What Macular Degeneration Foods to Avoid and Which Ones Prevent Progression?

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What foods are bad for AMD?

It should come as no surprise that meals that block your heart’s blood vessels might also damage the delicate blood vessels in your eyes. Avoid fast food and limit the following, particularly if you have high cholesterol, to safeguard your vision: 

  • Trans-fat-containing processed foods 
  • Tropical oils such as palm oil (use vitamin E–rich safflower or olive oil instead)
  • Vegetable shortening, margarine, and lard 
  • Fatty dairy products (eggs in moderation are a good source of eye-healthy nutrients) 
  • Fatty lamb, beef, and pork 

Give up sugary foods and beverages as well since they induce inflammation and produce free radicals that harm the eyes. Foods heavy in sugar and fat include a lot of calories and are a big factor in obesity, which is connected to AMD.

What is a good diet for macular degeneration?

Eating a diet high in nutrients may help stop age-related macular degeneration (AMD) or reduce its development. Your daily diet should be mostly composed of foods that are high in omega-3 fatty acids and green, orange, and yellow pigmented fruits and vegetables. Additionally advised are maintaining a healthy weight, working out, quitting smoking, and minimizing your exposure to UV radiation. According to research, a healthy diet and the addition of certain vitamins and minerals may be beneficial for your eye health. 

What is the Macula?

The core region of the retina, or macula, which is located within the back of the eye and is responsible for the detailed, central vision, deteriorates, causing macular degeneration. Aging is the major risk factor, especially for those who are 65 years old or older, and it is the main cause of vision loss. There is a rare genetic connection, which may happen to younger individuals. 

Benefits of an antioxidant-rich diet

 It is generally known that eating a diet high in fruits and vegetables lowers the chance of developing various illnesses, including cancer, heart disease, and stroke. 

Vitamins C and E, carotenoids (lutein, zeaxanthin, and alpha-carotene), zinc, and omega-3 fatty acids (EPA), (DHA) have all been associated with antioxidant and anti-inflammatory effects that have been linked to improved eyesight. 

There is no danger in consuming foods that include these nutrients, despite some conflicting studies on the advantages of specific nutrients for preventing and delaying the onset of AMD. For instance, most individuals find it beneficial to include berries, almonds, squash, carrots, kale, and fatty fish. 

In addition to exposure to UV radiation, oxidative stress in the retina also contributes to age-related macular degeneration. Two carotenoids, lutein, and zeaxanthin have antioxidant properties and may filter short-wavelength light linked to photochemical damage. A decreased risk of AMD has been linked to diets rich in lutein and zeaxanthin, according to studies. 

Dietary lutein and zeaxanthin are selectively used by the macula of the eye, they absorb up to 90% of blue light radiation and help maintain good visual function, according to the Linus Pauling Institute. According to some research, consuming roughly 6 milligrams (mg) of lutein and zeaxanthin daily from fruits and vegetables (as opposed to less than 2 mg/day) may reduce the chance of developing advanced AMD. 

Sources of lutein and zeaxanthin

Green leafy vegetables and foods with yellow or orange pigment, such as:

  • Spinach
  • Kale
  • Turnip greens
  • Collard greens
  • Brussel sprouts
  • Summer squash
  • Mustard greens
  • pumpkin

  A cup of cooked, frozen spinach has a lutein and zeaxanthin content of roughly 30 mg. 

Antioxidants for AMD

Vitamins A, E, and C are examples of antioxidants that are known to reduce oxidative stress by free radicals. Although the majority of the study on these vitamins focuses on the advantages of supplementing, increasing the intake of these items in the diet would not be detrimental. Current research suggests that all AMD patients should be advised to increase their intake of green leafy vegetables and to consume fatty fish at least twice a week, according to a review. 

According to a Cochrane analysis of 19 different research studies, taking multivitamins, antioxidant vitamins, and minerals supplements may help persons with AMD slow down the course of their condition. 

