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Foods That Can Help Protect and Improve Your Eyesight
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Age-related macular degeneration (AMD) is the most common
cause of blindness among the elderly, followed by cataracts
-
The pathology of both of these conditions has been
attributed to free radical damage, and the condition is in many cases
largely preventable through an antioxidant-rich diet
-
Whole foods that support eye health and have been shown
to protect against AMD include black currant, bilberry, leafy greens and
other colorful vegetables, and pastured egg yolks
-
The omega-3 fatty acid DHA is concentrated in your eye’s
retina. It provides structural support to cell membranes that protect
retinal function. Eating foods rich in omega-3 fats, such as salmon, may
slow AMD
-
Wild-caught salmon also contains astaxanthin, which may
be among the most important nutrients for the prevention of blindness
By Dr. Mercola
Failing vision is often accepted as a
natural part of aging, but it's really more of a side effect of our modern
lifestyle. Aging does not automatically equate
to decreased vision, provided you've properly nourished your eyes through
the years.
Age-related macular degeneration (AMD) is the most common
cause of blindness among the elderly, followed by cataracts. The pathology
of both of these conditions has been attributed to free radical damage, and
the condition is in many cases largely preventable through an
antioxidant-rich diet.
Certain health conditions, such as obesity and diabetes, can
also have a detrimental impact on your eyesight, and these too are primarily
lifestyle-driven. Here, I'll review specific foods known to support and
promote eye health, along with a few additional tips for protecting your
vision as you grow older.
Black Currant—A Notch Above the Rest
When
it comes to whole foods that nourish your eyes, black currant appears to be
a cut above the rest. Research has found that black currants are far more
powerful than lutein, zeaxanthin, or bilberry—all of which have are known to
support eye health.
Black currants1 contain
some of the highest levels of anthocyanins found in nature—approximately
190-270 milligrams per 100 grams—which is far more than that found in
bilberries. They're also rich in essential fatty acids, lending added
support to their anti-inflammatory properties.
Anthocyanins are flavonoids, and the health benefits of these
antioxidants are extensive. As discussed in one 2004 scientific paper:2
"Anthocyanin isolates and anthocyanin-rich mixtures of
bioflavonoids may provide protection from DNA cleavage, estrogenic
activity (altering development of hormone-dependent disease symptoms),
enzyme inhibition, boosting production of cytokines (thus regulating
immune responses), anti-inflammatory activity, lipid peroxidation,
decreasing capillary permeability and fragility, and membrane
strengthening."
Continued down...
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For medicinal purposes, many opt for using black currant seed
oil, which is available in capsule form. But eating the whole food is always
an option, especially when they're in season.
Growing your own black currants is one way to get them while
they're fresh, especially since they tend to be on the expensive side.
According to the British Royal Horticultural Society (RHS),3 one
bush will typically yield about 10 pounds (4.5 kilos) of black currant
berries. The RHS site contains helpful tips and instructional videos for
proper planting and harvesting.
Bilberries, Another Powerhouse Food for Eye Health
Bilberry,4 a
close relative of the blueberry, is another nutritional powerhouse for your
eyes. Its nearly black berries also contain high amounts of anthocyanins,
just like the black currant.
Contrary to black currant, bilberries tend to be difficult to
grow and cultivate, and are typically collected from areas where they grow
in the wild. Many of the forest areas around northern and central Europe are
known for their bilberry patches, where people pick them each year.
Research suggests that bilberry may be of particular benefit
for inhibiting or reversing macular degeneration. A 2005 study in the
journal Advances
in Gerontology5 found
that rats with early senile cataract and macular degeneration who received
20 mg of bilberry extract per kilo of body weight suffered no impairment of
their lens and retina, while 70 percent of the control group suffered
degeneration over the three month-long study. According to the authors:
"The results suggest that... long-term supplementation
with bilberry extract is effective in prevention of macular degeneration
and cataract."
Kale and Other Leafy Greens to the Rescue
Lutein
and zeaxanthin are both important nutrients for eye health,6 as
both of them are found in high concentrations in your macula—the small
central part of your retina responsible for detailed central vision. More
specifically, lutein is also found in your macular pigment – known for
helping to protect your central vision and aid in blue light absorption—and
zeaxanthin is found in your retina.
Though there's no recommended daily intake for lutein and
zeaxanthin, studies have found health benefits for lutein at a dose of 10 mg
per day, and at 2 mg/day for zeaxanthin. Studies also suggest that dietary
intake of approximately 6-20 mg lutein daily may be necessary for adequate
eye health support.
