Abstract
Purpose
To examine if dietary intake of foods rich in flavonoids, which have been shown to be inversely associated with chronic diseases, is associated with inflammatory processes.
Methods
This analysis includes controls of case–control studies nested within the Multiethnic Cohort (MEC) who completed a validated food frequency questionnaire at cohort entry. Biomarkers were assessed in blood donated during follow-up (mean = 9.6 years). We used multivariate linear regression adjusted for potential confounders to estimate associations between intake of flavanones, flavonols, and isoflavones and levels of adiponectin, leptin, C-reactive protein, interleukin (IL)-1β, IL-6, IL-10, and tumor necrosis factor-α.
Results
Among the 1,287 participants, the respective median intakes of flavanones, flavonols, and isoflavones were 26.5, 12.4, and 1.3 mg/day at cohort entry. With the exception of flavanone intake, which was statistically significantly inversely associated with adiponectin (p = 0.01) and IL-6 concentrations (p = 0.01), none of the examined flavonoids was related with levels of adipokines or inflammatory markers. Heterogeneity by ethnicity was only observed for flavonol intake and IL-10 (pinteraction = 0.04) and may be the result of multiple testing. These null findings were confirmed in a subset of participants who completed a second dietary history within 2.6 years of blood draw.
Conclusion
The current results do not support a consistent association between dietary intake of flavonoids and markers of inflammatory processes.
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Candido J, Hagemann T (2013) Cancer-related inflammation. J Clin Immunol 33:79–84
Coussens LM, Werb Z (2002) Inflammation and cancer. Nature 420:860–867
Scalbert A, Manach C, Morand C, Rémésy C, Jiménez L (2005) Dietary polyphenols and the prevention of diseases. Crit Rev Food Sci Nutr 45:287–306
Manach C, Scalbert A, Morand C, Remesy C, Jimenez L (2004) Polyphenols: food sources and bioavailability. Am J Clin Nutr 79:727–747
Ravishankar D, Rajora AK, Greco F, Osborn HM (2013) Flavonoids as prospective compounds for anti-cancer therapy. Int J Biochem Cell Biol 45:2821–2831
Romagnolo DF, Selmin OI (2012) Flavonoids and cancer prevention: a review of the evidence. J Nutr Gerontol Geriatr 31:206–238
Le Marchand L (2002) Cancer preventive effects of flavonoids—a review. Biomed Pharmacother 56:296–301
Nothlings U, Murphy SP, Wilkens LR, Henderson BE, Kolonel LN (2007) Flavonols and pancreatic cancer risk: the multiethnic cohort study. Am J Epidemiol 166:924–931
Ollberding NJ, Lim U, Wilkens LR, Setiawan VW, Shvetsov YB et al (2012) Legume, soy, tofu, and isoflavone intake and endometrial cancer risk in postmenopausal women in the multiethnic cohort study. J Natl Cancer Inst 104:67–76
Gupta SC, Tyagi AK, Deshmukh-Taskar P, Hinojosa M, Prasad S et al (2014) Downregulation of tumor necrosis factor and other proinflammatory biomarkers by polyphenols. Arch Biochem Biophys 559:91–99
Chun OK, Chung SJ, Claycombe KJ, Song WO (2008) Serum C-reactive protein concentrations are inversely associated with dietary flavonoid intake in U.S. adults. J Nutr 138:753–760
Jennings A, Welch AA, Spector T, Macgregor A, Cassidy A (2014) Intakes of anthocyanins and flavones are associated with biomarkers of insulin resistance and inflammation in women. J Nutr 144:202–208
Landberg R, Sun Q, Rimm EB, Cassidy A, Scalbert A et al (2011) Selected dietary flavonoids are associated with markers of inflammation and endothelial dysfunction in U.S. women. J Nutr 141:618–625
Song Y, Manson JE, Buring JE, Sesso HD, Liu S (2005) Associations of dietary flavonoids with risk of type 2 diabetes, and markers of insulin resistance and systemic inflammation in women: a prospective study and cross-sectional analysis. J Am Coll Nutr 24:376–384
Filiberto AC, Mumford SL, Pollack AZ, Zhang C, Yeung EH et al (2013) Habitual dietary isoflavone intake is associated with decreased C-reactive protein concentrations among healthy premenopausal women. J Nutr 143:900–906
Nicastro HL, Mondul AM, Rohrmann S, Platz EA (2013) Associations between urinary soy isoflavonoids and two inflammatory markers in adults in the United States in 2005–2008. Cancer Causes Control 24:1185–1196
Eichholzer M, Richard A, Nicastro HL, Platz EA, Linseisen J et al (2014) Urinary lignans and inflammatory markers in the US National Health and Nutrition Examination Survey (NHANES) 1999–2004 and 2005–2008. Cancer Causes Control 25:395–403
