Abstract
Objectives
Published literature shows that individual nutrients could influence the risk of developing vision and hearing loss. There is, however, a lack of population-based data on the relationship between overall patterns of food intake and the presence of concurrent vision and hearing impairment. We aimed to assess the associations between diet quality with the prevalence and 5-year incidence of dual sensory impairment (DSI).
Design
Cross-sectional and 5-year longitudinal analyses.
Setting
Blue Mountains, Sydney, Australia.
Participants
2443 participants aged ≥50 from baseline were examined and followed over 5 years.
Measurements
Dietary data were collected using a semi-quantitative food frequency questionnaire. A modified version of the Healthy Eating Index for Australians was developed to determine total diet score (TDS). Visual impairment was defined as visual acuity less than 20/40 (better eye), and hearing impairment as average pure-tone air conduction threshold greater than 25 dB HL (500–4000 Hz, better ear).
Results
After adjusting for age, sex, education, noise exposure, current smoking, and type 2 diabetes, participants in the lowest compared to the highest quintile of TDS had a 2-fold increased likelihood of having prevalent DSI, odds ratio, OR, 2.62 (95% confidence intervals, CI, 1.08–6.36), P-trend=0.04. Significant associations were not observed between TDS and the prevalence of having a single sensory impairment (vision or hearing loss). Baseline TDS was not significantly associated with the 5-year incidence of DSI. Adherence to dietary guidelines was associated with a reduced likelihood of having DSI in cross-sectional, but not in longitudinal analyses.
Conclusions
Further studies with adequate power are warranted to assess the prospective relationship between diet quality and DSI.
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References
Taylor HR, Keeffe JE, Vu HT, Wang JJ, Rochtchina E, Pezzullo ML, Mitchell P. Vision loss in Australia. Med J Aust 2005; 182(11):565–568.
Gopinath B, Rochtchina E, Wang JJ, Schneider J, Leeder SR, Mitchell P. Prevalence of age-related hearing loss in older adults: Blue Mountains Study. Arch Intern Med 2009;169(4):415–416.
Schneider J, Gopinath B, McMahon C, Teber E, Leeder SR, Wang JJ, Mitchell P. Prevalence and 5-year incidence of dual sensory impairment in an older Australian population. Ann Epidemiol 2012;22(4):295–301.
Schneider JM, Gopinath B, McMahon CM, Leeder SR, Mitchell P, Wang JJ. Dual sensory impairment in older age. J Aging Health 2011;23(8):1309–1324.
Chia EM, Mitchell P, Rochtchina E, Foran S, Golding M, Wang JJ. Association between vision and hearing impairments and their combined effects on quality of life. Arch Ophthalmol 2006;124(10):1465–1470.
Lupsakko T, Mantyjarvi M, Kautiainen H, Sulkava R Combined hearing and visual impairment and depression in a population aged 75 years and older. Int J Geriatr Psychiatry 2002;17(9):808–813.
Lee DJ, Lam BL, Gomez-Marin O, Zheng DD, Caban AJ. Concurrent hearing and visual impairment and morbidity in community-residing adults: the National Health Interview Survey, 1986 to 1996. J Aging Health 2005;17(5):531–546.
Campbell VA, Crews JE, Moriarty DG, Zack MM, Blackman DK. Surveillance for sensory impairment, activity limitation, and health-related quality of life among older adults-United States, 1993–1997. Mor Mortal Wkly Rep CDC Surveill Summ 1999;48(8):131–156.
Gopinath B, Flood VM, Rochtchina E, McMahon CM, Mitchell P. Consumption of omega-3 fatty acids and fish and risk of age-related hearing loss. Am J Clin Nutr 2010;92():416–421.
Kim JY, Yang YJ, Yang YK, Oh SY, Hong YC, Lee EK, Kwon O. Diet quality scores and oxidative stress in Korean adults. Eur J Clin Nutr 2011;65(12):1271–1278.
Hu FB. Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol 2002;13(1):3–9.
Zamora D, Gordon-Larsen P, Jacobs DR, Jr., Popkin BM. Diet quality and weight gain among black and white young adults: the Coronary Artery Risk Development in Young Adults (CARDIA) Study (1985–2005). Am J Clin Nutr 2010;92(4):784–793.
Heidemann C, Schulze MB, Franco OH, van Dam RM, Mantzoros CS, Hu FB. Dietary patterns and risk of mortality from cardiovascular disease, cancer, and all causes in a prospective cohort of women. Circulation 2008;118(3):230–237.