Both lutein and zeaxanthin are primarily found in green leafy
vegetables, although zeaxanthin is far scarcer than lutein. Kale and spinach are
two of the most lutein-rich foods, but you'll also find it in carrots,
squash, and other orange and yellow fruits and vegetables.
Both lutein and zeaxanthin are carotenoids called
xanthophylls, which give plants and vegetables their yellow-orange color,
and the name "lutein" comes from the Latin word "luteus," which means
"yellow." If you remember this, it may help you pick out vegetables that are
likely to contain higher amounts of these two nutrients.
According to one 1998 study in the British
Journal of Ophthalmology ,7 orange
pepper had the highest amount of zeaxanthin of the 33 fruits and vegetables
tested. Egg yolk is another source of both lutein and zeaxanthin that is
well absorbed by your body. According to the authors:
"Most of the dark green leafy vegetables, previously
recommended for a higher intake of lutein and zeaxanthin, have 15-47
percent of lutein, but a very low content (0-3 percent) of zeaxanthin.
Our study shows that fruits and vegetables of various colors can be
consumed to increase dietary intake of lutein and zeaxanthin."
Organic Pastured Egg Yolks—Another Important Food for Eye Health
Following
is a list of lutein-rich foods. Kale is a clear forerunner, with spinach in
close second. Most of these also contain zeaxanthin, albeit in lesser
quantities than lutein. Keep in mind that in order to receive all the
benefits of the nutrients found in these foods, you need to consume them as
close to raw as possible. Once you heat spinach or egg yolks, for example,
the lutein and zeaxanthin become damaged, and will not perform as well in
preventing degeneration of your macula. Accessory micronutrients in the
foods that enhance their action will also be damaged.
One of the best ways to take advantage of these nutrients is
by eating raw egg yolks. There is about 0.25 mg each of lutein and
zeaxanthin in one egg yolk, and while this is lower than many of the
vegetables, it's in a highly absorbable, nearly ideal form. Just keep in
mind that when you eat eggs raw, finding a high-quality source becomes
critically important, as factory farmed eggs are far more prone to cause
foodborne illness. Making sure your eggs are from organically-raised
and pastured hens
will dramatically reduce such risks. Free-range eggs also contain higher
levels of nutrients overall. It is also important to note that lutein is an
oil-soluble nutrient, so if you eat the vegetables without some oil or
butter your body can't absorb the lutein. Adding a little bit of healthy
fat, such as olive oil, coconut oil, or raw organic butter, will maximize
your lutein absorption.
Lutein Content of Foods
Food |
Mg / serving |
Kale (raw) |
26.5 / 1 cup |
Kale (cooked) |
23.7 / 1 cup |
Spinach (cooked) |
20.4 / 1 cup |
Collards (cooked) |
14.6 / 1 cup |
Turnip greens (cooked) |
12.2 / 1 cup |
Green peas (cooked) |
4.1 / 1 cup |
Spinach (raw) |
3.7 / 1 cup |
Corn (cooked) |
1.5 / 1 cup |
Broccoli (raw) |
1.3 / 1 cup |
Romaine lettuce (raw) |
1.1 / 1 cup |
Green beans (cooked) |
0.9 / 1 cup |
Broccoli (cooked) |
0.8 / 1/2 cup |
Papaya (raw) |
0.3 / 1 large |
Egg |
0.2 / 1 large |
Orange (raw) |
0.2 / 1 large |
U.S. Department of Agriculture, Agricultural
Research Service, USDA Nutrient Data Laboratory. 2005. USDA
National Nutrient Database for Standard Reference, Release 20
(2007), Nutrient
Data Laboratory Home Page |
Wild-Caught Alaskan Salmon Contains Two Potent Eye Nutrients
Without
fats such as omega-3, your cells cannot function properly, and this applies
to your eyes as well. Fish has always been an ideal source of omega-3 fats
EPA and DHA, but in recent years, most fish have
become too contaminated by environmental pollution to be safely eaten in
large quantities on a regular basis. When choosing fish, it's critical to
understand that while fish have significant health benefits, it's important
to select fish that are low
in mercury contamination. Wild-caught Alaskan
salmon fits the bill, as it's very high in healthful fats such as omega-3s,
and low in mercury.
The omega-3 fat DHA is concentrated in your eye's retina. It
provides structural support to cell membranes that boost eye health and
protect retinal function, and research suggests eating more foods rich in
these fats may slow macular degeneration. For example, research has shown
that:
-
Those with the highest intake of animal-based omega-3
fats have a 60 percent lower risk of advanced macular degeneration,
compared to those who consume the least8
-
A 2009 study also found that those with the highest
consumption of omega-3 fats were 30 percent less likely to progress to
the advanced form of the disease over a 12-year period9
-
A second study published in 2009 also found that those
with diets high in omega-3 fats along with vitamin C, vitamin E, zinc,
lutein, and zeaxanthin, had a lower risk of macular degeneration10
Wild-caught salmon also contains another nutrient that can do
"wonders" for your eye health, namely astaxanthin.
