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Dietary Phytochemical Index as a Biomarker in Nutritional Studies: Features and Applications

The Dietary Phytochemical Index

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Biomarkers in Nutrition

Abstract

Phytochemicals are bioactive nutrient plant chemicals that may provide desirable health benefits beyond basic nutrition to reduce the risk of major non-communicable diseases. Phytochemical content in different dietary patterns can be evaluated by the dietary phytochemical index (DPI). DPI is defined as the percent of dietary calories derived from foods rich in phytochemicals including fruits, vegetables, legumes, nuts, seeds, whole grains, and foods compounded therefrom. There is some evidence assessing the effects of dietary quality via DPI on the risk of different non-communicable diseases. In this chapter, we evaluated the health protection effect of phytochemical-rich diets using DPI as a dietary biomarker in nutritional epidemiology and summarized the results of studies that investigated the association between DPI and various disorders including obesity, metabolic syndrome, cardiovascular disease, cancers, and neurological disorders.

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Abbreviations

AhR:

Aryl hydrocarbon receptor

BIA:

Body adiposity index

BMI:

Body mass index

CIs:

Confidence intervals

CVD:

Cardiovascular disease

DII:

Dietary inflammatory index

DPI:

Dietary phytochemical index

EDIP:

Empirically developed dietary inflammatory potential

FBG:

Fasting blood glucose

FFQ:

Food frequency questionnaire

HbA1C:

Hemoglobin A1C

HDL-C:

High-density lipoprotein cholesterol

IL-6:

Interleukin-6

LDL-C:

Low-density lipoprotein cholesterol

Med-DQI:

Mediterranean dietary quality index

miRNA:

Micro-ribonucleic acid

mRNA:

Messenger ribonucleic acid

NADPH:

Nicotinamide adenine dinucleotide phosphate

NCDs:

Non-communicable diseases

nrf2:

Nuclear factor erythroid 2-related factor 2

OGTT:

Oral glucose tolerance test

ORs:

Odds ratios

RNA:

Ribonucleic acid

ROS:

Reactive oxygen species

TC:

Total cholesterol

TG:

Triglycerides

TNF-α:

Tumor necrosis factor-α

WC:

Waist circumference

WHO:

World Health Organization

References

  • Abbasalizad Farhangi M, Najafi M. Empirically developed dietary inflammatory potential (EDIP) in patients candidate for coronary artery bypass grafting surgery (CABG): association with metabolic parameters, dietary antioxidant quality score and dietary phytochemical index. PLoS One. 2018;13:e0208711.

    Article  PubMed  PubMed Central  Google Scholar 

  • Abshirini M, Mahaki B, Bagheri F, Siassi F, Koohdani F, Sotoudeh G. Higher intake of phytochemical-rich foods is inversely related to prediabetes: a case-control study. Int J Prev Med. 2018;9:64.

    Article  PubMed  PubMed Central  Google Scholar 

  • Aghababayan S, Sheikhi Mobarakeh Z, Qorbani M, Abbasvandi F, Tiznobeyk Z, Aminianfar A, Sotoudeh G. Dietary phytochemical index and benign breast diseases: a case–control study. Nutr Cancer. 2020;72:1067–73.

    Article  CAS  PubMed  Google Scholar 

  • Aghdam SD, Siassi F, Esfahani EN, Qorbani M, Rajab A, Sajjadpour Z, Bashiri A, Aghayan M, Sotoudeh G. Dietary phytochemical index associated with cardiovascular risk factor in patients with type 1 diabetes mellitus. BMC Cardiovasc Disord. 2021;21:1–11.

    Google Scholar 

  • Augustin L, Dal Maso L, La Vecchia C, Parpinel M, Negri E, Vaccarella S, Kendall C, Jenkins D, Franceschi S. Dietary glycemic index and glycemic load, and breast cancer risk: a case-control study. Ann Oncol. 2001;12:1533–8.

    Article  CAS  PubMed  Google Scholar 

  • Bahadoran Z, Golzarand M, Mirmiran P, Saadati N, Azizi F. The association of dietary phytochemical index and cardiometabolic risk factors in adults: Tehran Lipid and Glucose study. J Hum Nutr Diet. 2013a;26:145–53.

    Article  PubMed  Google Scholar 

  • Bahadoran Z, Karimi Z, Houshiar-Rad A, Mirzayi H-R, Rashidkhani B. Dietary phytochemical index and the risk of breast cancer: a case control study in a population of Iranian women. Asian Pac J Cancer Prev. 2013b;14:2747–51.

    Article  PubMed  Google Scholar 

  • Bahadoran Z, Mirmiran P, Azizi F. Dietary polyphenols as potential nutraceuticals in management of diabetes: a review. J Diabetes Metab Disord. 2013c;12:1–9.

