TABLE 1.
Lutein plus Zeaxanthin Intake Group2 | ||
---|---|---|
Variable | Low | High |
Number of participants in each group | 919 | 883 |
Dietary lutein+zeaxanthin (μg/d) 3 | 791 | 28894, c |
Median dietary lutein+zeaxanthin (mg/d) | 0.8 | 2.6 |
Dietary lutein+zeaxanthin (mg/1000 kcal/d) 3 | 0.6 | 1.6 c |
Median dietary lutein+zeaxanthin (mg/1000 kcal/d) | 0.6 | 1.4 |
Demographics | ||
Age Group (%) | ||
≤69 y | 52 | 47 a |
70-74 y | 24 | 24 |
≥75y | 24 | 29 a |
Ethnicity (% Caucasian) | 98 | 97 a |
Education (%) | ||
High School | 30 | 14 c |
College | 49 | 46 |
Post-College Studies | 21 | 40 c |
Income ≥ $ 75,000 per year (%) | 13 | 21 c |
Study site (%) | ||
Iowa | 37 | 30 b |
Oregon | 33 | 33 |
Wisconsin | 30 | 37 b |
Lifestyle | ||
Smoking | ||
Never | 54 | 60 b |
Past | 42 | 37 |
Current | 5 | 3 b |
Physical activity (kcal/week/kg body weight) | 12 | 18 c |
Ocular Factors | ||
Iris pigmentation (% blue) | 45 | 39 b |
History of cataract diagnosis (%) | 48 | 47 |
Family history of cataract (% yes) | 31 | 31 |
Refractive error | −0.62 | −0.65 |
Nuclear Cataract Outcomes | ||
Overall NuclearCataract (Either Nuclear Sclerosis Score ≥ 4 or Cataract Extraction (%)) |
43 | 38 a |
Nuclear Sclerosis Score ≥ 4 (%) | 31 | 27 |
Cataract extraction surgery (%) | 20 | 17 |
Medical Factors | ||
Body mass index (kg/m2) | 28 | 27 b |
History of hypertension (% yes) | 29 | 26 |
History of cardiovascular disease (% yes) | 25 | 24 |
History of diabetes | 3 | 4 |
Cholesterol lowering medications (%) | ||
Never | 70 | 70 |
Past | 4 | 5 |
Current | 26 | 25 |
Hormone Replacement Therapy (%) | ||
Never | 34 | 33 |
Past | 13 | 14 |
Current | 53 | 53 |
Systolic BP (mm Hg) | 127 | 127 |
Pulse Pressure (mm Hg) | 53 | 53 |
General Health (%) (N=1798) | ||
Excellent/Very Good | 59 | 69 b |
Good | 34 | 26 b |
Fair/Poor | 7 | 4 b |
Diet5 | ||
Total energy (kcal) | 1316 | 1956 c |
Total dietary fat (% kcal) | 34 | 28 c |
Saturated fat (% kcal) | 12.0 | 9.6 c |
Polyunsaturated fat (% kcal) | 6.9 | 6.0 c |
Trans fat intake, mg/d | 3.4 | 4.0 c |
Total omega-3 fatty acids, g/d | 1.0 | 1.5 c |
Dietary fiber, g/d | 12 | 26 c |
Alcohol intake (g/d) | 4.1 | 5.5 b |
Fruit intake (servings/d) | 1.4 | 3.0 c |
Vegetable intake (servings/d) | 1.2 | 3.9 c |
Beta-carotene, μg/d | 2098 | 6994 c |
Beta-cryptoxanthin, μg/d | 83 | 182 c |
Vitamin C, mg/d | 74 | 165 c |
Vitamin E, mg/d | 6.3 | 10.4 c |
Gamma-tocopherol (mg/d) | 11.3 | 14.8 c |
Zinc (mg/d) | 8.5 | 13.7 c |
Supplement Use | ||
Non-users of any supplement (% non-users) | 15 | 9 b |
Among supplement users, % users of: | ||
Multivitamins | 42 | 49 |
Lutein or lutein + zeaxanthin | 4.8 | 4.7 |
High dose antioxidants 6 | 28 | 35 b |
High dose zinc 7 | 18 | 17 |
Serum (N=1777-1778) | ||
Total Cholesterol (mmol/L) | 5.8 | 5.8 |
Triglycerides (mmol/L) | 1.9 | 1.7 b |
Lutein (all-trans, μmol/L) | 0.21 | 0.31 c |
Zeaxanthin (trans, μmol/L) | 0.054 | 0.064 c |
Lutein+zeaxanthin (trans, μmol/L) | 0.26 | 0.37 c |
Median serum lutein+zeaxanthin (trans, μmol/L) | 0.24 | 0.35 |
Alpha-tocopherol (μmol/L) | 47 | 49 a |
Gamma-tocopherol (μmol/L) | 6.2 | 4.8 c |
Data represent age-adjusted means or percentage of participants (directly standardized for age group (except for ‘Age-Group’): ≤69, 70-74, ≥75) unless otherwise indicated.
Participants were selected for intake into CAREDS if their intake of lutein + zeaxanthin was “low” (<28th percentile) or high (>78th percentile) relative to other women at each site in the larger WHI-Observational Study at WHI Baseline.
Means (not age-adjusted)
The difference between categories was statistically significant: a p ≤ 0.05; b p ≤ 0.01; c p ≤ 0.0001
Dietary intakes include food sources only
Daily intake of at least 2 of the following 3 antioxidants from supplements containing ≥ 120 mg vitamin C, ≥ 60 IU (40 mg) vitamin E, or ≥ 10,000 μg beta-carotene at CAREDS baseline
Daily intake of ≥ 15 mg supplemental zinc at CAREDS baseline