‏Impact of Food Habit on Cataracts Development Among Adults in Aseer Region, Saudi Arabia: A Retrospective Study

Abstract

Background: Cataracts are the main cause of visual impairment among the aging population, with a high impact on patients’ quality of life. It has been suggested that the antioxidant carotenoids lutein and zeaxanthin may play a role in cataract prevention. Recently, significant evidence has associated abnormal glucose metabolism with an increased likelihood of the development of cataracts. Aim: The current study aims to assess the relationship between nutrition and cataracts among adults in the Aseer Region, Saudi Arabia. Methods: A retrospective study was conducted targeting all accessible patients diagnosed with cataracts at Aseer Central Hospital during the period from August 8, 2019, to March 3, 2021, and at Khamis Mushayt General Hospital during the period from June 11, 2018, to March 3, 2021. Data were collected using a pre-structured data collection sheet that covered patients’ socio-demographic data, including age, gender, education, work type, and marital status. Also, the type of cataract diagnosed for the study patients was recorded with associated risk factors of cataracts, including chronic diseases, trauma, eye surgery, and family history. The last section covered patients’ dietary habits and frequency of dietary intake. Results: A total of 140 patients with cataracts who fulfilled the inclusion criteria were included in the study. Patients' ages ranged from 21 to 65 years, with a mean age of 54.2 ± 12.9 years old. Additionally, 12.1% of the study patients were smokers, 44.3% were diagnosed with hypertension, and 45% were diabetic, which was type 1 diabetes mellitus (T1DM) among 36.5% and type 2 diabetes mellitus (T2DM) among 52.4%. A family history of congenital cataracts was reported among 12.9%, and 12.9% had a history of eye trauma. Moreover, 37.1% of the study patients had vegetables once per week. Eating fruits or having juice was reported as once per week among 40% of the study patients and three times per week among 20%. Finally, 31.4% take nutritional supplements or vitamins. Conclusion: There is currently an inquiry to endorse or exclude a specific diet or dietary intake that may reduce or even prevent the development and progression of cataracts. It appears beneficial for people to have some antioxidants in their daily food.

Nutritional Factors: Benefits in Glaucoma and Ophthalmologic Pathologies

“…their results were in line with data from Lew et al [ 176 ] and Sanz-González et al [ 174 ]. Zeaxanthin may also slow down the rate of cataractogenesis [ 177 , 178 ].…”

“…Lutein also acts via antioxidative and barrier properties to protect the retina photoreceptors, as seen in the work of Obana et al [ 193 ]. It has been shown to reduce the risk of age-related macular degeneration, glaucoma, cataracts, and other eye diseases [ 178 , 194 , 195 ]. A systematic review concluded that lutein-supplemented eyes performed better due to their neuroprotective properties and preservation of synaptic activity [ 176 ].…”