AREDS studies for AMD

The Age-Related Eye Disease Study (AREDS), which was supported by the National Eye Institute, provided the majority of the data for the Cochrane review. This research looked at the impact of supplements on AMD in adults between the ages of 55 and 80. The goal of the research was to identify risk factors, preventative measures, and methods to slow the advancement of cataracts and macular degeneration. Results indicated that in people with early but not substantial stages of the illness, a supplement combination of beta-carotene, vitamin C, vitamin E, zinc, and copper may lower the chance of developing advanced AMD by roughly 25%. 

The Age-Related Eye Condition Research 2 (AREDS2), a related study, found that taking supplements of lutein and zeaxanthin may slow the course of the disease. Researchers have developed special formularies for these supplements and advise against using beta-carotene supplements if you smoke or have ever smoked since they may raise your chance of developing lung cancer. 

The trials indicate that persons with late AMD in just one eye as well as those with intermediate AMD in one or both eyes may benefit from the supplement formulations. It should be mentioned that the concentrations of the AREDS supplements are substantially greater than the daily recommended dosage. Beta-carotene and vitamin E supplements, for example, can be harmful in high doses. As a result, it’s crucial to always talk to a doctor before taking supplements and to think about boosting your diet with foods that are high in these nutrients. 

Additionally, the study indicates that following a Mediterranean diet was linked to a lower chance of developing advanced AMD, which may be influenced by the genetic vulnerability. 

Mediterranean diet for AMD?

 Fruits, vegetables, legumes,  potatoes, nuts, whole grains seeds, and fatty fish are part of a Mediterranean diet, while dairy, meat, poultry, sweets, and processed foods are consumed in moderation. Following this eating plan makes sense since it includes foods that are high in the vitamins and minerals that have been related to a decreased risk and development of AMD. Additionally, a Mediterranean diet has been associated with a lower risk of obesity, better glycemic management, and a decline in heart disease. 

What It Does 

Adopting this eating pattern is more of a lifestyle adjustment than it is a set of precise guidelines or timetables. Diabetes, obesity, and heart disease have all been shown to be decreased by eating a diet rich in fruits, vegetables, whole grains, nuts, seeds, and fatty fish, which is known as a Mediterranean diet. 

Sustainability is the goal of this diet

Long-term sustainability is a goal of this eating pattern. You may start using it at any time in your life, whether you have macular degeneration symptoms or not. 

The Meal Plan 

A variety of fruits and vegetables, especially those high in vitamin C, E, beta-carotene, zinc, lutein, and zeaxanthin, should be consumed every day. Lean protein, whole grains, legumes, fatty fish, nuts, seeds, oil (like olive oil), and small quantities of chicken and dairy are also included. 

Good macular degeneration foods to eat

Vegetables:

  • Broccoli
  • Brussels sprouts
  • Cauliflower
  • Cabbage
  • Carrots
  • collard greens
  • dandelion greens
  • kale, lettuce
  • mustard greens
  • Peas
  • Peppers
  • Potato
  • Spinach
  • sweet potato
  • summer squash
  • winter squash 

Fruits:

  • Strawberries
  • Grapes
  • Orange
  • Lemon
  • Lime
  • Papaya
  • Blackberries
  • Blueberries
  • Apricots
  • Avocados
  • Citrus fruits. 

Nuts:

  • Almonds
  • Flaxseed
  • Chia seeds
  • Walnuts
  • sunflower seeds
  • Peanuts
  • Pecans 

Legumes:

  • Black-eyed peas
  • Chickpeas
  • Lentils, peas
  • Pinto beans

Whole grains:

  • Oats
  • Bulgur
  • Quinoa
  • Farro
  • Freekeh
  • Sorghum
  • Millet
  • Teff
  • Buckwheat
  • Wheatberries
  • Wild rice
  • Whole grain cereal, breads, and wraps are also available. 

Fish:

  • Crab
  • Flounder
  • Halibut
  • Haddock
  • Oysters
  • Tuna
  • Salmon
  • Sardines
  • shrimp
  • sole 

These are among the fish you should eat at least twice a week.

