Evidence map›Paper›PMID 40264109›Full record

ArticleBMC public health2025

Association between dietary flavonoid intake and anxiety: data from NHANES 2017-2018.

Liuyin Jin, Linman Wu, Guidong Zhu, Lijuan Yang, Dan Zhao, Jue He, Yan Zhang

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Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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2 citing papers in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Liuyin Jin *Lishui Second People's Hospital, Lishui, China.
Linman Wu *Nanchong Mental Health Center of Sichuan Province, Nanchong, China.
Guidong ZhuLishui Second People's Hospital, Lishui, China.
Lijuan YangNanchong Mental Health Center of Sichuan Province, Nanchong, China.
Dan ZhaoNanchong Mental Health Center of Sichuan Province, Nanchong, China.
Jue HeSchool of Mental Health and the Affiliated Kangning Hospital, Wenzhou Key Laboratory for Basic and Translational Research in Mental Health, Zhejiang Provincial Clinical Research Center for Mental Disorders, Wenzhou Medical University, Wenzhou, Zhejiang, China. hejue2002@hotmail.com.
Yan ZhangLishui Second People's Hospital, Lishui, China. 876222052@qq.com.

Funding

Lishui Key Laboratory of Brain Health and Major brain diseases and Zhejiang Provincial Clinical Research Center for Mental Disorders 2022E50011
6 · The paper itself

Abstract

backgroundAnxiety disorders are among the most prevalent mental health conditions, characterized by excessive fear, tension, avoidance behaviors, and heightened threat perception. Approximately 1 in 14 individuals meets the diagnostic criteria for an anxiety disorder. Flavonoids, bioactive compounds found in fruits, vegetables, and tea, possess antioxidant, anti-inflammatory, and neuroprotective properties. However, evidence on the relationship between flavonoid intake and anxiety risk remains limited. This study examines the association between flavonoid intake and anxiety risk and explores the effects of specific flavonoid subclasses.

methodsThis study utilized data from the National Health and Nutrition Examination Survey (NHANES). Individual flavonoid intake was assessed using two-day 24-hour dietary recalls, and anxiety status was evaluated through a standardized anxiety questionnaire. To assess the relationship between flavonoid intake and anxiety risk, weighted logistic regression analysis was performed. Additionally, restricted cubic spline (RCS) analysis was employed to evaluate potential nonlinear associations. We conducted subgroup analyses for flavonoids that showed significant associations in the logistic regression, including theaflavin-3-gallate, total flavones, total flavanones, total isoflavones, and naringenin. These analyses aimed to explore the moderating effects of demographic characteristics such as sex, age, marital status, smoking status, and body mass index (BMI).

resultsWe analyzed data from 1,637 participants in the NHANES. Significant differences were observed between the anxious and non-anxious groups in age, poverty-income ratio (PIR), BMI, smoking status, marital status, education level, and flavonoid intake. The anxious group had higher age (47.12 vs. 42.81 years, P < 0.0001), PIR (P < 0.0001), and BMI (P = 0.01). They also had a higher proportion of females, unmarried individuals, and current smokers (P < 0.0001). Logistic regression analysis showed that genistein, petunidin, naringenin, apigenin, and total flavones were significantly associated with reduced anxiety risk (P < 0.05). Subgroup analysis confirmed protective effects in males, married individuals, participants with General Educational Development (GED)-level education, and specific ethnic groups. RCS analysis suggested nonlinear relationships, with total flavones, total flavanones, and naringenin showing protective effects at low intake levels (P < 0.05). All models demonstrated good fit (P < 0.001).

conclusionFlavonoid intake is inversely associated with anxiety risk, particularly Theaflavin-3-gallate, Total Flavones, Total Flavanones, Total Isoflavones, and Naringenin. Further studies are needed to confirm optimal intake levels and underlying mechanisms.

Indexed as

AnxietyDietFlavonoidsAdultAgedFemaleHumansMaleMiddle AgedNutrition SurveysUnited StatesYoung AdultFlavonoidsAnxietyCross-sectional studyFlavonoidsNaringeninRestricted cubic spline (RCS) analysis

Identifiers

PMID40264109
PMCPMC12013017

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