Alcohol Consumption and Incident Cataract Surgery in Two Large UK Cohorts
To examine the association of alcohol consumption and type of alcoholic beverage with incident cataract surgery in 2 large cohorts. Longitudinal, observational study. We included 469 387 participants of UK Biobank with a mean age of 56 years and 23 162 participants of European Prospective Investigat...
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| Veröffentlicht in: | Ophthalmology (Rochester, Minn.) Minn.), 2021-06, Vol.128 (6), p.837-847 |
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| creator | Chua, Sharon Y.L. Luben, Robert N. Hayat, Shabina Broadway, David C. Khaw, Kay-Tee Warwick, Alasdair Britten, Abigail Day, Alexander C. Strouthidis, Nicholas Patel, Praveen J. Khaw, Peng T. Foster, Paul J. Khawaja, Anthony P. |
| description | To examine the association of alcohol consumption and type of alcoholic beverage with incident cataract surgery in 2 large cohorts.
Longitudinal, observational study.
We included 469 387 participants of UK Biobank with a mean age of 56 years and 23 162 participants of European Prospective Investigation of Cancer (EPIC)-Norfolk with a mean age of 59 years.
Self-reported alcohol consumption at baseline was ascertained by a touchscreen questionnaire in UK Biobank and a food-frequency questionnaire in EPIC-Norfolk. Cases were defined as participants undergoing cataract surgery in either eye as ascertained via data linkage to National Health Service procedure statistics. We excluded participants with cataract surgery up to 1 year after the baseline assessment visit or those with self-reported cataract at baseline. Cox proportional hazards models were used to examine the associations of alcohol consumption with incident cataract surgery, adjusted for age, sex, ethnicity, Townsend deprivation index, body mass index (BMI), smoking, and diabetes status.
Incident cataract surgery.
There were 19 011 (mean cohort follow-up of 95 months) and 4573 (mean cohort follow-up of 193 months) incident cases of cataract surgery in UK Biobank and EPIC-Norfolk, respectively. Compared with nondrinkers, drinkers were less likely to undergo cataract surgery in UK Biobank (hazard ratio [HR], 0.89; 95% confidence interval [CI], 0.85–0.93) and EPIC-Norfolk (HR, 0.90; 95% CI, 0.84–0.97) after adjusting for covariables. Among alcohol consumers, greater alcohol consumption was associated with a reduced risk of undergoing cataract surgery in EPIC-Norfolk (P < 0.001), whereas a U-shaped association was observed in the UK Biobank. Compared with nondrinkers, subgroup analysis by type of alcohol beverage showed the strongest protective association with wine consumption; the risk of incident cataract surgery was 23% and 14% lower among those in the highest category of wine consumption in EPIC-Norfolk and UK Biobank, respectively.
Our findings suggest a lower risk of undergoing cataract surgery with low to moderate alcohol consumption. The association was particularly apparent with wine consumption. We cannot exclude the possibility of residual confounding, and further studies are required to determine whether this association is causal in nature. |
