Association of dietary nutrient intake with early age-related macular degeneration in Japanese-Americans

Abstract

Lifestyle factors may be associated with the development of age-related macular degeneration (AMD), in addition to demographic and genetic factors. The purpose of this cross-sectional study is to elucidate the association between nutrient intake and AMD in the Japanese-American population living in Los Angeles. We conducted a medical survey of Japanese immigrants and their descendants living in Los Angeles, including interviews on dietary habits, fundus photography, and physical examinations. Participants were classified into early AMD and control groups on the basis of fundus photographic findings. Consequently, among the 555 participants, 111 (20.0%) were diagnosed with early AMD. There were no late-stage AMD participants. Multivariate logistic re-gression analysis showed that the intake of animal fat and saturated fatty acids (SFA) was positively associated with early AMD (P for trend = 0.01 for animal fat, P for trend = 0.02 for SFA), and the intake of vegetable fat, total carbohydrate, simple carbohydrate, sugar, and fructose was inversely associated with early AMD (P for trend = 0.04 for vegetable fat, P for trend = 0.046 for carbohydrate, P for trend = 0.03 for simple carbohydrate, P for trend = 0.046 for sugar, P for trend = 0.02). Our findings suggest that excessive animal fat and SFA intake increases the risk for early AMD in Japa-nese-Americans whose lifestyles have been westernized.