Differences in dietary intakes, food sources and determinants of total flavonoids between Mediterranean and non-Mediterranean countries participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) study
Year: 2012
Type: article
Abstract: A greater adherence to the traditional Mediterranean (MED) diet is associated with a reduced risk of developing chronic diseases. This dietary pattern is based on higher consumption of plant products that are rich in flavonoids. We compared the total flavonoid dietary intakes, their food sources and various lifestyle factors between MED and non-MED countries participating in the EPIC study. Flavonoid intakes and their food sources for 35,628 subjects, aged 35-74 years and recruited between 1992 and 2000, in twenty-six study centres were estimated using standardised 24 h dietary recall software (EPIC-Soft®). An ad hoc food composition database on flavonoids was compiled using analytical data from the United States Department of Agriculture and Phenol-Explorer databases. Moreover, it was expanded to include using recipes, estimations of missing values and flavonoid retention factors. No significant differences in total flavonoid mean intake between non-MED countries (373·7 mg/d) and MED countries (370·2 mg/d) were observed. In the non-MED region, the main contributors were proanthocyanidins (48·2%) and flavan-3-ol monomers (24·9%) and the principal food sources were tea (25·7%) and fruits (32·8%). In the MED region, proanthocyanidins (59·0%) were by far the most abundant contributor and fruits (55·1%), wines (16·7%) and tea (6·8%) were the main food sources. The present study shows similar results for total dietary flavonoid intakes, but significant differences in flavonoid class intakes, food sources and some characteristics between MED and non-MED countries. These differences should be considered in studies about the relationships between flavonoid intake and chronic diseases.
Source: British Journal Of Nutrition
Authors: Raul Zamora-Ros, Viktoria Knaze, Leila Luján-Barroso, Isabelle Romieu, Augustin Scalbert, Nadia Slimani, Anette Hjartåker, Dagrun Engeset, Guri Skeie, Kim Overvad, Lea Bredsdorff, Anne Tjønneland, Jytte Halkjær, Timothy J. Key, Kay-Tee Khaw, Angela A. Mulligan, Anna Winkvist, Ingegerd Johansson, H. Bas Bueno-de-Mesquita, Petra H. M. Peeters, Peter Wallström, Ulrika Ericson, Valeria Pala, Maria Santucci de Magistris, Silvia Polidoro, Rosario Tumino, Antonia Trichopoulou, Vardis Dilis, Michael Katsoulis, José María Huerta, Virginia Martínez, María-José Sánchez, Eva Ardanaz, Pilar Amiano, Birgit Teucher, Verena Grote, Benedetta Bendinelli, Heiner Boeing, Jana Förster, Marina Touillaud, Florence Perquier, Guy Fagherazzi, Valentina Gallo, Elio Riboli, Carlos A. González
Institutions: Institut d'Investigació Biomédica de Bellvitge, Institut Català d'Oncologia, Centre international de recherche sur le cancer, University of Oslo, UiT The Arctic University of Norway, Aarhus University, Technical University of Denmark, Danish Cancer Society, University of Oxford, University of Cambridge, University of Gothenburg, Umeå University, University Medical Center Utrecht, National Institute for Public Health and the Environment, Imperial College London, Lund University, Fondazione IRCCS Istituto Nazionale dei Tumori, Federico II University Hospital, University of Naples Federico II, Italian institute for Genomic Medicine, Azienda Usl 8 Arezzo, National and Kapodistrian University of Athens, Hellenic Health Foundation, Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública, Gobierno del Principado de Asturias, Andalusian School of Public Health, Basque Government, Biogipuzkoa Health Research Institute, German Cancer Research Center, Istituto per lo Studio e la Prevenzione Oncologica, German Institute of Human Nutrition, Inserm, Centre de recherche en Epidémiologie et Santé des Populations, London School of Hygiene & Tropical Medicine
Language: English
Topic: Nutritional Studies and Diet
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
Funders: Compagnia di San Paolo, Deutsches Krebsforschungszentrum, Wellcome Trust, Cancer Research UK, National Institute for Health and Care Research, British Heart Foundation, Stroke Association, European Commission, Institut National de la Santé et de la Recherche Médicale, Bundesministerium für Bildung und Forschung, Cancerfonden, Ministerio de Economía y Competitividad, Ligue Contre le Cancer, Stavros Niarchos Foundation, NordForsk, Deutsche Krebshilfe, Institut Gustave-Roussy, Hellenic Health Foundation, Medical Research Council, World Cancer Research Fund, Instituto de Salud Carlos III
OpenAlex ID: W2155098460