Evidence map›Paper›PMID 40448050›Full record

Observational studyBMC ophthalmology2025

Association between late age-related macular degeneration and dietary intake of copper, iron, zinc and selenium: a 2005-2008 NHANES cross-sectional observational study.

Yicheng Lu, Chen Li, Yueqi Liu, Tianhong Wu, Peirong Lu

Abstract readObservational Study
In one paragraph

Observational study in BMC ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Vitamins and nutraceuticals in glaucoma research.European journal of ophthalmology · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Yicheng LuDepartment of Ophthalmology, The First Affiliated Hospital of Soochow University, 899 Pinghai Road, Suzhou, Jiangsu, 215006, China.
Chen LiDepartment of Ophthalmology, The First Affiliated Hospital of Soochow University, 899 Pinghai Road, Suzhou, Jiangsu, 215006, China.
Yueqi LiuDepartment of Ophthalmology, The First Affiliated Hospital of Soochow University, 899 Pinghai Road, Suzhou, Jiangsu, 215006, China.
Tianhong WuDepartment of Ophthalmology, The First Affiliated Hospital of Soochow University, 899 Pinghai Road, Suzhou, Jiangsu, 215006, China.
Peirong LuDepartment of Ophthalmology, The First Affiliated Hospital of Soochow University, 899 Pinghai Road, Suzhou, Jiangsu, 215006, China. lupeirong@suda.edu.cn.

Funding

Jiangsu Provincial Medical Innovation Team CXTDA2017039National Natural Science Foundation in China 81671641
6 · The paper itself

Abstract

backgroundAge-related macular degeneration (AMD) is a significant global cause of visual impairment. Our study seeks to explore the relationship between the intake of copper, iron, zinc, selenium in diet and late AMD.

methodIn this cross-sectional study, we utilized data from the National Health and Nutrition Examination Survey (NHANES) conducted during 2005-2008. We employed three logistic regression models with or without adjustments to examine the association between dietary copper, iron, zinc, selenium and late AMD.

resultOur study involved 4996 individuals aged 40 years and above with graded fundus pictures and dietary trace element intake data from a representative sample. The levels of copper intake were linked to a reduced risk of late AMD, resulting in odds ratios (OR) of 0.24 (95% confidence interval [CI] = 0.13-0.46), 0.38 (95% CI = 0.16-0.90), and 0.37 (95% CI = 0.17-0.82) for crude model 1, adjusted model 2, and adjusted model 3 respectively. The intake levels of dietary iron, zinc and selenium showed an inverse correlation with the prevalence of late AMD in the crude model; ORs (95% CI) were as follows: Iron - 0.92 (0.86, 0.97); Zinc- 0.88 (0.81, 0.96); Selenium- 0.98 (0.97, 0.99). However, in model 2 and 3, no significant association was observed between these three elements and late AMD. In subgroup analysis divided by age, there was only a significant inverse correlation observed between late AMD and copper intake in 70-85 years of age group.

conclusionOur findings suggest a higher dietary copper intake may be associated with a reduced risk of late AMD, with the protective effect remaining significant among individuals aged 70-85 years. While no significant association was identified between dietary intake of iron, zinc, selenium and AMD after adjusting for confounding factors. Further research is warranted to elucidate the mechanism underlying the relationship.

Indexed as

CopperDietIronIron, DietaryMacular DegenerationSeleniumTrace ElementsZincAdultAgedAged, 80 and overCross-Sectional StudiesFemaleHumansMaleMiddle AgedCopperIronIron, DietarySeleniumTrace ElementsZincAge-related macular degenerationCopperDietNHANES

Identifiers

PMID40448050
PMCPMC12125803

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.