RT Journal Article T1 Association of Dietary Vitamin K1 Intake With the Incidence of Cataract Surgery in an Adult Mediterranean Population: A Secondary Analysis of a Randomized Clinical Trial. A1 Camacho-Barcia, María L A1 Bulló, Mònica A1 Garcia-Gavilán, Jesús F A1 Ruiz-Canela, Miguel A1 Corella, Dolores A1 Estruch, Ramón A1 Fitó, Montserrat A1 García-Layana, Alfredo A1 Arós, Fernando A1 Fiol, Miquel A1 Lapetra, José A1 Serra-Majem, Lluis A1 Pintó, Xavier A1 García-Arellano, Ana A1 Vinyoles, Ernest A1 Sorli, José Vicente A1 Salas-Salvadó, Jordi AB Cataract, one of the most frequent causes of blindness in developed countries, is strongly associated with aging. The exact mechanisms underlying cataract formation are still unclear, but growing evidence suggests a potential role of inflammatory and oxidative processes. Therefore, antioxidant and anti-inflammatory factors of the diet, such as vitamin K1, could play a protective role. To examine the association between dietary vitamin K1 intake and the risk of incident cataracts in an elderly Mediterranean population. A prospective analysis was conducted in 5860 participants from the Prevención con Dieta Mediterránea Study, a randomized clinical trial executed between 2003 and 2011. Participants were community-dwelling men (44.2%) and women (55.8%), and the mean (SD) age was 66.3 (6.1) years. Dietary vitamin K1 intake was evaluated using a validated food frequency questionnaire. The time to the cataract event was calculated as the time between recruitment and the date of the occurrence to cataract surgery, the time to the last visit of the follow-up, date of death, or the end of the study. Hazard ratios and 95% CIs for cataract incidence were estimated with a multivariable Cox proportional hazards model. Participants were community-dwelling men (44.2%; n = 868) and women (55.8%; n = 1086), and the mean (SD) age was 66.3 (6.1) years. After a median of 5.6 years follow-up, we documented a total of 768 new cataracts. Participants in the highest tertile of dietary vitamin K1 intake had a lower risk of cataracts than those in the lowest tertile (hazard ratio, 0.71; 95% CI, 0.58-0.88; P = .002), after adjusting for potential confounders. High intake of dietary vitamin K1 was associated with a reduced risk of cataracts in an elderly Mediterranean population even after adjusting by other potential confounders. isrctn.org: ISRCTN35739639. YR 2017 FD 2017 LK http://hdl.handle.net/10668/11189 UL http://hdl.handle.net/10668/11189 LA en DS RISalud RD Apr 7, 2025