Evaluation of a Novel Tool for Screening Inadequate Food Intake in Age-Related Macular Degeneration Patients

Nutrients. 2019 Dec 12;11(12):3031. doi: 10.3390/nu11123031.

Abstract

Diet assessment tools provide valuable nutrition information in research and clinical settings. With growing evidence supporting dietary modification to delay development and progression of age-related macular degeneration (AMD), an AMD-specific diet assessment tool could encourage eye-care practitioners to refer patients in need of further dietary behavioural support to a dietitian and/or support network. Therefore, the aim of this study was to evaluate clinical use of a novel, short dietary questionnaire (SDQ-AMD) to screen for inadequate food intake in AMD patients by comparing it against a validated food frequency questionnaire (FFQ). Recruitment sources included Sydney-based private eye clinics and research databases (N = 155; 57% female; 78 ± 8 years). Scoring criteria based on the Australian Dietary Guidelines and dietary recommendations for AMD in literature were developed and applied to dietary data from the FFQ and SDQ-AMD. Bland-Altman plot of difference suggests agreement between the FFQ and SDQ-AMD as most mean difference scores were within the 95% CI (6.91, -9.94), and no significant bias between the scores as the mean score increased ((regression equation: y = 0.11x - 2.60) (95% CI: -0.058, 0.275, p-value = 0.20)). Scores were also significantly correlated (0.57, p ≤ 0.0001). The SDQ-AMD shows potential as a diet screening tool for clinical use, however, additional studies are warranted to validate the SDQ-AMD.

Keywords: age-related macular degeneration; diet adequacy; diet screening tool; nutrition.

Publication types

  • Evaluation Study

MeSH terms

  • Aged
  • Australia
  • Diet / adverse effects
  • Diet Surveys / methods*
  • Diet, Healthy / statistics & numerical data*
  • Female
  • Humans
  • Macular Degeneration / diet therapy*
  • Macular Degeneration / etiology
  • Male
  • Mass Screening / methods*
  • Middle Aged
  • Nutrition Assessment
  • Nutrition Disorders / diagnosis*
  • Nutrition Disorders / etiology
  • Reproducibility of Results