Abstract
Obesity is found to be a contributing risk factor for Cardiovascular Dysfunction (CVD), coronary heart disease (CHD) and heart failure (HF). Obesity is found to be linked to the release of several proinflammatory mediators. The fluctuation in the levels of these mediators and adipocytokines released by the adipocytes further leads to cardiovascular complications. The increase in the risk of CVD and mortality caused by obesity is due to increasing levels of atherosclerotic plaques in the arteries and blood vessels leading to the heart. The current available treatment strategies leads to several unwanted side effects for the patient which leads to a decreased quality of life. Flavonoids are polyphenolic compounds which occur naturally in nature. Several clinical and preclinical studies have demonstrated that flavonoids are beneficial in decreasing the cardiovascular risks presented by obesity. The mechanism of action primarily depends on the antioxidant and anti-inflammatory actions of flavonoids. In view of these observations, the intake of foods containing flavonoids have enormous potential in preventing obesity induced cardio-metabolic diseases. However, randomized and placebo-controlled clinical trials are needed to determine the long-term safety and efficacy of different flavonoids. The focus of this chapter is to highlight the cost-effective health benefits of flavonoid-rich-foods and dietary supplements containing flavonoids for the prevention and cure of obesity linked cardiovascular diseases (CVDs).
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
Abbreviations
- CVDs:
-
Cardiovascular diseases
- CHD:
-
Congenital heart disease
- LDL:
-
Low density lipoproteins
- HDL:
-
High density lipoproteins
- BMI:
-
Body mass index
- TNF-α:
-
Tumor necrosis factor alpha
- IL-1:
-
Interleukin-1
- IL-6:
-
Interleukin-6
- SAA:
-
Serum amyloid A
- MI:
-
Myocardial infarction
References
Hertz RP, Unger AN, Cornell JA, Saunders E (2005) Racial disparities in hypertension prevalence, awareness, and management. Arch Intern Med 165(18):2098–2104
Kearney PM, Whelton M, Reynolds K, Whelton PK, He J (2004) Worldwide prevalence of hypertension: a systematic review. J Hypertens 22(1):11–19
Anchala R, Kannuri NK, Pant H, Khan H (2014) Hypertension in India: a systematic review and meta-analysis of prevalence, awareness, and control of hypertension. J Hypertens 32(6):1170–1177
Jeemon P, Reddy KS (2010) Social determinants of cardiovascular disease outcomes in Indians. Indian J Med Res 132(5):617–622
Cardiovascular diseases (CVDs)-Key Facts [Internet] (2017) Cited 2019 Mar 3. Available from: https://www.who.int/en/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)
Huffman MD, Bhatnagar D (2012) Novel treatments for cardiovascular disease prevention. Cardiovasc Ther 30(5):257–263
Vernarelli JA, Lambert JD (2017) Flavonoid intake is inversely associated with obesity and C-reactive protein, a marker for inflammation, US adults. Nutr Diab 7(5):e276
Kopustinskiene DM, Savickas A, Vetchý D, Masteikova R, Kasauskas A, Bernatoniene J (2015) Direct effects of (-)-Epicatechin and procyanidin B2 on the respiration of rat heart mitochondria. Biomed Res Int
Vita JA (2005) Polyphenols and cardiovascular disease: effects on endothelial and platelet function. Am J Clin Nutr 81(1 Suppl):292S-297S
Donato KA (1998) Executive summary of the clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults. Arch Intern Med 158(17):1855–1867
Williams CL, Hayman LL, Daniels SR, Robinson TN, Steinberger J, Paridon S, Bazzarre T (2002) Cardiovascular health in childhood: a statement for health professionals from the Committee on Atherosclerosis, Hypertension, and Obesity in the Young (AHOY) of the Council on Cardiovascular Disease in the Young. American Heart Association. Circulation 106(1):143–160
Ortega FB, Lavie CJ, Blair SN (2016) Obesity and cardiovascular disease. Circ Res 118(11):1752–1770
Kenchaiah S, Evans JC, Levy D, Wilson PWF, Benjamin EJ, Larson MG, Kannel WB, Vasan RS (2002) Obesity and the risk of heart failure. N Engl J Med 347(5):305–313
Van Gaal LF, Mertens IL, De Block CE (2006) Mechanisms linking obesity with cardiovascular disease. Nature 444:875–880
Lai SW, Ng KC, Lin HF, Chen HL (2001) Association between obesity and hyperlipidemia among children. Yale J Biol Med 74(4):205–210
Greenberg AS, Obin MS (2006) Obesity and the role of adipose tissue in inflammation and metabolism. Am J Clin Nutr 83(2):461S-465S
