1
|
Harth JB, Renzi-Hammond LM, Hammond BR. A Dietary Strategy for Optimizing the Visual Range of Athletes. Exerc Sport Sci Rev 2023; 51:103-108. [PMID: 37083620 PMCID: PMC10259207 DOI: 10.1249/jes.0000000000000318] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/12/2023] [Indexed: 04/22/2023]
Abstract
Visual range is quantified by assessing how far one can see clearly (an ability crucial to many athletes). This ability tends to vary significantly across individuals despite similar personal characteristics. We hypothesize that the primary driver of these differences is the individual response to scattered short-wave light in the environment moderated by the dietarily derived retinal pigments lutein and zeaxanthin.
Collapse
Affiliation(s)
- Jacob B. Harth
- Institute of Gerontology, College of Public Health, The University of Georgia, Athens, GA
| | - Lisa M. Renzi-Hammond
- Institute of Gerontology, College of Public Health, The University of Georgia, Athens, GA
- Vision Sciences Laboratory, Behavioral and Brain Sciences Program, Department of Psychology, The University of Georgia, Athens, GA
| | - Billy R. Hammond
- Vision Sciences Laboratory, Behavioral and Brain Sciences Program, Department of Psychology, The University of Georgia, Athens, GA
| |
Collapse
|
2
|
McGwin G, Kar D, Berlin A, Clark ME, Swain TA, Crosson JN, Sloan KR, Owsley C, Curcio CA. Macular and Plasma Xanthophylls Are Higher in Age-related Macular Degeneration than in Normal Aging: Alabama Study on Early Age-related Macular Degeneration 2 Baseline. OPHTHALMOLOGY SCIENCE 2023; 3:100263. [PMID: 36864830 PMCID: PMC9972499 DOI: 10.1016/j.xops.2022.100263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/10/2022] [Revised: 11/04/2022] [Accepted: 12/16/2022] [Indexed: 12/24/2022]
Abstract
Purpose Quantification of retinal xanthophyll carotenoids in eyes with and without age-related macular degeneration (AMD) via macular pigment optical volume (MPOV), a metric for xanthophyll abundance from dual wavelength autofluorescence, plus correlations to plasma levels, could clarify the role of lutein (L) and zeaxanthin (Z) in health, AMD progression, and supplementation strategies. Design Cross-sectional observational study (NCT04112667). Participants Adults ≥ 60 years from a comprehensive ophthalmology clinic, with healthy maculas or maculas meeting fundus criteria for early or intermediate AMD. Methods Macular health and supplement use was assessed by the Age-related Eye Disease Study (AREDS) 9-step scale and self-report, respectively. Macular pigment optical volume was measured from dual wavelength autofluorescence emissions (Spectralis, Heidelberg Engineering). Non-fasting blood draws were assayed for L and Z using high-performance liquid chromatography. Associations among plasma xanthophylls and MPOV were assessed adjusting for age. Main Outcome Measures Age-related macular degeneration presence and severity, MPOV in fovea-centered regions of radius 2.0° and 9.0°; plasma L and Z (μM/ml). Results Of 809 eyes from 434 persons (89% aged 60-79, 61% female), 53.3% eyes were normal, 28.2% early AMD, and 18.5% intermediate AMD. Macular pigment optical volume 2° and 9° were similar in phakic and pseudophakic eyes, which were combined for analysis. Macular pigment optical volume 2° and 9° and plasma L and Z were higher in early AMD than normal and higher still in intermediate AMD (P < 0.0001). For all participants, higher plasma L was correlated with higher MPOV 2° (Spearman correlation coefficient [Rs] = 0.49; P < 0.0001). These correlations were significant (P < 0.0001) but lower in normal (Rs = 0.37) than early and intermediate AMD (Rs = 0.52 and 0.51, respectively). Results were similar for MPOV 9°. Plasma Z, MPOV 2°, and MPOV 9° followed this same pattern of associations. Associations were not affected by supplement use or smoking status. Conclusions A moderate positive correlation of MPOV with plasma L and Z comports with regulated xanthophyll bioavailability and a hypothesized role for xanthophyll transfer in soft drusen biology. An assumption that xanthophylls are low in AMD retina underlies supplementation strategies to reduce progression risk, which our data do not support. Whether higher xanthophyll levels in AMD are due to supplement use cannot be determined in this study.
Collapse
Key Words
- ALSTAR2, Alabama Study on Early Age-related Macular Degeneration 2
- AMD, age-related macular degeneration
- AREDS, age-related eye disease studies
- Age-related macular degeneration
- Autofluorescence
- BrM, Bruch’s membrane
- HDL, high density lipoprotein
- L, Lutein
- Lutein
- MP, macular pigment
- MPOD, macular pigment optical density
- MPOV, macular pigment optical volume
- Macular xanthophyll pigment
- RPE, retinal pigment epithelium
- Z, Zeaxanthin
- Zeaxanthin
Collapse
Affiliation(s)
- Gerald McGwin
- Department of Ophthalmology and Visual Sciences, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama
- Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama
| | - Deepayan Kar
- Department of Ophthalmology and Visual Sciences, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama
| | - Andreas Berlin
- Department of Ophthalmology and Visual Sciences, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama
- Department of Ophthalmology, University Hospital Wurzburg, Wurzburg, Germany
| | - Mark E. Clark
- Department of Ophthalmology and Visual Sciences, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama
| | - Thomas A. Swain
- Department of Ophthalmology and Visual Sciences, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama
- Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama
| | - Jason N. Crosson
- Department of Ophthalmology and Visual Sciences, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama
- Retina Consultants of Alabama, Birmingham, Alabama
| | - Kenneth R. Sloan
- Department of Ophthalmology and Visual Sciences, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama
- Department of Computer Science, School of Arts and Sciences, University of Alabama at Birmingham, Birmingham, Alabama
| | - Cynthia Owsley
- Department of Ophthalmology and Visual Sciences, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama
| | - Christine A. Curcio
- Department of Ophthalmology and Visual Sciences, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama
| |
Collapse
|
3
|
Udensi J, Loughman J, Loskutova E, Byrne HJ. Raman Spectroscopy of Carotenoid Compounds for Clinical Applications-A Review. Molecules 2022; 27:9017. [PMID: 36558154 PMCID: PMC9784873 DOI: 10.3390/molecules27249017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2022] [Revised: 12/09/2022] [Accepted: 12/12/2022] [Indexed: 12/23/2022] Open
Abstract
Carotenoid compounds are ubiquitous in nature, providing the characteristic colouring of many algae, bacteria, fruits and vegetables. They are a critical component of the human diet and play a key role in human nutrition, health and disease. Therefore, the clinical importance of qualitative and quantitative carotene content analysis is increasingly recognised. In this review, the structural and optical properties of carotenoid compounds are reviewed, differentiating between those of carotenes and xanthophylls. The strong non-resonant and resonant Raman spectroscopic signatures of carotenoids are described, and advances in the use of Raman spectroscopy to identify carotenoids in biological environments are reviewed. Focus is drawn to applications in nutritional analysis, optometry and serology, based on in vitro and ex vivo measurements in skin, retina and blood, and progress towards establishing the technique in a clinical environment, as well as challenges and future perspectives, are explored.
Collapse
Affiliation(s)
- Joy Udensi
- FOCAS Research Institute, Technological University Dublin, City Campus, Camden Row, Dublin 8, D08 CKP1 Dublin, Ireland
- School of Physics and Clinical and Optometric Sciences, Technological University Dublin, City Campus, Grangegorman, Dublin 7, D07 EWV4 Dublin, Ireland
- Centre for Eye Research, Ireland, Technological University Dublin, City Campus, Grangegorman, Dublin 7, D07 EWV4 Dublin, Ireland
| | - James Loughman
- School of Physics and Clinical and Optometric Sciences, Technological University Dublin, City Campus, Grangegorman, Dublin 7, D07 EWV4 Dublin, Ireland
- Centre for Eye Research, Ireland, Technological University Dublin, City Campus, Grangegorman, Dublin 7, D07 EWV4 Dublin, Ireland
| | - Ekaterina Loskutova
- School of Physics and Clinical and Optometric Sciences, Technological University Dublin, City Campus, Grangegorman, Dublin 7, D07 EWV4 Dublin, Ireland
- Centre for Eye Research, Ireland, Technological University Dublin, City Campus, Grangegorman, Dublin 7, D07 EWV4 Dublin, Ireland
| | - Hugh J. Byrne
- FOCAS Research Institute, Technological University Dublin, City Campus, Camden Row, Dublin 8, D08 CKP1 Dublin, Ireland
| |
Collapse
|
4
|
Wang H, Wang G, Billings R, Li D, Haase SR, Wheeler PF, Vance DE, Li W. Can Diet Supplements of Macular Pigment of Lutein, Zeaxanthin, and Meso-zeaxanthin Affect Cognition? J Alzheimers Dis 2022; 87:1079-1087. [DOI: 10.3233/jad-215736] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Background: Lutein (L), zeaxanthin (Z), and meso-zeaxanthin (MZ) are collectively called macular pigment. MZ can be converted from L in the macula. In the recent decade, many studies have been performed to investigate the effects for taking carotenoids, especially L and Z or L, Z, and MZ, as diet supplements on human health. Objective: We examined if diet supplements of L + Z or L + Z + MZ have effects on cognitive function in adults. Methods: A systemic literature search was performed in March 2021 with the following keywords: lutein, zeaxanthin, meso-zeaxanthin, cognition, cognitive, and macular pigment. The searched databases included Medline EBSCOhost, Scopus, Elsevier, Cochrane Library, ProQuest, and ClinicalTrials.gov. Findings from eight clinical trials were presented as the strongest evidence on the studied topic. Results: Most studies have found that macular pigments (L + Z) in blood or macula are positively correlated with cognitive performance. As an index of the amount of macular pigments in the brain, macular pigment optical density is related to cognitive performance in adults. In addition, there is an inverse relationship between a higher amount of macular pigment in the blood and lower risk of mild cognitive impairments or Alzheimer’s disease. Based on the findings from the clinical trials, diet supplements of L + Z or L + Z + MZ are associated with improved cognition in adults. Conclusion: The diet supplements of L + Z or L + Z+MZ are associated with better cognitive functioning, which may be via their beneficial effects on the vision.
Collapse
Affiliation(s)
- Hongwei Wang
- Department of Physiology, Henan Chinese Medicine University, Zhengzhou, China
| | - Ge Wang
- Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Rebecca Billings
- UAB Libraries, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Daniel Li
- University of California at Los Angeles, Los Angeles, CA, USA
| | - Shakaye R. Haase
- Department of Psychology, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Pariya F. Wheeler
- Department of Psychology, University of Alabama at Birmingham, Birmingham, AL, USA
- School of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA
| | - David E. Vance
- Department of Psychology, University of Alabama at Birmingham, Birmingham, AL, USA
- School of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Wei Li
- School of Health Professions, University of Alabama at Birmingham, Birmingham, AL, USA
| |
Collapse
|
5
|
Mankowska ND, Marcinkowska AB, Waskow M, Sharma RI, Kot J, Winklewski PJ. Critical Flicker Fusion Frequency: A Narrative Review. MEDICINA (KAUNAS, LITHUANIA) 2021; 57:1096. [PMID: 34684133 PMCID: PMC8537539 DOI: 10.3390/medicina57101096] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/22/2021] [Revised: 10/03/2021] [Accepted: 10/05/2021] [Indexed: 11/16/2022]
Abstract
This review presents the current knowledge of the usage of critical flicker fusion frequency (CFF) in human and animal model studies. CFF has a wide application in different fields, especially as an indicator of cortical arousal and visual processing. In medicine, CFF may be helpful for diagnostic purposes, for example in epilepsy or minimal hepatic encephalopathy. Given the environmental studies and a limited number of other methods, it is applicable in diving and hyperbaric medicine. Current research also shows the relationship between CFF and other electrophysiological methods, such as electroencephalography. The human eye can detect flicker at 50-90 Hz but reports are showing the possibility to distinguish between steady and modulated light up to 500 Hz. Future research with the use of CFF is needed to better understand its utility and application.
