[Nutrition and dietary supplements in age-related macular degeneration].

IF 0.6
Matthias M Mauschitz, Lukas Goerdt, Horst Helbig, Frank G Holz, Robert P Finger, Caroline Brandl
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Abstract

Background: Nutrition has an influence on the condition of our retina and appears to play a role in the complex, multifactorial pathogenesis of age-related macular degeneration (AMD).

Objectives: This article summarizes the current epidemiological evidence on nutrition and AMD and discusses the intake of specific nutrients as well as nutritional supplements and their potential role in prevention and disease modification.

Material and methods: A narrative literature review of epidemiological studies, clinical trials and experimental work on the role of individual micronutrients, supplements and dietary patterns in AMD was carried out.

Results: There is evidence of a protective effect for individual nutrients such as lutein, zeaxanthin, zinc and omega‑3 fatty acids. The AREDS studies in particular show a reduction in the progression of intermediate AMD to late stages through defined supplements. In addition, a Mediterranean diet correlates with a reduced risk of AMD. Nevertheless, the study results remain contradictory in some cases, which is due to methodological limitations and the complex pathogenesis of AMD.

Discussion: Nutrition can potentially influence and reduce the risk for and progression of AMD. The existing literature underlines the potential of nutrition-based approaches, which must be further investigated in the future.

[年龄相关性黄斑变性的营养和膳食补充剂]。
背景:营养对视网膜的状况有影响,似乎在复杂的、多因素的老年性黄斑变性(AMD)发病机制中起作用。目的:本文综述了目前有关营养与AMD的流行病学证据,并讨论了特定营养素和营养补充剂的摄入及其在预防和改变疾病中的潜在作用。材料和方法:对流行病学研究、临床试验和个体微量营养素、补充剂和饮食模式在AMD中的作用的实验工作进行了叙述性文献综述。结果:有证据表明,叶黄素、玉米黄质、锌和omega - 3脂肪酸等个别营养素具有保护作用。AREDS研究特别表明,通过规定的补充剂可以减少中度黄斑变性向晚期的进展。此外,地中海饮食与AMD风险降低有关。然而,由于方法的限制和AMD复杂的发病机制,研究结果在某些情况下仍然存在矛盾。讨论:营养可以潜在地影响和降低AMD的风险和进展。现有的文献强调了以营养为基础的方法的潜力,这必须在未来进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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