    Article  Google Scholar 

  • Bahadoran Z, Mirmiran P, Tohidi M, Azizi F. Dietary phytochemical index and the risk of insulin resistance and β-cell dysfunction: a prospective approach in Tehran lipid and glucose study. Int J Food Sci Nutr. 2015;66:950–5.

    Article  CAS  PubMed  Google Scholar 

  • Bahramsoltani R, Farzaei MH, Farahani MS, Rahimi R. Phytochemical constituents as future antidepressants: a comprehensive review. Rev Neurosci. 2015;26:699–719.

    Article  CAS  PubMed  Google Scholar 

  • Boeing H, Bechthold A, Bub A, Ellinger S, Haller D, Kroke A, Leschik-Bonnet E, Muller MJ, Oberritter H, Schulze M. Critical review: vegetables and fruit in the prevention of chronic diseases. Eur J Nutr. 2012;51:637–63.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68:394–424.

    Article  PubMed  Google Scholar 

  • Carluccio MA, Siculella L, Ancora MA, Massaro M, Scoditti E, Storelli C, Visioli F, Distante A, De Caterina R. Olive oil and red wine antioxidant polyphenols inhibit endothelial activation: antiatherogenic properties of Mediterranean diet phytochemicals. Arterioscler Thromb Vasc Biol. 2003;23:622–9.

    Article  CAS  PubMed  Google Scholar 

  • Carter O, Bailey GS, Dashwood RH. The dietary phytochemical chlorophyllin alters E-cadherin and β-catenin expression in human colon cancer cells. J Nutr. 2004;134:3441S–4S.

    Article  CAS  PubMed  Google Scholar 

  • Casaschi A, Wang Q, Richards A, Theriault A. Intestinal apolipoprotein B secretion is inhibited by the flavonoid quercetin: potential role of microsomal triglyceride transfer protein and diacylglycerol acyltransferase. Lipids. 2002;37:647–52.

    Article  CAS  PubMed  Google Scholar 

  • Choudhari AS, Mandave PC, Deshpande M, Ranjekar P, Prakash O. Phytochemicals in cancer treatment: from preclinical studies to clinical practice. Front Pharmacol. 2020;10:1614.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cieślik E, Gręda A, Adamus W. Contents of polyphenols in fruit and vegetables. Food Chem. 2006;94:135–42.

    Article  Google Scholar 

  • Clark A, Desmeules M, Luo W, Duncan A, Wielgolz A. Socioeconomic status and coronary heart disease: risks and care implications. Nat Rev Cardiol. 2009;6:712–22.

    Article  PubMed  Google Scholar 

  • Dash S, Clarke G, Berk M, Jacka FN. The gut microbiome and diet in psychiatry: focus on depression. Curr Opin Psychiatry. 2015;28:1–6.

    Article  PubMed  Google Scholar 

  • De Lorgeril M, Salen P, Accominotti M, Cadau M, Steghens JP, Boucher F, De Leiris J. Dietary and blood antioxidants in patients with chronic heart failure. Insights into the potential importance of selenium in heart failure. Eur J Heart Fail. 2001;3:661–9.

    Article  PubMed  Google Scholar 

  • Demonty I, Ras RT, Van Der Knaap HC, Duchateau GS, Meijer L, Zock PL, Geleijnse JM, Trautwein EA. Continuous dose-response relationship of the LDL-cholesterol–lowering effect of phytosterol intake. J Nutr. 2009;139:271–84.

    Article  CAS  PubMed  Google Scholar 

  • Donald G, Hertzer K, Eibl G. Baicalein-an intriguing therapeutic phytochemical in pancreatic cancer. Curr Drug Targets. 2012;13:1772–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Eslami O, Khoshgoo M, Shidfar F. Dietary phytochemical index and overweight/obesity in children: a cross-sectional study. BMC Res Notes. 2020;13:1–5.

    Article  Google Scholar 

  • Estruch R, Ros E, Salas-Salvadó J, Covas M-I, Corella D, Arós F, Gómez-Gracia E, Ruiz-Gutierrez V, Fiol M, Lapetra J. Primary prevention of cardiovascular disease with a Mediterranean diet. N Engl J Med. 2013;368:1279–90.

    Article  CAS  PubMed  Google Scholar 

  • Farhangi MA, Najafi M, Jafarabadi MA, Jahangiry L. Mediterranean dietary quality index and dietary phytochemical index among patients candidate for coronary artery bypass grafting (CABG) surgery. BMC Cardiovasc Disord. 2017;17:1–8.

    Article  Google Scholar 

  • Ferrari A, Somerville A, Baxter A, Norman R, Patten S, Vos T, Whiteford H. Global variation in the prevalence and incidence of major depressive disorder: a systematic review of the epidemiological literature. Psychol Med. 2013;43:471–81.

