Evidence map›Paper›PMID 41814222›Full record

SynthesisBMC ophthalmology2026

Physical activity and the risk of cataract and age-related macular degeneration: a systematic review and meta-analysis of cohort studies.

Dagfinn Aune, Ahmad Jayedi, Asma Kazemi, Sepideh Soltani, Fatemeh Rezaei, Michael F Leitzmann

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC ophthalmology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

6 authors.

Dagfinn AuneDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, St Mary's Campus, Norfolk Place, London, W2 1PG, UK. d.aune@imperial.ac.uk.
Ahmad JayediDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, St Mary's Campus, Norfolk Place, London, W2 1PG, UK.
Asma KazemiNutrition Research Center, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Sepideh SoltaniCardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Fatemeh RezaeiResearch Center for Social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran.
Michael F LeitzmannInstitute for Epidemiology and Preventive Medicine, University of Regensburg, Regensburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhysical activity has been associated with a lower risk of cataract and age-related macular degeneration in some studies; however, the available evidence has not been fully consistent. We conducted a meta-analysis of cohort studies to clarify the association between physical activity and cataract and age-related macular degeneration.

methodsThe PubMed and Embase databases were searched for relevant prospective studies up to September 18, 2025. Random effects models were used to calculate summary relative risks (RRs) and 95% confidence intervals (CIs) for the association between physical activity and the risk of cataract and age-related macular degeneration. World Cancer Research Fund (WCRF) criteria was used to evaluate the strength of evidence.

resultsA total of 10 cohort studies (8 publications) with 163,065 cases and 1,914,137 participants were included in the analysis of physical activity and cataract and 14 cohort studies (9 publications) with 17,653 cases and 566,895 participants were included in the analysis of age-related macular degeneration. The summary RR for high vs. low physical activity and cataract was 0.90 (95% CI: 0.86–0.94, I2 = 74%, n = 10) and for age-related macular degeneration was 0.92 (95% CI: 0.84–1.01, I2 = 60%, n = 14). The summary RR per 20 MET-hours/week increment in leisure-time physical activity was 0.91 (0.84–0.99, I2 = 66%, n = 3) for cataract and 0.92 (0.74–1.13, I2 = 48%, n = 3) for age-related macular degeneration, and there was no indication of nonlinear dose-response relationships (pnonlinearity=0.32 and pnonlinearity=0.34, respectively). There was no indication of publication bias. The evidence (judging the likelihood of causality) using WCRF criteria was judged as probable for cataract and limited-no conclusion for age-related macular degeneration.

conclusionThis meta-analysis provides further support for an inverse association between physical activity and risk of cataract, but an association with age-related macular degeneration was less evident. Any further studies should clarify the dose-response relationship and associations between different domains of physical activity in relation to these outcomes. These findings support public health recommendations to the general population to be physically active.

Indexed as

CataractExerciseMacular DegenerationCohort StudiesHumansRisk FactorsAge-related macular degenerationCataractCohortMeta-analysisPhysical activity

Identifiers

PMID41814222
PMCPMC13094163

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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.