Abstract
Purpose
To elucidate the association between macular pigment optical density (MPOD) and various types of obesity in the South-Indian population.
Patients and methods
In total, 300 eyes of 161 healthy volunteers of South-Indian origin were studied. MPOD was measured psychophysically at 0.25°, 0.50°, 1.00°, and 1.75° eccentricities from fovea. Anthropometric measurements included waist circumference (WC) and waist-to-hip ratio (WHR) and body mass index (BMI). Using the WHO Expert Consultation guidelines, obesity was defined based on BMI alone (BMI≥23 kg/m2), based on WC alone (WC≥90 cm for men and ≥80 cm for women), and based on WHR alone (≥0.90 for men and ≥0.85 for women). Isolated generalized obesity was defined as increased BMI and normal WC. Isolated abdominal obesity was defined as increased WC and normal BMI. Combined obesity was defined as increased BMI and increased WC.
Results
Mean MPOD at all eccentricities was not significantly different between men and women. Mean MPOD values did not significantly differ in various types of obesity, when compared with the normal subjects. On subgroup analysis, in age group ≥60 years, mean MPOD values were significantly higher in subjects with obesity based on BMI (0.61 vs0.41, P=0.036), obesity based on WHR (0.67 vs0.41, P=0.007), and isolated generalized obesity (0.66 vs0.41, P=0.045) in comparison with normal subjects at 0.25° eccentricity.
Conclusion
We found lack of an association between MPOD and obesity in the South-Indian population. A similar finding was also noted on age group- and gender-wise analyses.
Similar content being viewed by others
Log in or create a free account to read this content
Gain free access to this article, as well as selected content from this journal and more on nature.com
or
References
Beatty S, Boulton M, Henson D, Koh H-H, Murray IJ . Macular pigment and age-related macular degeneration. Br J Ophthalmol 1999; 83: 867–877.
Brown L, Rimm EB, Seddon J, Giovannucci EL, Chasan-Taber L, Spiegelman D . A prospective study of carotenoid intake and risk of cataract extraction in US men. Am J Clin Nutr 1999; 70: 517–524.
Chasan-Taber L, Willett WC, Seddon JM, Stampfer MJ, Rosner B, Colditz GA . A prospective study of carotenoid and vitamin A intakes and risk of cataract extraction in US women. Am J Clin Nutr 1999; 70: 509–516.
Kaplan LA, Lau JM, Stein EA . Carotenoid compositions and relationships in various human organs. Clin Physiol Biochem 1990; 8: 1–10.
Muir GJ, Balashova OA, Balashova NA, Bernstein PS . Lutein and zeaxanthin are present in significant quantities in the non-macular tissues of the human eye. Exp Eye Res 2001; 72: 215–223.
Yeum KY, Taylor A, Tang G, Russell RM . Measurement of carotenoids, retinoids, and tocopherols in human lenses. Invest Ophthalmol Vis Sci 1995; 36: 2756–2761.
Olson JA . Serum levels of vitamin A and carotenoids as reflectors of nutritional status. J Natl Cancer Inst 1984; 73: 1439–1444.
Seddon JM, Cote J, Davis N, Rosner B . Progression of age-related macular degeneration associated with body mass index, waist circumference, and waist-hip ratio. Arch Ophthalmol 2003; 121: 785–792.
Smith W, Mitchell P, Leeder SR, Wang JJ . Plasma fibrinogen levels, other cardiovascular risk factors, and age-related maculopathy. The Blue Mountains Eye Study. Arch Ophthalmol 1998; 116: 583–587.
Sunness JS, Gonzalez-Baron J, Bressler NM, Hawkins B, Applegate CA . The development of choroidal neovascularization in eyes with the geographic atrophy form of age-related macular degeneration. Ophthalmology 1999; 106: 910–919.
Delcourt C, Michel F, Colvez A, Lacroux A, Delage M, Vernet MH . Associations of cardiovascular disease and its risk factors with age-related macular degeneration: the POLA study. Ophthalmic Epidemiol 2001; 8: 237–249.
Klein B, Klein R, Lee K, Jensen S . Measures of obesity and age related eye diseases. Ophthalmic Epidemiol 2001; 8: 251–262.
Age-Related Eye Disease Study Research Group. Risk factors associated with age-related macular degeneration: a case-control study in the Age-Related Eye disease study: Age-Related Eye Disease Study Report Number 3. Ophthalmology 2004; 107: 2224–2232.
