Table 4:
Association of quintiles of total-flavonoid and flavonoid-class consumption with risk of all-cause mortality1
Quintile 1 | Quintile 2 | Quintile 3 | Quintile 4 | Quintile 5 | P for trend | |
---|---|---|---|---|---|---|
Total-flavonoid intake (mg/d) | < 138 | 138 – <207 | 207 – < 308 | 308 – <518 | ≥ 518 | |
Person-years | 355 151 | 368 485 | 370 364 | 372 609 | 372 295 | |
Deaths (n) | 433 | 390 | 323 | 351 | 397 | |
Age-adjusted | 1.00 (referent) | 0.85 (0.74–0.97) | 0.69 (0.60–0.80) | 0.73 (0.63–0.84) | 0.81 (0.71–0.93) | 0.10 |
Multivariable-adjusted2 | 1.00 (referent) | 0.96 (0.84–1.11) | 0.81 (0.70–0.94) | 0.86 (0.74–0.99) | 0.92 (0.80–1.06) | 0.59 |
Flavonol intake (mg/d) | < 9 | 9 – < 13 | 13 – < 17 | 17 – < 26 | ≥ 26 | |
Person-years | 361 301 | 368 810 | 370 972 | 372 134 | 365 687 | |
Deaths (n) | 398 | 347 | 345 | 356 | 448 | |
Age-adjusted | 1.00 (referent) | 0.83 (0.71–0.95) | 0.82 (0.69–0.92) | 0.80 (0.69–0.92) | 1.00 (0.87–1.14) | 0.030 |
Multivariable-adjusted2 | 1.00 (referent) | 0.90 (0.78–1.05) | 0.89 (0.77–1.04) | 0.88 (0.76–1.03) | 1.08 (0.94–1.25) | 0.006 |
Flavan-3-ol intake (mg/d) | < 12 | 12 – < 19 | 19 – < 39 | 39 – < 86 | ≥ 86 | |
Person-years | 352 706 | 366 094 | 372 429 | 373 445 | 374 230 | |
Deaths (n) | 428 | 399 | 335 | 335 | 397 | |
Age-adjusted | 1.00 (referent) | 0.88 (0.77–1.01) | 0.72 (0.62–0.83) | 0.71 (0.62–0.82) | 0.82 (0.72–0.94) | 0.30 |
Multivariable-adjusted2 | 1.00 (referent) | 0.99 (0.86–1.14) | 0.81 (0.70–0.94) | 0.79 (0.69–0.92) | 0.90 (0.78–1.03) | 0.30 |
Proanthcyanin intake (mg/d) | < 79 | 79 – < 126 | 126 – < 200 | 200 – < 356 | ≥ 356 | |
Person-years | 352 476 | 367 583 | 372 126 | 373 157 | 373 562 | |
Deaths (n) | 435 | 400 | 327 | 331 | 401 | |
Age-adjusted | 1.00 (referent) | 0.87 (0.76–1.00) | 0.70 (0.61–0.81) | 0.69 (0.60–0.80) | 0.82 (0.72–0.94) | 0.78 |
Multivariable-adjusted2 | 1.00 (referent) | 0.98 (0.85–1.13) | 0.81 (0.70–0.94) | 0.80 (0.69–0.93) | 0.92 (0.80–1.05) | 0.42 |
Flavone intake (mg/d) | < 0.7 | 0.7 – < 1.1 | 1.1 – < 1.5 | 1.5 – < 2.2 | ≥ 2.2 | |
Person-years | 362 321 | 371 169 | 371 600 | 371 692 | 362 121 | |
Deaths (n) | 404 | 381 | 369 | 335 | 405 | |
Age-adjusted | 1.00 (referent) | 0.90 (0.78–1.03) | 0.84 (0.73–0.97) | 0.75 (0.65–0.86) | 0.89 (0.77–1.02) | 0.007 |
Multivariable-adjusted2 | 1.00 (referent) | 1.00 (0.87–1.16) | 1.00 (0.87–1.16) | 0.92 (0.79–1.07) | 1.11 (0.96–1.29) | 0.96 |
Flavanone intake (mg/d) | < 9 | 9 – < 17 | 17 – < 30 | 30 – < 51 | ≥ 51 | |
Person-years | 360 666 | 370 612 | 373 056 | 372 588 | 361 982 | |
Deaths (n) | 373 | 378 | 389 | 380 | 374 | |
Age-adjusted | 1.00 (referent) | 0.98 (0.85–1.13) | 0.98 (0.85–1.13) | 0.94 (0.81–1.08) | 0.92 (0.80–1.06) | 0.75 |
Multivariable-adjusted2 | 1.00 (referent) | 1.07 (0.93–1.24) | 1.11 (0.96–1.28) | 1.11 (0.96–1.28) | 1.11 (0.97–1.30) | 0.015 |
Anthocyanin intake (mg/d) | < 3 | 3 – < 5 | 5 – < 9 | 9 – < 17 | ≥ 17 | |
Person-years | 354 483 | 368 366 | 374 278 | 373 382 | 368 395 | |
Deaths (n) | 456 | 407 | 331 | 336 | 364 | |
Age-adjusted | 1.00 (referent) | 0.85 (0.74–0.97) | 0.67 (0.58–0.77) | 0.67 (0.58–0.77) | 0.71 (0.62–0.82) | <0.001 |
Multivariable-adjusted2 | 1.00 (referent) | 0.96 (0.84–1.10) | 0.81 (0.70–0.94) | 0.85 (0.73–0.99) | 0.92 (0.79–1.08) | 0.10 |
Results are HR (95% CI) and n(%) where appropriate. n = 93,145.
Multivariable adjusted model includes: age, body mass index, smoking status, menopausal status, family history of diabetes, cancer and myocardial infarction, multivitamin supplement use, Aspirin use, race, type 2 diabetes, hypercholesterolemia, hypertension, physical activity, caloric intake, alcohol consumption and the Alternative Health Eating Index (minus alcohol) score