Evidence map›Paper›PMID 39222688›Full record

ArticleThe American journal of clinical nutrition2024

Flavonoid intakes, chronic obstructive pulmonary disease, adult asthma, and lung function: a cohort study in the UK Biobank.

Nicola P Bondonno, Benjamin H Parmenter, Alysha S Thompson, Amy Jennings, Kevin Murray, Daniel Bech Rasmussen, Anna Tresserra-Rimbau, Tilman Kühn, Aedín Cassidy

Abstract read
In one paragraph

Article in The American journal of clinical nutrition, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

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  14. Maternal dietary flavonoid intake and child wheeze and asthma in the Conditions Affecting Neurocognitive Development and Learning in Early Childhood (CANDLE) cohort.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2025
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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

9 authors.

Nicola P BondonnoInstitute for Nutrition Research, School of Medical and Health Sciences, Edith Cowan University, Perth, Australia; The Danish Cancer Society Research Centre, Copenhagen, Denmark; Institute for Global Food Security, Queen's University Belfast, Northern Ireland. Electronic address: n.bondonno@ecu.edu.au.
Benjamin H ParmenterInstitute for Nutrition Research, School of Medical and Health Sciences, Edith Cowan University, Perth, Australia; Institute for Global Food Security, Queen's University Belfast, Northern Ireland.
Alysha S ThompsonInstitute for Global Food Security, Queen's University Belfast, Northern Ireland.
Amy JenningsInstitute for Global Food Security, Queen's University Belfast, Northern Ireland.
Kevin MurraySchool of Population and Global Health, University of Western Australia, Australia.
Daniel Bech RasmussenRespiratory Research Unit Zealand, Department of Respiratory Medicine, Zealand University Hospital, Naestved, Denmark; Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.
Anna Tresserra-RimbauInstitute for Global Food Security, Queen's University Belfast, Northern Ireland; Department of Nutrition, Food Science and Gastronomy, XIA, School of Pharmacy and Food Sciences, INSA, University of Barcelona, Barcelona, Spain; Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.
Tilman KühnInstitute for Global Food Security, Queen's University Belfast, Northern Ireland; Department of Nutritional Sciences, University of Vienna, Vienna, Austria; Centre for Public Health, Medical University of Vienna, Vienna, Austria.
Aedín CassidyInstitute for Global Food Security, Queen's University Belfast, Northern Ireland. Electronic address: a.cassidy@qub.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGiven their antioxidative stress, anti-allergic, anti-inflammatory, and immune-modulating effects, flavonoids are hypothesized to play a role in preventing chronic obstructive pulmonary disease (COPD) and asthma.

objectivesThis cohort study aimed to examine associations between flavonoid intake and COPD, asthma, and lung function.

methodsAmong 119,466 participants of the UK Biobank, median [interquartile range] age of 60 [53, 65] y, we estimated intakes of flavonoids, flavonoid-rich foods, and a flavodiet score from 24-h diet assessments. Prospective associations with both incident COPD and asthma and cross-sectional associations with measures of lung function [%predicted forced expiratory volume in 1s (FEV

resultsCompared with low intakes, moderate intakes of total flavonoids, flavonols, theaflavins + thearubigins, and flavanones, and moderate-to-high intakes of flavanol monomers, proanthocyanidins, anthocyanins, flavones, and the flavodiet score were associated with up to an 18% lower risk of incident COPD {e.g., [hazard ratio (95% confidence interval) for total flavonoids: 0.83 (0.75, 0.92)]} but not incident asthma. Furthermore, compared with low intakes, higher intakes of all flavonoid subclasses (except theaflavins + thearubigins), and the flavodiet score were associated with better percent predicted FEV

conclusionsModerate-to-high flavonoid intakes were associated with a lower risk of COPD and better lung function, particularly among ever smokers. Promoting intakes of healthy flavonoid-rich foods, namely, tea, apples, and berries, may improve respiratory health and lower COPD risk, particularly in individuals with a smoking history.

Indexed as

AsthmaFlavonoidsPulmonary Disease, Chronic ObstructiveAdultAgedBiological Specimen BanksCohort StudiesCross-Sectional StudiesDietFemaleForced Expiratory VolumeHumansLungMaleMiddle AgedProportional Hazards ModelsFlavonoidsasthmaCOPDdietary intakeepidemiologyflavonoidsinflammationlungprospective cohortrespiratory healthUK Biobank

Identifiers

PMID39222688
PMCPMC11600086

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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.