(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,膳食中 UPF 重量每增加 10%,患老年痴呆症的风险就会增加 8%(HR:1.08;95% CI:1.01-1.15;p = 0.03),患白内障的风险增加 3%(HR:1.03;95% CI:1.00-1.06;p = 0.04),患青光眼的风险增加 7%(HR:1.07;95% CI:1.00-1.15;p = 0.05):我们的研究结果表明,饮食中 UPF 的比例越高,患老年痴呆症和白内障的风险就越高。虽然有必要在不同人群和环境中开展更多研究来验证这些发现,但这些结果为鼓励限制摄入 UPF 的公共卫生倡议提供了初步证据。
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来源期刊
CiteScore
10.20
自引率
2.00%
发文量
295
审稿时长
6 months
期刊介绍: The European Journal of Nutrition publishes original papers, reviews, and short communications in the nutritional sciences. The manuscripts submitted to the European Journal of Nutrition should have their major focus on the impact of nutrients and non-nutrients on immunology and inflammation, gene expression, metabolism, chronic diseases, or carcinogenesis, or a major focus on epidemiology, including intervention studies with healthy subjects and with patients, biofunctionality of food and food components, or the impact of diet on the environment.
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