Astaxanthin is produced only by the microalgae Haematococcus
pluvialis when
its water supply dries up, forcing it to protect itself from ultraviolet
radiation. It's the algae's survival mechanism—astaxanthin serves as a
"force field" to protect the algae from lack of nutrition and/or intense
sunlight. There are only two main sources of astaxanthin: the microalgae
that produce it, and the sea creatures that consume the algae (such as
salmon, shellfish, and krill).
Compelling evidence suggests this potent antioxidant may be
among the most important nutrients for the prevention of blindness. It's a
much more powerful antioxidant than both lutein and zeaxanthin, and has been
found to have protective benefits against a number of eye-related problems,
including:
Cataracts |
Age-related macular degeneration (AMD) |
Cystoid macular edema |
Diabetic retinopathy |
Glaucoma |
Inflammatory eye diseases (i.e., retinitis,
iritis, keratitis, and scleritis) |
Retinal arterial occlusion |
Venous occlusion |
|
Dr. Mark Tso11 of
the Wilmer Eye Institute at Johns Hopkins University has demonstrated that
astaxanthin easily crosses into the tissues of your eye and exerts its
effects safely and with more potency than any of the other carotenoids,
without adverse reactions. Specifically, Dr. Tso determined astaxanthin
could help ameliorate or prevent light-induced damage, photoreceptor cell
damage, ganglion cell damage, and damage to the neurons of the inner retinal
layers. Other researchers12, 13 have
since confirmed Dr. Tso's finding that astaxanthin is the most powerful
antioxidant ever discovered for eye health, giving your eyes an additional
layer of long-term protection.
As an interesting aside, I actually worked in Dr. Tso's department at the
University of IL in 1976 before medical school when I was removing eyes from
cadaver donors for transplant. Depending on your individual situation, you
may want to take an astaxanthin supplement. Krill oil also contains
high-quality, animal-based omega-3 fat in combination with
naturally-occurring astaxanthin.
Other Natural Strategies That Help Protect Your Vision
Despite what your eye doctor may say, in
my opinion, there are natural,
common-sense strategies you can employ to help protect your healthy vision,
starting with your diet. As discussed above, certain foods are more or less
necessary for optimal vision, and can go a long way toward protecting your
eyesight throughout life. This includes leafy green and brightly colored
vegetables, organic pastured egg yolks, black currants, bilberry, and
seafood rich in omega-3s and astaxanthin while being low in mercury
contamination—wild-caught Alaskan salmon topping the list of fish that meet
these requirements. Besides these dietary suggestions, here are a few other
lifestyle strategies that can help optimize your eye health.
-
Quit smoking, if you currently do. Smoking
ramps up free radical production throughout your body, and puts you at
risk for less-than-optimal health in many ways. If you want healthy
vision for your whole life, you cannot afford to risk less-than-optimal
eye health with cigarettes.
-
Care for your cardiovascular system by getting regular
exercise. High
blood pressure can cause damage to the miniscule blood vessels on your
retina, obstructing free blood flow. A regular, effective exercise
program consisting of aerobics, Peak
Fitness exercises, core building and strength
training, can go a long way toward reducing your blood pressure. It's
also critical for optimizing your insulin and leptin levels.
-
Avoid sugars, particularly fructose. This
is another primary way to maintain optimal blood pressure. Research by Dr.
Richard Johnson, chief of the division of
kidney disease and hypertension at the University of Colorado, shows
that consuming 74 grams or more per day of fructose (equal
to 2.5 sugary drinks) increases your risk of having blood pressure
levels of 160/100 mmHg by 77 percent.
-
Normalize your blood sugar. Excessive
sugar in your blood can pull fluid from the lens of your eye, affecting
your ability to focus. It can also damage the blood vessels in your
retina, thereby obstructing blood flow. To keep your blood sugar in a
healthy range, follow my comprehensive
nutrition guidelines, exercise,
and avoid excess sugar, especially
fructose.
-
Avoid trans fats. A
diet high in trans
fat appears
to contribute to macular degeneration by interfering with omega-3 fats
in your body. Trans fat is found in many processed foods and baked
goods, including margarine, shortening, fried foods like French fries,
fried chicken, doughnuts, cookies, pastries, and crackers.
-
Avoid aspartame.
Vision problems are one of the many potential acute
symptoms of aspartame poisoning.
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