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By Rosalie Marion Bliss
October 29, 2007
Consuming higher-than-average amounts of carbohydrates that cause
blood sugar levels to spike and fall rapidly could be a risk factor
for central vision loss with aging. Scientists supported by the
Agricultural Research Service (ARS) and grants reported the findings
this year in the American Journal of Clinical Nutrition.
ARS
is the U.S. Department of Agriculture's chief scientific research
agency.
The
study was led by Chung-Jung Chiu with Allen Taylor, both at the
Jean Mayer USDA Human Nutrition Research Center on Aging (HNRCA)
in Boston, Mass. Taylor is director of the Laboratory for Nutrition
and Vision Research at the HNRCA.
The
researchers analyzed dietary intake and other data from more than
4,000 men and women aged 55 to 80 participating in the Age-Related
Eye Disease Study, or AREDS.
Diets
high in carbohydrates that are quickly digested and absorbed, resulting
in a rapid rise in blood sugar levels, are considered high-glycemic-index
diets. Examples of such "fast carb" foods are white bread,
rice, potatoes and pasta, and also sugars and corn syrups. Carbohydrates
leading to a more gradual rise and fall in blood sugar levels comprise
low-glycemic-index diets. Such "slow carb" foods include
whole-grain versions of bread, rice and pasta.
Central
vision loss is one of the first signs of age-related macular degeneration
(AMD), a disease that is one of the leading causes of blindness
among the elderly.
Consuming
a diet high in fast carbs is also suspected of being involved in
the vision loss that sometimes occurs in people with diabetes. The
researchers theorize that the type of damage to eye tissue produced
by fast carbs could be similar in both AMD and diabetic eye disease.
At
this time, there is no effective cure for AMD, so finding modifiable
risk factors is important. While it's too soon to recommend dietary
slow carbs as a preventive strategy for AMD, replacing fast carbs
with whole grains may soon prove to be an early dietary intervention
to slow its progression.
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