| doi_str_mv | 10.1016/j.ophtha.2021.02.007 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8162662</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0161642021001147</els_id><sourcerecordid>2489264920</sourcerecordid><originalsourceid>FETCH-LOGICAL-c463t-d4b4084e4de34c0e9dd546483251e5ab83f48c51b4432846347f51e6758f03643</originalsourceid><addsrcrecordid>eNp9UU1PGzEQtaqiktL-g6rysZfd-mPs3VwqoagfEZE4AGfLsb2so42d2l4Q_75GAdpeOI1G896bN_MQ-kRJSwmVX3dtPIxl1C0jjLaEtYR0b9CCClg20FH-Fi0qjDYSGDlF73PeEUKk5PAOnXIuOioEXaD1-WTiGCe8iiHP-0PxMWAdLF4H460LBa900Umbgq_mdOvSA_YBX99HvNG1xTcXlTnGVPIHdDLoKbuPT_UM3fz4fr361Wwuf65X55vGgOSlsbAF0oMD6zgY4pbWCpDQcyaoE3rb8wF6I-gWgLO-UqAb6kR2oh8Il8DP0Lej7mHe7p011WPSkzokv9fpQUXt1f-T4Ed1G-9UTyWTklWBL08CKf6eXS5q77Nx06SDi3NWDPolk7BkpELhCDUp5pzc8LKGEvWYgtqpYwrqMQVFmKopVNrnfy2-kJ7f_vcGVx91511S2XgXjLM-OVOUjf71DX8AQoiZ9Q</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2489264920</pqid></control><display><type>article</type><title>Alcohol Consumption and Incident Cataract Surgery in Two Large UK Cohorts</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Chua, Sharon Y.L. ; Luben, Robert N. ; Hayat, Shabina ; Broadway, David C. ; Khaw, Kay-Tee ; Warwick, Alasdair ; Britten, Abigail ; Day, Alexander C. ; Strouthidis, Nicholas ; Patel, Praveen J. ; Khaw, Peng T. ; Foster, Paul J. ; Khawaja, Anthony P.</creator><creatorcontrib>Chua, Sharon Y.L. ; Luben, Robert N. ; Hayat, Shabina ; Broadway, David C. ; Khaw, Kay-Tee ; Warwick, Alasdair ; Britten, Abigail ; Day, Alexander C. ; Strouthidis, Nicholas ; Patel, Praveen J. ; Khaw, Peng T. ; Foster, Paul J. ; Khawaja, Anthony P. ; UK Biobank Eye and Vision Consortium</creatorcontrib><description>To examine the association of alcohol consumption and type of alcoholic beverage with incident cataract surgery in 2 large cohorts.
Longitudinal, observational study.
We included 469 387 participants of UK Biobank with a mean age of 56 years and 23 162 participants of European Prospective Investigation of Cancer (EPIC)-Norfolk with a mean age of 59 years.
Self-reported alcohol consumption at baseline was ascertained by a touchscreen questionnaire in UK Biobank and a food-frequency questionnaire in EPIC-Norfolk. Cases were defined as participants undergoing cataract surgery in either eye as ascertained via data linkage to National Health Service procedure statistics. We excluded participants with cataract surgery up to 1 year after the baseline assessment visit or those with self-reported cataract at baseline. Cox proportional hazards models were used to examine the associations of alcohol consumption with incident cataract surgery, adjusted for age, sex, ethnicity, Townsend deprivation index, body mass index (BMI), smoking, and diabetes status.
Incident cataract surgery.
There were 19 011 (mean cohort follow-up of 95 months) and 4573 (mean cohort follow-up of 193 months) incident cases of cataract surgery in UK Biobank and EPIC-Norfolk, respectively. Compared with nondrinkers, drinkers were less likely to undergo cataract surgery in UK Biobank (hazard ratio [HR], 0.89; 95% confidence interval [CI], 0.85–0.93) and EPIC-Norfolk (HR, 0.90; 95% CI, 0.84–0.97) after adjusting for covariables. Among alcohol consumers, greater alcohol consumption was associated with a reduced risk of undergoing cataract surgery in EPIC-Norfolk (P < 0.001), whereas a U-shaped association was observed in the UK Biobank. Compared with nondrinkers, subgroup analysis by type of alcohol beverage showed the strongest protective association with wine consumption; the risk of incident cataract surgery was 23% and 14% lower among those in the highest category of wine consumption in EPIC-Norfolk and UK Biobank, respectively.