Collapse
Affiliation(s)
- Natalia D. Mankowska
- Applied Cognitive Neuroscience Lab, Department of Human Physiology, Medical University of Gdansk, 80-210 Gdansk, Poland;
| | - Anna B. Marcinkowska
- Applied Cognitive Neuroscience Lab, Department of Human Physiology, Medical University of Gdansk, 80-210 Gdansk, Poland;
- 2nd Department of Radiology, Medical University of Gdansk, 80-210 Gdansk, Poland;
- Institute of Health Sciences, Pomeranian University in Slupsk, 76-200 Slupsk, Poland;
| | - Monika Waskow
- Institute of Health Sciences, Pomeranian University in Slupsk, 76-200 Slupsk, Poland;
| | - Rita I. Sharma
- Department of Human Physiology, Medical University of Gdansk, 80-210 Gdansk, Poland;
- Department of Anaesthesiology and Intensive Care, Medical University of Gdansk, 80-210 Gdansk, Poland
| | - Jacek Kot
- National Centre for Hyperbaric Medicine, Institute of Maritime and Tropical Medicine in Gdynia, Medical University of Gdansk, 80-210 Gdansk, Poland;
| | - Pawel J. Winklewski
- 2nd Department of Radiology, Medical University of Gdansk, 80-210 Gdansk, Poland;
- Institute of Health Sciences, Pomeranian University in Slupsk, 76-200 Slupsk, Poland;
- Department of Human Physiology, Medical University of Gdansk, 80-210 Gdansk, Poland;
| |
Collapse
|
6
|
Zafar J, Aqeel A, Shah FI, Ehsan N, Gohar UF, Moga MA, Festila D, Ciurea C, Irimie M, Chicea R. Biochemical and Immunological implications of Lutein and Zeaxanthin. Int J Mol Sci 2021; 22:10910. [PMID: 34681572 PMCID: PMC8535525 DOI: 10.3390/ijms222010910] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2021] [Revised: 09/27/2021] [Accepted: 10/03/2021] [Indexed: 12/21/2022] Open
Abstract
Throughout history, nature has been acknowledged for being a primordial source of various bioactive molecules in which human macular carotenoids are gaining significant attention. Among 750 natural carotenoids, lutein, zeaxanthin and their oxidative metabolites are selectively accumulated in the macular region of living beings. Due to their vast applications in food, feed, pharmaceutical and nutraceuticals industries, the global market of lutein and zeaxanthin is continuously expanding but chemical synthesis, extraction and purification of these compounds from their natural repertoire e.g., plants, is somewhat costly and technically challenging. In this regard microbial as well as microalgal carotenoids are considered as an attractive alternative to aforementioned challenges. Through the techniques of genetic engineering and gene-editing tools like CRISPR/Cas9, the overproduction of lutein and zeaxanthin in microorganisms can be achieved but the commercial scale applications of such procedures needs to be done. Moreover, these carotenoids are highly unstable and susceptible to thermal and oxidative degradation. Therefore, esterification of these xanthophylls and microencapsulation with appropriate wall materials can increase their shelf-life and enhance their application in food industry. With their potent antioxidant activities, these carotenoids are emerging as molecules of vital importance in chronic degenerative, malignancies and antiviral diseases. Therefore, more research needs to be done to further expand the applications of lutein and zeaxanthin.
Collapse
Affiliation(s)
- Javaria Zafar
- Institute of Industrial Biotechnology, Government College University Lahore, Lahore 54000, Pakistan; (J.Z.); (A.A.); (F.I.S.); (N.E.); (U.F.G.)
| | - Amna Aqeel
- Institute of Industrial Biotechnology, Government College University Lahore, Lahore 54000, Pakistan; (J.Z.); (A.A.); (F.I.S.); (N.E.); (U.F.G.)
| | - Fatima Iftikhar Shah
- Institute of Industrial Biotechnology, Government College University Lahore, Lahore 54000, Pakistan; (J.Z.); (A.A.); (F.I.S.); (N.E.); (U.F.G.)
| | - Naureen Ehsan
- Institute of Industrial Biotechnology, Government College University Lahore, Lahore 54000, Pakistan; (J.Z.); (A.A.); (F.I.S.); (N.E.); (U.F.G.)
| | - Umar Farooq Gohar
- Institute of Industrial Biotechnology, Government College University Lahore, Lahore 54000, Pakistan; (J.Z.); (A.A.); (F.I.S.); (N.E.); (U.F.G.)
| | - Marius Alexandru Moga
- Faculty of Medicine, Transilvania University of Brasov, 500036 Brasov, Romania; (M.A.M.); (M.I.)
| | - Dana Festila
- Radiology and Maxilo Facial Surgery Department, Iuliu Hatieganu University of Medicine and Pharmacy, 400012 Cluj Napoca, Romania
| | - Codrut Ciurea
- Faculty of Medicine, Transilvania University of Brasov, 500036 Brasov, Romania; (M.A.M.); (M.I.)
| | - Marius Irimie
- Faculty of Medicine, Transilvania University of Brasov, 500036 Brasov, Romania; (M.A.M.); (M.I.)
| | - Radu Chicea
- Faculty of Medicine, “Lucian Blaga” University, 550169 Sibiu, Romania;
| |
Collapse
|
7
|
Gazzolo D, Picone S, Gaiero A, Bellettato M, Montrone G, Riccobene F, Lista G, Pellegrini G. Early Pediatric Benefit of Lutein for Maturing Eyes and Brain-An Overview. Nutrients 2021; 13:3239. [PMID: 34579116 PMCID: PMC8468336 DOI: 10.3390/nu13093239] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Revised: 08/31/2021] [Accepted: 09/02/2021] [Indexed: 01/15/2023] Open
Abstract
Lutein is a dietary carotenoid preferentially accumulated in the eye and the brain in early life and throughout the life span. Lutein accumulation in areas of high metabolism and oxidative stress such as the eye and the brain suggest a unique role of this ingredient during the development and maturation of these organs of common embryological origin. Lutein is naturally provided to the developing baby via the cord blood, breast milk and then infant diet. The presence of this carotenoid depends on fruit and vegetable intakes and its bioavailability is higher in breastmilk. This paper aims to review the anatomical development of the eye and the brain, explore the presence and selective deposition of lutein in these organs during pregnancy and infancy and, based on its functional characteristics, present the latest available research on the beneficial role of lutein in the pediatric population. The potential effects of lutein in ameliorating conditions associated with increase oxidative stress such as in prematurity will be also addressed. Since consumption of lutein rich foods falls short of government guidelines and in most region of the world infant formulas lack this bioactive, dietary recommendations for pregnant and breastfeeding women and their child can help to bridge the gap.
Collapse
Affiliation(s)
- Diego Gazzolo
- Neonatal Intensive Care Unit, Department of Pediatrics, University G. d’Annunzio, 65100 Chieti, Italy
- Department of Pediatrics, Maastricht University, 6200 MD Maastricht, The Netherlands
| | - Simonetta Picone
- Neonatal Intensive Care Unit, Policlinico Casilino, 00169 Rome, Italy;
| | - Alberto Gaiero
- Pediatric and Neonatology Unit, asl2 Ospedale San Paolo Savona, 17100 Savona, Italy;
| | - Massimo Bellettato
- Department of Women and Child’s Health, San Bortolo Hospital, 36100 Vicenza, Italy;
| | - Gerardo Montrone
- S.S.V.D “NIDO E STEN” Ospedali Riuniti Foggia, 71122 Foggia, Italy;
| | | | - Gianluca Lista
- Neonatal Intensive Care Unit, Department of Pediatrics, Ospedale dei Bambini V. Buzzi, ASST-FBF-Sacco, 20154 Milan, Italy;
| | - Guido Pellegrini
- Department of Pediatrics and Neonatology, Presidio Ospedaliero “Città di Sesto San Giovanni, Sesto san Giovanni, 20099 Milan, Italy;
| |
Collapse
|
8
|
Protective Effect of Lutein/Zeaxanthin Isomers in Traumatic Brain Injury in Mice. Neurotox Res 2021; 39:1543-1550. [PMID: 34129176 DOI: 10.1007/s12640-021-00385-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2021] [Revised: 05/28/2021] [Accepted: 06/07/2021] [Indexed: 12/20/2022]
Abstract
Previous studies revealed that oxidative stress and inflammation are the main contributors to secondary injury after traumatic brain injury (TBI). In an earlier study, we reported that lutein/zeaxanthin isomers (L/Zi) exert antioxidative and anti-inflammatory effects by activating the nuclear factor-kappa B (NF-κB) and nuclear factor-erythroid 2-related factor 2 (Nrf2) pathways. However, its precise role and underlying mechanisms were largely unknown after TBI. This study was conducted to investigate the potential mechanism of L/Zi isomers in a TBI model induced by a cold injury model in mice. To investigate the effects of L/Zi, male C57BL/6j mice-induced brain injury using the cold trauma model was allocated into two groups (n = 7): (i) TBI + vehicle group and (ii) TBI + L/Zi group (20 mg/kg BW). Brain samples were collected 24 h later for analyses. L/Zi given immediately after the injury decreased infarct volume and blood-brain barrier (BBB) permeability; L/Zi treatment also significantly reduced proinflammatory cytokines, including interleukin1 beta (IL-1β), interleukin 6 (IL-6), and NF-κB levels and increased growth-associated protein 43 (GAP-43), neural cell adhesion molecule (NCAM), brain-derived neurotrophic factor (BDNF), and Nrf2 levels compared with vehicle control. These data suggest that L/Zi improves mitochondrial function in TBI models, possibly decreasing inflammation and activating the Nrf2 pathway.
Collapse
|
9
|
Plasma Lutein, a Nutritional Biomarker for Development of Advanced Age-Related Macular Degeneration: The Alienor Study. Nutrients 2021; 13:nu13062047. [PMID: 34203817 PMCID: PMC8232705 DOI: 10.3390/nu13062047] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2021] [Revised: 06/01/2021] [Accepted: 06/08/2021] [Indexed: 11/17/2022] Open
Abstract
Lutein and zeaxanthin may lower the risk of age-related macular degeneration (AMD). We evaluated the associations of plasma lutein and zeaxanthin with the incidence of advanced AMD in the Alienor study (Antioxydants Lipides Essentiels Nutrition et Maladies Oculaires). Alienor study is a prospective population-based cohort of 963 residents of Bordeaux, France, who were 73 years or older at baseline (2006-2008). The present study included 609 participants with complete ophthalmologic and plasma carotenoids data. Examinations were performed every two years over an eight-year period (2006 to 2017). Plasma lutein and zeaxanthin were determined at baseline from fasting blood samples using high-performance liquid chromatography. Cox proportional hazard models were used to assess associations between plasma lutein, zeaxanthin, and their (total cholesterol (TC) + triglycerides (TG)) ratios with AMD. Among the 609 included participants, 54 developed advanced incident AMD during a median follow-up time of 7.6 years (range 0.7 to 10.4). Participants with higher plasma lutein had a reduced risk for incident advanced AMD in the fully adjusted model (HR = 0.63 per 1-SD increase (95% CI, 0.41-0.97), p = 0.03). A similar association was observed using the lutein/(TC + TG) ratio (HR = 0.59 (95% CI, 0.39-0.90), p = 0.01). No associations were evidenced for other carotenoids. Higher plasma lutein was associated with a 37% reduced risk of incident advanced AMD.
