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Association between nutrient intake and cataracts in a Chinese type 2 diabetic population

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机构: [1]Capital Med Univ, Beijing Chao Yang Hosp, Dept Ophthalmol, Beijing 100020, Peoples R China [2]Capital Med Univ, Beijing Tongren Hosp, Beijing Tongren Eye Ctr, Beijing, Peoples R China [3]Univ Bristol, Fac Hlth Sci, Bristol Med Sch, Bristol BS8 2BN, England
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关键词: Daily nutrients Cataract Diabetes Cross-sectional study Chinese urban population

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Objectives: This study investigates the association between daily nutrient intake, including antioxidants, minerals, and other essential nutrients, and cataract development in a diabetic Chinese population. Methods: A total of 398 patients with type 2 diabetes from an urban Chinese community were recruited between January 2010 and January 2011. Participants underwent standardized evaluation, including questionnaires, ocular and anthropometric examinations, and laboratory tests. Dietary data were collected by 3-day food records. Cataract including nuclear, cortical, and posterior subcapsular cataracts (PSC), were graded according to Lens Opacities Classification System III. Multivariable logistic regressions were conducted to analyze associations between each dietary nutrient and cataract development, adjusting for social-demographic factors, lifestyle, age at onset of diabetes, and diabetes-related biomarkers in different models. Results: Of the participants, 230 were in the cataract group, while 168 in the non-cataract group. The mean age was higher in the cataract group (68.3 +/- 6.4 years) compared to non-cataract group (59.4 +/- 9.4 years, P < 0.001). PSC were more severe in patients with diabetic retinopathy (P = 0.020). Dietary vitamin C was positively associated with nuclear cataracts (P < 0.05 across all models). Riboflavin (P = 0.023) and phosphorus (P = 0.026) were associated with cortical cataracts, while phosphorus (P = 0.043) and folic acid (P = 0.044) were associated with PSC cataracts. No associations were found for other nutrients. Conclusions: Dietary vitamin C was associated with an increased risk of nuclear cataracts, while riboflavin and phosphorus were linked to cortical cataracts, phosphorus and folic acid were associated with PSC cataract. The severity of cataracts was more pronounced in patients with diabetic retinopathy.

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出版当年[2025]版:
大类 | 4 区 医学
小类 | 4 区 内分泌学与代谢 4 区 营养学
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 内分泌学与代谢 4 区 营养学
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出版当年[2023]版:
Q3 ENDOCRINOLOGY & METABOLISM Q3 NUTRITION & DIETETICS
最新[2024]版:
Q3 NUTRITION & DIETETICS Q4 ENDOCRINOLOGY & METABOLISM

影响因子: 最新[2024版] 最新五年平均 出版当年[2023版] 出版当年五年平均 出版前一年[2022版] 出版后一年[2024版]

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第一作者机构: [1]Capital Med Univ, Beijing Chao Yang Hosp, Dept Ophthalmol, Beijing 100020, Peoples R China
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