Hostname: page-component-68c7f8b79f-4ct9c Total loading time: 0 Render date: 2026-01-01T23:19:29.717Z Has data issue: false hasContentIssue false
Accepted manuscript

The association between intake of main flavonoid classes and menopausal age: A population-based and cross-sectional study.

Published online by Cambridge University Press:  26 December 2025

Ran Wei
Affiliation:
Department of Reproductive Medicine, Affiliated Hospital of Shandong Second Medical University, Weifang, Shandong, People’s Republic of China School of Clinical Medicine, Shandong Second Medical University, Weifang, Shandong, People’s Republic of China
Lu Liu
Affiliation:
Department of Reproductive Medicine, Affiliated Hospital of Shandong Second Medical University, Weifang, Shandong, People’s Republic of China School of Clinical Medicine, Shandong Second Medical University, Weifang, Shandong, People’s Republic of China
Runze Zhao
Affiliation:
Department of Reproductive Medicine, Affiliated Hospital of Shandong Second Medical University, Weifang, Shandong, People’s Republic of China School of Clinical Medicine, Shandong Second Medical University, Weifang, Shandong, People’s Republic of China
Xuemei Zhang
Affiliation:
Department of Reproductive Medicine, Affiliated Hospital of Shandong Second Medical University, Weifang, Shandong, People’s Republic of China School of Clinical Medicine, Shandong Second Medical University, Weifang, Shandong, People’s Republic of China
Chao Lu*
Affiliation:
Department of Reproductive Medicine, Affiliated Hospital of Shandong Second Medical University, Weifang, Shandong, People’s Republic of China
*
*Corresponding author: Chao Lu, Department of Reproductive Medicine, Affiliated Hospital of Shandong Second Medical University, No. 2428 Yuhe Road, Weifang, Shandong, 261000 China. Fax: +86 5363083802, Tel: +86 5363081390, E-mail: vincentslu@163.com.
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Menopausal age represents the endpoint of the entire reproductive cycle of women, and it is a biological marker that indicates the overall health and aging status of women. Flavonoids are the most common polyphenolic compounds in the daily diet, and their intake is related to reduced risks of certain diseases. Our study aimed to analyze the relationships between the intake of flavonoids and menopausal age. We selected 29,940 participants from NHANES database from 2007-2008, 2009-2010 and 2017-2018. A total of 680 participants were included in our analysis after screening. Multiple logistic regression was used to explore the association between dietary flavonoid subclasses intake and menopausal delay (≥ 55 years old). RCS plots were generated to reveal the nonlinear relationships between the subclasses of flavonoids intake and menopausal age. According to the adjusted multiple factor logistic regression analysis, the top quartile intake (compared with bottom intake) of anthocyanidins was positively associated with delayed menopause (OR = 4.123; 95% CI: 1.130, 15.041; p trend = 0.036), whereas the moderate intake of flavonols was negatively associated with delayed menopause (Q2 vs. Q1, OR = 0.081 (95% CI: 0.025, 0.261), p trend = 0.001; Q3 vs. Q1, OR = 0.271 (95% CI: 0.093, 0.791), p trend = 0.023). The RCS revealed that non-linear association was observed between the intake of isoflavones, flavan-3-ols, flavonols and later menopause (p-value for non-linearity < 0.05). Our findings suggest that specific dietary flavonoids intake may have potential roles in regulating menopausal timing.

Information

Type
Research Article
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of The Nutrition Society

Footnotes

These authors have contributed equally to this work and share the first authorship.