Collapse
|
10
|
Bartlett H, Howells O, Eperjesi F. The role of macular pigment assessment in clinical practice: a review. Clin Exp Optom 2021; 93:300-8. [DOI: 10.1111/j.1444-0938.2010.00499.x] [Citation(s) in RCA: 29] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Affiliation(s)
- Hannah Bartlett
- Ophthalmic Research Group, School of Life & Health Sciences, Aston University, Birmingham, United Kingdom
E‐mail:
| | - Olivia Howells
- Ophthalmic Research Group, School of Life & Health Sciences, Aston University, Birmingham, United Kingdom
E‐mail:
| | - Frank Eperjesi
- Ophthalmic Research Group, School of Life & Health Sciences, Aston University, Birmingham, United Kingdom
E‐mail:
| |
Collapse
|
11
|
The association between macular pigment optical density and visual function outcomes: a systematic review and meta-analysis. Eye (Lond) 2020; 35:1620-1628. [PMID: 32792595 DOI: 10.1038/s41433-020-01124-2] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2019] [Revised: 07/30/2020] [Accepted: 07/30/2020] [Indexed: 11/08/2022] Open
Abstract
OBJECTIVES To conduct a systematic review and meta-analysis on data related to macular pigment optical density (MPOD) and visual function in adults with healthy eyes. METHODS MEDLINE®, Cochrane, and Commonwealth of Agriculture Bureau abstracts databases were searched for English-language publications between 1946 and August 2018. Included studies examined correlation of MPOD and visual function in adults with healthy eyes at all timepoints and all designs, except for case-control, case reports, and reviews. Visual function outcomes of interest included photostress recovery, contrast sensitivity, visual acuity, glare sensitivity/disability, and dark adaptation. Random effects model meta-analyses combined study-level correlation (r). RESULTS Twenty-two publications were included. In meta-analysis MPOD was found to be significantly correlated with contrast sensitivity at 30' (two studies, summary r: 0.37; 95% CI 0.15, 0.56), and at 1° eccentricity with a spatial frequency of 7, 11, and 21 cpd (three studies, summary r: 0.31; 95% CI 0.06, 0.52), with photostress recovery at a 1° eccentricity with a moderate background, 10 cpd, and 16% contrast (two studies, summary r: -0.17; 95% CI -0.31, -0.02), and at 30' (four studies, summary r: -0.57; 95% CI -0.78, -0.24), and with glare disability at 30' eccentricity with a log scale at 460 nm (three studies, summary r = 0.47; 95% CI 0.32; 0.59). There were insufficient data for meta-analysis for other visual functions. CONCLUSIONS Our review identifies a link between MPOD and visual function with significant correlations with photostress recovery, glare disability, and contrast sensitivity.
Collapse
|
12
|
Hammond BR, Buch J. Individual differences in visual function. Exp Eye Res 2020; 199:108186. [PMID: 32781197 DOI: 10.1016/j.exer.2020.108186] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Revised: 07/27/2020] [Accepted: 08/04/2020] [Indexed: 12/22/2022]
Abstract
A significant proportion of research on the visual system focuses on general principles that apply to samples and/or populations. Many questions, however, are more suited to the specific characteristics of an individual. The visual system, like most systems of the body, is extremely variable with respect to function and susceptibility to disease. Understanding this variation is an important avenue to better measurement, disease prevention and treatment.
Collapse
Affiliation(s)
- Billy R Hammond
- Vision Sciences Laboratory, Behavioral and Brain Sciences Program, Department of Psychology, The University of Georgia, United States.
| | - John Buch
- Johnson and Johnson Vision Care, Inc, United States
| |
Collapse
|
13
|
Saint SE, Hammond BR, Khan NA, Hillman CH, Renzi-Hammond LM. Temporal vision is related to cognitive function in preadolescent children. APPLIED NEUROPSYCHOLOGY-CHILD 2019; 10:319-326. [PMID: 31846584 DOI: 10.1080/21622965.2019.1699096] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
The relation between visual processing speed (critical flicker fusion thresholds [CFF] and psychomotor reaction time) and higher-level cognitive function was assessed using a cross-sectional sample (n = 51) of 7 to 13-year-old preadolescent children. Data on visual processing speed (CFF and psychomotor reaction time) and cognitive function (Woodcock-Johnson III Tests of Cognitive Abilities) were collected. Woodcock-Johnson III composite standard scores (brief intellectual ability [BIA], cognitive efficiency, processing speed, and executive processes) were calculated to control for age in the cognitive variables. CFF was related to cognitive efficiency, r(46) = 0.26, p = 0.036, and executive processes, r(44) = 0.25, p = 0.05, and showed a trend toward relating to processing speed, r(46) = 0.19, p = 0.09. Both psychomotor reaction time measures (fixed and variable) were related to executive processes and global intelligence (BIA) such that higher cognitive scores were associated with shorter reaction times, rs ranged from -0.25 to -0.29, ps < 0.05. In addition, fixed reaction time was related to cognitive efficiency, r(47) = -0.26, p < 0.05. The small nature of many of these relations suggests that visual processing speed is only one of many possible influences on the higher cognitive function of children.
Collapse
Affiliation(s)
- Sarah E Saint
- Institute of Gerontology, Department of Health Promotion and Behavior, College of Public Health, The University of Georgia, Athens, GA, USA.,Department of Psychology, The University of Georgia, Athens, GA, USA
| | - Billy R Hammond
- Department of Psychology, The University of Georgia, Athens, GA, USA
| | - Naiman A Khan
- Department of Kinesiology and Community Health, The University of Illinois at Urbana-Champaign, Champaign, IL, USA
| | - Charles H Hillman
- Department of Kinesiology and Community Health, The University of Illinois at Urbana-Champaign, Champaign, IL, USA.,Departments of Psychology and Physical Therapy, Movement, & Rehabilitation Sciences, Northeastern University, Boston, MA, USA
| | - Lisa M Renzi-Hammond
- Institute of Gerontology, Department of Health Promotion and Behavior, College of Public Health, The University of Georgia, Athens, GA, USA.,Department of Psychology, The University of Georgia, Athens, GA, USA
| |
Collapse
|
14
|
Stringham NT, Holmes PV, Stringham JM. Effects of macular xanthophyll supplementation on brain-derived neurotrophic factor, pro-inflammatory cytokines, and cognitive performance. Physiol Behav 2019; 211:112650. [PMID: 31425700 DOI: 10.1016/j.physbeh.2019.112650] [Citation(s) in RCA: 34] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2019] [Revised: 08/08/2019] [Accepted: 08/12/2019] [Indexed: 12/13/2022]
Abstract
PURPOSE Oxidative and inflammatory processes play a major role in stress-induced neural atrophy. There is a wide body of literature linking oxidative and inflammatory stress with reductions in neurotrophic factors, stress resilience, and cognitive function. Based on their antioxidant and anti-inflammatory capacity, we investigated the effect of the dietary carotenoids lutein and zeaxanthin, along with the zeaxanthin isomer meso-zeaxanthin (collectively the "macular xanthophylls" [MXans]) on systemic brain-derived neurotrophic factor (BDNF) and anti-oxidant capacity (AOC), and the pro-inflammatory cytokines TNF-α, IL-6, and IL-1β. To investigate higher-order effects, we assessed cognitive performance. METHODS 59 young (18-25 yrs.), healthy subjects participated in a 6-month, double-blind, placebo-controlled trial to evaluate the effects of MXan supplementation on the aforementioned serum parameters and cognitive performance. Subjects were randomly assigned to one of three groups: placebo, 13 mg, or 27 mg/day total MXans; all measures were taken at baseline and 6 months. Blood was obtained via fasting blood draw, and MXan concentration in the retina (termed macular pigment optical density [MPOD]) was measured via customized heterochromatic flicker photometry. Serum BDNF and cytokines were assessed via ELISA. Serum antioxidant capacity (AOC) and serum MXan concentrations were quantified via colorimetric microplate assay, and high-performance liquid chromatography, respectively. Cognitive performance was measured via a computer-based assessment tool (CNS Vital Signs). RESULTS BDNF, MPOD, serum MXans, and AOC all increased significantly versus placebo in both treatment groups over the 6-month study period (p < .05 for all). IL-1β decreased significantly versus placebo in both treatment groups (p = .0036 and p = .006, respectively). For cognitive measures, scores for composite memory, verbal memory, sustained attention, psychomotor speed, and processing speed all improved significantly in treatment groups (p < .05 for all) and remained unchanged in the placebo group. Several measures were found to be significantly associated in terms of relational changes over the course of the study. Notably, change in BDNF was related to change in IL-1β (r = -0.47; p < .001) and MPOD (r = 0.44; p = .0086). Additionally, changes in serum MXans were strongly related to AOC (r = 0.79 & 0.61 for lutein and zeaxanthin isomers respectively; p < .001). For cognitive scores, change in BDNF was correlated to change in composite memory (r = 0.32; p = .014) and verbal memory (r = 0.35; p = .007), whereas change in MPOD was correlated with change in both psychomotor speed (r = 0.38; p = .003), and processing speed (r = 0.35; p = .007). Change in serum lutein was found to be significantly correlated to change in verbal memory (r = 0.41; p < .001), composite memory (r = 0.31; p = .009), and sustained attention (r = 0.28; p = .036). Change in serum zeaxanthin isomers was significantly correlated with change in verbal memory (r = 0.33; p = .017). Lastly, change in AOC was significantly associated with verbal memory (r = 0.34; p = .021), composite memory (r = 0.29; p = .03), and sustained attention (r = 0.35; p = .016). No significant relational changes in any cognitive parameter were found for the placebo group. CONCLUSIONS Six months of daily supplementation with at least 13 mg of MXans significantly reduces serum IL-1β, significantly increases serum MXans, BDNF, MPOD, and AOC, and improves several parameters of cognitive performance. Findings suggest that increased systemic antioxidant/anti-inflammatory capacity (and not necessarily deposition of the carotenoids in neural tissues), may explain many of the effects determined in this study. The significant relationship between change in BDNF and IL-1β over the course of the study suggests that regular consumption of MXans interrupts the inflammatory cascade that can lead to reduction of BDNF. Changes in MPOD and BDNF appear to account for enhancement in cognitive parameters that involve speed of processing and complex processing, respectively. ISRCTN Clinical Trial Registration: ISRCTN16156382.
Collapse
Affiliation(s)
- Nicole T Stringham
- Interdisciplinary Neuroscience Program-Biomedical and Health Sciences Institute, University of Georgia, Athens, GA 30602, United States of America; Department of Psychology, University of Georgia, Athens, GA 30602, United States of America.
| | - Philip V Holmes
- Interdisciplinary Neuroscience Program-Biomedical and Health Sciences Institute, University of Georgia, Athens, GA 30602, United States of America; Department of Psychology, University of Georgia, Athens, GA 30602, United States of America.
| | - James M Stringham
- Visual Performance Laboratory, Duke Eye Center, Durham, NC 27705, United States of America.
| |
Collapse
|
15
|
Roark MW, Stringham JM. Visual Performance in the "Real World": Contrast Sensitivity, Visual Acuity, and Effects of Macular Carotenoids. Mol Nutr Food Res 2019; 63:e1801053. [PMID: 31116474 DOI: 10.1002/mnfr.201801053] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2018] [Revised: 04/30/2019] [Indexed: 11/10/2022]
Abstract
Visual acuity (VA) is compared to contrast sensitivity (CS) testing in assessing "real-world" visual performance, and it is recommended that both should be measured routinely in the clinic. The role of nutritional intervention in improving visual performance is reviewed and emphasized. A brief history and illustration of both VA and CS, within the scope of visual performance, is presented. Parameters for effective CS testing in the clinic, and guidelines for interpretation of results, including a new model for understanding the visual impact of changes in CS, are also presented. Relevant research that supports the use of the macular carotenoids lutein, zeaxanthin, and meso-zeaxanthin to enhance visual performance is reviewed with suggested guidelines for supplementation. CS testing is easily performed at a single intermediate target size and is an excellent tool for the accurate assessment of a patient's overall visual experience. Research continues to uncover the strong link between nutrition and visual performance; the macular carotenoids appear to be especially effective in this regard, and their benefits to visual performance now importantly include contrast sensitivity. Clinicians can provide an improved level of care by incorporating into the examination protocol CS testing and, where appropriate, nutritional counseling and intervention.
