Dietary flavonoids and respiratory diseases: a population-based multi-case-control study in Italian adults
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Published version
Author(s)
Type
Journal Article
Abstract
OBJECTIVE: To analyse the associations between chronic respiratory diseases and intakes of total flavonoids and their major subclasses (flavanones, anthocyanins, flavan-3-ols, flavonols, flavones, polymers and proanthocyanidins). DESIGN: Multi-case-control study. SETTING: The analysis was conducted in the frame of the Genes Environment Interaction in Respiratory Diseases (GEIRD) study. The European Prospective Investigation into Cancer and Nutrition FFQ was used to ascertain dietary intake. Multinomial regression models adjusting for age, sex, centre, BMI, smoking habit, alcohol intake, education, total energy intake, vitamin C intake and total fruit intake were used to examine the associations between dietary exposures and the relative risk ratio (RRR) of being a case. PARTICIPANTS: Individuals (n 990) hierarchically defined as follows: cases with asthma (current, n 159; past, n 78), chronic bronchitis (n 47), rhinitis (allergic rhinitis, n 167; non-allergic rhinitis, n 142) and controls (n 97). RESULTS: An increase of 1 sd in flavanones was associated with a reduced risk of non-allergic rhinitis (adjusted RRR = 0·68, 95 % CI 0·47, 0·97); a similar result was found comparing the highest v. lowest quartile of flavanones intake (adjusted RRR = 0·24, 95 % CI 0·10, 0·59). CONCLUSIONS: Flavonoids contained in fruits and vegetables, especially flavanones, might reduce the risk of non-allergic rhinitis. No associations were found between other flavonoids and the considered outcomes.
Date Issued
2020-10-01
Date Acceptance
2019-08-12
Citation
Public Health Nutrition, 2020, 23 (14), pp.2548-2556
ISSN
1368-9800
Publisher
Cambridge University Press (CUP)
Start Page
2548
End Page
2556
Journal / Book Title
Public Health Nutrition
Volume
23
Issue
14
Copyright Statement
© The Authors 2020.
This paper has been accepted for publication and will appear in a revised form, subsequent to peer-review and/or editorial input by Cambridge University Press.
This paper has been accepted for publication and will appear in a revised form, subsequent to peer-review and/or editorial input by Cambridge University Press.
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/31996276
PII: S1368980019003562
Subjects
Asthma
Chronic bronchitis
Flavonoids
Rhinitis
Publication Status
Published
Coverage Spatial
England
Date Publish Online
2020-01-30