Evidence map›Paper›PMID 38267207›Full record

ArticleJournal of neurology, neurosurgery, and psychiatry2024

Flavonoid intake and risk of Parkinson's disease.

Helena Sandoval-Insausti, Mario H Flores-Torres, Kjetil Bjornevik, Marianna Cortese, Albert Y Hung, Michael Schwarzschild, Tian-Shin Yeh, Alberto Ascherio

Abstract read
In one paragraph

Article in Journal of neurology, neurosurgery, and psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Healthy Dietary Patterns and Risk of Parkinson's Disease.Movement disorders : official journal of the Movement Disorder Society · 2026
    Article
  2. Article
  3. 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

8 authors.

Helena Sandoval-InsaustiDepartment of Nutrition, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA hsandov@hsph.harvard.edu.ORCID 0000-0002-2169-9303
Mario H Flores-TorresDepartment of Nutrition, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA.
Kjetil BjornevikDepartment of Nutrition, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA.
Marianna CorteseDepartment of Nutrition, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA.
Albert Y HungDepartment of Neurology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Michael SchwarzschildDepartment of Neurology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Tian-Shin YehDepartment of Nutrition, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA.
Alberto AscherioDepartment of Nutrition, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA.

Funding

Long Term Multidisciplinary Study of Cancer in Women: The Nurses Health StudyUM1CA186107 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI ELIASSEN, A. HEATHER, STAMPFER, MEIR · 2014 to 2023
$22.3M
Cancer Epidemiology Cohort in Male Health ProfessionalsU01CA167552 · NCI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Lorelei Mucci, Walter C. Willett · 2017 to 2026
$17.0M
Biomarkers and Risk Factors for Prodromal Parkinson's Disease and its ProgressionR01NS126260 · NINDS · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI ALBERTO ASCHERIO · 2022 to 2026
$2.9M
NCI NIH HHS U01 CA167552NCI NIH HHS UM1 CA186107NINDS NIH HHS R01 NS126260
6 · The paper itself

Abstract

backgroundFlavonoids have been proposed to reduce the risk of Parkinson's disease (PD). However, results from epidemiological studies have been inconclusive.

objectiveTo prospectively examine the association between the intake of flavonoids and their subclasses and the risk of PD and how pesticides may confound or modify that association.

methodsThe study population comprised 80 701 women (1984-2016) and 48 782 men (1986-2016) from two large US cohorts. Flavonoid intake was ascertained at baseline and every 4 years thereafter using a semiquantitative Food Frequency Questionnaire. We conducted multivariable-adjusted Cox regression models to estimate HRs and 95% CIs of PD according to quintiles of baseline and cumulative average intakes of flavonoids and subclasses. We repeated the analyses, adjusting for intakes of high-pesticide-residue fruits and vegetables (FVs) and stratifying by servings/day of high-pesticide-residue FV intake.

resultsWe identified 676 incident PD cases in women and 714 in men after 30-32 years of follow-up. Higher total flavonoid intake at baseline was not associated with a lower PD risk, neither in men (HR comparing highest to lowest quintile: 0.89, 95% CI: 0.69 to 1.14) nor in women (HR comparing highest to lowest quintile: 1.27, 95% CI: 0.98 to 1.64). Similar results were observed for cumulative average intakes and flavonoid subclasses. Results remained similar after adjustment for and stratification by high-pesticide-residue FV and when analyses were restricted to younger PD cases.

conclusionThese results do not support a protective effect of flavonoid intake on PD risk. Pesticide residues do not confound or modify the association.

Indexed as

FlavonoidsParkinson DiseaseAdultAgedDietFemaleFruitHumansMaleMiddle AgedPesticide ResiduesProportional Hazards ModelsProspective StudiesRisk FactorsUnited StatesVegetablesFlavonoidsPesticide ResiduesNEUROEPIDEMIOLOGYPARKINSON'S DISEASE

Identifiers

PMID38267207
PMCPMC11187684

What OpenQuestion holds

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Registered trials

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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.