Waijers PM, Ocke MC, van Rossum CT, Peeters PH, Bamia C, Chloptsios Y, van der Schouw YT, Slimani N, Bueno-de-Mesquita HB. Dietary patterns and survival in older Dutch women. Am J Clin Nutr 2006;83(5):1170–1176.
Waijers PM, Feskens EJ, Ocke MC. A critical review of predefined diet quality scores. Br J Nutr 2007;97(2):219–231.
Foran S, Wang JJ, Mitchell P. Causes of visual impairment in two older population cross-sections: the Blue Mountains Eye Study. Ophthalmic Epidemiol 2003;10(4):215–225.
Resnikoff S, Pascolini D, Etya’ale D, Kocur I, Pararajasegaram R, Pokharel GP, Mariotti SP. Global data on visual impairment in the year 2002. Bull World Health Organ 2004;82(11):844–851.
Moeller SM, Taylor A, Tucker KL, McCullough ML, Chylack LT, Jr., Hankinson SE, Willett WC, Jacques PF. Overall adherence to the dietary guidelines for americans is associated with reduced prevalence of early age-related nuclear lens opacities in women. J Nutr 2004;134(7):1812–1819.
Mares JA, Voland R, Adler R, Tinker L, Millen AE, Moeller SM, Blodi B, Gehrs KM, Wallace RB, Chappell RJ, Neuhouser ML, Sarto GE. Healthy diets and the subsequent prevalence of nuclear cataract in women. Arch Ophthalmol 2010;128(6):738–749.
Mares JA, Voland RP, Sondel SA, Millen AE, Larowe T, Moeller SM, Klein ML, Blodi BA, Chappell RJ, Tinker L, Ritenbaugh C, Gehrs KM, Sarto GE, Johnson E, Snodderly DM, Wallace RB. Healthy lifestyles related to subsequent prevalence of age-related macular degeneration. Arch Ophthalmol 2011;129(4):470–480.
Villabona C, Sahun M, Roca M, Mora J, Gomez N, Gomez JM, Puchal R, Soler J. Blood volumes and renal function in overt and subclinical primary hypothyroidism. Am J Med Sci 1999;318(4):277–280.
Gopinath B, Flood VM, McMahon CM, Burlutsky G, Smith W, Mitchell P. The effects of smoking and alcohol consumption on age-related hearing loss: the Blue Mountains Hearing Study. Ear Hear 2010;31(2):277–282.
Gopinath B, Flood VM, McMahon CM, Burlutsky G, Spankovich C, Hood LI, Mitchell P. Dietary antioxidant intake is associated with the prevalence but not incidence of age-related hearing loss. J Nutr Health Aging 2011; 15(10):896–900.
Gopinath B, Flood VM, McMahon CM, Burlutsky G, Brand-Miller J, MitcheU P. Dietary glycemie load is a predictor of age-related hearing loss in older adults. J Nutr 2010;140(12):2207–2212.
Bello AK, Nwankwo E, El Nahas AM. Prevention of chronic kidney disease: a global challenge. Kidney Int Suppl 2005;98):S11–S17.
Attebo K, Mitchell P, Smith W. Visual acuity and the causes of visual loss in Australia. The Blue Mountains Eye Study. Ophthalmology 1996;103(3):357–364.
Willett WC, Sampson L, Browne ML, Stampfer MJ, Rosner B, Hennekens CH, Speizer FE. The use of a self-administered questionnaire to assess diet four years in the past. Am J Epidemiol 1988;127(1):188–199.
Smith W, Mitchell P, Reay EM, Webb K, Harvey PW. Validity and reproducibiUty of a self-administered food frequency questionnaire in older people. Aust N Z J Public Health 1998;22(4):456–463.
Foster-Powell K, Holt SH, Brand-Miller JC. International table of glycemie index and glycemie load values: 2002. Am J Clin Nutr 2002;76(1):5–56.
Australian Institute of Health and Welfare. Australian diet quality index project. 2007.
National Health and Medical Research Council. Dietary Guidelines for Australian Adults. 10-4-2003.
Smith, A., Kellet, E., and Schmerlaib, Y. The Australian guide to healthy eating. 1–40. 1998. Canberra, Commonwealth of Australia.
Russell J, Flood V, Rochtchina E, Gopinath B, Allman-FarineUi M, Bauman A, Mitchell P. Adherence to dietary guidelines and 15-year risk of all-cause mortality. Br J Nutr 2012.
Black AE. The sensitivity and specificity of the Goldberg cut-off for ELBMR for identifying diet reports of poor validity. Eur J Clin Nutr 2000;54(5):395–404.
Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JF, Oja P. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 2003;35(8):1381–1395.
Congalton A. Prestige Scale. Occupational Prestige in Australia. Sydney: 1995.
