Association of vitamin A and β-carotene with risk for age-related cataract: A meta-analysis

Objective: Whether vitamin A and beta-carotene as nutrients are protective factors against cataracts remains unclear. Thus, the aim of this study was to summarize the evidence from epidemiologic studies of vitamin A and beta-carotene with the risk for cataract. Methods: Pertinent studies were identified by a search of PubMed, Web of Science, Google Scholar, and Wan Fang Med Online. A fixed- or random-effects model was used based on heterogeneity test. Meta-regression and "leave-one-out" analysis were used to explore potential sources of between-study heterogeneity. Publication bias was estimated using Egger's regression asymmetry test. Results: Twenty-two articles were included in this meta-analysis. The relative risk (RR; 95% confidence interval [Cl]) for cataract for the highest versus lowest category of serum beta-carotene levels was 0.827 (95% Cl, 0.736-0.930), and the association was significant between beta-carotene intake and cataract risk (RR, 0.937; 95% CI, 0.880-0.997). Significant association of cataract risk with vitamin A intake was found overall (RR, 0.831; 95% Cl, 0.757-0.913). However, no significant association was found between serum vitamin A and cataract risk (RR, 0.925; 95% Cl, 0.675-1.266; I-2=63.1%), but an inverse association was observed with risk for cataract with serum vitamin A after sensitivity analysis (RR, 0.765; 95% CI, 0.654-0.894; I-2 = 29.1%). Conclusions: Greater vitamin A and beta-carotene intakes might be inversely associated with risk for cataract. (C) 2014 Elsevier Inc. All rights reserved.