Evidence map›Paper›PMID 34027025›Full record

ArticleAlzheimer's & dementia (New York, N. Y.)2021

Flavonoid intake and incident dementia in the Danish Diet, Cancer, and Health cohort.

Catherine P Bondonno, Nicola P Bondonno, Frederik Dalgaard, Kevin Murray, Samantha L Gardener, Ralph N Martins, Stephanie R Rainey-Smith, Aedín Cassidy, Joshua R Lewis, Kevin D Croft and 6 more

Open access · goldAbstract read
In one paragraph

Article in Alzheimer's & dementia (New York, N. Y.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Alzheimer's disease prevention by flavonols and their analogs.The journal of prevention of Alzheimer's disease · 2026
    Review
  5. Source-specific nitrate intake and incident dementia in the Danish Diet, Cancer and Health Study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Flavonoid intakes inversely associate with COPD in smokers.The European respiratory journal · 2022
    Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 10 institutions in 4 countries.

Catherine P BondonnoSchool of Medical and Health Sciences Edith Cowan University Perth Australia.
Nicola P BondonnoSchool of Medical and Health Sciences Edith Cowan University Perth Australia.
Frederik DalgaardDepartment of Cardiology Herlev & Gentofte University Hospital Copenhagen Denmark.
Kevin MurraySchool of Population and Global Health University of Western Australia Perth Australia.
Samantha L GardenerCentre of Excellence for Alzheimer's Disease Research & Care School of Medical and Health Sciences Edith Cowan University Joondalup Australia.
Ralph N MartinsCentre of Excellence for Alzheimer's Disease Research & Care School of Medical and Health Sciences Edith Cowan University Joondalup Australia.
Stephanie R Rainey-SmithCentre of Excellence for Alzheimer's Disease Research & Care School of Medical and Health Sciences Edith Cowan University Joondalup Australia.
Aedín CassidyInstitute for Global Food Security Queen's University Belfast Belfast Northern Ireland.
Joshua R LewisSchool of Medical and Health Sciences Edith Cowan University Perth Australia.
Kevin D CroftSchool of Biomedical Sciences Royal Perth Hospital University of Western Australia Perth Australia.
Cecilie KyrøThe Danish Cancer Society Research Centre Copenhagen Denmark.
Gunnar GislasonDepartment of Cardiology Herlev & Gentofte University Hospital Copenhagen Denmark.
Augustin ScalbertInternational Agency for Research on Cancer Lyon France.
Anne TjønnelandThe Danish Cancer Society Research Centre Copenhagen Denmark.
Kim OvervadDepartment of Public Health Aarhus University Aarhus Denmark.
Jonathan M HodgsonSchool of Medical and Health Sciences Edith Cowan University Perth Australia.
Edith Cowan University · AUUniversity of Western Australia · AUAarhus University · DKAustralian Alzheimer’s Research Foundation · AUCentre International de Recherche sur le Cancer · FRDanish Cancer Society · DKGentofte Hospital · DKQueen's University Belfast · GBUniversity of Copenhagen · DKUniversity of Southern Denmark · DK

Funding

World Health Organization 001
6 · The paper itself

Abstract

introductionProspective studies investigating flavonoid intake and dementia risk are scarce. The aims of this study were to examine associations between flavonoid intake and the risk of incident dementia and to investigate whether this association differs in the presence of lifestyle risk factors for dementia.

methodsWe examined associations in 55,985 participants of the Danish Diet, Cancer, and Health Study followed for 23 years. The Phenol-Explorer database was used to estimate flavonoid intakes. Information on incident dementia and dementia subtypes was obtained using Danish patient and prescription registries. Hazard ratios (HRs) were calculated using restricted cubic splines in multivariable-adjusted Cox proportional hazards models.

resultsFor incident dementia, moderate compared to low intakes of flavonols (HR: 0.90 [0.82, 0.99]), flavanol oligo+polymers (HR: 0.87 [0.79, 0.96]), anthocyanins (HR: 0.84 [0.76, 0.93]), flavanones (HR: 0.89 [0.80, 0.99]), and flavones (HR: 0.85 [0.77, 0.95]) were associated with a lower risk. For vascular dementia, moderate intakes of flavonols (HR: 0.69 [0.53, 0.89]) and flavanol oligo + polymers (HR: 0.65 [0.51, 0.83]) were associated with lower risk. Flavonoid intakes were not significantly associated with Alzheimer's disease or unspecified dementia. The inverse association between total flavonoid intake and incident dementia was stronger in "ever" smokers than in "never" smokers and in those without hypercholesterolemia versus those with hypercholesteremia. Furthermore, the inverse association of vascular dementia with a moderate total flavonoid intake was stronger in "ever" smokers and those who were "normal" to "overweight" versus "never" smokers or those who were "obese," respectively.

conclusionA moderate intake of flavonoid-rich foods may help to reduce dementia risk.

Indexed as

Alzheimer's diseasedementiaflavonoidsflavonoid subclassesprospective studyvascular dementia

Identifiers

PMID34027025
PMCPMC8118115
OpenAlexW3162964749

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.