Hallund J, Tetens I, Bügel S, Tholstrup T, Bruun JM (2008) The effect of a lignan complex isolated from flaxseed on inflammation markers in healthy postmenopausal women. Nutr Metab Cardiovasc Dis 18:497–502
Pan A, Demark-Wahnefried W, Ye X, Yu Z, Li H et al (2009) Effects of a flaxseed-derived lignan supplement on C-reactive protein, IL-6 and retinol-binding protein 4 in type 2 diabetic patients. Br J Nutr 101:1145–1149
Kolonel LN, Henderson BE, Hankin JH, Nomura AM, Wilkens LR et al (2000) A multiethnic cohort in Hawaii and Los Angeles: baseline characteristics. Am J Epidemiol 151:346–357
Park SY, Wilkens LR, Henning SM, Le Marchand L, Gao K et al (2009) Circulating fatty acids and prostate cancer risk in a nested case-control study: the multiethnic cohort. Cancer Causes Control 20:211–223
Stram DO, Hankin JH, Wilkens LR, Pike MC, Monroe KR et al (2000) Calibration of the dietary questionnaire for a multiethnic cohort in Hawaii and Los Angeles. Am J Epidemiol 151:358–370
Murphy SP (2002) Unique nutrition support for research at the Cancer Research Center of Hawaii. Hawaii Med J 61:15–17
Franke AA, Hankin JH, Yu MC, Maskarinec G, Low SH et al (1999) Isoflavone levels in soy foods consumed by multiethnic populations in Singapore and Hawaii. J Agric Food Chem 47:977–986
Franke A, Custer L, Arakaki C, Murphy S (2004) Vitamin C and flavonoid levels of fruits and vegetables consumed in Hawaii. J Food Compos Anal 17:1–35
Jacobs S, Harmon BE, Boushey CJ, Morimoto Y, Wilkens LR et al (2015) A priori-defined diet quality indexes and risk of type 2 diabetes: the multiethnic cohort. Diabetologia 58:98–112
Conroy SM, Maskarinec G, Morimoto Y, Franke AA, Cooney RV et al (2013) Non-hodgkin lymphoma and circulating markers of inflammation and adiposity in a nested case-control study: the multiethnic cohort. Cancer Epidemiol Biomarkers Prev 22:337–247
Ollberding NJ, Kim Y, Shvetsov YB, Wilkens LR, Franke AA et al (2013) Prediagnostic leptin, adiponectin, C-reactive protein, and the risk of postmenopausal breast cancer. Cancer Prev Res 6:188–195
Patisaul HB, Jefferson W (2010) The pros and cons of phytoestrogens. Front Neuroendocrinol 31:400–419
Chun OK, Chung SJ, Song WO (2009) Urinary isoflavones and their metabolites validate the dietary isoflavone intakes in US adults. J Am Diet Assoc 109:245–254
Nagel G, Zoller D, Ruf T, Rohrmann S, Linseisen J (2007) Long-term reproducibility of a food-frequency questionnaire and dietary changes in the European Prospective Investigation into Cancer and Nutrition (EPIC)-Heidelberg cohort. Br J Nutr 98:194–200
Rowland I, Wiseman H, Sanders T, Adlercreutz H, Bowey E (1999) Metabolism of oestrogens and phytoestrogens: role of the gut microflora. Biochem Soc Trans 27:304–308
Lampe JW, Atkinson C, Hullar MA (2006) Assessing exposure to lignans and their metabolites in humans. J AOAC Int 89:1174–1181
Maskarinec G, Singh S, Meng L, Franke AA (1998) Dietary soy intake and urinary isoflavone excretion among women from a multiethnic population. Cancer Epidemiol Biomarkers Prev 7:613–619
Seow A, Shi CY, Franke AA, Hankin JH, Lee HP et al (1998) Isoflavonoid levels in spot urine are associated with frequency of dietary soy intake in a population-based sample of middle-aged and older Chinese in Singapore. Cancer Epidemiol Biomarkers Prev. 7:135–140
Mennen LI, Sapinho D, Ito H, Bertrais S, Galan P et al (2006) Urinary flavonoids and phenolic acids as biomarkers of intake for polyphenol-rich foods. Br J Nutr 96:191–198
Perez-Jimenez J, Hubert J, Hooper L, Cassidy A, Manach C et al (2010) Urinary metabolites as biomarkers of polyphenol intake in humans: a systematic review. Am J Clin Nutr 92:801–809
Acknowledgments
The Multiethnic has been supported by Grants R37CA54281 (PI: LN Kolonel), P01 CA 033619 (PI: LN Kolonel), and UM1CA164973 (PIs: L Le Marchand/LR Wilkens/BE Henderson) from the National Cancer Institute.
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Rohrmann, S., Shvetsov, Y.B., Morimoto, Y. et al. Self-reported dietary flavonoid intake and serum markers of inflammation: the multiethnic cohort. Cancer Causes Control 29, 601–607 (2018). https://doi.org/10.1007/s10552-018-1034-z
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DOI: https://doi.org/10.1007/s10552-018-1034-z