Objective: To explore the effect of time exposure to flat screen electronic devices with LED lighting and the Mediterranean diet on macular pigment optical density (MPOD). Methods: In this cross-sectional observational study, the MPOD was measured by heterochromatic flicker photometry in 164 eyes (47 of younger women aged 20–31 and 35 of older women aged 42–70). Exclusion criteria: evidence of macular degeneration and eyes with cataracts. Data on the use of electronic devices and Mediterranean diet adherence were collected through a survey. Nonparametric analysis of variance and independent sample t-tests were used to compare subjects. Results: Significant differences (p < 0.01) were found in total time of exposure to LEDs (hours per day) between both groups (9.31 ± 3.74 younger women vs. 6.33 ± 3.64 older women). The MPOD values for the younger and adult populations were significantly different: 0.38 ± 0.16 and 0.47 ± 0.15 (p < 0.01), respectively. When comparing both groups for the same time of exposure to LEDs, differences were obtained between MPOD values of both populations: For total exposures greater than 6 h per day, the MPOD values were lower in younger women than in adult ones (0.37 ± 0.14 vs. 0.50 ± 0.14, p < 0.01). On the other hand, a significantly higher adherence was found in the older women in comparison with the younger women (OW 9.23 ± 2.50 vs. YW 7.70 ± 2.08, p < 0.01), with higher MPOD values (OW (0.52 ± 0.14) vs. (YW (0.34 ± 0.18). Conclusions: Higher MPOD values are observed with decreasing exposure time to electronic devices with LED lighting screens and higher adherence to the Mediterranean diet.
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