    Article  CAS  PubMed  Google Scholar 

  • Firouzabadi FD, Jayedi A, Asgari E, Farazi M, Noruzi Z, Djafarian K, Shab-Bidar S. The Association of dietary phytochemical index with metabolic syndrome in adults. Clin Nutr Res. 2021;10:161.

    Article  Google Scholar 

  • Franceschi S, Dal Maso L, Augustin L, Negri E, Parpinel M, Boyle P, Jenkins D, Lavecchia C. Dietary glycemic load and colorectal cancer risk. Ann Oncol. 2001;12:173–8.

    Article  CAS  PubMed  Google Scholar 

  • Fraser A, Abel R, Lawlor D, Fraser D, Elhayany A. A modified Mediterranean diet is associated with the greatest reduction in alanine aminotransferase levels in obese type 2 diabetes patients: results of a quasi-randomised controlled trial. Diabetologia. 2008;51:1616–22.

    Article  CAS  PubMed  Google Scholar 

  • Gerber MJ, Scali JD, Michaud A, Durand MD, Astre CM, Dallongeville J, Romon MM. Profiles of a healthful diet and its relationship to biomarkers in a population sample from Mediterranean southern France. J Am Diet Assoc. 2000;100:1164–71.

    Article  CAS  PubMed  Google Scholar 

  • Golzarand M, Mirmiran P, Bahadoran Z, Alamdari S, Azizi F. Dietary phytochemical index and subsequent changes of lipid profile: a 3-year follow-up in Tehran lipid and glucose study in Iran. ARYA Atherosclerosis. 2014;10:203.

    PubMed  PubMed Central  Google Scholar 

  • Grosso C, Valentão P, Ferreres F, Andrade B, P. The use of flavonoids in central nervous system disorders. Curr Med Chem. 2013;20:4694–719.

    Article  CAS  PubMed  Google Scholar 

  • Hahn NI. Are phytoestrogens nature’s cure for what ails us? A look at the research. J Am Diet Assoc. 1998;98:974–6.

    Article  Google Scholar 

  • Hallikainen MA, Sarkkinen ES, Uusitupa MI. Plant stanol esters affect serum cholesterol concentrations of hypercholesterolemic men and women in a dose-dependent manner. J Nutr. 2000;130:767–76.

    Article  CAS  PubMed  Google Scholar 

  • He K, Hu F, Colditz G, Manson J, Willett W, Liu S. Changes in intake of fruits and vegetables in relation to risk of obesity and weight gain among middle-aged women. Int J Obes. 2004;28:1569–74.

    Article  CAS  Google Scholar 

  • Heller O, Somerville C, Suggs LS, Lachat S, Piper J, Aya Pastrana N, Correia JC, Miranda JJ, Beran D. The process of prioritization of non-communicable diseases in the global health policy arena. Health Policy Plan. 2019;34:370–83.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hosseinzadeh M, Vafa M, Esmaillzadeh A, Feizi A, Majdzadeh R, Afshar H, Keshteli AH, Adibi P. Empirically derived dietary patterns in relation to psychological disorders. Public Health Nutr. 2016;19:204–17.

    Article  PubMed  Google Scholar 

  • Howren MB, Lamkin DM, Suls J. Associations of depression with C-reactive protein, Il-1, and IL-6: a meta-analysis. Psychosom Med. 2009;71:171–86.

    Article  CAS  PubMed  Google Scholar 

  • Im J, Kim M, Park K. Association between the phytochemical index and lower prevalence of obesity/abdominal obesity in Korean adults. Nutrients. 2020;12:2312.

    Article  PubMed Central  Google Scholar 

  • Jacobs DR Jr, Gross MD, Tapsell LC. Food synergy: an operational concept for understanding nutrition. Am J Clin Nutr. 2009;89:1543S–8S.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Katan MB, Grundy SM, Jones P, Law M, Miettinen T, Paoletti R, Participants SW. Efficacy and safety of plant stanols and sterols in the management of blood cholesterol levels. Mayo Clinic Proceedings. Elsevier; 2003. p. 965–78.

    Google Scholar 

  • Kim M, Park K. Association between phytochemical index and metabolic syndrome. Nutr Res Pract. 2020;14:252–61.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ko JK, Lee SS, Martin H. Phytochemicals as modulators of PPARs and RXRs. Hindawi; 2010.

    Book  Google Scholar 

  • Koche D, Shirsat R, Kawale M. An overview of major classes of phytochemicals: their types and role in disease prevention. Hislopia J. 2016;9:1–11.

    Google Scholar 

  • Kumar S, Alagawadi K. Anti-obesity effects of galangin, a pancreatic lipase inhibitor in cafeteria diet fed female rats. Pharm Biol. 2013;51:607–13.

    Article  CAS  PubMed  Google Scholar 

  • Lee M, Saver JL, Towfighi A, Chow J, Ovbiagele B. Efficacy of fibrates for cardiovascular risk reduction in persons with atherogenic dyslipidemia: a meta-analysis. Atherosclerosis. 2011;217:492–8.