Fats: 

  • flax oil
  • wheat germ oil
  • safflower oil
  • olive oil 

Dairy (moderate amount): 

  • Milk
  • Cheese
  • yogurt, 
  • eggs (low-fat) 

Protein: 

  • Chicken
  •  turkey, 
  •  pork (less often)

Basil, cilantro, oregano, parsley, rosemary, sage, and thyme are among the herbs and spices. 

Macular Degeneration Foods to avoid 

  • Processed foods like chips, pretzels, crackers, and cookies 
  • White bread, ordinary pasta, bagels, and rice are examples of refined carbs. 
  • Fried meals include chicken and French fries. 
  • Sweets include cakes, doughnuts, muffins, syrups, sugar, and sweetened drinks. 
  • High-fat meats: Burgers, bacon, sausage, and red meat. 
  • Other fats: cream and butter 

Vegetables and fruits: Consuming a range of these foods is crucial for good health. Vitamin C, beta-carotene, lutein, and zeaxanthin are all notably abundant in the specific fruits and vegetables mentioned. At each meal, try to incorporate one fruit or vegetable. Making half of your plate veggies at most meals is an additional suggestion. Vegetables should be the focal point of your meals, with grains, carbohydrates, and protein sources serving as the side dish. Additionally, fruits and vegetables include filling fiber that may boost satiety levels and remove cholesterol from the body. 

Nuts: The quantity of monounsaturated and polyunsaturated fats, protein, fiber, vitamins, minerals, and bioactive substances with antioxidant potential that are present in nuts and seeds has been demonstrated in studies to enhance diet quality. Additionally, several studies have shown the positive effects of nut consumption on health outcomes, including the prevention and/or treatment of various risk factors associated with chronic diseases, such as glycemic and lipid metabolism, oxidative stress, and inflammation.   If you’re eating oatmeal or a salad, add some chopped nuts, or just take a handful and have it with some fruit. Simply crush up your favorite nut and use it like you would bread crumbs for a protein topping to get creative. 

Legumes: Legumes are a fantastic source of protein, fiber, and zinc. They may be a significant source of vegetarian protein and are a crucial component of the Mediterranean diet. Add some to your favorite whole grain or soup. You might also decide to prepare some hummus to serve with whole grain pita and veggies. 

Whole grains: Whole grains are rich in antioxidants, vitamins, and minerals. They are abundant in fiber, magnesium, iron, vitamin E, and B vitamins. Making the majority of your grains whole and eating them regularly might help you feel fuller for longer and avoid significant blood sugar fluctuations, which can lower your energy levels. Whole grains are wonderful since there are many varieties and they are adaptable. Replace your cereal with whole grain oats in the morning, add cooked quinoa to your salad, have whole grain popcorn as a snack, and serve tabbouleh for supper. 

Fish: Fish is a fantastic source of omega-3 fatty acids and a lean source of protein. Omega-3 fatty acids are essential lipids that must be included in the diet. They play a significant role in the integrity of our cell membranes. DHA, a kind of omega-3 fatty acid, is particularly abundant in sperm, brain, and retinal (eye) cells. 

Fats: Olive oil, which is high in monounsaturated fat and a mainstay of the Mediterranean diet, It is believed that monounsaturated fatty acids increase HDL cholesterol (the good kind) while lowering LDL cholesterol (bad cholesterol). Particularly high concentrations of phenolic compounds, potent antioxidants, and free radical scavengers may be found in extra virgin olive oil. Cooking doesn’t need a lot of oil. A little bit is often enough. A tablespoon may be added to a skillet to sauté vegetables or to sprinkle over root vegetables that are going to be roasted. Olive oil works well as a salad dressing oil as well. 

Herbs and spices: For little calories and fat, herbs and spices bring a ton of taste, texture, color, and micronutrients to meals. Additionally, they smell wonderful and look fantastic. Add them to salads, eggs, seafood, and vegetable meals made with grains. You may use dry or fresh. 

How many meals per day?

Although there isn’t a set schedule for meals and snacks, most individuals who want to change their eating habits discover that having three balanced meals and one to two snacks each day works well. 

