Impact of Physical Activity Frequency, Duration, and Intensity on Senile Cataract Risk: A Mendelian Randomization Study.

Purpose: We aimed to determine the causal effects of physical activities with different frequencies, durations, and intensities on the risk of senile cataracts using Mendelian randomization (MR). Methods: A bidirectional two-sample MR approach was used to determine the association between physical activity and senile cataract risk. Our primary analysis used the inverse variance weighted method, and secondary analyses included MR-Egger regression, MR-PRESSO, and Cochran's Q statistic to evaluate heterogeneity and pleiotropy. Causal estimates were presented as odds ratios (ORs) with 95% confidence intervals (95% CIs). Results: Genetically predicted moderate physical activity ≥ 10 min/wk (OR = 0.765, 95% CI = 0.627-0.936, P = 8.73E-03), vigorous physical activity ≥ 10 min/wk (OR = 0.691, 95% CI = 0.521-0.917, P = 1.04E-02), moderate-to-vigorous physical activity levels (OR = 0.552, 95% CI = 0.369-0.823, P = 3.75E-03), and overall acceleration average (OR = 0.952, 95% CI = 0.926-0.978, P = 3.80E-04) were associated with a decreased risk of senile cataract while walking ≥ 10 min/wk (OR = 0.972, 95% CI = 0.741-1.275, P = 8.36E-01) had no significant correlation. The reverse MR analysis showed no reversal causality from senile cataract to physical activity except for walking ≥ 10 min/wk (OR = 0.951, 95% CI = 0.923-0.979, P = 7.30E-04). Conclusions: Our findings suggest that moderate to vigorous physical activity with higher frequency and longer duration will causally reduce the risk of senile cataracts, and there is no reverse causal relationship. Translational Relevance: These findings underscore the potential of incorporating physical activity into preventive health strategies for senile cataracts.

The protective role of water intake in age-related eye diseases: insights from a Mendelian randomization study.

Age-related eye diseases (AREDs), including age-related cataracts (ARCs), age-related macular degeneration (AMD), diabetic retinopathy (DR), and glaucoma, are a leading cause of visual loss globally. This study aimed to explore the effects of dietary water intake on AREDs using Mendelian randomization. In the European population, genome-wide association study (GWAS) summary statistics of water intake and AREDs were obtained from the UK Biobank database and the FinnGen Consortium, respectively. The causal associations between water intake and ARED risks were explored by univariable and multivariable MR analyses, followed by sensitivity analyses to test the robustness of the results and detect potential pleiotropy bias. Water intake was associated with reduced risks of ARCs (odds ratio [OR]: 0.61; 95% confidence interval [CI]: 0.46-0.83; P = 1.44 × 10-3) and DR (OR: 0.52; 95% CI: 0.36-0.76; P = 5.47 × 10-4), and a suggestive reduced risk of AMD (OR: 0.42; 95% CI: 0.20-0.88; P = 2.18 × 10-2). Water intake had no effect on glaucoma (OR: 1.16; 95% CI: 0.72-1.88; P = 0.549). After adjusting confounders, the causal effects of water intake on ARCs and DR persisted. Our study provides evidence of the preventive role of water intake in ARCs and DR from a genetic perspective.

Multi-Scalar Drivers of Residential Vegetation Changes in Metropolitan Phoenix, Arizona.

In the arid southwestern U.S., urban greening strategies have been promoted to alleviate ecosystem disservices associated with lawns, including the adoption of xeric yards with desert-adapted floras and gravel groundcover and wildlife-friendly yards with complex vegetation structure and composition. Scant studies have investigated the extent of different vegetation changes in urban greening practices and the complexity of associated human drivers. We addressed this gap by analyzing survey data from two survey periods (2017 and 2021) to answer the following questions: to what extent have residents from metropolitan Phoenix made different vegetation changes in their yards over the last decade, and how do multi-scalar human drivers affect different vegetation changes? We found a sustainable trajectory for residential vegetation changes in Phoenix since mid-2010s, with declining additions of grass and increases in trees and desert plants across residential neighborhoods. Esthetics was an influential driver of both tree planting and native gardening. Additionally, tree planting was associated with anthropocentric values (i.e., low-maintenance needs), while desert plant additions reflected the appreciation of nature (i.e., attitudes towards the desert) and environmental concerns (i.e., supporting wildlife). Institutions such as local government programs might shape residents' vegetation choices, as tree planting differed among municipalities. We also found counterintuitive influences of residential tenure controls on landscaping decisions. Specifically, renters were more likely to add yard trees compared to homeowners. Our results inform landscape sustainability by identifying potential pathways to residential yard changes that offer a multitude of services while being appreciated and maintained by residents.