Tilg H, Moschen AR (2006) Adipocytokines: Mediators linking adipose tissue, inflammation and immunity. Nat Rev Immunol 6(10):772–783
Cavalera M, Wang J, Frangogiannis NG (2014) Obesity, metabolic dysfunction, and cardiac fibrosis: pathophysiological pathways, molecular mechanisms, and therapeutic opportunities. Transl Res 164(4):323–335
Matsuzawa Y, Funahashi T, Kihara S, Shimomura I (2004) Adiponectin and metabolic syndrome. Arterioscler Thromb Vasc Biol 24(1):29–33
Hansen T, Ahlström H, Söderberg S, Hulthe J, Wikström J, Lind L, Johansson L (2009) Visceral adipose tissue, adiponectin levels and insulin resistance are related to atherosclerosis as assessed by whole-body magnetic resonance angiography in an elderly population. Atherosclerosis 205(1):163–167
Tilg H, Hotamisligil GS (2006) Nonalcoholic fatty liver disease: cytokine-adipokine interplay and regulation of insulin resistance. Gastroenterology 131(3):934–945
Ross R (1993) The pathogenesis of atherosclerosis: a perspective for the 1990s. Nature 362(6423):801–809
Ouchi N, Kihara S, Arita Y, Maeda K, Kuriyama H, Okamoto Y, Hotta K, Nishida M, Takahashi M, Nakamura T, Yamashita S, Funahashi T (1999) Novel modulator for endothelial adhesion molecules: adipocyte-derived plasma protein. Circulation 100:2473–2476
Ouchi N, Walsh K (2007) Adiponectin as an anti-inflammatory factor. Clin Chim Acta 380(1–2):24–30
Stofkova A (2009) Leptin and adiponectin: from energy and metabolic dysbalance to inflammation and autoimmunity. Endocr Regul 43(4):157–168
Flier JS (1995) The adipocyte: Storage depot or node on the energy information superhighway? Cell 80(1):15–18
Frederich RC, Hamann A, Anderson S, Löllmann B, Lowell BB, Flier JS (1995) Leptin levels reflect body lipid content in mice: evidence for diet-induced resistance to leptin action. Nat Med 1(12):1311–1314
Pelleymounter MA, Cullen MJ, Baker MB, Hecht R, Winters D, Boone T, Collins F (1995) Effects of the obese gene product on body weight regulation in ob/ob mice. Science 269(5223):540–543.
Wang TY, Li Q, Bi KS (2017) Bioactive flavonoids in medicinal plants: Structure, activity and biological fate. Asian J Pharm Sci 13(1):12–23. Available from: https://doi.org/10.1016/j.ajps.2017.08.004
Baldim JL, Alcantara BGV De, Domingos ODS, Soares MG, Caldas IS, Novaes RD, Oliveira TB, Lago JHG, Chagas-Paula DA (2017) The correlation between chemical structures and antioxidant, prooxidant, and antitrypanosomatid properties of flavonoids. Oxid Med Cell Longev
Kumar S, Pandey AK (2013) Chemistry and biological activities of flavonoids : an overview chemistry and biological activities of flavonoids : an overview. Sci World J
Tsao R (2010) Chemistry and biochemistry of dietary polyphenols. Nutrients 2(12):1231–1246
Nijveldt RJ, Van Nood E, Van Hoorn DEC, Boelens PG, Van Norren K, Van Leeuwen PAM (2001) Flavonoids: a review of probable mechanisms of action and potential applications. Am J Clin Nutr 74(4):418–425
Fraga CG, Croft KD, Kennedy DO, Tomás-Barberán FA (2019) The effects of polyphenols and other bioactives on human health. Food Funct 10(2):514–528. Available from: https://xlink.rsc.org/?DOI=C8FO01997E
Higdon JVJD (2016) BDAC. Flavonoids [Internet]. Cited 2019 Jan 28. Available from: https://lpi.oregonstate.edu/mic/dietary-factors/phytochemicals/flavonoids
Citrus fruits could help prevent obesity-related heart disease, liver disease, diabetes [Internet] (2016). Cited 2019 Mar 3. Available from: https://www.acs.org/content/acs/en/pressroom/newsreleases/2016/august/citrus-fruits-could-help-prevent-obesity-related-heart-disease-liver-disease-diabetes.html
Felgines C, Texier O, Morand C, Manach C, Scalbert A, Régerat F, Rémésy C (2000) Bioavailability of the flavanone naringenin and its glycosides in rats. Am J Physiol Gastrointest Liver Physiol 279(6):G1148–G1154
Sacks FM, Lichtenstein A, Van Horn L, Harris W, Kris-Etherton P, Winston M (2006) Soy protein, isoflavones, and cardiovascular health: an American Heart Association Science Advisory for professionals from the Nutrition Committee. Circulation 113(7):1034–1044
Iglesias J, Medina I, Pazos M (2013) Galloylation and polymerization: role of structure to antioxidant activity of polyphenols in lipid systems. Polyphenols Hum Heal Dis 1:323–338
Hostetler GL, Ralston RA, Schwartz SJ (2017) Flavones : food sources. Bioavailability 423–435
Gong WYI, Wu JF, Liu BJ, Zhang HY, Cao YUX, Sun J, Lv YUB, Wu X, Dong JC (2014) Flavonoid components in Scutellaria baicalensis inhibit nicotine-induced proliferation, metastasis and lung cancer-associated inflammation in vitro. Int J Oncol 44(5):1561–1570
