Combined influence of poor health behaviours on the prevalence and 15-year incidence of age-related macular degeneration

Abstract We aimed to establish the collective influence of four lifestyle practices (physical activity, diet, smoking and alcohol consumption) on the prevalence and incidence of AMD. At baseline, 2428 participants aged 49+ with complete lifestyle and AMD data were examined, and of these, 1903 partic...

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Autores principales:	Bamini Gopinath, Gerald Liew, Victoria M. Flood, Nichole Joachim, George Burlutsky, Paul Mitchell
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2017
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/7e9c713f133345c8ae1e62b28227650d
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spelling	oai:doaj.org-article:7e9c713f133345c8ae1e62b28227650d2021-12-02T11:52:30ZCombined influence of poor health behaviours on the prevalence and 15-year incidence of age-related macular degeneration10.1038/s41598-017-04697-32045-2322https://doaj.org/article/7e9c713f133345c8ae1e62b28227650d2017-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-04697-3https://doaj.org/toc/2045-2322Abstract We aimed to establish the collective influence of four lifestyle practices (physical activity, diet, smoking and alcohol consumption) on the prevalence and incidence of AMD. At baseline, 2428 participants aged 49+ with complete lifestyle and AMD data were examined, and of these, 1903 participants were re-examined 15 years later. AMD was assessed from retinal photographs. A health behaviour score was calculated, allocating 1 point for each poor behaviour: current smoking; fruits and vegetables consumed <4 serves daily; <3 episodes of physical activity per week; and >2 alcoholic drinks per day. Cross-sectional analysis showed that participants who engaged in all 4 poor health behaviours (n = 29) versus those who did not engage in unhealthy behaviours (reference group; n = 677) had greater odds of any and late AMD: multivariable-adjusted OR, 5.14 (95% CI, 1.04–25.45) and OR 29.53 (95% CI 2.72–321.16), respectively. A marginally non-significant association was observed between increasing number of poor health behaviours and 15-year incidence of early AMD (multivariable-adjusted P-trend = 0.08). Our data suggests that motivating patients with AMD to eat better, exercise more, limit alcohol intake and avoid smoking seems advisable to decelerate the development or worsening of existing AMD.Bamini GopinathGerald LiewVictoria M. FloodNichole JoachimGeorge BurlutskyPaul MitchellNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-6 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Bamini Gopinath Gerald Liew Victoria M. Flood Nichole Joachim George Burlutsky Paul Mitchell Combined influence of poor health behaviours on the prevalence and 15-year incidence of age-related macular degeneration
description	Abstract We aimed to establish the collective influence of four lifestyle practices (physical activity, diet, smoking and alcohol consumption) on the prevalence and incidence of AMD. At baseline, 2428 participants aged 49+ with complete lifestyle and AMD data were examined, and of these, 1903 participants were re-examined 15 years later. AMD was assessed from retinal photographs. A health behaviour score was calculated, allocating 1 point for each poor behaviour: current smoking; fruits and vegetables consumed <4 serves daily; <3 episodes of physical activity per week; and >2 alcoholic drinks per day. Cross-sectional analysis showed that participants who engaged in all 4 poor health behaviours (n = 29) versus those who did not engage in unhealthy behaviours (reference group; n = 677) had greater odds of any and late AMD: multivariable-adjusted OR, 5.14 (95% CI, 1.04–25.45) and OR 29.53 (95% CI 2.72–321.16), respectively. A marginally non-significant association was observed between increasing number of poor health behaviours and 15-year incidence of early AMD (multivariable-adjusted P-trend = 0.08). Our data suggests that motivating patients with AMD to eat better, exercise more, limit alcohol intake and avoid smoking seems advisable to decelerate the development or worsening of existing AMD.
format	article
author	Bamini Gopinath Gerald Liew Victoria M. Flood Nichole Joachim George Burlutsky Paul Mitchell
author_facet	Bamini Gopinath Gerald Liew Victoria M. Flood Nichole Joachim George Burlutsky Paul Mitchell
author_sort	Bamini Gopinath
title	Combined influence of poor health behaviours on the prevalence and 15-year incidence of age-related macular degeneration
title_short	Combined influence of poor health behaviours on the prevalence and 15-year incidence of age-related macular degeneration
title_full	Combined influence of poor health behaviours on the prevalence and 15-year incidence of age-related macular degeneration
title_fullStr	Combined influence of poor health behaviours on the prevalence and 15-year incidence of age-related macular degeneration
title_full_unstemmed	Combined influence of poor health behaviours on the prevalence and 15-year incidence of age-related macular degeneration
title_sort	combined influence of poor health behaviours on the prevalence and 15-year incidence of age-related macular degeneration
publisher	Nature Portfolio
publishDate	2017
url	https://doaj.org/article/7e9c713f133345c8ae1e62b28227650d
work_keys_str_mv	AT baminigopinath combinedinfluenceofpoorhealthbehavioursontheprevalenceand15yearincidenceofagerelatedmaculardegeneration AT geraldliew combinedinfluenceofpoorhealthbehavioursontheprevalenceand15yearincidenceofagerelatedmaculardegeneration AT victoriamflood combinedinfluenceofpoorhealthbehavioursontheprevalenceand15yearincidenceofagerelatedmaculardegeneration AT nicholejoachim combinedinfluenceofpoorhealthbehavioursontheprevalenceand15yearincidenceofagerelatedmaculardegeneration AT georgeburlutsky combinedinfluenceofpoorhealthbehavioursontheprevalenceand15yearincidenceofagerelatedmaculardegeneration AT paulmitchell combinedinfluenceofpoorhealthbehavioursontheprevalenceand15yearincidenceofagerelatedmaculardegeneration
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Combined influence of poor health behaviours on the prevalence and 15-year incidence of age-related macular degeneration

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