BACKGROUND:Dietary flavonoids are suggested to have antiobesity effects. Prospective evidence of an association between flavonoids and body mass index (BMI) is lacking in general populations. OBJECTIVE:We assessed this association between 3 flavonoid subgroups and BMI over a 14-y period in 4280 men and women aged 55-69 y at baseline from the Netherlands Cohort Study. DESIGN:Dietary intake was estimated at baseline (1986) by a validated food-frequency questionnaire. BMI was ascertained through self-reported height (in 1986) and weight (in 1986, 1992, and 2000). Analyses were based on sex-specific quintiles for the total intake of 6 catechins and of 3 flavonols/flavones. Linear mixed effect modeling was used to assess longitudinal associations in 3 adjusted models: age only, lifestyle (age, energy intake, physical activity, smoking status, alcohol intake, type 2 diabetes, and coffee consumption), and lifestyle and diet (vegetables, fruit, fiber, grains, sugar, dessert, and dieting habits). RESULTS:After adjustment for age and confounders, the BMI (kg/m(2)) of women with the lowest intake of total flavonols/flavones and total catechins increased by 0.95 and 0.77, respectively, after 14 y. Women with the highest intake of total flavonols/flavones and total catechins experienced a significantly lower increase in BMI of 0.40 and 0.31, respectively (between group difference: P < 0.05). This difference remained after additional adjustment for dietary determinants and after stratification of median baseline BMI. In men, no significant differences in BMI change were observed over the quintiles of flavonoid intake after 14 y. CONCLUSION:Our results suggest that flavonoid intake may contribute to maintaining body weight in the general female population.

译文

背景:饮食中的类黄酮具有减肥作用。在一般人群中,缺乏类黄酮与体重指数(BMI)之间关联的前瞻性证据。
目的:我们在荷兰队列研究的基线评估了4280名年龄在55-69岁的男性和女性在14年内3种类黄酮亚组与BMI的相关性。
设计:饮食摄入量是通过有效的食物频率调查表在基线(1986年)估算的。通过自我报告的身高(1986年)和体重(1986年,1992年和2000年)确定BMI。根据性别特定的五分位数进行分析,得出6种儿茶素和3种黄酮/黄酮的总摄入量。线性混合效应模型用于评估3种调整后的模型中的纵向关联:仅年龄,生活方式(年龄,能量摄入,身体活动,吸烟状况,酒精摄入,2型糖尿病和咖啡摄入量)以及生活方式和饮食习惯(蔬菜,水果,纤维,谷物,糖,甜点和饮食习惯)。
结果:在调整了年龄和混杂因素之后,摄入14年总黄酮/黄酮和儿茶素总量最低的女性的BMI(kg / m(2))分别增加了0.95和0.77。总黄酮醇/黄酮和总儿茶素摄入最高的女性的BMI分别显着降低,分别为0.40和0.31(组间差异:P <0.05)。在对饮食决定因素进行了进一步调整之后以及对中位数基线BMI进行分层后,这种差异仍然存在。在男性中,在服用14年后的黄酮摄入量的五分位数中,未观察到BMI变化的显着差异。
结论:我们的研究结果表明类黄酮的摄入可能有助于维持普通女性人群的体重。

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