Effect of lutein and antioxidant dietary supplementation on contrast sensitivity in age-related macular disease: a randomized controlled trial

Eur J Clin Nutr. 2007 Sep;61(9):1121-7. doi: 10.1038/sj.ejcn.1602626. Epub 2007 Jan 31.

Abstract

Objective: The aim of the study is to determine the effect of lutein combined with vitamin and mineral supplementation on contrast sensitivity in people with age-related macular disease (ARMD).

Design: A prospective, 9-month, double-masked randomized controlled trial.

Setting: Aston University, Birmingham, UK and a UK optometric clinical practice.

Subjects: Age-related maculopathy (ARM) and atrophic age-related macular degeneration (AMD) participants were randomized (using a random number generator) to either placebo (n=10) or active (n=15) groups. Three of the placebo group and two of the active group dropped out.

Interventions: The active group supplemented daily with 6 mg lutein combined with vitamins and minerals. The outcome measure was contrast sensitivity (CS) measured using the Pelli-Robson chart, for which the study had 80% power at the 5% significance level to detect a change of 0.3 log units.

Results: The CS score increased by 0.07+/-0.07 and decreased by 0.02+/-0.18 log units for the placebo and active groups, respectively. The difference between these values is not statistically significant (z=-0.903, P=0.376).

Conclusion: The results suggest that 6 mg of lutein supplementation in combination with other antioxidants is not beneficial for this group. Further work is required to establish optimum dosage levels.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Antioxidants / administration & dosage
  • Antioxidants / pharmacology*
  • Contrast Sensitivity / drug effects*
  • Contrast Sensitivity / physiology
  • Dietary Supplements
  • Double-Blind Method
  • Female
  • Humans
  • Lutein / administration & dosage
  • Lutein / pharmacology*
  • Macular Degeneration / drug therapy*
  • Macular Degeneration / physiopathology
  • Male
  • Middle Aged
  • Minerals / administration & dosage
  • Prospective Studies
  • Treatment Outcome
  • Vitamins / administration & dosage

Substances

  • Antioxidants
  • Minerals
  • Vitamins
  • Lutein