Collapse
Affiliation(s)
- Mark W Roark
- Allisonville Eye Care Center, 10967 Allisonville Rd #120, Fishers, IN, 46038, USA
| | - James M Stringham
- Duke Eye Center, Visual Performance Laboratory, 2351 Erwin Road, Durham, NC, 27710, USA
| |
Collapse
|
16
|
Stringham JM, Johnson EJ, Hammond BR. Lutein across the Lifespan: From Childhood Cognitive Performance to the Aging Eye and Brain. Curr Dev Nutr 2019; 3:nzz066. [PMID: 31321376 PMCID: PMC6629295 DOI: 10.1093/cdn/nzz066] [Citation(s) in RCA: 40] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2019] [Revised: 05/05/2019] [Accepted: 05/30/2019] [Indexed: 12/21/2022] Open
Abstract
Lutein is a non-provitamin A dietary carotenoid found in dark green leafy vegetables, corn, eggs, and avocados. Among the carotenoids, lutein and its isomer, zeaxanthin, are the only 2 that cross the blood-retina barrier to form macular pigment in the retina. Lutein also preferentially accumulates in the human brain across multiple life stages. A variety of scientific evidence supports a role for lutein in visual as well as cognitive function across the lifespan. The purpose of this review is to summarize the latest science on lutein's role in the eye and the brain across different ages.
Collapse
Affiliation(s)
| | | | - B Randy Hammond
- Department of Psychology, University of Georgia-Athens, Athens, GA, USA
| |
Collapse
|
17
|
Ceravolo SA, Hammond BR, Oliver W, Clementz B, Miller LS, Renzi-Hammond LM. Dietary Carotenoids Lutein and Zeaxanthin Change Brain Activation in Older Adult Participants: A Randomized, Double-Masked, Placebo-Controlled Trial. Mol Nutr Food Res 2019; 63:e1801051. [PMID: 30950580 DOI: 10.1002/mnfr.201801051] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2018] [Revised: 03/06/2019] [Indexed: 12/16/2022]
Abstract
SCOPE Steady-state visual evoked potentials (SSVEP) can be used to test the topological response of cortical neurons. Studies have shown that a lutein (L) preferentially accumulates within cortical tissue. L, zeaxanthin (Z), and their isomers can be measured directly in retina (macular pigment optical density, MPOD), and retinal L+Z correlate highly with L+Z levels in cortical visual processing areas. The purpose of this study was to determine the relation between MPOD and SSVEP signal power, cross-sectionally and after supplementation with L+Z. METHODS AND RESULTS SSVEP to three different driving frequencies of stimulation (5, 10, and 16.6 Hz) were obtained for community-dwelling older adults, at baseline and after 12 months of supplementation with either 12 mg L+Z or placebo. Power was quantified at the driving frequencies. Non-specific activation was quantified within the 10-15 Hz band. MPOD was measured psychophysically. Subjects with low MPOD had reduced power at 16.6 Hz and reduced non-specific activation, compared with subjects with high MPOD. Supplementation significantly improved signal power at 5 and 10 Hz. CONCLUSION Past research suggests that L+Z can improve visual memory, visual processing speeds, etc. One possible mechanism for that improvement may be improving signal-to-noise ratio throughout the vision system.
Collapse
Affiliation(s)
- S Anna Ceravolo
- Vision Sciences Laboratory, Behavioral and Brain Sciences Program, Department of Psychology, University of Georgia, Athens, GA, 30602, USA.,Athens Community Council on Aging, Athens, GA, 30601, USA
| | - Billy R Hammond
- Vision Sciences Laboratory, Behavioral and Brain Sciences Program, Department of Psychology, University of Georgia, Athens, GA, 30602, USA.,Human Biofactors Laboratory, Institute of Gerontology, Department of Health Promotion and Behavior, University of Georgia, Athens, GA, USA
| | - William Oliver
- Clinical and Cognitive Neuroscience Laboratory, Behavioral and Brain Sciences Program, Department of Psychology, University of Georgia, Athens, GA, USA
| | - Brett Clementz
- Clinical and Cognitive Neuroscience Laboratory, Behavioral and Brain Sciences Program, Department of Psychology, University of Georgia, Athens, GA, USA
| | - L Stephen Miller
- Neuropsychology and Memory Assessment Laboratory, Clinical Psychology Program, Department of Psychology, University of Georgia, Athens, GA, USA
| | - Lisa M Renzi-Hammond
- Vision Sciences Laboratory, Behavioral and Brain Sciences Program, Department of Psychology, University of Georgia, Athens, GA, 30602, USA.,Human Biofactors Laboratory, Institute of Gerontology, Department of Health Promotion and Behavior, University of Georgia, Athens, GA, USA
| |
Collapse
|
18
|
Loskutova E, Shah K, Flitcroft ID, Setti A, Butler JS, Nolan Y, Paudel N, Loughman J. Lutein and zeaxanthin: The possible contribution, mechanisms of action and implications of modern dietary intake for cognitive development in children. HRB Open Res 2019. [DOI: 10.12688/hrbopenres.12903.1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
Background:Studies suggest that lutein and zeaxanthin may be important for cognitive development in children, but a comprehensive evidence synthesis is lacking. The purpose of this evidence synthesis was to analyse the available data regarding the role of lutein and zeaxanthin for cognition in children and propose a theoretical basis for future studies.Methods:The PubMed, Scopus, the ISRCTN registry and Cochrane Library databases were searched for studies that evaluated the relationship between lutein and zeaxanthin and cognitive function in children. Reference list and ancestry searches were performed on relevant articles. A total of 543 articles were identified, of which six cross-sectional studies were included.Results:The literature search revealed that the evidence concerning the effect of lutein and zeaxanthin on cognition in children is sparse. However, there is some preliminary evidence indicating a positive association between lutein and zeaxanthin and cognition in childhood.Conclusions:The cross-sectional nature of the few studies available and the lack of RCT data indicates a need for further investigation before any firm conclusions can be drawn.
Collapse
|
19
|
Oliver W, Renzi-Hammond LM, Thorne SA, Clementz B, Miller LS, Hammond BR. Neural Activation During Visual Attention Differs in Individuals with High versus Low Macular Pigment Density. Mol Nutr Food Res 2019; 63:e1801052. [PMID: 30919588 DOI: 10.1002/mnfr.201801052] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2018] [Revised: 03/25/2019] [Indexed: 11/08/2022]
Abstract
SCOPE The neural efficiency hypothesis for lutein (L) and zeaxanthin (Z) suggests that higher levels of L+Z in the central nervous system (CNS) are predictive of stronger stimulus-specific brain responses. Past research suggests that supplementing L+Z can improve neural processing speed and cognitive function across multiple domains, which supports this hypothesis. The purpose of this study is to determine the extent to which CNS L+Z levels predict brain responses using an attentionally taxing task. METHODS AND RESULTS Macular pigment optical density (MPOD) is measured at baseline in 85 participants ranging in age from 18-92 years. Brain activation is measured using dense array electroencephalography. Stimuli evoking the signal include a grating array of vertical bars, oscillating at four driving frequencies. Significant stimulus-specific interactions are detected between attend condition, location, and age (p < .002) for unattended image locations, and between age and location (p < .008) for attended locations. Although no differences are found across age by MPOD, this measure is found to be predictive of neural power at parafoveal bar locations (R2 .080). CONCLUSION CNS L+Z status is related to differences in brain activation in conditions designed to stress visual attention. These differences are strongest for older subjects.
Collapse
Affiliation(s)
- William Oliver
- Clinical and Cognitive Neuroscience Laboratory, Behavioral and Brain Sciences Program, Department of Psychology, The University of Georgia, Athens, GA, 30602, USA
| | - Lisa M Renzi-Hammond
- Vision Sciences Laboratory, Behavioral and Brain Sciences Program, Department of Psychology, The University of Georgia, Athens, GA, 30602, USA.,Human Biofactors Laboratory, Institute of Gerontology, Department of Health Promotion and Behavior, The University of Georgia, Athens, GA, 30602, USA
| | - S Anna Thorne
- Vision Sciences Laboratory, Behavioral and Brain Sciences Program, Department of Psychology, The University of Georgia, Athens, GA, 30602, USA.,Athens Community Council on Aging, Athens, GA, 30602, USA
| | - Brett Clementz
- Clinical and Cognitive Neuroscience Laboratory, Behavioral and Brain Sciences Program, Department of Psychology, The University of Georgia, Athens, GA, 30602, USA
| | - L Stephen Miller
- Neuropsychology and Memory Assessment Laboratory, Clinical Psychology Program, Department of Psychology, The University of Georgia, Athens, GA, 30602, USA
| | - Billy R Hammond
- Vision Sciences Laboratory, Behavioral and Brain Sciences Program, Department of Psychology, The University of Georgia, Athens, GA, 30602, USA.,Human Biofactors Laboratory, Institute of Gerontology, Department of Health Promotion and Behavior, The University of Georgia, Athens, GA, 30602, USA
| |
Collapse
|
20
|
Saint SE, Renzi-Hammond LM, Khan NA, Hillman CH, Frick JE, Hammond BR. The Macular Carotenoids are Associated with Cognitive Function in Preadolescent Children. Nutrients 2018; 10:nu10020193. [PMID: 29439387 PMCID: PMC5852769 DOI: 10.3390/nu10020193] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2017] [Revised: 01/31/2018] [Accepted: 02/06/2018] [Indexed: 12/02/2022] Open
Abstract
The macular carotenoids lutein (L) and zeaxanthin (Z) are obtained via diet and accumulate in the central retina where they are referred to as macular pigment. The density of this biomarker (macular pigment optical density; MPOD) has been positively correlated with cognitive functioning via measures of global cognition, processing speed, and visual-spatial abilities, among others. Although improvements in cognitive function have been found in adults, much less is known about how L and Z intake may support or improve cognitive functioning during periods of rapid developmental change, such as childhood and pre-adolescence. This study examined the relationship between MPOD and cognitive functioning in 51 7–13-year-old children (51% female). MPOD was measured using heterochromatic flicker photometry (HFP) optimized for this age group. Cognitive function was assessed using the Woodcock-Johnson III (composite standard scores were obtained for Brief Intellectual Ability, Verbal Ability, Cognitive Efficiency, Processing Speed, and Executive Processes). In this sample, MPOD was significantly related to Executive Processes, r(47) = 0.288, p < 0.05, and Brief Intellectual Ability, r(47) = 0.268, p < 0.05. The relationship to Cognitive Efficiency was positive and trending but not significant, r(49) = 0.206, p = 0.074. In general, these data are consistent with those of adults showing a link between higher carotenoid status and improved cognitive functioning.
Collapse
Affiliation(s)
- Sarah E Saint
- Department of Psychology, The University of Georgia, Athens, GA 30602, USA.
- Institute of Gerontology, Department of Health Promotion and Behavior, College of Public Health, The University of Georgia, Athens, GA 30602, USA.
| | - Lisa M Renzi-Hammond
- Department of Psychology, The University of Georgia, Athens, GA 30602, USA.
- Institute of Gerontology, Department of Health Promotion and Behavior, College of Public Health, The University of Georgia, Athens, GA 30602, USA.
| | - Naiman A Khan
- The University of Illinois at Urbana-Champaign, Department of Kinesiology and Community Health, Champaign, IL 61820, USA.
| | - Charles H Hillman
- Departments of Psychology and Physical Therapy, Movement & Rehabilitation Sciences, Northeastern University, Boston, MA 02115, USA.
| | - Janet E Frick
- Department of Psychology, The University of Georgia, Athens, GA 30602, USA.
| | - Billy R Hammond
- Department of Psychology, The University of Georgia, Athens, GA 30602, USA.
| |
Collapse
|
21
|
Saint SE, Hammond BR, O’Brien KJ, Frick JE. Developmental trends in infant temporal processing speed. Vision Res 2017; 138:71-77. [DOI: 10.1016/j.visres.2017.07.004] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2016] [Revised: 06/03/2017] [Accepted: 07/16/2017] [Indexed: 11/28/2022]
|
22
|
Abstract
Current evidence suggests lutein and its isomers play important roles in ocular development in utero and throughout the life span, in vision performance in young and later adulthood, and in lowering risk for the development of common age-related eye diseases in older age. These xanthophyll (oxygen-containing) carotenoids are found in a wide variety of vegetables and fruits, and they are present in especially high concentrations in leafy green vegetables. Additionally, egg yolks and human milk appear to be bioavailable sources. The prevalence of lutein, zeaxanthin, and meso-zeaxanthin in supplements is increasing. Setting optimal and safe ranges of intake requires additional research, particularly in pregnant and lactating women. Accumulating evidence about variable interindividual response to dietary intake of these carotenoids, based on genetic or metabolic influences, suggests that there may be subgroups that benefit from higher levels of intake and/or alternate strategies to improve lutein and zeaxanthin status.
