Table 3.
Combined Effect of Current Smoking, Elevated White Cell Count, Elevated Plasma Fibrinogen, or Infrequent Fish Consumption at Baseline (1992–1994) and the Complement Factor H Gene Variant (Y402H) on the 10-Year Incidence of Age-related Macular Degeneration in the Blue Mountains Eye Study Populationa
| AMD Type (no. of no exposure, no. of exposure to nongenetic factors) | Genotype | No Exposure to Nongenetic Factors | 
Exposure to Nongenetic Factors | 
||
| Relative Risk, Age and Sex Adjusted | 95% Confidence Interval | Relative Risk, Age and Sex Adjusted | 95% Confidence Interval | ||
| Nonsmokerb | Smokerb | ||||
| Early AMD | TT | 1.0 | 1.29 | 0.37, 4.49 | |
| (n = 1,450, n = 202) | CT/CC | 1.66 | 1.11, 2.46 | 2.04 | 0.99, 4.21 | 
| Late AMD | TT | 1.0 | —c | ||
| (n = 1,518, n = 216) | CT/CC | 2.18 | 0.86, 5.54 | 10.67 | 3.36, 33.91 | 
| WCC < 6.8 × 109/Ld | WCC ≥ 6.8 × 109/Ld | ||||
| Early AMD | TT | 1.0 | 1.57 | 0.83, 2.96 | |
| (n = 1,060, n = 546) | CT/CC | 1.74 | 1.06, 2.86 | 2.50 | 1.45, 4.31 | 
| Late AMD | TT | 1.0 | 3.17 | 0.56, 17.83 | |
| (n = 1,108, n = 577) | CT/CC | 4.23 | 0.95, 18.73 | 6.92 | 1.52, 31.49 | 
| Fibrinogen <4.3 g/Ld | Fibrinogen ≥ 4.3 g/Ld | ||||
| Early AMD | TT | 1.0 | 0.54 | 0.27, 1.11 | |
| (n = 1,077, n = 520) | CT/CC | 1.20 | 0.76, 1.89 | 1.72 | 1.05, 2.82 | 
| Late AMD | TT | 1.0 | 1.42 | 0.28, 7.28 | |
| (n = 1,124, n = 550) | CT/CC | 2.68 | 0.75, 9.57 | 4.11 | 1.13, 14.89 | 
| Fish Consumption ≥ 1 Serving per Weeke | Fish Consumption < 1 Serving per Weeke | ||||
| Early AMD | TT | 1.0 | 1.21 | 0.64, 2.29 | |
| (n = 873, n = 577) | CT/CC | 1.76 | 1.06, 2.90 | 1.92 | 1.13, 3.26 | 
| Late AMD | TT | 1.0 | 0.68 | 0.12, 3.82 | |
| (n = 908, n = 612) | CT/CC | 1.73 | 0.54, 5.53 | 3.62 | 1.17, 11.20 | 
Abbreviation: AMD, age-related macular degeneration; WCC, white cell count.
The referent group is subjects exposed to neither genetic nor nongenetic factors.
Relative risks were adjusted for age, sex, white cell count, and fish consumption.
There were no incident cases of late AMD among smokers with the TT genotype.
In the highest versus 2 lower tertiles, relative risks were adjusted for age, sex, smoking, and fish consumption.
Relative risks were adjusted for age, sex, smoking, and white cell count.