Handelman GJ, Snodderly DM, Krinsky NI, Russett MD, Adler AJ . Biological control of primate macular pigment: biochemical and densitometric studies. Invest Ophthalmol Vis Sci 1991; 32: 257–267.
Johnson EJ, Hammond BR, Yeum KJ, Qin J, Wang XD, Castaneda C . Relation among serum and tissue concentrations of lutein and zeaxanthin and macular pigment density. Am J Clin Nutr 2000; 71: 1555–1562.
Hammond BR, Ciulla TA, Snodderly DM . Macular pigment density is reduced in obese subjects. Invest Ophthalmol Vis Sci 2002; 43: 47–50.
Nolan J, O’Donovan O, Kavanagh H, Stack J, Harrison M, Muldoon A et al. Macular pigment and percentage of body fat. Invest Ophthalmol Vis Sci 2004; 45: 3940–3950.
Mares JA, LaRowe TL, Snodderly DM, Moeller SM, Gruber MJ, Klein ML et al. CAREDS Macular Pigment Study Group and Investigators. Predictors of optical density of lutein and zeaxanthin in retinas of older women in the Carotenoids in Age-Related Eye Disease Study, an ancillary study of the Women's Health Initiative. Am J Clin Nutr 2006; 84: 1107–1122.
Deepa M, Farooq S, Deepa R, Manjula D, Mohan V . Prevalence and significance of generalized and central body obesity in an urban Asian Indian population in Chennai, India (CURES: 47). Eur J Clin Nutr 2009; 63: 259–267.
Wang J, Russell-Aulet M, Mazariegos M, Burastero S, Thornton JC, Lichtman S et al. Body fat by dual photon absorptiometry (DPA): comparisons with traditional methods in Asians, Blacks and Caucasians. Am J Hum Biol 1992; 4: 501–510.
Banerji MA, Faridi N, Alturi R, Chaiken RL, Lebovitz HE . Body composition, visceral fat, leptin and insulin resistance in Asian Indian men. J Clin Endocrinol Metab 1999; 84: 137–144.
Raji A, Seely EW, Arky RA, Simonson DC . Body fat distribution and insulin resistance in healthy Asian Indians and Caucasians. J Clin Endocrinol Metab 2001; 86: 5366–5371.
World Health Organization (WHO) Expert Consultation. Appropriate body mass index for Asian populations and its implications for policy and intervention strategies. Lancet 2004; 363: 157–163.
World Health Organization. The Asia Pacific Perspective, Redefining Obesity and its Treatment: International Association for the Study of Obesity and International Obesity Task Force. International Diabetes Institute: Melbourne, 2000.
Raman R, Rani PK, Gnanamoorthy P, Sudhir RR, Kumaramanikavel G, Sharma T . Association of obesity with diabetic retinopathy: Sankara Nethralaya Diabetic Retinopathy Epidemiology and Molecular Genetics Study (SN-DREAMS Report no. 8). Acta Diabetol 2010; 47: 209–215.
Hughes K, Yeo PP, Lun KC, Thai AC, Wang KW, Cheah JS . Obesity and body mass indices in Chinese, Malays and Indians in Singapore. Ann Acad Med Singapore 1990; 19: 333–338.
Hammond Jr BR, Wooten BR, Snodderly DM . Individual variations in the spatial profile of human macular pigment. J Opt Soc Am A 1997; 14: 1187–1196.
Deurenberg-Yap M, Deurenberg P . Is a re-evaluation of WHO body mass index cut-off values needed? The case of Asians in Singapore. Nutr Rev 2003; 61: S80–S87.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no conflict of interest.
Additional information
Supplementary Information accompanies the paper on Eye website
Supplementary information
Rights and permissions
About this article
Cite this article
Gupta, A., Raman, R., Biswas, S. et al. Association between various types of obesity and macular pigment optical density. Eye 26, 259–266 (2012). https://doi.org/10.1038/eye.2011.328
Received:
Accepted:
Published:
Issue date:
DOI: https://doi.org/10.1038/eye.2011.328
Keywords
This article is cited by
-
The use of heterochromatic flicker photometry to determine macular pigment optical density in a healthy Australian population
Graefe's Archive for Clinical and Experimental Ophthalmology (2014)


