Skip to main content
American Journal of Public Health logoLink to American Journal of Public Health
. 1994 May;84(5):788–792. doi: 10.2105/ajph.84.5.788

The use of vitamin supplements and the risk of cataract among US male physicians.

J M Seddon 1, W G Christen 1, J E Manson 1, F S LaMotte 1, R J Glynn 1, J E Buring 1, C H Hennekens 1
PMCID: PMC1615060  PMID: 8179050

Abstract

OBJECTIVES. The purpose of this study was to examine prospectively the association between reported use of vitamin supplements and risk of cataract and cataract extraction. METHODS. The study population consisted of 17,744 participants in the Physicians' Health Study, a randomized trial of aspirin therapy and beta-carotene among US male physicians 40 to 84 years of age in 1982 who did not report cataract at baseline and provided complete information about vitamin supplementation and other risk factors for cataract. Self-reports of cataract and cataract extraction were confirmed by medical record review. RESULTS. During 60 months of follow-up, there were 370 incident cataracts and 109 cataract extractions. In comparison with physicians who did not use any supplements, those who took only multivitamins had a relative risk of cataract of 0.73 after adjustment for other risk factors. For cataract extraction, the corresponding relative risk was 0.79. Use of vitamin C and/or E supplements alone was not associated with a reduced risk of cataract, but the size of this subgroup was small. CONCLUSIONS. These data suggest that men who took multivitamin supplements tended to experience a decreased risk of cataract and support the need for rigorous testing of this hypothesis in large-scale randomized trials in men and women.

Full text

PDF
788

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bunce G. E., Kinoshita J., Horwitz J. Nutritional factors in cataract. Annu Rev Nutr. 1990;10:233–254. doi: 10.1146/annurev.nu.10.070190.001313. [DOI] [PubMed] [Google Scholar]
  2. Copeland K. T., Checkoway H., McMichael A. J., Holbrook R. H. Bias due to misclassification in the estimation of relative risk. Am J Epidemiol. 1977 May;105(5):488–495. doi: 10.1093/oxfordjournals.aje.a112408. [DOI] [PubMed] [Google Scholar]
  3. Diplock A. T. Antioxidant nutrients and disease prevention: an overview. Am J Clin Nutr. 1991 Jan;53(1 Suppl):189S–193S. doi: 10.1093/ajcn/53.1.189Sb. [DOI] [PubMed] [Google Scholar]
  4. Hankinson S. E., Stampfer M. J., Seddon J. M., Colditz G. A., Rosner B., Speizer F. E., Willett W. C. Nutrient intake and cataract extraction in women: a prospective study. BMJ. 1992 Aug 8;305(6849):335–339. doi: 10.1136/bmj.305.6849.335. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Hennekens C. H., Eberlein K. A randomized trial of aspirin and beta-carotene among U.S. physicians. Prev Med. 1985 Mar;14(2):165–168. doi: 10.1016/0091-7435(85)90031-3. [DOI] [PubMed] [Google Scholar]
  6. Hiller R., Giacometti L., Yuen K. Sunlight and cataract: an epidemiologic investigation. Am J Epidemiol. 1977 May;105(5):450–459. doi: 10.1093/oxfordjournals.aje.a112404. [DOI] [PubMed] [Google Scholar]
  7. Jacques P. F., Chylack L. T., Jr Epidemiologic evidence of a role for the antioxidant vitamins and carotenoids in cataract prevention. Am J Clin Nutr. 1991 Jan;53(1 Suppl):352S–355S. doi: 10.1093/ajcn/53.1.352S. [DOI] [PubMed] [Google Scholar]
  8. Jacques P. F., Hartz S. C., Chylack L. T., Jr, McGandy R. B., Sadowski J. A. Nutritional status in persons with and without senile cataract: blood vitamin and mineral levels. Am J Clin Nutr. 1988 Jul;48(1):152–158. doi: 10.1093/ajcn/48.1.152. [DOI] [PubMed] [Google Scholar]
  9. Knekt P., Heliövaara M., Rissanen A., Aromaa A., Aaran R. K. Serum antioxidant vitamins and risk of cataract. BMJ. 1992 Dec 5;305(6866):1392–1394. doi: 10.1136/bmj.305.6866.1392. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Leske M. C., Chylack L. T., Jr, Wu S. Y. The Lens Opacities Case-Control Study. Risk factors for cataract. Arch Ophthalmol. 1991 Feb;109(2):244–251. doi: 10.1001/archopht.1991.01080020090051. [DOI] [PubMed] [Google Scholar]
  11. Miettinen O. Estimability and estimation in case-referent studies. Am J Epidemiol. 1976 Feb;103(2):226–235. doi: 10.1093/oxfordjournals.aje.a112220. [DOI] [PubMed] [Google Scholar]
  12. Mohan M., Sperduto R. D., Angra S. K., Milton R. C., Mathur R. L., Underwood B. A., Jaffery N., Pandya C. B., Chhabra V. K., Vajpayee R. B. India-US case-control study of age-related cataracts. India-US Case-Control Study Group. Arch Ophthalmol. 1989 May;107(5):670–676. doi: 10.1001/archopht.1989.01070010688028. [DOI] [PubMed] [Google Scholar]
  13. Sperduto R. D., Ferris F. L., 3rd, Kurinij N. Do we have a nutritional treatment for age-related cataract or macular degeneration? Arch Ophthalmol. 1990 Oct;108(10):1403–1405. doi: 10.1001/archopht.1990.01070120051026. [DOI] [PubMed] [Google Scholar]
  14. Stark W. J., Sommer A., Smith R. E. Changing trends in intraocular lens implantation. Arch Ophthalmol. 1989 Oct;107(10):1441–1444. doi: 10.1001/archopht.1989.01070020515030. [DOI] [PubMed] [Google Scholar]
  15. Taylor H. R., West S. K., Rosenthal F. S., Muñoz B., Newland H. S., Abbey H., Emmett E. A. Effect of ultraviolet radiation on cataract formation. N Engl J Med. 1988 Dec 1;319(22):1429–1433. doi: 10.1056/NEJM198812013192201. [DOI] [PubMed] [Google Scholar]
  16. Varma S. D., Beachy N. A., Richards R. D. Photoperoxidation of lens lipids: prevention by vitamin E. Photochem Photobiol. 1982 Dec;36(6):623–626. doi: 10.1111/j.1751-1097.1982.tb09481.x. [DOI] [PubMed] [Google Scholar]
  17. Varma S. D., Srivastava V. K., Richards R. D. Photoperoxidation in lens and cataract formation: preventive role of superoxide dismutase, catalase and vitamin C. Ophthalmic Res. 1982;14(3):167–175. doi: 10.1159/000265189. [DOI] [PubMed] [Google Scholar]
  18. Vitale S., West S., Hallfrisch J., Alston C., Wang F., Moorman C., Muller D., Singh V., Taylor H. R. Plasma antioxidants and risk of cortical and nuclear cataract. Epidemiology. 1993 May;4(3):195–203. doi: 10.1097/00001648-199305000-00003. [DOI] [PubMed] [Google Scholar]

Articles from American Journal of Public Health are provided here courtesy of American Public Health Association

RESOURCES