Collapse
Affiliation(s)
- Julie Mares
- Department of Ophthalmology and Visual Sciences, University of Wisconsin, Madison, Wisconsin 53726-2336;
| |
Collapse
|
23
|
Stringham JM, Stringham NT, O'Brien KJ. Macular Carotenoid Supplementation Improves Visual Performance, Sleep Quality, and Adverse Physical Symptoms in Those with High Screen Time Exposure. Foods 2017; 6:foods6070047. [PMID: 28661438 PMCID: PMC5532554 DOI: 10.3390/foods6070047] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2017] [Revised: 06/27/2017] [Accepted: 06/28/2017] [Indexed: 11/16/2022] Open
Abstract
The dramatic rise in the use of smartphones, tablets, and laptop computers over the past decade has raised concerns about potentially deleterious health effects of increased "screen time" (ST) and associated short-wavelength (blue) light exposure. We determined baseline associations and effects of 6 months' supplementation with the macular carotenoids (MC) lutein, zeaxanthin, and mesozeaxanthin on the blue-absorbing macular pigment (MP) and measures of sleep quality, visual performance, and physical indicators of excessive ST. Forty-eight healthy young adults with at least 6 h of daily near-field ST exposure participated in this placebo-controlled trial. Visual performance measures included contrast sensitivity, critical flicker fusion, disability glare, and photostress recovery. Physical indicators of excessive screen time and sleep quality were assessed via questionnaire. MP optical density (MPOD) was assessed via heterochromatic flicker photometry. At baseline, MPOD was correlated significantly with all visual performance measures (p < 0.05 for all). MC supplementation (24 mg daily) yielded significant improvement in MPOD, overall sleep quality, headache frequency, eye strain, eye fatigue, and all visual performance measures, versus placebo (p < 0.05 for all). Increased MPOD significantly improves visual performance and, in turn, improves several undesirable physical outcomes associated with excessive ST. The improvement in sleep quality was not directly related to increases in MPOD, and may be due to systemic reduction in oxidative stress and inflammation.
Collapse
Affiliation(s)
- James M Stringham
- Nutritional Neuroscience Laboratory, Department of Psychology, University of Georgia, Athens, GA 30602, USA.
| | - Nicole T Stringham
- Interdisciplinary Neuroscience Program, Biomedical and Health Sciences Institute, University of Georgia, Athens, GA 30602, USA.
| | - Kevin J O'Brien
- Vision Sciences Laboratory, Department of Psychology, University of Georgia, Athens, GA 30602, USA.
| |
Collapse
|
24
|
Bosten JM, Goodbourn PT, Bargary G, Verhallen RJ, Lawrance-Owen AJ, Hogg RE, Mollon JD. An exploratory factor analysis of visual performance in a large population. Vision Res 2017; 141:303-316. [PMID: 28283347 DOI: 10.1016/j.visres.2017.02.005] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2016] [Revised: 01/25/2017] [Accepted: 02/15/2017] [Indexed: 11/19/2022]
Abstract
A factor analysis was performed on 25 visual and auditory performance measures from 1060 participants. The results revealed evidence both for a factor relating to general perceptual performance, and for eight independent factors that relate to particular perceptual skills. In an unrotated PCA, the general factor for perceptual performance accounted for 19.9% of the total variance in the 25 performance measures. Following varimax rotation, 8 consistent factors were identified, which appear to relate to (1) sensitivity to medium and high spatial frequencies, (2) auditory perceptual ability (3) oculomotor speed, (4) oculomotor control, (5) contrast sensitivity at low spatial frequencies, (6) stereo acuity, (7) letter recognition, and (8) flicker sensitivity. The results of a hierarchical cluster analysis were consistent with our rotated factor solution. We also report correlations between the eight performance factors and other (non-performance) measures of perception, demographic and anatomical measures, and questionnaire items probing other psychological variables.
Collapse
Affiliation(s)
- J M Bosten
- School of Psychology, University of Sussex, United Kingdom.
| | - P T Goodbourn
- School of Psychological Sciences, The University of Melbourne, Australia
| | - G Bargary
- Department of Psychology, University of Cambridge, United Kingdom
| | - R J Verhallen
- Department of Psychology, University of Cambridge, United Kingdom
| | | | - R E Hogg
- Centre for Vision Science and Vascular Biology, Queen's University Belfast, United Kingdom
| | - J D Mollon
- Department of Psychology, University of Cambridge, United Kingdom
| |
Collapse
|
25
|
Putnam CM. Clinical imaging of macular pigment optical density and spatial distribution. Clin Exp Optom 2016; 100:333-340. [PMID: 27885710 DOI: 10.1111/cxo.12500] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2015] [Revised: 09/14/2016] [Accepted: 09/20/2016] [Indexed: 11/29/2022] Open
Abstract
Clinical research continues to provide an increasing number of studies that reveal an association between macular pigment optical density (MPOD) and both visual function and ocular health. As a result, there is a growing need for repeatable, accurate measures of MPOD that can describe peak optical density as well as spatial distribution. Measurement of MPOD in a research setting has an established history encompassing a number of both objective and subjective techniques. Transition of these techniques to a clinical setting has produced an array of commercial devices using three primary methods: heterochromatic flicker photometry, fundus autofluorescence and fundus reflectometry. The inherent differences among the techniques create difficulty in making direct comparisons between MPOD measurement devices. Understanding the limitations of each technique is critical in the clinical interpretation of MPOD results. Here, both the objective and subjective methods of MPOD measurement are reviewed with emphasis on the commercially available devices used in clinical settings.
Collapse
|
26
|
Stringham JM, O'Brien KJ, Stringham NT. Macular carotenoid supplementation improves disability glare performance and dynamics of photostress recovery. EYE AND VISION 2016; 3:30. [PMID: 27857944 PMCID: PMC5106769 DOI: 10.1186/s40662-016-0060-8] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/11/2016] [Accepted: 10/25/2016] [Indexed: 11/10/2022]
Abstract
Background The so-called macular carotenoids (MC) lutein (L), zeaxanthin (Z), and meso-zeaxanthin (MZ) comprise the diet-derived macular pigment (MP). The purpose of this study was to determine effects of MC supplementation on the optical density of MP (MPOD), repeated-exposure photostress recovery (PSR), and disability glare (DG) thresholds. Methods This was a double-blind, placebo-controlled trial. Fifty-nine young (mean age = 21.7), healthy volunteers participated in this study. Subjects supplemented their daily diet with either 10 mg L + 2 mg total Z (1 mg Z + 1 mg MZ; n = 24), 20 mg L + 4 mg total Z (2 mg Z + 2 mg MZ; n = 25), or placebo (n = 10) for 12 months. The primary outcome was a composite measure of visual performance in glare, defined by change in DG and PSR. Secondary outcomes included MPOD and visual fatigue. The primary endpoint for outcomes was 12 months. MPOD was assessed with customized heterochromatic flicker photometry. PSR times for an 8 cycle /degree, 15 % contrast Gabor patch target were determined after each of five successive exposures to intense LED lights. DG threshold was defined as the intensity of a ring of lights through which subjects were able to maintain visibility of the aforementioned target. Measures of all parameters were conducted at baseline, 6 months, and 12 months. Repeated-measures ANOVA, and Pearson product-moment correlations were used to determine statistically significant correlations, and changes within and between groups. Results MPOD for subjects in both supplementation groups increased significantly versus placebo at both 6- and 12-month visits (p < 0.001 for all). Additionally, PSR times and DG thresholds improved significantly from baseline compared to placebo at 6- and 12-month visits (p < 0.001 for all). At baseline, MPOD was significantly related to both DG thresholds (r = 0.444; p = 0.0021) and PSR times (r = -0.56; p < 0.001). As a function of MPOD, the repeated-exposure PSR curves became more asymptotic, as opposed to linear. The change in subjects’ DG thresholds were significantly related to changes in PSR times across the study period (r = -0.534; p < 0.001). Conclusions Increases in MPOD lead to significant improvements in PSR times and DG thresholds. The asymptotic shape of the repeated-exposure PSR curves suggests that increases in MPOD produce more consistent steady-state visual performance in bright light conditions. The mechanism for this effect may involve both the optical filtering and biochemical (antioxidant) properties of MP. Trial registration ISRCTN trial registration number: ISRCTN54990825. Data reported in this manuscript represent secondary outcome measures from the registered trial.
Collapse
Affiliation(s)
- James M Stringham
- Nutritional Neuroscience Laboratory, Department of Physiology and Pharmacology, University of Georgia, Athens, GA 30602 USA
| | - Kevin J O'Brien
- Vision Sciences Laboratory, Department of Psychology, University of Georgia, Athens, GA 30602 USA
| | - Nicole T Stringham
- Nutritional Neuroscience Laboratory, Department of Physiology and Pharmacology, University of Georgia, Athens, GA 30602 USA ; Interdisciplinary Neuroscience Program, Biomedical Health Sciences Institute, University of Georgia, Athens, GA 30602 USA
| |
Collapse
|
27
|
Lima VC, Rosen RB, Farah M. Macular pigment in retinal health and disease. Int J Retina Vitreous 2016; 2:19. [PMID: 27847637 PMCID: PMC5088450 DOI: 10.1186/s40942-016-0044-9] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2016] [Accepted: 07/21/2016] [Indexed: 12/16/2022] Open
Abstract
Lutein and zeaxanthin, two carotenoid pigments of the xanthophyll subclass, are present in high concentrations in the retina, especially in the macula. They work as a filter protecting the macula from blue light and also as a resident antioxidant and free radical scavenger to reduce oxidative stress-induced damage. Many observational and interventional studies have suggested that lutein and zeaxanthin may reduce the risk of various eye diseases, especially late forms of AMD. In vitro and in vivo studies indicate that they could protect various ocular cells against oxidative damage. Recent research has shown that in addition to traditional mechanisms, lutein and zeaxanthin can influence the viability and function of cells through various signal pathways or transcription factors: for instance, they can affect immune responses and inflammation, and have anti-angiogenic and anti-tumor properties. This review covers the basic aspects and results of recent studies regarding the effects of lutein, zeaxanthin and other carotenoids, such as meso-zeaxanthin, on the eye in different clinical and experimental models and the management of various ocular diseases using these molecules.
Collapse
Affiliation(s)
- Verônica Castro Lima
- Retina Service, Hospital Humberto Castro Lima (IBOPC), Salvador, Bahia Brazil ; Retina Service, Department of Ophthalmology, Federal University of São Paulo, São Paulo, Brazil
| | - Richard B Rosen
- Icahn School of Medicine at Mount Sinai, New York, NY USA ; Retina Service, Department of Ophthalmology, The New York Eye and Ear Infirmary of Mount Sinai, 310 East 14th Street, New York, NY 10003 USA
| | - Michel Farah
- Retina Service, Department of Ophthalmology, Federal University of São Paulo, São Paulo, Brazil
| |
Collapse
|
28
|
Macular Pigment Optical Density and Measures of Macular Function: Test-Retest Variability, Cross-Sectional Correlations, and Findings from the Zeaxanthin Pilot Study of Response to Supplementation (ZEASTRESS-Pilot). Foods 2016; 5:foods5020032. [PMID: 28231126 PMCID: PMC5302333 DOI: 10.3390/foods5020032] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2016] [Revised: 04/24/2016] [Accepted: 04/26/2016] [Indexed: 12/24/2022] Open
Abstract
We report on the short-term test-retest baseline variability in macular function tests in ZEASTRESS-Pilot participants (n = 18), on their cross-sectional correlation with macular pigment optical density (MPOD), and on the effects of four months (FUV4) of 20 mg/day zeaxanthin (ZX), followed by a four-month washout (FUV8; n = 24, age 50–81 years old). Outcomes included: MPOD at 0.5 and 2.0 deg eccentricity (MPOD-0.5 and -2.0); contrast sensitivity (CS); pattern-reversal electroretinogram (PERG) amplitude; dark-adapted 650 nm foveal cone sensitivity (DA650-FCS); and 500 mn parafoveal rod sensitivity (DA500-PFRS). All measures of macular function showed close test-retest correlation (Pearson’s r range: 0.744–0.946) and low coefficients of variation (CV range: 1.13%–4.00%). MPOD correlated in a complex fashion with macular function. Following supplementation, MPOD-0.5 and MPOD-2.0 increased at both FUV4 and FUV8 (p ≤ 0.0001 for all measures). Continued, delayed MPOD increase and a small, but significant (p = 0.012), CS increase was seen at FUV8 only in females. PERGs increased significantly at FUV4 (p = 0.0006), followed by a partial decline at FUV8. In conclusion, following ZX supplementation, MPOD increased significantly. There was no effect on DA-650 FCS or DA-500 PFRS. Both CS and PERG amplitudes increased following supplementation, but the effect varied between males and females. Additional studies appear warranted to confirm and characterize further these inter-gender differences.
