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

Stevens, Rebekah; Bartlett, Hannah; Cooke, Richard

Abstract

© 2015 European Society for Clinical Nutrition and Metabolism. 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 h 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.

• Journal Article Type: Article
• Acceptance Date: May 1, 2015
• Online Publication Date: May 21, 2015
• Publication Date: Jun 1, 2015
• Deposit Date: Jun 18, 2018
• Journal: Clinical Nutrition ESPEN
• Print ISSN: 24054577
• Peer Reviewed: Peer Reviewed
• Volume: 10
• Issue: 3
• Pages: e112-e117
• DOI: https://doi.org/10.1016/j.clnesp.2015.03.080
• Public URL: https://uwe-repository.worktribe.com/output/832904
• Publisher URL: http://dx.doi.org/10.1016/j.clnesp.2015.03.080
• Contract Date: Jun 18, 2018