New analysis suggests a easy dietary change—boosting flavonoid-rich meals—may help older adults keep stronger, sharper, and extra resilient as they age.
Examine: Associations between flavonoid-rich meals and flavonoid intakes and incident unhealthy growing older outcomes in older U.S. women and men. Picture Credit score: DIVA.photograph / Shutterstock
In a current examine printed in The American Journal of Medical Diet, researchers assessed associations between the consumption of flavonoids and flavonoid-rich meals and growing older outcomes in older adults.
Growing old outcomes from the buildup of mobile and molecular harm, resulting in a gradual discount in bodily and psychological capability, increased illness susceptibility, and dying. Whereas life expectancy has elevated over time, the proportion of those added years spent in good well being has been fixed. Figuring out the determinants of wholesome growing older is vital for evidence-based methods aiming for longer and more healthy lifespans.
Flavonoids characterize a bunch of bioactive compounds in plant-based meals and have gained substantial consideration for his or her impression on wholesome growing older. Plentiful in apples, tea, citrus, berries, purple wine, and darkish chocolate, flavonoids exhibit oxidative stress-reducing, anti-inflammatory, and neuroprotective properties, suggesting these meals could contribute to assuaging physiological decline related to age.
In regards to the examine
Within the current examine, researchers investigated associations between the consumption of flavonoids and flavonoid-rich meals with growing older outcomes. They used information from two giant cohorts: the Nurses’ Well being Examine (NHS) and Well being Professionals Observe-up Examine (HPFS). The NHS recruited feminine nurses aged 30–55, whereas the HPFS recruited male well being professionals aged 40–75.
Individuals accomplished questionnaires about their medical historical past and life-style. Based mostly on the questionnaire information, NHS and HPFS topics have been adopted up from 1990 to 2014 and 2006 to 2018, respectively. Individuals with lacking information or excessive vitality consumption ranges have been excluded; solely these aged 60 years or above have been included within the analyses. Individuals accomplished meals frequency questionnaires (FFQs) at baseline and each 4 years.
Time-updated and adjustments within the intakes of a flavodiet rating (FDS), which aggregates the consumption of key flavonoid-rich meals and drinks (tea, apples, oranges, blueberries, strawberries, grapefruit, and purple wine), and time-updated intakes of flavonoids and their sub-classes have been computed from FFQs. Apart from, contributors undertook a short-form well being survey (SF-36).
Frailty was assessed from SF-36 utilizing the FRAIL scale, which considers 5 standards: weight reduction ≥ 5%, decreased cardio capability, fatigue, poor energy, and the presence of 5 or extra continual ailments. Psychological well being was assessed utilizing a number of instruments, together with SF-36, the Geriatric Despair Scale (GDS-15), and the Heart for Epidemiologic Research Despair Scale (CESD-10), somewhat than simply SF-36 alone. Bodily operate was assessed from SF-36. The group used multivariable-adjusted Cox proportional hazard fashions to judge associations with incident frailty, poor psychological well being, and bodily impairment.
Findings
The analytic pattern comprised 62,743 NHS and 23,687 HPFS topics. Over the follow-up, there have been 11,369, 8,944, and 22,419 incident circumstances of frailty, poor psychological well being, and bodily impairment within the NHS. Within the HPFS, there have been 1,957, 1,669, and 4,165 incident circumstances of frailty, poor psychological well being, and bodily impairment, respectively.
Within the NHS, topics with the best FDS have been by no means people who smoke, extra bodily energetic, extra prone to take multivitamins, and had a decrease alcohol consumption however a better vitality consumption than these with the bottom scores. Likewise, HPFS topics additionally confirmed related developments, besides that these with the best FDS had a decrease physique mass index (BMI) and physique weight, increased alcohol consumption, and have been much less prone to have hypertension.
The best FDS within the NHS was related to a 15% decreased danger of frailty, a 12% decrease danger of poor psychological well being, and a 12% decrease danger of bodily impairment in comparison with these with the bottom FDS. The best consumption of whole flavonoids was related to a 14% decreased danger of frailty and an 11% decrease danger of poor psychological well being and bodily impairment. Nonetheless, within the HPFS, associations have been weaker, with the strongest hyperlink being between a better FDS and a decreased danger of poor psychological well being.
The best intakes of flavonoid-rich meals (notably tea, apples, blueberries, and purple wine) within the NHS have been related to decrease dangers of all outcomes. In males (HPFS), fewer associations have been noticed, however tea and blueberries, in addition to reasonable consumption of purple wine, have been linked to a decreased danger of poor psychological well being. In contrast to in ladies, no vital associations have been discovered between flavonoid consumption and frailty or bodily impairment in males.
Within the NHS, the best intakes of every flavonoid sub-class have been related to decreased dangers of all outcomes. Persistently, there have been fewer associations for flavonoid sub-classes within the HPFS. Additional, a rise in FDS by three servings per week within the NHS was related to an 8% decrease danger of poor psychological well being, an 11% decrease danger of frailty, and a 7% decrease danger of bodily impairment.
Against this, a lower in FDS by seven servings per week was related to an 18% elevated danger of frailty and a 7% increased danger of bodily impairment in ladies. In males, a lower in FDS by a minimum of seven servings per week was linked to a 60% elevated danger of poor psychological well being. Conversely, a rise in FDS by three servings per week was related to a 15% decrease danger of poor psychological well being in males.
Conclusions
In abstract, habitually excessive flavodiet scores (FDS) and will increase in flavonoid-rich meals consumption have been related to a modestly decreased danger of bodily impairment, poor psychological well being, and frailty in ladies; nevertheless, in males, the first profit noticed was a decreased danger of poor psychological well being somewhat than enhancements in frailty or bodily operate.
The outcomes point out that flavonoid-rich meals akin to tea, apples, blueberries, and purple wine may very well be a easy technique to assist wholesome growing older. Importantly, the examine means that sustaining or rising flavonoid consumption over time, somewhat than simply ordinary consumption, could also be essential for stopping psychological and bodily decline, particularly in ladies.
A key public well being implication of this analysis is that rising flavonoid-rich meals consumption by three servings per day might translate to a 6–11% discount in dangers of frailty, bodily impairment, and poor psychological well being in ladies, and a 15% discount in poor psychological well being danger in males. This highlights a sensible and achievable dietary technique for supporting wholesome growing older.
Journal reference:
- Bondonno NP, Liu YL, Grodstein F, Rimm EB, Cassidy A. Associations between flavonoid-rich meals and flavonoid intakes and incident unhealthy growing older outcomes in older U.S. women and men. The American Journal of Medical Diet, 2025, DOI: 10.1016/j.ajcnut.2025.02.010, https://www.sciencedirect.com/science/article/pii/S0002916525000784