Consumo de alimentos ricos en antioxidantes en pacientes ambulatorios con retinopatía diabética del Hospital La Carlota durante el 2021: Consumption of foods rich in antioxidants in outpatients with diabetic retinopathy at Hospital La Carlota during 2021

Raquel Martínez de Kurata; Raquel Karen García Lecca; Edward Samudio Márquez; Javier Castillo Velázquez

doi:10.25176/RFMH.v22i1.4121

Authors

Raquel Martínez de Kurata Instituto de la Visión, Hospital La Carlota. Montemorelos, México.
Raquel Karen García Lecca Instituto de la Visión, Hospital La Carlota. Montemorelos, México.
Edward Samudio Márquez Instituto de la Visión, Hospital La Carlota. Montemorelos, México.
Javier Castillo Velázquez Instituto de la Visión, Hospital La Carlota. Montemorelos, México.

DOI:

https://doi.org/10.25176/RFMH.v22i1.4121

Keywords:

Diabetic Retinopathy, Eating Habits, Antioxidants

Abstract

The objective of this work was to assess the quality of the consumption of foods rich in antioxidants such as vitamin C, E and selenium, in a sample of 28 patients with diabetic retinopathy (DR) who attended outpatient consultation at the Institute of Vision, of the La Carlota Hospital, in February 2021. The research was observational, descriptive, cross-sectional, with an analytical component. Patients older than 20 years with DR were included, who agreed to participate in the food survey applied by hospital professionals. Sociodemographic and ophthalmological variables and food consumption were measured. Results: 60% of the cases were men, the mean age was 56 ± 13 years. Proliferative diabetic retinopathy (PDR) was the most frequent diagnosis. Regarding food consumption, the most frequently mentioned were eggs, onion, garlic, parsley, orange, banana, lemon, corn tortillas, chili peppers, avocado. It was almost zero intake of whole fiber, nuts and vegetable oils. The median consumption of vitamin C was 87.5 mg, vitamin E 13.9 mg, and selenium 36.7 mcg. Deficient consumption of these micronutrients was found in 63% of cases, especially in men. In this research, no statistically significant association was found between poor consumption of foods rich in antioxidants and PDR (X² p= 0.2). Conclusion: There is a marked deficit in the consumption of foods with a high contribution of antioxidants in patients with RD, but this situation does not affect the severity of the disease.

Downloads

Download data is not yet available.

References

Flaxman S, Bourne R, Resniko S, Ackland P, Braithwaite T, Cicinelli M, et al. Global causes of blindness and distance vision impairment 1990–2020: A systematic review and meta-analysis. Lancet Glob. Health 2017; 5, e1221–e1234.

Rodríguez R, Salas Osorio J, Calle Y; et al. Evaluación de los factores de riesgo en la salud visual de los pacientes con retinopatía diabética. Ciencia y salud [revista en internet]. 2019 [acceso 18.01.21]; 11(1), 27-35.

Kowluru R, Kowluru A, Mishra M, Kumar B. Oxidative stress and epigenetic modifications in the pathogenesis of diabetic retinopathy. Progress in Retinal and Eye Research 2015; 48:40-61.

Li C, Miao X, Li F, Wang S, Liu Q, Wang Y, Sun J. Oxidative Stress-Related Mechanisms and Antioxidant Therapy in Diabetic Retinopathy. Oxid. Med. Cell. Longev. 2017, 9702820.

Lachin JM, Genuth S, Cleary P, Davis MD, Nathan DM. The Diabetes Control and Complications Trial/Epidemiology of Diabetes and Complications Research Group. Retinopathy and nephropathy in patients with type I diabetes four years after a trail of intensive therapy. N Engl J Med. 2019; 342 (6):1-30.

Robles R, Castellanos J, Olvera C, Flores R, López A, Arevalo D. et al. Adjuvant Therapies in Diabetic Retinopathy as an Early Approach to Delay Its Progression: The Importance of Oxidative Stress and Inflammation. Oxidative Medicine and Cellular Longevity 2020; ID 3096470, 23 pages https://doi.org/10.1155/2020/3096470.

Johansen JS, Harris AK, Rychly DJ, Ergul A. Oxidative stress and the use of antioxidants in diabetes: linking basic science to clinical practice. Cardiovasc Diabetol 2015; 29:5.

Robles R, Castellanos J, Olvera C, Flores R, López A, Arevalo D. et al. Adjuvant Therapies in Diabetic Retinopathy as an Early Approach to Delay Its Progression: The Importance of Oxidative Stress and Inflammation. Oxidative Medicine and Cellular Longevity 2020; ID 3096470, 23 pages https://doi.org/10.1155/2020/3096470.

Y. Chen, J. Meng, H. Li et al. Resveratrol and a-tocoferol exhibits an effect on attenuating retina inflammatory condition and damage of diabetic retinopathy via PON1. Experimental Eye Research 2019; 181:356–366.

Chun O, Floegel A, Chung S, Chung C, Song W, Koo S. Estimation of antioxidant intakes from diet and supplements in U.S. adults. J Nutr 2010; 140:317-24.

García J, Pinazo M.; García M, Zanon V, Pons S. A 5-year follow-up of antioxidant supplementation in type 2 diabetic retinopathy. Eur. J. Ophthalmol. 2018; 21, 637–643.

Chous, A.P.; Richer, S.P.; Gerson, J.D.; Kowluru, R.A. The Diabetes Visual Function Supplement Study (DiVFuSS). Br. J. Ophthalmol. 2016; 100:227–234.

She C, Shang F, Cui M, Yang X, Liu N. Association between dietary antioxidants and risk for diabetic retinopathy in a Chinese population. Eye (Lond). 2021 Jul;35(7):1977-1984. doi: 10.1038/s41433-020-01208-z.

Meza E, Nuñez B, Serafini M, Vacchetta A. Hábitos alimentarios y estado nutricional en pacientes diabéticos con retinopatía que acuden a una Clínica Oftalmológica Privada de la ciudad de Asunción. Mem. Inst. Investig. Cienc. Salud. 2019; 17(2): 64-70.

García J, Rubio E, Foulquie E, Casaroli R, Pinazo M, Zanon V et al. Update on the Effects of Antioxidants on Diabetic Retinopathy: In Vitro Experiments, Animal Studies and Clinical Trials. Antioxidants 2020; 9:561; doi:10.3390/antiox9060561.