Dietary analysis and nutritional behaviour in people with and without age-related macular disease

Stevens, Rebekah, Bartlett, Hannah and Cooke, Richard (2015). Dietary analysis and nutritional behaviour in people with and without age-related macular disease. Clinical nutrition ESPEN, 10 (3), e112–e117.

Abstract

Background and Aims: Consumption of antioxidant nutrients can reduce the risk of progression of age-related macular degeneration (AMD) - the leading cause of visual impairment in adults over the age of 50 years in the UK. Lutein and zeaxanthin (L&Z) are of particular interest because they are selectively absorbed by the central retina. The objectives of this study were to analyse the dietary intake of a group of AMD patients, assess their ability to prepare and cook healthy food, and to make comparisons with people not affected by AMD. Methods: 158 participants with AMD were recruited via the UK charity The Macular Society, and fifty participants without AMD were recruited from optometric practice. A telephone interview was conducted by trained workers where participants completed a 24 hour food diary, and answered questions about cooking and shopping capabilities. Results: In the AMD group, the average L&Z intake was low in for both males and females. Those able to cook a hot meal consumed significantly more L&Z than those who were not able. Most participants were not consuming the recommended dietary allowance of fibre, calcium, vitamin D and E, and calorific intake was also lower than recommendations for their age-group. The non-AMD group consumed more kilocalories and more nutrients than the AMD group, but the L&Z intake was similar to those with AMD. The main factor that influenced participant’s food choices was personal preference. Conclusion: For an ‘informed’ population, many AMD participants were under-consuming nutrients considered to be useful for their condition. Participants without AMD were more likely to reach recommended daily allowance values for energy and a range of nutrients. It is therefore essential to design more effective dietary education and dissemination methods for people with, and at risk of, AMD.

Publication DOI: https://doi.org/10.1016/j.clnesp.2015.03.080
Divisions: Life & Health Sciences > Optometry
Life & Health Sciences > Ophthalmic Research Group
Life & Health Sciences
Life & Health Sciences > Psychology
Life & Health Sciences > Applied Health Research Group
Additional Information: © 2015, Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/
Uncontrolled Keywords: age-related macular degeneration,diet,lifestyle factors,nutrition,survey,Nutrition and Dietetics,Endocrinology, Diabetes and Metabolism
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Related URLs: http://www.scopus.com/inward/record.url?scp=84957806147&partnerID=8YFLogxK (Scopus URL)
Published Date: 2015-06
Authors: Stevens, Rebekah
Bartlett, Hannah ( 0000-0002-7531-6902)
Cooke, Richard ( 0000-0003-0476-6284)

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