Cited by 1,853Nutritional Studies and DietPhytochemicals and Antioxidant ActivitiesCardiovascular Health and Risk Factors

The DOI matches its Crossref record; 2 of the 2 references it cites were found in a registry or an index.

Flavonoid Intake and Long-term Risk of Coronary Heart Disease and Cancer in the Seven Countries Study

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Hertog, Michaël G. L.·1995·Archives of Internal Medicine

Abstract

OBJECTIVE: To determine whether flavonoid intake explains differences in mortality rates from chronic diseases between populations. DESIGN: Cross-cultural correlation study. SETTING/PARTICIPANTS: Sixteen cohorts of the Seven Countries Study in whom flavonoid intake at baseline around 1960 was estimated by flavonoid analysis of equivalent food composites that represented the average diet in the cohorts. MAIN OUTCOME MEASURES: Mortality from coronary heart disease, cancer (various sites), and all causes in the 16 cohorts after 25 years of follow-up. RESULTS: Average intake of antioxidant flavonoids was inversely associated with mortality from coronary heart disease and explained about 25% of the variance in coronary heart disease rates in the 16 cohorts. In multivariate analysis, intake of saturated fat (73%; P = 0.0001), flavonoid intake (8%, P = .01), and percentage of smokers per cohort (9%; P = .03) explained together, independent of intake of alcohol and antioxidant vitamins, 90% of the variance in coronary heart disease rates. Flavonoid intake was not independently associated with mortality from other causes. CONCLUSIONS: Average flavonoid intake may partly contribute to differences in coronary heart disease mortality across populations, but it does not seem to be an important determinant of cancer mortality.

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Crossref · 10.1001/archinte.1995.00430040053006

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Metadata

Authors
Hertog, M. G. L.
Affiliations
National Institute for Public Health and the Environment (NL)
Corresponding author
Hertog, Michaël G. L.
Venue
Archives of Internal Medicine
Published
1995-02-27
Volume
155
Issue
4
Pages
381
ISSN
0003-9926 (ISSN-L)
OpenAlex
W2074581135
Cited by
1,853
References
2
Citations by year
2026: 8 · 2025: 6 · 2024: 23 · 2023: 23 · 2022: 28 · 2021: 32 · 2020: 40 · 2019: 35 · 2018: 55 · 2017: 54 · 2016: 53 · 2015: 69 · 2014: 65 · 2013: 66 · 2012: 83
FWCI
67.20
Type
journal article
Language
en
Open access
Locations
  • Archives of Internal Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Socio-Environmental Systems Modeling (submittedVersion)
  • Rivm Repository (Netherlands National Institute for Public Health and the Environment) (submittedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
  • Health Sciences › Medicine › Biochemistry (medical) › Phytochemicals and Antioxidant Activities
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
Keywords
flavonoids, dietary flavonoid intake, coronary heart disease mortality, cancer mortality, all-cause mortality, saturated fat intake, smoking, antioxidant vitamins, alcohol consumption
MeSH terms
Adult, Cause of Death, Coronary Disease, Cross-Cultural Comparison, Diet, Europe, Flavonoids, Humans, Japan, Male, Middle Aged, Neoplasms, Risk Factors, Cohort Studies

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