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Dietary polyphenol intake and their major food sources in the Mexican Teachers’ Cohort

  • Raul Zamora-Ros (a1), Carine Biessy (a2), Joseph A. Rothwell (a2), Adriana Monge (a3), Martin Lajous (a3) (a4), Augustin Scalbert (a2), Ruy López-Ridaura (a3) and Isabelle Romieu (a2)...

Several descriptive studies on the intake of polyphenols, mostly flavonoids, have been published, especially in Europe and the USA, but insufficient data are still available in Latin-American countries, where different types of foods are consumed and different dietary habits are observed. The goal of this cross-sectional study was to estimate dietary intakes of polyphenols, including grand total, total per classes and subclasses and individual compounds, and to identify their main food sources in Mexican women. The Mexican Teachers’ Cohort includes 115 315 female teachers, 25 years and older, from twelve states of Mexico, including urban and rural areas. Dietary data were collected in the period 2008–2011 using a validated FFQ, and individual polyphenol intake was estimated using food composition data from the Phenol-Explorer database. Median total polyphenol intake was the highest in Baja California (750 mg/d) and the lowest in Yucatan (536 mg/d). The main polyphenols consumed were phenolic acids (56·3–68·5 % total polyphenols), followed by flavonoids (28·8–40·9 %). Intake of other polyphenol subclasses (stilbenes, lignans and others) was insignificant. Coffee and fruits were the most important food sources of phenolic acids and flavonoids, respectively. Intake of a total of 287 different individual polyphenols could be estimated, of which forty-two were consumed in an amount ≥1 mg/d. The most largely consumed polyphenols were several caffeoylquinic acids (ranging from 20 and 460 mg/d), ferulic acid, hesperidin and proanthocyanidins. This study shows a large heterogeneity in intakes of individual polyphenols among Mexican women, but a moderate heterogeneity across Mexican states. Main food sources were also similar in the different states.