Cooking Advice 

It can be a good idea to use olive oil as your main cooking oil to prevent the advancement of AMD. Olive oil was investigated as part of the ALIENOR (Antioxidants, LIpides Essentiels, Nutrition et maladies OculariRes) investigation, despite conflicting data. According to data collected from 654 French participants with an average age of 72.7 years, those who consume olive oil had a lower chance of developing late AMD.  Researchers hypothesize that phenolic chemicals have potent antioxidant and anti-inflammatory activities, and are responsible for the protection. 

The fact that the population investigated was an isolated group makes one of the disadvantages that it may not be generalizable to everyone. There are still additional health advantages of olive oil, however. The Mediterranean diet has been linked to beneficial benefits on AMD and uses olive oil, which is also high in monounsaturated fatty acids. 

Olive oil may be used to marinate fish and meat, pour over salads, roast vegetables, and softly sauté. 

Any meal may be made to taste better by adding herbs and spices to the veggies before steaming, roasting, sautéing, or grilling them. For a vegetarian dinner, combine them with nutritious grains and lentils, or serve them with your protein source. 

Try to bake, broil, grill, steam, or poach your fish. Do not deep fry or use excessive amounts of fat. 

Flexibility is key

The good thing about this diet is how flexible and adaptive it is. This diet is readily adaptable to becoming vegetarian or vegan since it places a strong focus on fruit, vegetables, whole grains, and healthy fats. 

Adults who are becoming older: Because our appetites may diminish as we grow older, eating many portions of fruits and vegetables each day may seem like a difficult endeavor. This may be the result of a number of things, including changes in taste, pharmaceutical side effects, dental problems, a lack of access to food, a lack of willingness to prepare meals, and a general loss of interest in eating. Making smoothies is a terrific way to get the most out of your portions of fruits and veggies. You may choose to prepare smoothies with fresh or frozen fruits. Utilizing frozen fruits and veggies may often reduce waste and be more cost-effective. 

Vegans and vegetarians: This kind of diet is simple to convert to a vegetarian or vegan diet. You may ensure that you are receiving adequate protein, fiber, B12, vitamins, and minerals by planning meals around fruits, vegetables, whole grains, legumes, nuts, and seeds. Sometimes vegan dieters may need to think about taking calcium, vitamin D, and vitamin B12 supplements. If you’re thinking about adopting this eating pattern, talk it over with your doctor or a nutritionist to make sure your nutrition is optimized and you’re getting enough vitamins and minerals. 

Gluten intolerance: You may still follow this diet if you have celiac disease or have been told that you are gluten intolerant by selecting grains that are free of gluten and consuming items that are naturally gluten-free. 

This sort of eating plan will be highly heavy in fiber, which may cause digestive issues. Increase your consumption of fruits, vegetables, whole grains, nuts, and seeds gradually if you are new to this style of eating, and be sure to drink enough water. Fiber intake may be progressively increased to lower the possibility of painful gas and bloating. 

Do your research

Your doctor may advise taking a particular vitamin or supplement for certain patients who have early AMD. The American Macular Degeneration Foundation states that a person may be advised to take a certain amount of vitamins and supplements to halt or delay the course of AMD. There are now tests that can help you determine what nutrients are best for your genetic makeup. 

Nutrition in general: This kind of eating plan satisfies nutritional requirements for calories, fat, carbs, fiber, and protein when compared to the USDA MyPlate standards. Learning how to maximize calcium requirements will be crucial for individuals who consume less dairy or want to become vegan. Pick calcium-fortified non-dairy milk and yogurt, along with a lot of leafy green vegetables, walnuts, and tofu. You may need to think about taking supplements if your requirements are still not being satisfied. Vitamin D is another vitamin that may be worth taking into account. You could not be getting enough vitamin D if you don’t consume egg yolks, fatty fish like salmon, dairy products, or other foods enriched with vitamin D, such as cereal and cow’s milk substitutes. 

Real-world applicability and sustainability: This is a highly practical and sustainable way to eat. There are no forbidden foods, and a focus is placed on whole meals. There are many options when it comes to cooking. You may select from a huge variety of fruits, vegetables, whole grains, and legumes. You may use these ideas for a vacation or go out to dine, and you can discover menu choices to pick from. 

