Dietary and nutritional biomarkers of lens degeneration, oxidative stress and micronutrient inadequacies in Indian cataract patients

Clin Nutr. 2008 Jun;27(3):464-72. doi: 10.1016/j.clnu.2008.01.014. Epub 2008 Mar 14.

Abstract

Background & aims: Habitual food and nutrient intakes of 140 Indian cataract patients and 100 age- and sex-matched controls (50-75 years), from high income group and low income groups, were assessed.

Methods: Food intake was recorded by food frequency questionnaire and data were examined for linkages with blood/lens parameters of oxidative stress through a case-control study.

Results: Intake of animal foods and fried snacks was significantly higher while vegetables, green leafy vegetables, fruit, tea and micronutrient intakes were lower in patients than in controls (p<0.001). Lens oxidative stress and opacity showed a significant negative association with fruit intake (p<0.05). Multiple regression analysis indicated association of intakes of iron, beta-carotene, ascorbic acid, tannic acid and inositol pentaphosphate with plasma oxidative stress (p<0.01) and association of intakes of iron, ascorbic acid and inositol triphosphate with lens oxidative stress (p<0.01). Weighted least square regression for lens opacity revealed that intakes of ascorbic acid, folic acid and inositol pentaphosphate explained 59.7% of the total variation (p<0.01).

Conclusions: Dietary deficiency of antioxidant micronutrients was greater for patients than controls. Deficiency of beta-carotene, ascorbic acid, folic acid, iron, phytate and polyphenols increased oxidative stress in blood and lens.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Antioxidants / administration & dosage
  • Biomarkers / blood
  • Case-Control Studies
  • Cataract / epidemiology
  • Cataract / etiology
  • Cataract / metabolism
  • Cataract / pathology*
  • Feeding Behavior*
  • Female
  • Humans
  • India / epidemiology
  • Lens, Crystalline / chemistry
  • Lens, Crystalline / metabolism
  • Male
  • Micronutrients / administration & dosage*
  • Micronutrients / deficiency*
  • Middle Aged
  • Multivariate Analysis
  • Oxidative Stress*
  • Socioeconomic Factors

Substances

  • Antioxidants
  • Biomarkers
  • Micronutrients