Cited by 263Nutritional Studies and DietPhytochemicals and Antioxidant ActivitiesAdipokines, Inflammation, and Metabolic Diseases

Serum C-reactive protein concentrations are inversely associated with dietary flavonoid intake in U.S. adults

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Chun, Ock Kyoung, Chung, Sang-Jin, Claycombe, Kate J., Song, Won O.·2008·The Journal of Nutrition

Abstract

Serum C-reactive protein (CRP) is a biomarker for chronic inflammation and a sensitive risk factor for cardiovascular diseases. Though CRP has been reported to be related to food intake, there is no documentation of a direct association with flavonoid intake. We aimed to test the associations between dietary flavonoid intake and serum CRP concentrations among U.S. adults after adjusting for dietary, sociodemographic, and lifestyle factors. Data from the NHANES 1999-2002 were used for this cross-sectional study. Subjects were > or = 19-y-old adults (n = 8335), and did not include pregnant and/or lactating women. Flavonoid intake of U.S. adults was estimated by the USDA flavonoid databases matched with a 24-h dietary recall in NHANES 1999-2002. The serum CRP concentration was higher in women, older adults, blacks, and smokers, and in those with high BMI or low exercise level, and in those taking NSAID, than in their counterparts (P < 0.01). Intakes of apples and vegetables were inversely associated with serum CRP concentrations after adjusting for covariates (P < 0.05). Total flavonoid and also individual flavonol, anthocyanidin, and isoflavone intakes were inversely associated with serum CRP concentration after adjusting for the covariates (P < 0.05). Among the flavonoid compounds investigated, quercetin, kaempferol, malvidin, peonidin, daidzein, and genistein had inverse associations with serum CRP concentration (P < 0.05). These associations did not change even after the additional adjustment for fruit and vegetable consumption. Our findings demonstrate that intake of dietary flavonoids is inversely associated with serum CRP concentrations in U.S. adults. Intake of flavonoid-rich foods may thus reduce inflammation-mediated chronic diseases.

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  • Later studies found only very high doses of salicylates improve glucose metabolism.

    “Later studies have revealed that only very high doses are effective in improving glucose metabolism (145) .”
  • Analyses of NHANES data (1999-2002) revealed a significant inverse association between serum CRP and anthocyanin intakes among US adults.

    “Analyses of NHANES data (1999–2002) revealed a significant inverse association between serum CRP and anthocyanin intakes among US adults.”

    From Berries: emerging impact on cardiovascular health (2010) · cites this paper as [31]

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Research works printed but not linked: 4

  1. Verma S, Devaraj S, Jialal I. C-Reactive protein promotes atherothrom- bosis. Circulation. 2006;113:2135-50.
  2. Liu RH. Protective role of phytochemicals in whole foods: implications for chronic disease prevention. Appl Biotechnol Food Sci Policy. 2003;1:39-46.
  3. National Research Council, Committee on Diet and Health. Diet and health: implications for reducing chronic disease risk. Washington, DC: National Academy Press; 1989.
  4. Lee CY, Smith NL. Apples: an important source of antioxidants in the American diet. N Y Fruit Quarterly. 2000;8:15-7.

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Authors
Chun, O. K., Chung, S.-J., Claycombe, K. J., & Song, W. O.
Affiliations
  • Michigan State University (US)
  • Kookmin University (KR)
Corresponding author
Song, Won O.
Venue
The Journal of Nutrition
Publisher
Elsevier BV
Published
2008-04
Volume
138
Issue
4
Pages
753-760
ISSN
0022-3166 (ISSN-L)
OpenAlex
W2097869578
Cited by
263
References
54
Citations by year
2026: 4 · 2025: 9 · 2024: 7 · 2023: 10 · 2022: 17 · 2021: 15 · 2020: 16 · 2019: 24 · 2018: 15 · 2017: 12 · 2016: 12 · 2015: 18 · 2014: 15 · 2013: 17 · 2012: 18
FWCI
17.81
Type
journal article
Language
en
Open access
Locations
  • Journal of Nutrition (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
  • Health Sciences › Medicine › Biochemistry › Phytochemicals and Antioxidant Activities
  • Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
Keywords
C-reactive protein, dietary flavonoids, chronic inflammation, flavonols, anthocyanins, isoflavones, apple, fruit and vegetable intake, quercetin, kaempferol, malvidin, peonidin, daidzein, genistein, cardiovascular risk, NHANES
MeSH terms
Adult, Aged, C-Reactive Protein, Diet, Female, Flavonoids, Food, Humans, Male, Middle Aged, Nutrition Surveys, United States, Databases, Factual

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