Comparison of flavonoid intake assessment methods using USDA and phenol explorer databases: Subcohort Diet, Cancer and Health-Next Generations — MAX Study

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Flavonoids are bioactive plant compounds that are widely present in the human diet. Estimating flavonoid intake with a high degree of certainty is challenging due to the inherent limitations of dietary questionnaires and food composition databases. This study aimed to evaluate the degree of reliability among flavonoid intakes estimated using four different approaches based on the two most comprehensive flavonoid databases, namely, United States Department of Agriculture (USDA) and Phenol Explorer (PE). In 678 individuals from the MAX study, a subcohort of the Diet, Cancer and Health-Next Generations cohort, dietary data were collected using three 24-h diet recalls over 1 year. Estimates of flavonoid intake were compared using flavonoid food content from PE as (1) aglycones (chromatography with hydrolysis), (2) aglycones transformed (converted from glycosides by chromatography without hydrolysis), (3) as they are in nature (glycosides, aglycones, and esters), and 4) using flavonoid content from USDA as aglycones (converted). Spearman's intra-class correlation (ICC) coefficient and weighted kappa (K) coefficient were calculated for the reliability analysis. When comparing PE total aglycones to USDA total aglycones, there was a moderate reliability when a continuous variable was used [ICC: 0.73, 95% confidence interval (CI): 0.70–0.76] and an excellent reliability when flavonoid intake was modeled as a categorical variable (K: 0.89, 95% CI: 0.88–0.90). The degree of reliability among all methods of estimated flavonoid intakes was very similar, especially between database pairs, for the flavanol subclass, while larger differences were observed for flavone, flavonol, and isoflavone subclasses. Our findings indicate that caution should be taken when comparing the results of the associations between flavonoid intakes and health outcomes from studies, when flavonoid intakes were estimated using different methods, particularly for some subclasses.

OriginalsprogEngelsk
Artikelnummer873774
TidsskriftFrontiers in Nutrition
Vol/bind9
Antal sider11
ISSN2296-861X
DOI
StatusUdgivet - 2022

Bibliografisk note

(Ekstern)
Funding Information:
This work was accomplished as part of the DiGuMet project Diet × gut microbiome-based metabotypes to determine cardio-metabolic risk and tailor intervention strategies for improved health supported within the European Joint Programming Initiative A Healthy Diet for a Healthy Life ( http://www.healthydietforhealthylife.eu ), granted by MINECO (Spain, PCIN-2017-076). The work also received funding from CIBERFES funded by the Instituto de Salud Carlos III and co-funded by the European Regional Development Fund's Away to make Europe and the Generalitat de Catalunya's Agency AGAUR (2017SGR1546). The DCH-NG cohort was supported by the Danish Cancer Society, Knæk Cancer 2012 and Den A.P. Møllerske Støttefond (grant no 10619). The establishment of the MAX-study was partly funded by FORMAS (DNR 2016-00314). FL was supported by the Chilean government for doing his PhD through the National Agency for Research and Development (ANID)/Food and Nutrition Doctoral Program/DOCTORADO BECAS CHILE/2019 – 72200061. RZ-R was supported by the Miguel Servet program (CPII20/00009) from the Institute of Health Carlos III [co-funded by the European Social Fund (ESF) – ESF investing in your future].

Funding Information:
CA-L thanks for the ICREA Academia Award 2018. Myfood24 was developed through Medical Research Council Funding grant G110235. Myfood24 is now being supported by spinout company Dietary Assessment Ltd. Request to use myfood24 should be made to enquiries@myfood24.org .

Funding Information:
CA-L thanks for the ICREA Academia Award 2018. Myfood24 was developed through Medical Research Council Funding grant G110235. Myfood24 is now being supported by spinout company Dietary Assessment Ltd. Request to use myfood24 should be made to enquiries@myfood24.org.

Publisher Copyright:
Copyright © 2022 Lanuza, Bondonno, Zamora-Ros, Rostgaard-Hansen, Tjønneland, Landberg, Halkjær and Andres-Lacueva.

ID: 305695105