Collapse
|
29
|
Lutein, Zeaxanthin, and meso-Zeaxanthin in the Clinical Management of Eye Disease. J Ophthalmol 2015; 2015:865179. [PMID: 26819755 PMCID: PMC4706936 DOI: 10.1155/2015/865179] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2015] [Accepted: 11/29/2015] [Indexed: 11/18/2022] Open
Abstract
Lutein, zeaxanthin, and meso-zeaxanthin are xanthophyll carotenoids found within the retina and throughout the visual system. The retina is one of the most metabolically active tissues in the body. The highest concentration of xanthophylls is found within the retina, and this selective presence has generated many theories regarding their role in supporting retinal function. Subsequently, the effect of xanthophylls in the prevention and treatment of various eye diseases has been examined through epidemiological studies, animal studies, and clinical trials. This paper attempts to review the epidemiological studies and clinical trials investigating the effects of xanthophylls on the incidence and progression of various eye diseases. Observational studies have reported that increased dietary intake and higher serum levels of lutein and zeaxanthin are associated with lower risk of age-related macular degeneration (AMD), especially late AMD. Randomized, placebo-controlled clinical trials have demonstrated that xanthophyll supplementation increases macular pigment levels, improves visual function, and decreases the risk of progression to late AMD, especially neovascular AMD. Current publications on the preventive and therapeutic effects of lutein and zeaxanthin on cataracts, diabetic retinopathy, and retinopathy of prematurity have reported encouraging results.
Collapse
|
30
|
|
31
|
Stringham JM, Stringham NT. Nitric Oxide and Lutein: Function, Performance, and Protection of Neural Tissue. Foods 2015; 4:678-689. [PMID: 28231230 PMCID: PMC5224557 DOI: 10.3390/foods4040678] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2015] [Revised: 10/23/2015] [Accepted: 11/05/2015] [Indexed: 01/13/2023] Open
Abstract
The soluble gas neurotransmitter nitric oxide (NO) serves many important metabolic and neuroregulatory functions in the retina and brain. Although it is necessary for normal neural function, NO can play a significant role in neurotoxicity. This is often seen in disease states that involve oxidative stress and inflammation of neural tissues, such as age-related macular degeneration and Alzheimer’s disease. The dietary xanthophyll carotenoid lutein (L) is a potent antioxidant and anti-inflammatory agent that, if consumed in sufficient amounts, is deposited in neural tissues that require substantial metabolic demand. Some of these specific tissues, such as the central retina and frontal lobes of the brain, are impacted by age-related diseases such as those noted above. The conspicuous correspondence between metabolic demand, NO, and L is suggestive of a homeostatic relationship that serves to facilitate normal function, enhance performance, and protect vulnerable neural tissues. The purpose of this paper is to review the literature on these points.
Collapse
Affiliation(s)
- James M Stringham
- Nutritional Neuroscience Laboratory, Department of Psychology, University of Georgia, Athens, GA 30602, USA.
| | - Nicole T Stringham
- Nutritional Neuroscience Laboratory, Department of Psychology, University of Georgia, Athens, GA 30602, USA.
| |
Collapse
|
32
|
McCorkle SM, Raine LB, Hammond BR, Renzi-Hammond L, Hillman CH, Khan NA. Reliability of Heterochromatic Flicker Photometry in Measuring Macular Pigment Optical Density among Preadolescent Children. Foods 2015; 4:594-604. [PMID: 28231224 PMCID: PMC5224552 DOI: 10.3390/foods4040594] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2015] [Accepted: 10/13/2015] [Indexed: 11/16/2022] Open
Abstract
Macular pigment optical density (MPOD)-assessed using customized heterochromatic flicker photometry (cHFP)-is related to better cognition and brain lutein among adults. However, the reliability of MPOD assessed by cHFP has not been investigated in children. We assessed inter-session reliability of MPOD using modified cHFP. 7-10-year-olds (n = 66) underwent cHFP over 2 visits using 11 examiners. Reliability was also assessed in a subsample (n = 46) with only 2 examiners. Among all participants, there was no significant difference between the two sessions (p = 0.59-session 1: 0.61 ± 0.28; session 2: 0.62 ± 0.27). There was no significant difference in the MPOD of boys vs. girls (p = 0.56). There was a significant correlation between sessions (Y = 0.52x + 0.31; R² = 0.29, p ≤ 0.005), with a reliability of 0.70 (Cronbach's α). Among the subsample with 2 examiners, there was a significant correlation between sessions (Y = 0.54x + 0.31; R² = 0.32, p < 0.005), with a reliability of 0.72 (Cronbach's α). In conclusion, there is moderate reliability for modified cHFP to measure MPOD in preadolescents. These findings provide support for future studies aiming to conduct noninvasive assessments of retinal xanthophylls and study their association with cognition during childhood.
Collapse
Affiliation(s)
- Sasha M. McCorkle
- Division of Nutritional Sciences, University of Illinois, Louise Freer Hall, 906 S Goodwin Avenue, Urbana, IL 61801, USA; E-Mail:
| | - Lauren B. Raine
- Department of Kinesiology and Community Health, University of Illinois, Louise Freer Hall, 906 S Goodwin Avenue, Urbana, IL 61801, USA; E-Mails: (L.B.R.); (C.H.H.)
| | - Billy R. Hammond
- Department of Psychology, University of Georgia, 125 Baldwin Street, Athens, GA 30602, USA; E-Mails: (B.R.H.); (L.R-H.)
| | - Lisa Renzi-Hammond
- Department of Psychology, University of Georgia, 125 Baldwin Street, Athens, GA 30602, USA; E-Mails: (B.R.H.); (L.R-H.)
| | - Charles H. Hillman
- Division of Nutritional Sciences, University of Illinois, Louise Freer Hall, 906 S Goodwin Avenue, Urbana, IL 61801, USA; E-Mail:
- Department of Kinesiology and Community Health, University of Illinois, Louise Freer Hall, 906 S Goodwin Avenue, Urbana, IL 61801, USA; E-Mails: (L.B.R.); (C.H.H.)
| | - Naiman A. Khan
- Division of Nutritional Sciences, University of Illinois, Louise Freer Hall, 906 S Goodwin Avenue, Urbana, IL 61801, USA; E-Mail:
- Department of Kinesiology and Community Health, University of Illinois, Louise Freer Hall, 906 S Goodwin Avenue, Urbana, IL 61801, USA; E-Mails: (L.B.R.); (C.H.H.)
- Author to whom correspondence should be addressed; E-Mail: ; Tel.: +1-217-333-3893; Fax: +1-217-244-7322
| |
Collapse
|
33
|
Putnam CM, Bassi CJ. Macular pigment spatial distribution effects on glare disability. JOURNAL OF OPTOMETRY 2015; 8:258-65. [PMID: 25697374 PMCID: PMC4591422 DOI: 10.1016/j.optom.2014.12.004] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/15/2014] [Revised: 12/04/2014] [Accepted: 12/07/2014] [Indexed: 05/26/2023]
Abstract
PURPOSE This project explored the relationship of the macular pigment optical density (MPOD) spatial profile with measures of glare disability (GD) across the macula. METHODS A novel device was used to measure MPOD across the central 16° of retina along four radii using customized heterochromatic flicker photometry (cHFP)at eccentricities of 0°, 2°, 4°, 6° and 8°. MPOD was measured as discrete and integrated values at all measured retinal loci. GD was calculated as a difference in contrast sensitivity (CS) between no glare and glare conditions using identical stimuli presented at the same eccentricities. GD was defined as [(CSNo Glare-CSGlare)/CSNo Glare] in order to isolate the glare attenuation effects of MPOD by controlling for CS variability among the subject sample. Correlations of the discrete and integrated MPOD with GD were compared. RESULTS The cHFP identified reliable MPOD spatial distribution maps demonstrating a 1st-order exponential decay as a function of increasing eccentricity. There was a significant negative correlation between both measures of foveal MPOD and GD using 6 cycles per degree (cpd) and 9 cpd stimuli. Significant correlations were found between corresponding parafoveal MPOD measures and GD at 2 and 4° of eccentricity using 9 cpd stimuli with greater MPOD associated with less glare disability. CONCLUSIONS These results are consistent with the glare attenuation effects of MP at higher spatial frequencies and support the hypothesis that discrete and integrated measures of MPOD have similar correlations with glare attenuation effects across the macula. Additionally, peak foveal MPOD appears to influence GD across the macula.
Collapse
Affiliation(s)
| | - Carl J Bassi
- University of Missouri, St Louis College of Optometry, United States
| |
Collapse
|
34
|
Stringham NT, Stringham JM. Temporal Visual Mechanisms May Mediate Compensation for Macular Pigment. Perception 2015; 44:1400-15. [PMID: 26562864 DOI: 10.1177/0301006615607119] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Macular pigment (MP) is a pre-receptoral filter that is diet derived and deposited in relatively high optical density in the foveal region of the retina. Due to its yellow coloration, MP absorbs light of relatively short wavelengths, ranging from 400 nm to 520 nm. Despite the spectral and spatial nonuniformity imposed upon the sensory retina by MP, perception appears to be relatively uniform across the central visual field. MP therefore offers an opportunity to determine experimentally potential mechanisms responsible for mediating this uniformity. After assessing, in 14 subjects, MP's effects on the temporal sensitivity of both the short-wavelength- and middle-/long-wavelength-sensitive visual pathways, it appears that the visual system compensates for absorption of short-wavelength light by MP by slowing the sampling rate of short-wavelength cones and by increasing the processing speed of middle-/long-wavelength-sensitive cones. This mechanism could work via temporal summation or a temporal neural code, whereby slower response dynamics lead to amplification of relatively weak signals.
Collapse
Affiliation(s)
- Nicole T Stringham
- Nutritional Neuroscience Laboratory, Department of Psychology, University of Georgia, Athens, GA, USANeuroscience Division, Biomedical and Health Science Institute, University of Georgia, Athens, GA, USA
| | - James M Stringham
- Nutritional Neuroscience Laboratory, Department of Psychology, University of Georgia, Athens, GA, USA
| |
Collapse
|
35
|
Mewborn C, Renzi LM, Hammond BR, Miller LS. Critical Flicker Fusion Predicts Executive Function in Younger and Older Adults. Arch Clin Neuropsychol 2015; 30:605-10. [PMID: 26370250 DOI: 10.1093/arclin/acv054] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/21/2015] [Indexed: 11/13/2022] Open
Abstract
Critical flicker fusion (CFF), a measure of visual processing speed, has often been regarded as a basic metric underlying a number of higher cognitive functions. To test this, we measured CFF, global cognition, and several cognitive subdomains. Because age is a strong covariate for most of these variables, both younger (n = 72) and older (n = 57) subjects were measured. Consistent with expectations, age was inversely related to CFF and performance on all of the cognitive measures except for visual memory. In contrast, age-adjusted CFF thresholds were only positively related to executive function. Results showed that CFF predicted executive function across both age groups and accounted for unique variance in performance above and beyond age and global cognitive status. The current findings suggest that CFF may be a unique predictor of executive dysfunction.