Our findings suggest a lower risk of undergoing cataract surgery with low to moderate alcohol consumption. The association was particularly apparent with wine consumption. We cannot exclude the possibility of residual confounding, and further studies are required to determine whether this association is causal in nature.</description><identifier>ISSN: 0161-6420</identifier><identifier>EISSN: 1549-4713</identifier><identifier>DOI: 10.1016/j.ophtha.2021.02.007</identifier><identifier>PMID: 33571551</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Alcohol ; Alcohol Drinking - adverse effects ; Alcohol Drinking - epidemiology ; Cataract ; Cataract - complications ; Cataract - epidemiology ; Cataract surgery ; EPIC-Norfolk ; Female ; Follow-Up Studies ; Humans ; Incidence ; Longitudinal observational cohort ; Male ; Middle Aged ; Original ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Prospective Studies ; Risk Factors ; Self Report ; UK Biobank ; United Kingdom - epidemiology ; Wine</subject><ispartof>Ophthalmology (Rochester, Minn.), 2021-06, Vol.128 (6), p.837-847</ispartof><rights>2021 American Academy of Ophthalmology</rights><rights>Copyright © 2021 American Academy of Ophthalmology. All rights reserved.</rights><rights>2021 by the American Academy of OphthalmologyThis is an open access article under the CC BY license (<inter-ref xlink: href=http://creativecommons.org/licenses/by/4.0/>http://creativecommons.org/licenses/by/4.0/</inter-ref>). 2021 American Academy of Ophthalmology</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c463t-d4b4084e4de34c0e9dd546483251e5ab83f48c51b4432846347f51e6758f03643</citedby><cites>FETCH-LOGICAL-c463t-d4b4084e4de34c0e9dd546483251e5ab83f48c51b4432846347f51e6758f03643</cites><orcidid>0000-0001-7653-5069</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0161642021001147$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33571551$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chua, Sharon Y.L.</creatorcontrib><creatorcontrib>Luben, Robert N.</creatorcontrib><creatorcontrib>Hayat, Shabina</creatorcontrib><creatorcontrib>Broadway, David C.</creatorcontrib><creatorcontrib>Khaw, Kay-Tee</creatorcontrib><creatorcontrib>Warwick, Alasdair</creatorcontrib><creatorcontrib>Britten, Abigail</creatorcontrib><creatorcontrib>Day, Alexander C.</creatorcontrib><creatorcontrib>Strouthidis, Nicholas</creatorcontrib><creatorcontrib>Patel, Praveen J.</creatorcontrib><creatorcontrib>Khaw, Peng T.</creatorcontrib><creatorcontrib>Foster, Paul J.</creatorcontrib><creatorcontrib>Khawaja, Anthony P.</creatorcontrib><creatorcontrib>UK Biobank Eye and Vision Consortium</creatorcontrib><title>Alcohol Consumption and Incident Cataract Surgery in Two Large UK Cohorts</title><title>Ophthalmology (Rochester, Minn.)</title><addtitle>Ophthalmology</addtitle><description>To examine the association of alcohol consumption and type of alcoholic beverage with incident cataract surgery in 2 large cohorts.
Longitudinal, observational study.
We included 469 387 participants of UK Biobank with a mean age of 56 years and 23 162 participants of European Prospective Investigation of Cancer (EPIC)-Norfolk with a mean age of 59 years.
Self-reported alcohol consumption at baseline was ascertained by a touchscreen questionnaire in UK Biobank and a food-frequency questionnaire in EPIC-Norfolk. Cases were defined as participants undergoing cataract surgery in either eye as ascertained via data linkage to National Health Service procedure statistics. We excluded participants with cataract surgery up to 1 year after the baseline assessment visit or those with self-reported cataract at baseline. Cox proportional hazards models were used to examine the associations of alcohol consumption with incident cataract surgery, adjusted for age, sex, ethnicity, Townsend deprivation index, body mass index (BMI), smoking, and diabetes status.
Incident cataract surgery.
There were 19 011 (mean cohort follow-up of 95 months) and 4573 (mean cohort follow-up of 193 months) incident cases of cataract surgery in UK Biobank and EPIC-Norfolk, respectively. Compared with nondrinkers, drinkers were less likely to undergo cataract surgery in UK Biobank (hazard ratio [HR], 0.89; 95% confidence interval [CI], 0.85–0.93) and EPIC-Norfolk (HR, 0.90; 95% CI, 0.84–0.97) after adjusting for covariables. Among alcohol consumers, greater alcohol consumption was associated with a reduced risk of undergoing cataract surgery in EPIC-Norfolk (P < 0.001), whereas a U-shaped association was observed in the UK Biobank. Compared with nondrinkers, subgroup analysis by type of alcohol beverage showed the strongest protective association with wine consumption; the risk of incident cataract surgery was 23% and 14% lower among those in the highest category of wine consumption in EPIC-Norfolk and UK Biobank, respectively.
