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Reflections on sight loss - RNIB

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Food for thought – and <strong>sight</strong><br />

Five a day<br />

The ‘five a day’ recommendati<strong>on</strong> is often c<strong>on</strong>fusing. Some of the important points are:<br />

● Fresh, cooked, tinned and frozen produce all count.<br />

● One glass of juice counts, but it should be pressed rather than made from c<strong>on</strong>centrate.<br />

Further glasses w<strong>on</strong>’t count, because juice has very little fibre and is high in sugar.<br />

● One serving of pulses (such as lentils and chickpeas) count, and this includes baked beans.<br />

Further servings w<strong>on</strong>’t count, because pulses do not have the same nutrient mix as other<br />

vegetables. They are a good source of low-fat protein, though.<br />

● Potatoes d<strong>on</strong>’t count at all, as they are c<strong>on</strong>sidered to be a source of carbohydrate rather<br />

than of vegetable nutrients.<br />

Links: www.5aday.nhs.uk<br />

introduced mainly as a c<strong>on</strong>venient hook for<br />

raising fruit and vegetable c<strong>on</strong>sumpti<strong>on</strong>.<br />

Pretty well all dieticians recommend that five<br />

should be a minimum. And this <strong>on</strong>ly serves to<br />

underline the fact that, as a nati<strong>on</strong>, we simply<br />

aren’t eating many fruit and vegetables.<br />

On the other hand, we are making a c<strong>on</strong>scious<br />

effort to cut down <strong>on</strong> red meat, and older<br />

people are leading the way. Following a report<br />

from the World Cancer Research Fund in 2007,<br />

which linked these to an increased risk of<br />

cancer, a report from the same organisati<strong>on</strong> a<br />

year later showed that <strong>on</strong>e in 10 people had<br />

made an effort to reduce their red meat intake.<br />

Eyes in particular<br />

Cutting down <strong>on</strong> red meat is good news for<br />

eye health. The most comm<strong>on</strong> cause of<br />

blindness in the UK is age-related macular<br />

degenerati<strong>on</strong> (AMD), which is the <strong>on</strong>ly eye<br />

c<strong>on</strong>diti<strong>on</strong> that has substantiated links with<br />

diet – and this was the subject of the research<br />

by the College of Optometrists.<br />

The researchers from the University of<br />

Melbourne followed 5,600 middle-aged<br />

people for 13 years and found that those<br />

eating red meat 10 times a week were nearly<br />

<strong>on</strong>e and a half times as likely to have early<br />

AMD than those who ate it fewer than five<br />

times. In additi<strong>on</strong>, those who ate chicken<br />

frequently – at least seven times a fortnight –<br />

were significantly less likely to have developed<br />

late AMD.<br />

This was <strong>on</strong>ly a first study. But it is significant<br />

in that it supports wider evidence that a<br />

‘Mediterranean diet’ – high in fruit and<br />

vegetables and oily fish, low in red meat – is<br />

as effective in cutting the risk of AMD as it is<br />

in cutting the risk of heart disease, diabetes<br />

and cancers. Another study published in the<br />

British Journal of Ophthalmology, June 2009,<br />

backs up these findings – and even suggests<br />

that these fatty acids can slow (or in some<br />

cases halt) the progress of AMD. ➜<br />

41

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