Collapse
Affiliation(s)
| | - Lisa M Renzi
- Department of Psychology, University of Georgia, Athens, GA, USA
| | - Billy R Hammond
- Department of Psychology, University of Georgia, Athens, GA, USA
| | - L Stephen Miller
- Department of Psychology, University of Georgia, Athens, GA, USA Bio-Imaging Research Center, Paul C. Coverdell Center, University of Georgia, Athens, GA, USA
| |
Collapse
|
36
|
Broadhead GK, Grigg JR, Chang AA, McCluskey P. Dietary modification and supplementation for the treatment of age-related macular degeneration. Nutr Rev 2015; 73:448-62. [PMID: 26081455 DOI: 10.1093/nutrit/nuv005] [Citation(s) in RCA: 42] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
Abstract
Age-related macular degeneration (AMD) causes a significant proportion of visual loss in the developed world. Currently, little is known about its pathogenesis, and treatment options are limited. Dietary intake is one of the few modifiable risk factors for this condition. The best-validated therapies remain oral antioxidant supplements based on those investigated in the Age-Related Eye Disease Study (AREDS) and the recently completed Age-Related Eye Disease Study 2 (AREDS2). In this review, current dietary guidelines related to AMD, along with the underlying evidence to support them, are presented in conjunction with current treatment recommendations. Both AREDS and AREDS2 are discussed, as are avenues for further research, including supplementation with vitamin D and saffron. Despite the considerable disease burden of atrophic AMD, few effective therapies are available to treat it, and further research is required.
Collapse
Affiliation(s)
- Geoffrey K Broadhead
- G.K. Broadhead, J. Grigg, A.A Chang, and P. McCluskey are with the Save Sight Institute, Department of Ophthalmology, The University of Sydney, Sydney, New South Wales, 2000, Australia. G.K. Broadhead and A.A Chang are with the Sydney Institute of Vision Science, Sydney, New South Wales, 2000, Australia.
| | - John R Grigg
- G.K. Broadhead, J. Grigg, A.A Chang, and P. McCluskey are with the Save Sight Institute, Department of Ophthalmology, The University of Sydney, Sydney, New South Wales, 2000, Australia. G.K. Broadhead and A.A Chang are with the Sydney Institute of Vision Science, Sydney, New South Wales, 2000, Australia
| | - Andrew A Chang
- G.K. Broadhead, J. Grigg, A.A Chang, and P. McCluskey are with the Save Sight Institute, Department of Ophthalmology, The University of Sydney, Sydney, New South Wales, 2000, Australia. G.K. Broadhead and A.A Chang are with the Sydney Institute of Vision Science, Sydney, New South Wales, 2000, Australia
| | - Peter McCluskey
- G.K. Broadhead, J. Grigg, A.A Chang, and P. McCluskey are with the Save Sight Institute, Department of Ophthalmology, The University of Sydney, Sydney, New South Wales, 2000, Australia. G.K. Broadhead and A.A Chang are with the Sydney Institute of Vision Science, Sydney, New South Wales, 2000, Australia
| |
Collapse
|
37
|
Bovier ER, Hammond BR. A randomized placebo-controlled study on the effects of lutein and zeaxanthin on visual processing speed in young healthy subjects. Arch Biochem Biophys 2014; 572:54-57. [PMID: 25483230 DOI: 10.1016/j.abb.2014.11.012] [Citation(s) in RCA: 51] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2014] [Revised: 11/14/2014] [Accepted: 11/22/2014] [Indexed: 11/18/2022]
Abstract
Speed of processing is a particularly important characteristic of the visual system. Often a behavioral reaction to a visual stimulus must be faster than the conscious perception of that stimulus, as is the case with many sports (e.g., baseball). Visual psychophysics provides a relatively simple and precise means of measuring visual processing speed called the temporal contrast sensitivity function (tCSF). Past study has shown that macular pigment (a collection of xanthophylls, lutein (L), meso-zeaxanthin (MZ) and zeaxanthin (Z), found in the retina) optical density (MPOD) is positively correlated with the tCSF. In this study, we found similar correlations when testing 102 young healthy subjects. As a follow-up, we randomized 69 subjects to receive a placebo (n=15) or one of two L and Z supplements (n=54). MPOD and tCSF were measured psychophysically at baseline and 4months. Neither MPOD nor tCSF changed for the placebo condition, but both improved significantly as a result of supplementation. These results show that an intervention with L and Z can increase processing speed even in young healthy subjects.
Collapse
Affiliation(s)
- Emily R Bovier
- Department of Psychology, SUNY Oswego, Oswego, NY 13126, USA; Brain and Behavioral Sciences, The University of Georgia, Athens, GA 30602-3013, USA
| | - Billy R Hammond
- Brain and Behavioral Sciences, The University of Georgia, Athens, GA 30602-3013, USA.
| |
Collapse
|
38
|
|
39
|
Bovier ER, Renzi LM, Hammond BR. A double-blind, placebo-controlled study on the effects of lutein and zeaxanthin on neural processing speed and efficiency. PLoS One 2014; 9:e108178. [PMID: 25251377 PMCID: PMC4176961 DOI: 10.1371/journal.pone.0108178] [Citation(s) in RCA: 68] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2014] [Accepted: 08/22/2014] [Indexed: 11/19/2022] Open
Abstract
Lutein and zeaxanthin are major carotenoids in the eye but are also found in post-receptoral visual pathways. It has been hypothesized that these pigments influence the processing of visual signals within and post-retina, and that increasing lutein and zeaxanthin levels within the visual system will lead to increased visual processing speeds. To test this, we measured macular pigment density (as a biomarker of lutein and zeaxanthin levels in brain), critical flicker fusion (CFF) thresholds, and visual motor reaction time in young healthy subjects (n = 92). Changes in these outcome variables were also assessed after four months of supplementation with either placebo (n = 10), zeaxanthin only (20 mg/day; n = 29) or a mixed formulation containing 26 mg/day zeaxanthin, 8 mg/day lutein, and 190 mg/day mixed omega-3 fatty acids (n = 25). Significant correlations were found between retinal lutein and zeaxanthin (macular pigment) and CFF thresholds (p<0.01) and visual motor performance (overall p<0.01). Supplementation with zeaxanthin and the mixed formulation (considered together) produced significant (p<0.01) increases in CFF thresholds (∼12%) and visual motor reaction time (∼10%) compared to placebo. In general, increasing macular pigment density through supplementation (average increase of about 0.09 log units) resulted in significant improvements in visual processing speed, even when testing young, healthy individuals who tend to be at peak efficiency.
Collapse
Affiliation(s)
- Emily R. Bovier
- Vision Sciences and Human Biofactors Laboratories, Department of Psychology, The University of Georgia, Athens, Georgia, United States of America
| | - Lisa M. Renzi
- Vision Sciences and Human Biofactors Laboratories, Department of Psychology, The University of Georgia, Athens, Georgia, United States of America
- Abbott Nutrition, Columbus, Ohio, United States of America
| | - Billy R. Hammond
- Vision Sciences and Human Biofactors Laboratories, Department of Psychology, The University of Georgia, Athens, Georgia, United States of America
- * E-mail:
| |
Collapse
|
40
|
Johnson EJ. Role of lutein and zeaxanthin in visual and cognitive function throughout the lifespan. Nutr Rev 2014; 72:605-12. [DOI: 10.1111/nure.12133] [Citation(s) in RCA: 241] [Impact Index Per Article: 24.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Affiliation(s)
- Elizabeth J Johnson
- Antioxidants Research Laboratory; Jean Mayer US Department of Agriculture Human Nutrition Research Center on Aging; Gerald J. & Dorothy Friedman School of Nutrition Science and Policy; Tufts University; Boston Massachusetts USA
| |
Collapse
|
41
|
Renzi LM, Bovier ER, Hammond BR. A role for the macular carotenoids in visual motor response. Nutr Neurosci 2014; 16:262-8. [PMID: 24148268 DOI: 10.1179/1476830513y.0000000054] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
OBJECTIVES Lutein (L), zeaxanthin (Z), and meso-zeaxanthin are the dominant carotenoids within the central retina (there, termed macular pigment, MP). L is also the dominant carotenoid in the brain. The presence of L and Z in both motor and visual areas of the central nervous system is consistent with a role of these carotenoids in visual-motor behavior. The purpose of this study was to provide a first test of this hypothesis. METHODS Balance ability (measured via the Standing Leg Test) and simple reaction time (measured via a stimulus appearing in one of four quadrants of a computer monitor) were measured in 49 subjects (mean age = 54.8 years). Fixed and variable reaction time, and coincidence anticipation ability (estimating the arrival of the stimulus at a target location moving at four velocities) were assessed in 106 younger subjects (mean age = 23 years) using a customized device. MP optical density was measured in all subjects via customized heterochromatic flicker photometry. RESULTS MP optical density was significantly (P < 0.05) related to reaction time and to balance ability for the older subjects. Even for the younger group, MP optical density was significantly (P < 0.05) related to fixed and variable position reaction time, as well as coincidence anticipation errors, at high speed. DISCUSSION L and Z status has been linked to benefits in cognitive function in past research. The present results, and the selective presence of L and Z in visual and motor areas in the brain, are consistent with these carotenoids having a role in visual and motor integration.
Collapse
Affiliation(s)
- Lisa M Renzi
- University of Georgia, Athens, GA 30602-3013, USA; Abbott Nutrition, Columbus, OH, USA
| | | | | |
Collapse
|
42
|
Macular pigment optical density measurements by one-wavelength reflection photometry--influence of cataract surgery on the measurement results. Graefes Arch Clin Exp Ophthalmol 2014; 252:1717-27. [PMID: 24752832 DOI: 10.1007/s00417-014-2627-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2013] [Revised: 03/10/2014] [Accepted: 03/25/2014] [Indexed: 10/25/2022] Open
Abstract
PURPOSE The main objective of the present study was the investigation of possible influence of lens opacification on macular pigment optical density (MPOD) measurements. METHODS Eighty-six eyes of 64 patients (mean age 73.4 ± 8.3 years) were included in the study. MPOD was prospectively measured using the one-wavelength reflection method (Visucam500, Carl Zeiss Meditec AG) before and after cataract extraction, with implantation of a blue-light filtering intraocular lens (AlconSN60WF). The median of the maximum optical density (MaxOD) and the median of the mean optical density (MeanOD) measurements of macular pigment across the subject group were evaluated. RESULTS Statistically significant differences were noticed between pre-operative and post-operative measurements, the absolute values were generally lower after cataract extraction. The following median (lower/upper quartile) differences across the group were determined: MaxOD -33.8 % (-46.2 to -19.1 %), MeanOD -44.0 % (-54.6 to -26.6 %). Larger changes were observed in elderly patients [<70 years of age (n = 25 eyes): MaxOD -13.4 % (-20.5 to 3.6 %), MeanOD -23.6 % (-30.5 to -15.3 %) versus patients ≥70 years (n = 61 eyes) MaxOD -40.5 % (-53.2 to -30.1 %), MeanOD -47.2 % (-57.8 to -40.1 %)] and in patients with progressed stage of cataract. MaxOD for lens opacification grade 1 (n = 9 eyes): -27.4 % (-42.1 to -19.6 %), grade 2 (n = 26 eyes): -35.0 % (-44.2 to -25.3 %), grade 3 (n = 21 eyes): -34.4 % (-45.4 to -11.4 %), grade 4 (n = 25 eyes): -32.6 % (-53.2 to -6.4 %), and grade 5 (n = 5 eyes): -53.5 % (-61.7 to -38.7 %) and MeanOD for cataract stage 1 (n = 9 eyes): -42.6 % (-46.0 to -26.0 %), stage 2 (n = 26 eyes): -44.1 % (-51.8 to -26.2 %), stage 3 (n = 21 eyes): -45.7 % (-54.7 to -24.7 %), stage 4 (n = 25 eyes): -39.5 % (-59.4 to -26.1 %), and stage 5 (n = 5 eyes): -57.0 % (-66.1 to -51.4 %). CONCLUSIONS As established by comparison of pre- to post-operative measurements, cataract presented a strong effect on MPOD measured by one-wavelength reflection method. Particular care should therefore be taken when evaluating MPOD using this method in elderly patients with progressed stage of cataract. Future optimization of correcting parameters of scattered light and consideration of cataract influence may allow more precise evaluation of MPOD.