Our findings suggest a lower risk of undergoing cataract surgery with low to moderate alcohol consumption. The association was particularly apparent with wine consumption. We cannot exclude the possibility of residual confounding, and further studies are required to determine whether this association is causal in nature.</description><subject>Alcohol</subject><subject>Alcohol Drinking - adverse effects</subject><subject>Alcohol Drinking - epidemiology</subject><subject>Cataract</subject><subject>Cataract - complications</subject><subject>Cataract - epidemiology</subject><subject>Cataract surgery</subject><subject>EPIC-Norfolk</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Incidence</subject><subject>Longitudinal observational cohort</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Prospective Studies</subject><subject>Risk Factors</subject><subject>Self Report</subject><subject>UK Biobank</subject><subject>United Kingdom - epidemiology</subject><subject>Wine</subject><issn>0161-6420</issn><issn>1549-4713</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UU1PGzEQtaqiktL-g6rysZfd-mPs3VwqoagfEZE4AGfLsb2so42d2l4Q_75GAdpeOI1G896bN_MQ-kRJSwmVX3dtPIxl1C0jjLaEtYR0b9CCClg20FH-Fi0qjDYSGDlF73PeEUKk5PAOnXIuOioEXaD1-WTiGCe8iiHP-0PxMWAdLF4H460LBa900Umbgq_mdOvSA_YBX99HvNG1xTcXlTnGVPIHdDLoKbuPT_UM3fz4fr361Wwuf65X55vGgOSlsbAF0oMD6zgY4pbWCpDQcyaoE3rb8wF6I-gWgLO-UqAb6kR2oh8Il8DP0Lej7mHe7p011WPSkzokv9fpQUXt1f-T4Ed1G-9UTyWTklWBL08CKf6eXS5q77Nx06SDi3NWDPolk7BkpELhCDUp5pzc8LKGEvWYgtqpYwrqMQVFmKopVNrnfy2-kJ7f_vcGVx91511S2XgXjLM-OVOUjf71DX8AQoiZ9Q</recordid><startdate>202106</startdate><enddate>202106</enddate><creator>Chua, Sharon Y.L.</creator><creator>Luben, Robert N.</creator><creator>Hayat, Shabina</creator><creator>Broadway, David C.</creator><creator>Khaw, Kay-Tee</creator><creator>Warwick, Alasdair</creator><creator>Britten, Abigail</creator><creator>Day, Alexander C.</creator><creator>Strouthidis, Nicholas</creator><creator>Patel, Praveen J.</creator><creator>Khaw, Peng T.</creator><creator>Foster, Paul J.</creator><creator>Khawaja, Anthony P.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-7653-5069</orcidid></search><sort><creationdate>202106</creationdate><title>Alcohol Consumption and Incident Cataract Surgery in Two Large UK Cohorts</title><author>Chua, Sharon Y.L. ; Luben, Robert N. ; Hayat, Shabina ; Broadway, David C. ; Khaw, Kay-Tee ; Warwick, Alasdair ; Britten, Abigail ; Day, Alexander C. ; Strouthidis, Nicholas ; Patel, Praveen J. ; Khaw, Peng T. ; Foster, Paul J. ; Khawaja, Anthony P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c463t-d4b4084e4de34c0e9dd546483251e5ab83f48c51b4432846347f51e6758f03643</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Alcohol</topic><topic>Alcohol Drinking - adverse effects</topic><topic>Alcohol Drinking - epidemiology</topic><topic>Cataract</topic><topic>Cataract - complications</topic><topic>Cataract - epidemiology</topic><topic>Cataract surgery</topic><topic>EPIC-Norfolk</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Incidence</topic><topic>Longitudinal observational cohort</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Original</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Prospective Studies</topic><topic>Risk Factors</topic><topic>Self Report</topic><topic>UK Biobank</topic><topic>United Kingdom - epidemiology</topic><topic>Wine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chua, Sharon Y.L.</creatorcontrib><creatorcontrib>Luben, Robert N.</creatorcontrib><creatorcontrib>Hayat, Shabina</creatorcontrib><creatorcontrib>Broadway, David C.</creatorcontrib><creatorcontrib>Khaw, Kay-Tee</creatorcontrib><creatorcontrib>Warwick, Alasdair</creatorcontrib><creatorcontrib>Britten, Abigail</creatorcontrib><creatorcontrib>Day, Alexander C.</creatorcontrib><creatorcontrib>Strouthidis, Nicholas</creatorcontrib><creatorcontrib>Patel, Praveen J.</creatorcontrib><creatorcontrib>Khaw, Peng T.</creatorcontrib><creatorcontrib>Foster, Paul J.</creatorcontrib><creatorcontrib>Khawaja, Anthony P.</creatorcontrib><creatorcontrib>UK Biobank Eye and Vision Consortium</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Ophthalmology (Rochester, Minn.