Obesity

Associations between dietary intake of flavonoids and adiposity: cross-sectional findings from the Fenland Study, the United Kingdom

Int J Obes (Lond)Published Cross-sectional study

Authors' conclusion

Flavonoids may influence adiposity, a potential pathway for the relationship between flavonoid-rich foods and metabolic risk. Proanthocyanidins and anthocyanidins may affect site-specific fat distribution, particularly visceral adiposity. Further investigation in prospective, interventional, and mechanistic studies is warranted to understand the link between flavonoids and adiposity.

Study context

Population
Adults recruited to the Fenland Study between 2005 and 2015 in Cambridgeshire, UK; habitual diets by food frequency questionnaires
Participants
11,568 adults
Exposure
Doubling in total flavonoid intake
Outcome
Associations of doubling total flavonoid intake with adiposity markers
Methodological detailsrobust regression adjusted for relevant confounders, corrected for false discovery rate
  • Robust regression adjusted for relevant confounders
  • Corrected for false discovery rate

Main finding

As reported in the abstract

Body fat (betalog2)
−0.54% (95% CI −0.70; −0.40)
VAT
−0.13 cm (−0.17; −0.08)
SCAT
−0.05 cm (−0.08; −0.02)
Body mass index (BMI)
−0.33 kg/m² (−0.44; −0.22)
Waist circumference
−0.84 cm (−1.13; −0.55)
Waist-to-hip ratio (WHR)
−0.004 (−0.006; −0.002)

Observational data: associations, not effects.

Further findings

Flavonoid intake

Median flavonoid intake (IQR 258.5-568.6)
428 mg/d

Flavonoid subclasses

Most subclasses showed similar results, except isoflavones, positively associated with body fat, VAT and waist circumference
Proanthocyanidins and anthocyanidins showed the strongest negative associations independently of BMI

Subgroups

Stronger negative associations in women, older adults and non-smokers

Original publication

Associations between dietary intake of flavonoids and adiposity: cross-sectional findings from the Fenland Study, the United Kingdom. Int J Obes (Lond). Published 13 March 2026. doi:10.1038/s41366-026-02043-0

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