Clinical Nutrition ESPEN

Vitamin D deficiency linked to cataract risk in adults 50 or older

Cataract risk over up to 10 years was higher with vitamin D deficiency than with sufficient levels, with a relative-risk measure called a hazard ratio of 1.71.

Paper by Kuo-Chuan Hung, Ting-Sian Yu, Ping-Hsin Liu, I-Wen Chen · College of Medicine
A large eye with a cloudy lens sits beside a smaller clear eye, with blood cells below each and fewer molecular shapes beside the cloudy eye.
Cohort study of adults aged 50 or older, against patients with sufficient vitamin D levelsPopulations

Limit: Differences in eye-care use could bias cataract detection

Edited by Boris Djordjevic · AgingResearch.News

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In a retrospective observational cohort study of adults aged 50 or older, researchers compared 233,425 patients with persistent vitamin D deficiency with 233,425 patients with sufficient levels. They used records from the TriNetX Global Collaborative Network and matched the groups on measured characteristics. Deficiency required two low blood vitamin D test results.

Vitamin D deficiency was associated with more new age-related cataracts during follow-up. Cataract surgery and death from any cause were also more frequent in the deficient group. The cataract association remained after researchers accounted for previous eye-care use. Additional analyses restricted to more recent records or patients with documented previous eye care also found associations, though the estimates were smaller.

Why it matters

Age-related cataracts are a leading cause of blindness, so identifying factors associated with their development matters for understanding vision loss in later life.

Caveats

This observational study cannot show that vitamin D deficiency caused cataracts or that supplements would reduce risk. The findings concern adults aged 50 or older, and the authors called for prospective studies.