Is it Safe?

 If you’re considering taking supplements, talk to your doctor first to be sure there won’t be any negative side effects from taking more vitamins than is recommended. The diet should be completely safe for the majority of individuals. 

Beyond AMD

Cutting down on processed meals and added sugars while increasing your diet of fiber-rich foods and veggies can help you feel better overall. These meals assist to enhance energy by minimizing significant blood sugar swings. 

Contraindications 

For the majority of individuals, eating a broad range of nutrient-rich meals is crucial and healthful. However, if you use blood-thinning medicine, sometimes referred to as anticoagulant medications, you should watch how much green leafy vegetables you consume since they are high in vitamin K and may alter how your prescription functions. 

Additionally, if you’re thinking of starting a supplement regimen, please speak with your doctor first. High doses of certain vitamins, including vitamin E, might cause issues. 

Finally, using big amounts of beta-carotene supplements is not advised if you smoke or recently gave up since it may raise your chance of developing lung cancer in certain people. 

Mediterranean diet vs. Macular Degeneration Diet 

There is no special diet for AMD; rather, dietary supplements and beneficial foods are recommended. A Mediterranean diet, however, has also been linked to slowed AMD development, according to a study.  Given that the notions are compatible, this makes sense. Both eating habits advocate consuming copious quantities of fruits, vegetables, nuts, seeds, fatty fish, and olive oil while consuming little to no processed foods, sugar, or white flour. Since the Mediterranean diet is widely known and there are many resources available to provide you with examples of food lists, recipes, and other advice, it could be simpler in some respects to adhere to it. 

Conclusion

Despite the fact that there is no specific diet for preventing age-related macular degeneration, research indicates that eating a diet high in anti-inflammatory and anti-oxidant-rich foods, is linked to lower risk and slower progression of the disease. Due to the lack of rigid instructions, timetables, or restrictions, it is relatively simple to follow and adaptable. For certain nutritional needs and tastes, this eating pattern may be modified. Additionally, you do not need to spend money on expensive pre-packaged goods. Also absent are “forbidden foods.” The focus is on consuming less processed meals, sweets, fatty meats, and fried foods. Adopt a variation of the Mediterranean eating pattern if you think that looking for foods that are high in vitamin C, E, zinc, and fatty acids is perplexing. And in certain cases, if you believe supplementing would be the correct choice for you, speak with your healthcare physician.

FAQ’s

What foods make macular deterioration worse? 

Despite the fact that macular degeneration seldom causes blindness, it may cause a serious loss of central vision. Age 50 and older, smoking, having high blood pressure, and consuming a diet heavy in saturated fat are all risk factors for AMD. 

How does coffee affect macular degeneration? 

According to Cornell University research, chlorogenic acid (CLA), a component in coffee that is 8 times more concentrated than caffeine, is a potent antioxidant that may help prevent age-related macular degeneration and other degenerative retinal diseases. 

For macular degeneration foods, are eggs beneficial? 

The same substances that give egg yolks their yellow color also make up macular xanthophylls, as was previously mentioned. Eating eggs, ideally organic from free-range hens, might really help lower your risk of getting macular degeneration, a condition that could lead to blindness. 

What vitamin is recommended for macular degeneration foods? 

The best vitamins for lowering the risk of macular degeneration are vitamins A, C, and E. However, although vitamins C and E are known to operate as antioxidants, only vitamin A plays a crucial role in the human retinal pigment epithelium cells. 

How can I treat my macular degeneration without medication? 

Vegetables like kale, spinach, broccoli, squash, and others are rich in antioxidants like lutein and zeaxanthin, which may help those who suffer macular degeneration. Foods rich in zinc may also be very beneficial for macular degeneration sufferers.

About the Author:
Picture of Dr. Shaun Larsen

Dr. Shaun Larsen

Dr. Shaun Larsen is an optometrist who specializes in low vision services and enhancing vision with contact lenses. He has a passion for making people's lives better by helping them see well enough to read, write, or drive again. He always keeps up with the latest technology so he can help people regain their independence.

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