Collapse
|
43
|
Vishwanathan R, Iannaccone A, Scott TM, Kritchevsky SB, Jennings BJ, Carboni G, Forma G, Satterfield S, Harris T, Johnson KC, Schalch W, Renzi LM, Rosano C, Johnson EJ. Macular pigment optical density is related to cognitive function in older people. Age Ageing 2014; 43:271-5. [PMID: 24435852 DOI: 10.1093/ageing/aft210] [Citation(s) in RCA: 90] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND the xanthophylls lutein (L) and zeaxanthin (Z) exist in relatively high concentration in multiple central nervous tissues (e.g. cortex and neural retina). L + Z in macula (i.e. macular pigment, MP) are thought to serve multiple functions, including protection and improvement of visual performance. Also, L + Z in the macula are related to L + Z in the cortex. OBJECTIVE to determine whether macular pigment optical density (MPOD, L + Z in the macula) is related to cognitive function in older adults. METHODS participants were older adults (n = 108, 77.6 ± 2.7 years) sampled from the age-related maculopathy ancillary study of the Health Aging and Body Composition Study (Memphis, TN, USA). Serum carotenoids were measured using high performance liquid chromatography. MPOD was assessed using heterochromatic flicker photometry. Eight cognitive tests designed to evaluate several cognitive domains including memory and processing speed were administered. Partial correlation coefficients were computed to determine whether cognitive measures were related to serum L + Z and MPOD. RESULTS MPOD levels were significantly associated with better global cognition, verbal learning and fluency, recall, processing speed and perceptual speed, whereas serum L + Z was significantly related to only verbal fluency. CONCLUSION MPOD is related to cognitive function in older people. Its role as a potential biomarker of cognitive function deserves further study.
Collapse
Affiliation(s)
- Rohini Vishwanathan
- Carotenoids and Health Laboratory, Tufts University, 711 Washington St, Boston, MA 02111, USA
| | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
44
|
Beirne RO. The macular pigment optical density spatial profile and increasing age. Graefes Arch Clin Exp Ophthalmol 2013; 252:383-8. [PMID: 24081317 DOI: 10.1007/s00417-013-2471-8] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2013] [Revised: 08/24/2013] [Accepted: 09/13/2013] [Indexed: 10/26/2022] Open
Abstract
PURPOSE To investigate the relationship between the central spatial profile of macular pigment optical density (MPOD) and increasing age in normal eyes. METHODS Ninety-eight individuals (aged 19-71 years) with good visual acuity, free from ocular disease, and with clear ocular media participated. MPOD was measured at 0.25, 0.50, 1.00, and 1.75° eccentricity from the foveal centre using a heterochromatic flicker photometry based densitometer instrument. RESULTS Linear regression analysis revealed that there was no statistically significant association between MPOD and increasing age for the group as a whole at 0.25, 0.50, and 1.00° eccentricity (p > 0.05 for all eccentricities). There was a small but statistically significant positive association between increasing age and MPOD at 1.75° eccentricity (p = 0.020), but age only accounted for 6 % of the variation in MPOD values. Fifteen percent of all participants had a non-exponential MPOD spatial profile. CONCLUSION There was no statistically significant relationship between MPOD and increasing age for three of the four locations measured. A significant proportion of individuals show an atypical MPOD spatial profile, indicating that studies on MPOD should ideally report information on the MPOD spatial profile rather than estimates from only one retinal location.
Collapse
Affiliation(s)
- Raymond O Beirne
- Vision Science Research Group, School of Biomedical Sciences, University of Ulster, Coleraine, BT52 1SA, Northern Ireland, UK,
| |
Collapse
|
45
|
Relationship between Serum and Brain Carotenoids, α-Tocopherol, and Retinol Concentrations and Cognitive Performance in the Oldest Old from the Georgia Centenarian Study. J Aging Res 2013; 2013:951786. [PMID: 23840953 PMCID: PMC3690640 DOI: 10.1155/2013/951786] [Citation(s) in RCA: 193] [Impact Index Per Article: 17.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2013] [Revised: 04/05/2013] [Accepted: 04/28/2013] [Indexed: 12/02/2022] Open
Abstract
Oxidative stress is involved in age-related cognitive decline. The dietary antioxidants, carotenoids, tocopherols, and vitamin A may play a role in the prevention or delay in cognitive decline. In this study, sera were obtained from 78 octogenarians and 220 centenarians from the Georgia Centenarian Study. Brain tissues were obtained from 47 centenarian decedents. Samples were analyzed for carotenoids, α-tocopherol, and retinol using HPLC. Analyte concentrations were compared with cognitive tests designed to evaluate global cognition, dementia, depression and cognitive domains (memory, processing speed, attention, and executive functioning). Serum lutein, zeaxanthin, and β-carotene concentrations were most consistently related to better cognition (P < 0.05) in the whole population and in the centenarians. Only serum lutein was significantly related to better cognition in the octogenarians. In brain, lutein and β-carotene were related to cognition with lutein being consistently associated with a range of measures. There were fewer significant relationships for α-tocopherol and a negative relationship between brain retinol concentrations and delayed recognition. These findings suggest that the status of certain carotenoids in the old may reflect their cognitive function. The protective effect may not be related to an antioxidant effect given that α-tocopherol was less related to cognition than these carotenoids.
Collapse
|
46
|
The relationship between foveal short-wavelength-sensitive visual function and macular pigment optical density in the ageing age. Vision Res 2013; 86:81-6. [DOI: 10.1016/j.visres.2013.04.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2012] [Revised: 12/20/2012] [Accepted: 04/02/2013] [Indexed: 11/21/2022]
|
47
|
Macular pigment and its contribution to vision. Nutrients 2013; 5:1962-9. [PMID: 23760061 PMCID: PMC3725486 DOI: 10.3390/nu5061962] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2013] [Revised: 04/26/2013] [Accepted: 05/15/2013] [Indexed: 11/23/2022] Open
Abstract
Three dietary carotenoids, lutein (L), zeaxanthin (Z) and meso-zeaxanthin (MZ) accumulate at the central retina (macula), where they are collectively referred to as macular pigment (MP). MP’s pre-receptoral absorption of blue light and consequential attenuation of the effects of chromatic aberration and light scatter are important for optimal visual function. Furthermore, antioxidant activity of MP’s constituent carotenoids and the same blue light-filtering properties underlie the rationale for its putative protective role for age-related macular degeneration (AMD). Supplementation with L, Z and MZ augments MP and enhances visual performance in diseased and non-diseased eyes, and may reduce risk of AMD development and/or progression.
Collapse
|
48
|
Johnson EJ. A possible role for lutein and zeaxanthin in cognitive function in the elderly. Am J Clin Nutr 2012; 96:1161S-5S. [PMID: 23053547 DOI: 10.3945/ajcn.112.034611] [Citation(s) in RCA: 124] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
Abstract
Epidemiologic studies suggest that dietary lutein and zeaxanthin may be of benefit in maintaining cognitive health. Among the carotenoids, lutein and zeaxanthin are the only two that cross the blood-retina barrier to form macular pigment (MP) in the eye. They also preferentially accumulate in the human brain. Lutein and zeaxanthin in macula from nonhuman primates were found to be significantly correlated with their concentrations in matched brain tissue. Therefore, MP can be used as a biomarker of lutein and zeaxanthin in primate brain tissue. This is of interest given that a significant correlation was found between MP density and global cognitive function in healthy older adults. An examination of a relation between cognition and lutein and zeaxanthin concentrations in the brain tissue of decedents from a population-based study in centenarians found that zeaxanthin concentrations in brain tissue were significantly related to antemortem measures of global cognitive function, memory retention, verbal fluency, and dementia severity after adjustment for age, sex, education, hypertension, and diabetes. In univariate analyses, lutein was related to recall and verbal fluency, but the strength of the associations was attenuated with adjustment for covariates. However, lutein concentrations in the brain were significantly lower in individuals with mild cognitive impairment than in those with normal cognitive function. Last, in a 4-mo, double-blinded, placebo-controlled trial in older women that involved lutein supplementation (12 mg/d), alone or in combination with DHA (800 mg/d), verbal fluency scores improved significantly in the DHA, lutein, and combined-treatment groups. Memory scores and rate of learning improved significantly in the combined-treatment group, who also showed a trend toward more efficient learning. When all of these observations are taken into consideration, the idea that lutein and zeaxanthin can influence cognitive function in older adults warrants further study.
Collapse
Affiliation(s)
- Elizabeth J Johnson
- Carotenoids and Health Laboratory, Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, Boston, MA 02111, USA.
| |
Collapse
|
49
|
Hammond BR, Fletcher LM. Influence of the dietary carotenoids lutein and zeaxanthin on visual performance: application to baseball. Am J Clin Nutr 2012; 96:1207S-13S. [PMID: 23053558 DOI: 10.3945/ajcn.112.034876] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Macular pigment (MP) is composed of the yellow, blue-absorbing carotenoids lutein and zeaxanthin. Although distributed throughout the visual system, MP is heavily concentrated in the central retinal area (eg, screening the foveal cones). Because light must pass through MP before reaching the receptors, it filters significant amounts of short-wave energy. Individual variation in peak absorbance is large and ranges from 0.0 to 1.6 optical density units depending largely on dietary intake. Several important functions of MP have been proposed. MP may serve to protect the retina from damage by absorbing actinic short-wave light (analogous to internal sunglasses) or by inactivating highly reactive free radicals and oxygen triplicates that are the by-product of light-driven cellular activity. MP may also serve, as proposed more than a century ago, to improve the retinal image through optical mechanisms. Recent data suggest that the MP carotenoids reduce glare discomfort and disability, shorten photostress recovery times, enhance chromatic contrast, and increase visual range (how far one can see in the distance). Lutein and zeaxanthin within the brain might also increase temporal processing speeds. This article reviews the influences of MP on visual function by exploring the implications of these visual improvements for baseball players.
Collapse
Affiliation(s)
- Billy R Hammond
- Vision Sciences Laboratory, University of Georgia, Athens, GA 30602-3013, USA.
| | | |
Collapse
|
50
|
Vishwanathan R, Neuringer M, Snodderly DM, Schalch W, Johnson EJ. Macular lutein and zeaxanthin are related to brain lutein and zeaxanthin in primates. Nutr Neurosci 2012; 16:21-9. [PMID: 22780947 DOI: 10.1179/1476830512y.0000000024] [Citation(s) in RCA: 102] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
OBJECTIVES Xanthophyll pigments lutein and zeaxanthin cross the blood-retina barrier to preferentially accumulate in the macular region of the neural retina. There they form macular pigment, protecting the retina from blue light damage and oxidative stress. Lutein and zeaxanthin also accumulate in brain tissue. The objective of the study was to evaluate the relationship between retinal and brain levels of these xanthophylls in non-human primates. METHODS Study animals included rhesus monkeys reared on diets devoid of xanthophylls that were subsequently fed pure lutein or pure zeaxanthin (both at 3.9 µmol/kg per day, n = 6/group) and normal rhesus monkeys fed a stock diet (0.26 µmol/kg per day lutein and 0.24 µmol/kg per day zeaxanthin, n = 5). Retina (4 mm macular punch, 4-8 mm annulus, and periphery) and brain tissue (cerebellum, frontal cortex, occipital cortex, and pons) from the same animals were analyzed by reverse-phase high-performance liquid chromatography. RESULTS Lutein in the macula and annulus was significantly related to lutein levels in the cerebellum, occipital cortex, and pons, both in bivariate analysis and after adjusting for age, sex and n-3 fatty acid status. In the frontal cortex the relationship was marginally significant. Macular zeaxanthin was significantly related to zeaxanthin in the cerebellum and frontal cortex, while the relationship was marginally significant in the occipital cortex and pons in a bivariate model. DISCUSSION An integrated measure of total macular pigment optical density, which can be measured non-invasively, has the potential to be used as a biomarker to assess brain lutein and zeaxanthin status.
Collapse
Affiliation(s)
- Rohini Vishwanathan
- Carotenoids and Health Lab, Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University, Boston, MA 02111, USA
| | | | | | | | | |
Collapse
|