McCullough ML, Feskanich D, Stampfer MJ, Giovannucci EL, Rimm EB, Hu FB, Spiegelman D, Hunter DJ, Colditz GA, Willett WC. Diet quality and major chronic disease risk in men and women: moving toward improved dietary guidance. Am J Clin Nutr 2002;76(6):1261–1271.
Flood V, Smith W, Wang JJ, Manzi F, Webb K, Mitchell P. Dietary antioxidant intake and incidence of early age-related maculopathy: the Blue Mountains Eye Study. Ophthalmology 2002;109(12):2272–2278.
Kaushik S, Wang JJ, Flood V, Tan JS, Barclay AW, Wong TY, Brand-MiUer J, Mitchell P. Dietary glycemie index and the risk of age-related macular degeneration. Am J Clin Nutr 2008;88(4):1104–1110.
Tan AG, Mitchell P, Flood VM, Burlutsky G, Rochtchina E, Cumming RG, Wang JJ. Antioxidant nutrient intake and the long-term incidence of age-related cataract: the Blue Mountains Eye Study. Am J Clin Nutr 2008;87(6):1899–1905.
Tan J, Wang JJ, Flood V, Kaushik S, Barclay A, Brand-Miller J, Mitchell P. Carbohydrate nutrition, glycemie index, and the 10-y incidence of cataract. Am J Clin Nutr 2007;86(5):1502–1508.
Tan JS, Wang JJ, Flood V, Rochtchina E, Smith W, Mitchell P. Dietary antioxidants and the long-term incidence of age-related macular degeneration: the Blue Mountains Eye Study. Ophthalmology 2008;115(2):334–341.
Fung TT, McCuUough ML, Newby PK, Manson JE, Meigs JB, Rifai N, Willett WC, Hu FB. Diet-quality scores and plasma concentrations of markers of inflammation and endothelial dysfunction. Am J Clin Nutr 2005;82(1):163–173.
Jarrett SG, Boulton ME. Consequences of oxidative stress in age-related macular degeneration. Mol Aspects Med 2012;33(4):399–417.
Levey AS. Measurement of renal function in chronic renal disease. Kidney Int 1990;38(1):167–184.
Seidman MD, Ahmad N, Joshi D, Seidman J, Thawani S, Quirk WS. Age-related hearing loss and its association with reactive oxygen species and mitochondrial DNA damage. Acta Otolaryngol Suppl 2004;552:16–24.
Lip PL, Blann AD, Hope-Ross M, Gibson JM, Lip GY. Age-related macular degeneration is associated with increased vascular endothelial growth factor, hemorheology and endothelial dysfunction. Ophthalmology 2001;108(4):705–710.
Klein BE, Klein R, Lee KE, Knudtson MD, Tsai MY. Markers of inflammation, vascular endothelial dysfunction, and age-related cataract. Am J Ophthalmol 2006;141(1):116–122.
Guo Y, Zhang C, Du X, Nair U, Yoo TJ. Morphological and functional alterations of the cochlea in apolipoprotein Egene deficient mice. Hear Res 2005;208(1–2):54–67.
McNaughton SA, Ball K, Crawford D, Mishra GD. An index of diet and eating patterns is a valid measure of diet quality in an Australian population. J Nutr 2008;138(1):86–93.
Gopinath B, Harris DC, Flood VM, Burlutsky G, MitcheU P. A better diet quality is associated with a reduced Ukelihood of CKD in older adults. Nutr Metab Cardiovasc Dis 2012.
Cade JE, Burley VJ, Warm DL, Thompson RL, Margetts BM. Food-frequency questionnaires: a review of their design, validation and utilisation. Nutr Res Rev 2004;17(1):5–22.
Gopinath B, Flood VM, Wang JJ, Rochtchina E, Wong TY, Mitchell P. Is quality of diet associated with the microvasculature? An analysis of diet quality and retinal vascular calibre in older adults. Br J Nutr 2013;10(4):739–746
Ibiebele TI, Parekh S, Mallitt KA, Hughes MC, O’Rourke PK, Webb PM. Reproducibility of food and nutrient intake estimates using a semi-quantitative FFQ in Australian adults. Public Health Nutr 2009;12(12):2359–2365.
Michels KB, Schulze MB. Can dietary patterns help us detect diet-disease associations? Nutr Res Rev 2005;18(2):241–248.
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Gopinath, B., Schneider, J., Flood, V.M. et al. Association between diet quality with concurrent vision and hearing impairment in older adults. J Nutr Health Aging 18, 251–256 (2014). https://doi.org/10.1007/s12603-013-0408-x
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DOI: https://doi.org/10.1007/s12603-013-0408-x