Smoking |
Current smokers |
4.55 fold nvAMD * [57] |
Direct oxidation of RPE [4] |
Depletion of antioxidants [58] |
Former smokers |
1.54 fold nvAMD * [57] |
Activation of Complement [59] |
* compared to having never smoked |
Atherosclerotic vascular changes [60] |
Alcohol |
Heavy drinker (daily alcoholic beverages >4) |
RR 6.51 nvAMD * [37] |
Oxidative stress [61] |
* compared to subjects with 0 g Alcohol/day, adjusted for age and gender |
BMI |
Obesity (≥30 kg/m2) |
32% increase incidence of late AMD [55] |
Oxidative stress [62] |
Diet |
Mediterranean diet |
−26% lower risk of progression to advanced (nvAMD or GA) AMD [2] |
Certain foods are retino-protective or rich in anti-oxidants [63,64] |
Western diet |
+56% increase in early AMD |
+270% increase advanced AMD [2] |