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Fruit and Vegetable Consumption and Its Relation to Markers of Inflammation and Oxidative Stress in Adolescents
Open accessAbstract
Background Fruits and vegetables, foods rich in flavonoids and antioxidants, have been associated with lower risk of stroke, coronary heart disease, and markers of inflammation and oxidative stress in adults. Markers of inflammation and oxidative stress are predictors of coronary heart disease risk; however, it is unknown whether these markers are related to dietary flavonoid and antioxidant intake in youth.Objective To determine whether greater intakes of fruit and vegetables, antioxidants, folate, and total flavonoids were inversely associated with markers of inflammation and oxidative stress in 285 adolescent boys and girls aged 13 to 17 years.Design In this cross-sectional study conducted between February 1996 and January 2000, diet was assessed by a 127-item food frequency questionnaire. Height and weight measurements were obtained and a fasting blood sample drawn. Spearman partial correlation analyses evaluated the relation of intakes of fruit and vegetables, antioxidants, folate, and flavonoids with markers of inflammation (C-reactive protein, interleukin-6, tumor necrosis factor-alpha, and 15-keto-dihydro-PGF(2alpha) metabolite and oxidative stress (urinary 8-iso prostaglandin F(2alpha), an F(2)-isoprostane), adjusting for age, sex, race, Tanner stage, energy intake, and body mass index.Results Urinary F(2)-isoprostane was inversely correlated with intakes of total fruit and vegetables, vitamin C, beta carotene, and flavonoids. Serum C-reactive protein was significantly inversely associated with intakes of fruit (r=-0.19; P=0.004), vitamin C (r=-0.13, P=0.03), and folate (r=-0.18; P=0.004). Serum interleukin-6 was inversely associated with intakes of legumes, vegetables, beta carotene, and vitamin C. Serum tumor necrosis factor-alpha was inversely associated with beta carotene (r=-0.14, P=0.02) and luteolin (r=-0.15, P=0.02).Conclusion Study results show that the beneficial effects of fruit and vegetable intake on markers of inflammation and oxidative stress are already present by early adolescence and provide support for the Dietary Guidelines for Americans "to consume five or more servings per day" of fruits and vegetables to promote beneficial cardiovascular health.
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“Consumption of fruits and vegetables has been correlated with decreased risks of cardiovascular disease (CVD).”
From Berries: emerging impact on cardiovascular health (2010) · cites this paper as [20]
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Calder, P. C., Ahluwalia, N., Brouns, F., Buetler, T., Clement, K., Cunningham, K., Esposito, K., Jönsson, L. S., Kolb, H., Lansink, M., et al. (2011) · British Journal of Nutrition · doi:10.1017/s0007114511005460 · Cited by 1,098
“In one study, no association with CRP was observed((288)), while in a second study, an inverse association was seen in men but not in women((327)).”
Epigenetic clock analysis of diet, exercise, education, and lifestyle factors
Quach, A., Levine, M. E., Tanaka, T., Lu, A. T., Chen, B. H., Ferrucci, L., Ritz, B., Bandinelli, S., Neuhouser, M. L., Beasley, J. M., et al. (2017) · Aging · doi:10.18632/aging.101168 · Cited by 801
“The association between fruit and vegetables with aging of the blood immune system may be partially mediated by antiinflammatory [83, 84] and cardiometabolic effects, however it is interesting to note that the explanatory power of mean carotenoid levels remained even after including the other explanatory factors into…”
Basic biochemical mechanisms behind the health benefits of polyphenols
Fraga, C. G., Galleano, M., Verstraeten, S. V., & Oteiza, P. I. (2010) · Molecular Aspects of Medicine · doi:10.1016/j.mam.2010.09.006 · Cited by 769
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Wallace, T. C., Bailey, R. L., Blumberg, J. B., Burton-Freeman, B., Chen, C.-Y. O., Crowe-White, K. M., Drewnowski, A., Hooshmand, S., Johnson, E., Lewis, R., et al. (2020) · Critical Reviews in Food Science and Nutrition · doi:10.1080/10408398.2019.1632258 · Cited by 638
“A study of adolescent boys found that a diet high in F&V was associated with lower levels with markers of inflammation (Holt et al. 2009).”
Background
Metadata
- Authors
- Holt, E. M., Steffen, L. M., Moran, A., Basu, S., Steinberger, J., Ross, J. A., Hong, C.-P., & Sinaiko, A. R.
- Affiliations
- University of Minnesota (US)
- Uppsala University (SE)
- Corresponding author
- Steffen, Lyn M.
- Venue
- Journal of the American Dietetic Association
- Publisher
- Elsevier BV
- Published
- 2009-03
- Volume
- 109
- Issue
- 3
- Pages
- 414-421
- ISSN
- 0002-8223 (ISSN-L)
- PMC
- PMC2676354
- OpenAlex
- W2051281636
- Cited by
- 496
- References
- 80
- Citations by year
- 2026: 10 · 2025: 21 · 2024: 45 · 2023: 25 · 2022: 35 · 2021: 35 · 2020: 30 · 2019: 24 · 2018: 29 · 2017: 33 · 2016: 28 · 2015: 33 · 2014: 34 · 2013: 35 · 2012: 30
- FWCI
- 26.56
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of the American Dietetic Association (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Heart, Lung, and Blood Institute (R01HL052851, HL-52851)
- 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 › Biochemistry (medical) › Antioxidant Activity and Oxidative Stress
- Keywords
- fruit and vegetable intake, dietary flavonoids, antioxidants, folic acid, inflammatory markers, oxidative stress, C-reactive protein, interleukin-6, TNF-α, vitamin C, beta-carotene, adolescents, cardiovascular disease prevention, dietary guidelines, Fabaceae, luteolin, dietary habits, body mass index, sex differences
- MeSH terms
- Adolescent, Antioxidants, C-Reactive Protein, Cardiovascular Diseases, Cross-Sectional Studies, Diet, Diet Surveys, Female, Flavonoids, Folic Acid, Fruit, Humans, Inflammation, Male, Surveys and Questionnaires, Tumor Necrosis Factor-alpha, Vegetables, Dinoprost, Biomarkers, Interleukin-6, Body Mass Index, Oxidative Stress, Statistics, Nonparametric, F2-Isoprostanes
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