Corresponding author
* Corresponding author: Dr R. López-Ridaura, email
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1. van Dam, RM, Naidoo, N & Landberg, R (2013) Dietary flavonoids and the development of type 2 diabetes and cardiovascular diseases: review of recent findings. Curr Opin Lipidol 24, 2533.
2. Zamora-Ros, R, Forouhi, NG, Sharp, SJ, et al. (2013) The association between dietary flavonoid and lignan intakes and incident type 2 diabetes in European population: the EPIC-InterAct study. Diabetes Care 36, 39613970.
3. Zamora-Ros, R, Touillaud, M, Rothwell, JA, et al. (2014) Measuring exposure to the polyphenol metabolome in observational epidemiologic studies: current tools and applications and their limits. Am J Clin Nutr 100, 1126.
4. Zamora-Ros, R, Jimenez, C, Cleries, R, et al. (2013) Dietary flavonoid and lignan intake and mortality in a Spanish cohort. Epidemiology 24, 726733.
5. Ivey, KL, Hodgson, JM, Croft, KD, et al. (2015) Flavonoid intake and all-cause mortality. Am J Clin Nutr 101, 10121020.
6. Manach, C, Williamson, G, Morand, C, et al. (2005) Bioavailability and bioefficacy of polyphenols in humans. I. Review of 97 bioavailability studies. Am J Clin Nutr 81, 1 Suppl., 230S242S.
7. Zamora-Ros, R, Knaze, V, Rothwell, JA, et al. (2016) Dietary polyphenol intake in Europe: the European Prospective Investigation into Cancer and Nutrition (EPIC) study. Eur J Nutr 55, 13591375.
8. Perez-Jimenez, J, Neveu, V, Vos, F, et al. (2010) Systematic analysis of the content of 502 polyphenols in 452 foods and beverages: an application of the Phenol-Explorer database. J Agric Food Chem 58, 49594969.
9. Rothwell, JA, Medina-Remon, A, Perez-Jimenez, J, et al. (2015) Effects of food processing on polyphenol contents: a systematic analysis using Phenol-Explorer data. Mol Nutr Food Res 59, 160170.
10. Neveu, V, Perez-Jimenez, J, Vos, F, et al. (2010) Phenol-Explorer: an online comprehensive database on polyphenol contents in foods. Database (Oxford) 2010, bap024.
11. Perez-Jimenez, J, Fezeu, L, Touvier, M, et al. (2011) Dietary intake of 337 polyphenols in French adults. Am J Clin Nutr 93, 12201228.
12. Tresserra-Rimbau, A, Medina-Remon, A, Perez-Jimenez, J, et al. (2013) Dietary intake and major food sources of polyphenols in a Spanish population at high cardiovascular risk: the PREDIMED study. Nutr Metab Cardiovasc Dis 23, 953959.
13. Grosso, G, Stepaniak, U, Topor-Madry, R, et al. (2014) Estimated dietary intake and major food sources of polyphenols in the Polish arm of the HAPIEE study. Nutrition 30, 13981403.
14. Gonzalez, S, Fernandez, M, Cuervo, A, et al. (2014) Dietary intake of polyphenols and major food sources in an institutionalised elderly population. J Hum Nutr Diet 27, 176183.
15. Yahya, HM, Day, A, Lawton, C, et al. (2016) Dietary intake of 20 polyphenol subclasses in a cohort of UK women. Eur J Nutr 55, 18391847.
16. Miranda, AM, Steluti, J, Fisberg, RM, et al. (2016) Dietary intake and food contributors of polyphenols in adults and elderly adults of Sao Paulo: a population-based study. Br J Nutr 115, 10611070.
17. Hernandez-Ramirez, RU, Galvan-Portillo, MV, Ward, MH, et al. (2009) Dietary intake of polyphenols, nitrate and nitrite and gastric cancer risk in Mexico City. Int J Cancer 125, 14241430.
18. Galvan-Portillo, MV, Wolff, MS, Torres-Sanchez, LE, et al. (2007) Assessing phytochemical intake in a group of Mexican women. Salud Publica Mex 49, 126131.
19. US Departament of Agriculture (2007) USDA Database for the Flavonoid Content of Selected Foods. Beltsville, MD: USDA.
20. Lajous, M, Ortiz-Panozo, E, Monge, A, et al. (2017) Cohort profile: the Mexican Teachers’ Cohort (MTC). Int J Epidemiol 46, e10.
21. Romieu, I, Escamilla-Nunez, MC, Sanchez-Zamorano, LM, et al. (2012) The association between body shape silhouette and dietary pattern among Mexican women. Public Health Nutr 15, 116125.
22. Willett, W (1998) Nutritional Epidemiology. New York: Oxford University Press.
23. Rivera-Dommarco, JA, Shamah-Levy, T, Villalpando-Hernández, S, et al. (2001) Encuesta Nacional de Nutrición 1999. Estado nutricion de niños y mujeres en México. Cuernavaca, Morelos: Instituto nacional de Salud Pública.
24. Hernandez-Avila, M, Romieu, I, Parra, S, et al. (1998) Validity and reproducibility of a food frequency questionnaire to assess dietary intake of women living in Mexico City. Salud Publica Mex 40, 133140.
25. Ortiz-Panozo, E, Yunes-Díaz, E, Lajous, M, et al. (2017) Validity of self-reported anthropometry in adult Mexican women. Salud Publica Mex 59, 266275.
26. Rothwell, JA, Perez-Jimenez, J, Neveu, V, et al. (2013) The Phenol-Explorer 3.0: a major update of the Phenol-Explorer database to incorporate data on the effects of food processing on polyphenol content. Database (Oxford) 2013, bat070.
27. Jun, S, Shin, S & Joung, H (2016) Estimation of dietary flavonoid intake and major food sources of Korean adults. Br J Nutr 115, 480489.
28. Wang, ZJ, Ohnaka, K, Morita, M, et al. (2013) Dietary polyphenols and colorectal cancer risk: the Fukuoka colorectal cancer study. World J Gastroenterol 19, 26832690.
29. Monge, A, Lajous, M, Ortiz-Panozo, E, et al. (2018) Western and modern Mexican dietary patterns are directly associated with incident hypertension in Mexican women: a prospective follow-up study. Nutr J 17, 21.
30. Zamora-Ros, R, Luján-Barroso, L, Bueno-Mesquita, HB, et al. (2014) Tea and coffee consumption and risk of esophageal cancer: the European prospective investigation into cancer and nutrition study. Int J Cancer 135, 14701479.
31. Parras, P, Martínez-Tome, M, Jiménez, AM, et al. (2007) Antioxidant capacity of coffees of several origins brewed following three different procedures. Food Chem 102, 582592.
32. Zamora-Ros, R, Knaze, V, Lujan-Barroso, L, et al. (2013) Differences in dietary intakes, food sources, and determinants of total flavonoids between Mediterranean and non-Mediterranean countries participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) study. Br J Nutr 109, 14981507.
33. Chun, OK, Chung, SJ & Song, WO (2007) Estimated dietary flavonoid intake and major food sources of US adults. J Nutr 137, 12441252.
34. Wang, Y, Chung, SJ, Song, WO, et al. (2011) Estimation of daily proanthocyanidin intake and major food sources in the U.S. diet. J Nutr 141, 447452.
35. Nettleton, JA, Follis, JL & Schabath, MB (2009) Coffee intake, smoking, and pulmonary function in the Atherosclerosis Risk in Communities Study. Am J Epidemiol 169, 14451453.
36. Aburto, TC, Pedraza, LS, Sánchez-Pimienta, TG, et al. (2016) Discretionary foods have a high contribution and fruit, vegetables, and legumes have a low contribution to the total energy intake of the Mexican population. J Nutr 146, 1881S1887S.
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