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Nutrients. 2018 Apr 14;10(4). pii: E488. doi: 10.3390/nu10040488.

Habitual Flavonoid Intake from Fruit and Vegetables during Adolescence and Serum Lipid Levels in Early Adulthood: A Prospective Analysis.

Author information

1
DONALD Study Dortmund, Department of Nutrition and Food Sciences (IEL), Nutritional Epidemiology, University of Bonn, 44225 Dortmund, Germany. katharina.penczynski@uni-paderborn.de.
2
Department of Sports and Health, Institute of Nutrition, Consumption and Health, University of Paderborn, 33098 Paderborn, Germany. katharina.penczynski@uni-paderborn.de.
3
DONALD Study Dortmund, Department of Nutrition and Food Sciences (IEL), Nutritional Epidemiology, University of Bonn, 44225 Dortmund, Germany. remer@uni-bonn.de.
4
Institute for Clinical Diabetology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich-Heine University Düsseldorf, 40225 Düsseldorf, Germany. Christian.Herder@DDZ.UNI-DUESSELDORF.DE.
5
German Center for Diabetes Research, 85764 München-Neuherberg, Germany. Christian.Herder@DDZ.UNI-DUESSELDORF.DE.
6
Pediatric Clinic Dortmund, 44317 Dortmund, Germany. Hermann.Kalhoff@klinikumdo.de.
7
Department of Nutrition and Food Sciences (IEL), Nutritional Epidemiology, University of Bonn, 53115 Bonn, Germany. jrienks@uni-bonn.de.
8
Institute for Clinical Diabetology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich-Heine University Düsseldorf, 40225 Düsseldorf, Germany. Daniel.Markgraf@DDZ.UNI-DUESSELDORF.DE.
9
German Center for Diabetes Research, 85764 München-Neuherberg, Germany. Daniel.Markgraf@DDZ.UNI-DUESSELDORF.DE.
10
Institute for Clinical Diabetology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich-Heine University Düsseldorf, 40225 Düsseldorf, Germany. Michael.Roden@DDZ.UNI-DUESSELDORF.DE.
11
German Center for Diabetes Research, 85764 München-Neuherberg, Germany. Michael.Roden@DDZ.UNI-DUESSELDORF.DE.
12
Division of Endocrinology and Diabetology, Medical Faculty, Heinrich-Heine University Düsseldorf, 40225 Düsseldorf, Germany. Michael.Roden@DDZ.UNI-DUESSELDORF.DE.
13
DONALD Study Dortmund, Department of Nutrition and Food Sciences (IEL), Nutritional Epidemiology, University of Bonn, 44225 Dortmund, Germany. anette.buyken@uni-paderborn.de.
14
Department of Sports and Health, Institute of Nutrition, Consumption and Health, University of Paderborn, 33098 Paderborn, Germany. anette.buyken@uni-paderborn.de.

Abstract

Flavonoids have been implicated in the prevention of cardiovascular diseases (CVD). In a prospective approach, we investigated whether habitual flavonoid intake from fruit, vegetables and juices (FlavFVJ) during adolescence is associated with adult levels of serum lipids, one of the main CVD risk factors. This analysis included healthy participants from the Dortmund Nutritional and Anthropometric Longitudinally Designed (DONALD) study, who had provided a fasting blood sample in adulthood (aged 18-39 years), data on FlavFVJ intake during adolescence (females: 9-15 years, males: 10-16 years)-estimated either from multiple 3-day weighed dietary records (n = 257), or from validated biomarker hippuric acid (uHA) excretion from multiple 24-h urine samples (n = 233)-together with information on relevant covariates. In multivariable linear regression analyses, a higher FlavFVJ intake during adolescence was independently associated with higher serum high-density lipoprotein cholesterol (HDL-C) levels among males (Ptrend = 0.038); however, the inclusion of adult waist circumference attenuated this association (Ptrend = 0.053). FlavFVJ was not associated with triglycerides (TG), total cholesterol (TC) or low-density lipoprotein cholesterol (LDL-C; all Ptrend ≥ 0.1), nor was uHA excretion with any serum lipid outcome among males (all Ptrend ≥ 0.5). Neither FlavFVJ intake nor uHA excretion was associated with serum lipids among women (all Ptrend ≥ 0.1). However, a higher flavonoid intake from fruit and vegetables was independently related to lower LDL-C levels (Ptrend = 0.021), while a higher intake from juices was associated with higher LDL-C levels (Ptrend = 0.016) among females. In conclusion, a higher flavonoid intake from fruit, vegetables and/or juices during adolescence may be linked to cholesterol levels in early adulthood in a sex- and food source-specific manner.

KEYWORDS:

24-h urine; adulthood; biomarker of intake; blood lipid profile; flavonoids from fruit and vegetables; flavonoids from juices; high-density lipoprotein cholesterol; hippuric acid; low-density lipoprotein cholesterol; puberty

PMID:
29662000
PMCID:
PMC5946273
DOI:
10.3390/nu10040488
[Indexed for MEDLINE]
Free PMC Article

Conflict of interest statement

The authors declare no conflict of interest. The founding sponsors had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, and in the decision to publish the results.

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