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chua, Sharon Y.L.</au><au>Luben, Robert N.</au><au>Hayat, Shabina</au><au>Broadway, David C.</au><au>Khaw, Kay-Tee</au><au>Warwick, Alasdair</au><au>Britten, Abigail</au><au>Day, Alexander C.</au><au>Strouthidis, Nicholas</au><au>Patel, Praveen J.</au><au>Khaw, Peng T.</au><au>Foster, Paul J.</au><au>Khawaja, Anthony P.</au><aucorp>UK Biobank Eye and Vision Consortium</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Alcohol Consumption and Incident Cataract Surgery in Two Large UK Cohorts</atitle><jtitle>Ophthalmology (Rochester, Minn.)</jtitle><addtitle>Ophthalmology</addtitle><date>2021-06</date><risdate>2021</risdate><volume>128</volume><issue>6</issue><spage>837</spage><epage>847</epage><pages>837-847</pages><issn>0161-6420</issn><eissn>1549-4713</eissn><abstract>To examine the association of alcohol consumption and type of alcoholic beverage with incident cataract surgery in 2 large cohorts.
Longitudinal, observational study.
We included 469 387 participants of UK Biobank with a mean age of 56 years and 23 162 participants of European Prospective Investigation of Cancer (EPIC)-Norfolk with a mean age of 59 years.
Self-reported alcohol consumption at baseline was ascertained by a touchscreen questionnaire in UK Biobank and a food-frequency questionnaire in EPIC-Norfolk. Cases were defined as participants undergoing cataract surgery in either eye as ascertained via data linkage to National Health Service procedure statistics. We excluded participants with cataract surgery up to 1 year after the baseline assessment visit or those with self-reported cataract at baseline. Cox proportional hazards models were used to examine the associations of alcohol consumption with incident cataract surgery, adjusted for age, sex, ethnicity, Townsend deprivation index, body mass index (BMI), smoking, and diabetes status.
Incident cataract surgery.
There were 19 011 (mean cohort follow-up of 95 months) and 4573 (mean cohort follow-up of 193 months) incident cases of cataract surgery in UK Biobank and EPIC-Norfolk, respectively. Compared with nondrinkers, drinkers were less likely to undergo cataract surgery in UK Biobank (hazard ratio [HR], 0.89; 95% confidence interval [CI], 0.85–0.93) and EPIC-Norfolk (HR, 0.90; 95% CI, 0.84–0.97) after adjusting for covariables. Among alcohol consumers, greater alcohol consumption was associated with a reduced risk of undergoing cataract surgery in EPIC-Norfolk (P < 0.001), whereas a U-shaped association was observed in the UK Biobank. Compared with nondrinkers, subgroup analysis by type of alcohol beverage showed the strongest protective association with wine consumption; the risk of incident cataract surgery was 23% and 14% lower among those in the highest category of wine consumption in EPIC-Norfolk and UK Biobank, respectively.
Our findings suggest a lower risk of undergoing cataract surgery with low to moderate alcohol consumption. The association was particularly apparent with wine consumption. We cannot exclude the possibility of residual confounding, and further studies are required to determine whether this association is causal in nature.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>33571551</pmid><doi>10.1016/j.ophtha.2021.02.007</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0001-7653-5069</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Ophthalmology (Rochester, Minn.), 2021-06, Vol.128 (6), p.837-847 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Alcohol Alcohol Drinking - adverse effects Alcohol Drinking - epidemiology Cataract Cataract - complications Cataract - epidemiology Cataract surgery EPIC-Norfolk Female Follow-Up Studies Humans Incidence Longitudinal observational cohort Male Middle Aged Original Postoperative Complications - epidemiology Postoperative Complications - etiology Prospective Studies Risk Factors Self Report UK Biobank United Kingdom - epidemiology Wine |
| title | Alcohol Consumption and Incident Cataract Surgery in Two Large UK Cohorts |
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