1. Dietary omega-3 polyunsaturated fatty acids and fish intake and risk of age-related macular degeneration
- Author
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Xin Shi, Cheng Pei, Hong Jiang, Baoyu Li, Yahui Fan, Duolao Wang, Jin Zhou, and Le Ma
- Subjects
Physiology ,Critical Care and Intensive Care Medicine ,Lower risk ,Eating ,Macular Degeneration ,ww_270 ,Fatty Acids, Omega-3 ,Animals ,Humans ,Medicine ,chemistry.chemical_classification ,Nutrition and Dietetics ,business.industry ,Incidence (epidemiology) ,Eicosapentaenoic acid ,eye diseases ,Confidence interval ,Seafood ,chemistry ,Docosahexaenoic acid ,Meta-analysis ,Relative risk ,ww_140 ,sense organs ,ww_101 ,business ,Polyunsaturated fatty acid - Abstract
Summary Background & aims Epidemiologic studies are inconsistent regarding the association of dietary omega-3 polyunsaturated fatty acids (PUFA) and/or fish intake with risk of age-related macular degeneration (AMD) incidence and progression. The objective was to determine these associations by conducting a meta-analysis of available studies. Methods Three electronic databases were searched for studies that quantified dietary omega-3 PUFA and/or fish intake from inception to December 2020 without language restriction. Three investigators independently assessed for inclusion and extracted data. Study-specific risk estimates were combined using random-effects model. Potential dose–response associations were explored with the use of generalized least-squares trend estimation. Results 21 studies were included in the meta-analysis. Higher dietary intakes of omega-3 PUFA was significantly associated with 14% (relative risk [RR]: 0.86, 95% confidence interval [CI]: 0.77, 0.96) and 29% (RR: 0.71, 95% CI: 0.55, 0.91) lower risk of early and late AMD, respectively. The dose–response analysis showed a 6% and 22% decrease in the risk of early and late AMD for each additional 1 g/d omega-3 PUFA intake. For individual omega-3 PUFA, the intake of eicosapentaenoic acid and docosahexaenoic acid was inversely associated with lower AMD risk, whereas no association was found for the alpha-linolenic acid. Consistent inverse associations were also found between fish intake and AMD. The pooled RRs comparing extreme categories of fish intake were 0.79 (95% CI: 0.70, 0.90) and 0.71 (95% CI: 0.60, 0.85) for early and late AMD risk, respectively. Every 15 g/d of fish consumption was associated with 13% and 14% lower early and late AMD. In addition, fish intake was associated with a significantly reduced risk of AMD progression (RR: 0.73, 95% CI: 0.53, 1.00). Conclusions A high intake of dietary omega-3 PUFA or fish was associated with a reduced risk of developing of AMD, which further supports that consumption of omega-3 PUFA-rich foods may be a new avenue nutritional approach to preventing AMD.
- Published
- 2021
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