Table 4 Hazard ratios of cancer-related mortality by quintiles of flavonoid intake

From: Flavonoid intake is associated with lower mortality in the Danish Diet Cancer and Health Cohort

 

Q1

Q2

Q3

Q4

Q5

Flavonols

 No. events (%)

1 641

1 312

1 216

1 137

993

 Intake (mg/d)a

14.8 (0.1–20.5)

25.9 (20.5–31.7)

38.5 (31.7–49.7)

66.0 (49.7–82.5)

115.9 (82.5–250.7)

HR (95% CI)

  Model 1

ref.

0.79 (0.75, 0.83)

0.71 (0.67, 0.75)

0.67 (0.63, 0.72)

0.64 (0.60, 0.69)

  Model 2

ref.

0.89 (0.85, 0.93)

0.83 (0.78, 0.88)

0.82 (0.77, 0.88)

0.81 (0.75, 0.87)

  Model 3

ref.

0.92 (0.88, 0.97)

0.88 (0.83, 0.95)

0.89 (0.83, 0.95)

0.88 (0.81, 0.95)

Flavanol monomers

 No. events (%)

1 650

1 338

1 198

1 093

1 020

 Intake (mg/d)a

13.5 (0–20.5)

30.0 (20.5–45.3)

66.2 (45.3–115.2)

260.5 (115.2–281.4)

473.3 (281.4–916.3)

HR (95% CI)

  Model 1

ref.

0.88 (0.86, 0.91)

0.73 (0.69, 0.78)

0.66 (0.62, 0.70)

0.65 (0.61, 0.69)

  Model 2

ref.

0.92 (0.89, 0.95)

0.82 (0.77, 0.88)

0.83 (0.78, 0.89)

0.83 (0.77, 0.89)

  Model 3

ref.

0.95 (0.92, 0.98)

0.88 (0.82, 0.94)

0.88 (0.82, 0.94)

0.88 (0.82, 0.94)

Flavanol oligo+polymers

 No. events (%)

1 594

1 346

1 209

1 119

1 031

 Intake (mg/d)a

91 (0–136)

179 (136–217)

255 (217–302)

365 (302–434)

536 (360–2254)

HR (95% CI)

  Model 1

ref.

0.79 (0.75, 0.83)

0.71 (0.67, 0.75)

0.67 (0.63, 0.72)

0.64 (0.60, 0.69)

  Model 2

ref.

0.90 (0.85, 0.94)

0.85 (0.80, 0.90)

0.81 (0.76, 0.87)

0.79 (0.74, 0.85)

  Model 3

ref.

0.92 (0.88, 0.97)

0.88 (0.83, 0.94)

0.86 (0.80, 0.92)

0.86 (0.80, 0.93)

Flavanones

 No. events (%)

1 521

1 299

1 170

1 145

1 164

 Intake (mg/d)a

3.4 (0–6.0)

9.3 (6.0–12.7)

17.5 (12.7–25.7)

32.0 (25.8–49.0)

70.1 (49.0–563.5)

HR (95% CI)

  Model 1

ref.

0.86 (0.82, 0.89)

0.76 (0.71, 0.81)

0.73 (0.69, 0.78)

0.75 (0.70, 0.80)

  Model 2

ref.

0.91 (0.78, 0.95)

0.84 (0.78, 0.90)

0.82 (0.77, 0.87)

0.83 (0.77, 0.88)

  Model 3

ref.

0.92 (0.88, 0.97)

0.87 (0.81, 0.93)

0.84 (0.79, 0.90)

0.85 (0.79, 0.91)

Flavones

 No. events (%)

1 532

1 293

1 184

1 093

1 197

 Intake (mg/d)a

2.2 (0–3.0)

3.7 (3.0–4.5)

5.3 (4.5–6.1)

7.2 (6.1–8.8)

11.4 (8.8–50.6)

HR (95% CI)

  Model 1

ref.

0.79 (0.75, 0.82)

0.69 (0.66, 0.73)

0.68 (0.64, 0.72)

0.71 (0.67, 0.76)

  Model 2

ref.

0.88 (0.84, 0.92)

0.82 (0.78, 0.87)

0.81 (0.76, 0.86)

0.84 (0.78, 0.90)

  Model 3

ref.

0.88 (0.84, 0.92)

0.83 (0.78, 0.88)

0.82 (0.77, 0.87)

0.85 (0.79, 0.92)

Anthocyanins

 No. events (%)

1 538

1 176

1 124

1 215

1 246

 Intake (mg/d)a

5.2 (0–9.6)

12.5 (9.6–16.9)

20.0 (16.9–24.4)

35.7 (24.4–53.2)

70.7 (53.2–396.9)

HR (95% CI)

  Model 1

ref.

0.76 (0.73, 0.80)

0.69 (0.65, 0.74)

0.76 (0.71, 0.81)

0.83 (0.78, 0.89)

  Model 2

ref.

0.87 (0.83, 0.91)

0.82 (0.77, 0.87)

0.83 (0.78, 0.89)

0.83 (0.78, 0.90)

  Model 3

ref.

0.91 (0.86, 0.96)

0.88 (0.82, 0.94)

0.89 (0.83, 0.96)

0.90 (0.83, 0.97)

Total flavonoids

 No. events (%)

1 607

1 348

1 240

1 083

1 021

 Intake (mg/d)a

173.0 (5.6–250.8)

320.2 (250.8–394.0)

494.3 (394.1–601.2)

725.9 (601.2–908.4)

1201.3 (908.5–3552.0)

HR (95% CI)

  Model 1

ref.

0.81 (0.78, 0.85)

0.71 (0.67, 0.75)

0.67 (0.63, 0.71)

0.64 (0.59, 0.68)

  Model 2

ref.

0.90 (0.86, 0.94)

0.84 (0.79, 0.89)

0.81 (0.76, 0.87)

0.80 (0.74, 0.85)

  Model 3

ref.

0.93 (0.88, 0.97)

0.88 (0.83, 0.94)

0.86 (0.80, 0.92)

0.86 (0.80, 0.93)

  1. Hazard ratios (95% CI) for 23-year cancer-related mortality, in participants without cancer at baseline (n = 55 801), obtained from restricted cubic splines based on Cox proportional hazards models. Model 1 adjusted for age and sex; Model 2 adjusted for age, sex, BMI, smoking status, physical activity, alcohol intake, hypertension, hypercholesterolemia, social economic status (income), diabetes, and prevalent disease; Model 3 adjusted for all covariates in Model 2 plus intakes of fish, red meat, processed meat, dietary fiber, polyunsaturated fatty acids, monounsaturated fatty acids, and saturated fatty acids
  2. aMedian; range in parentheses (all such values)