Tomás-Navarro M, Vallejo F, Tomás-Barberán FA (2013) Bioavailability and metabolism of citrus fruit beverage flavanones in humans. Polyphenols Hum Heal Dis 1:537–551
Hernández-Aquino E, Muriel P (2017) Naringenin and the liver. Liver Pathophysiol Therapies Antioxidants
Di Majo D, Giammanco M, La Guardia M, Tripoli E, Giammanco S, Finotti E (2005) Flavanones in citrus fruit: structure-antioxidant activity relationships. Food Res Int 38(10):1161–1166
Anthony MS, Clarkson TB, Williams JK (1998) Effects of soy isoflavones on atherosclerosis: potential mechanisms. Am J Clin Nutr 68(6 Suppl):1390S-1393S
Teede HJ, Dalais FS, Kotsopoulos D, Liang YL, Davis S, Mcgrath BP (2001) Dietary soy has both beneficial and potentially adverse cardiovascular effects: a placebo-controlled study in men and postmenopausal women. J Clin Endocrinol Metab 86(7):3053–3060
Swanson BG (2003) Tannins and polyphenols. Encyclopedia Food Sci Nutr
Khoo HE, Azlan A, Tang ST, Lim SM (2017) Anthocyanidins and anthocyanins: colored pigments as food, pharmaceutical ingredients, and the potential health benefits. Food Nutr Res 61(1):1361779
Patel K, Watson RR (2018) Chocolate and its component’s effect on cardiovascular disease. Lifestyle Heart Health Dis 255–266
Gentile D, Fornai M, Pellegrini C, Colucci R, Benvenuti L, Duranti E, Masi S, Carpi S, Nieri P, Nericcio A, Garelli F, Virdis A, Pistelli L, Blandizzi C, Antonioli L (2018) Luteolin prevents cardiometabolic alterations and vascular dysfunction in mice with HFD-induced obesity. Front Pharmacol
Alam MA, Kauter K, Brown L (2013) Naringin improves diet-induced cardiovascular dysfunction and obesity in high carbohydrate, high fat diet-fed rats. Nutrients 5(3):637–650
Rizza S, Muniyappa R, Iantorno M, Kim J, Chen H, Pullikotil P, Senese N, Tesauro M, Lauro D, Cardillo C, Quon MJ (2011) Citrus polyphenol hesperidin stimulates production of nitric oxide in endothelial cells while improving endothelial function and reducing inflammatory markers in patients with metabolic syndrome. J Clin Endocrinol Metab 96(5):E782–E792
Irace C, Marini H, Bitto A, Altavilla D, Polito F, Adamo EB, Arcoraci V, Minutoli L, Di Benedetto A, Di Vieste G, de Gregorio C, Gnasso A, Corrao S, Licata G, Squadrito F (2013) Genistein and endothelial function in postmenopausal women with metabolic syndrome. Eur J Clin Invest 43(10):1025–1031
Bhaswant M, Fanning K, Netzel M, Mathai ML, Panchal SK, Brown L (2015) Cyanidin 3-glucoside improves diet-induced metabolic syndrome in rats. Pharmacol Res 102:208–217
Rivera L, Morón R, Sánchez M, Zarzuelo A, Galisteo M (2008) Quercetin ameliorates metabolic syndrome and improves the inflammatory status in obese Zucker rats. Obesity 16(9):2081–2087
Panchal SK, Poudyal H, Arumugam TV, Brown L (2011) Rutin attenuates metabolic changes, nonalcoholic steatohepatitis, and cardiovascular remodeling in high-carbohydrate, high-fat diet-fed rats. J Nutr 141(6):1026–1029
Jung U, Cho Y-Y, Choi M-S (2016) Apigenin ameliorates dyslipidemia, hepatic steatosis and insulin resistance by modulating metabolic and transcriptional profiles in the liver of high-fat diet-induced obese mice. Nutrients 8(5):305
Guo HX, Liu DH, Ma Y, Liu JF, Wang Y, Du ZY, Wang X, Shen JK, Peng HL (2009) Long-term baicalin administration ameliorates metabolic disorders and hepatic steatosis in rats given a high-fat diet. Acta Pharmacol Sin 30(11):1505–1512
Queenthy SS, John B (2013) Diosmin exhibits anti-hyperlipidemic effects in isoproterenol induced myocardial infarcted rats. Eur J Pharmacol 718(1–3):213–218
Silverberg DS, Wexler D, Blum M, Iaina A, Sheps D, Keren G, Schwartz D (2005) Erythropoietin in heart failure. Semin Nephrol 25(6):397–403
Conflict of interests
The authors declare no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Ahmed, Z., Pal, A., Bagwe-Parab, S., Kaur, G., Buttar, H.S., Tuli, H.S. (2020). Role of Flavonoids in Obesity Induced Cardiovascular Dysfunction. In: Tappia, P.S., Bhullar, S.K., Dhalla, N.S. (eds) Biochemistry of Cardiovascular Dysfunction in Obesity. Advances in Biochemistry in Health and Disease, vol 20. Springer, Cham. https://doi.org/10.1007/978-3-030-47336-5_16
Download citation
DOI: https://doi.org/10.1007/978-3-030-47336-5_16
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-47335-8
Online ISBN: 978-3-030-47336-5
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)