    Article  CAS  PubMed  Google Scholar 

  • Li Y, Lv M-R, Wei Y-J, Sun L, Zhang J-X, Zhang H-G, Li B. Dietary patterns and depression risk: a meta-analysis. Psychiatry Res. 2017;253:373–82.

    Article  PubMed  Google Scholar 

  • Liu S, Willett WC, Stampfer MJ, Hu FB, Franz M, Sampson L, Hennekens CH, Manson JE. A prospective study of dietary glycemic load, carbohydrate intake, and risk of coronary heart disease in US women. Am J Clin Nutr. 2000;71:1455–61.

    Article  CAS  PubMed  Google Scholar 

  • Liu S, Manson JE, Buring JE, Stampfer MJ, Willett WC, Ridker PM. Relation between a diet with a high glycemic load and plasma concentrations of high-sensitivity C-reactive protein in middle-aged women. Am J Clin Nutr. 2002;75:492–8.

    Article  CAS  PubMed  Google Scholar 

  • Liu S, Willett WC, Manson JE, Hu FB, Rosner B, Colditz G. Relation between changes in intakes of dietary fiber and grain products and changes in weight and development of obesity among middle-aged women. Am J Clin Nutr. 2003;78:920–7.

    Article  CAS  PubMed  Google Scholar 

  • Liu L, Cheng Y, Zhang H. Phytochemical analysis of anti-atherogenic constituents of Xue-Fu-Zhu-Yu-Tang using HPLC-DAD-ESI-MS. Chem Pharm Bull. 2004;52:1295–301.

    Article  CAS  Google Scholar 

  • Lu L, Zhao Z, Liu L, Gong W, Dong J. Combination of baicalein and docetaxel additively inhibits the growth of non-small cell lung cancer in vivo. Tradit Med Mod Med. 2018;1:213–8.

    Article  Google Scholar 

  • Lukaczer D, Deann JL, Lerman RH, Darland G, Schiltz B, Tripp M, Bland JS. Effect of a low glycemic index diet with soy protein and phytosterols on CVD risk factors in postmenopausal women. Nutrition. 2006;22:104–13.

    Article  CAS  PubMed  Google Scholar 

  • Marconett CN, Morgenstern TJ, San Roman AK, Sundar SN, Singhal AK, Firestone GL. Bzl101, a phytochemical extract from the Scutellaria barbata plant, disrupts proliferation of human breast and prostate cancer cells through distinct mechanisms dependent on the cancer cell phenotype. Cancer Biol Ther. 2010;10:397–405.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Mariscal-Arcas M, Rivas A, Velasco J, Ortega M, Caballero AM, Olea-Serrano F. Evaluation of the Mediterranean Diet Quality Index (KIDMED) in children and adolescents in Southern Spain. Public Health Nutr. 2009;12:1408–12.

    Article  PubMed  Google Scholar 

  • Martínez A, Portero-Otin M, Pamplona R, Ferrer I. Protein targets of oxidative damage in human neurodegenerative diseases with abnormal protein aggregates. Brain Pathol. 2010;20:281–97.

    Article  PubMed  Google Scholar 

  • Martinez-Gonzalez MA, Bes-Rastrollo M. Dietary patterns, Mediterranean diet, and cardiovascular disease. Curr Opin Lipidol. 2014;25:20–6.

    Article  CAS  PubMed  Google Scholar 

  • Masella R, Di Benedetto R, Varì R, Filesi C, Giovannini C. Novel mechanisms of natural antioxidant compounds in biological systems: involvement of glutathione and glutathione-related enzymes. J Nutr Biochem. 2005;16:577–86.

    Article  CAS  PubMed  Google Scholar 

  • McCarty MF. Proposal for a dietary “phytochemical index”. Med Hypotheses. 2004;63:813–7.

    Article  CAS  PubMed  Google Scholar 

  • Mirmiran P, Noori N, Zavareh MB, Azizi F. Fruit and vegetable consumption and risk factors for cardiovascular disease. Metabolism. 2009;58:460–8.

    Article  CAS  PubMed  Google Scholar 

  • Mirmiran P, Bahadoran Z, Golzarand M, Shiva N, Azizi F. Association between dietary phytochemical index and 3-year changes in weight, waist circumference and body adiposity index in adults: Tehran Lipid and Glucose study. Nutr Metab. 2012a;9:1–9.

    Article  Google Scholar 

  • Mirmiran P, Bahadoran Z, Golzarand M, Shiva N, Azizi F. Association between dietary phytochemical index and 3-year changes in weight, waist circumference and body adiposity index in adults: Tehran Lipid and Glucose study. Nutr Metab (Lond). 2012b;9:108.

    Article  CAS  Google Scholar 

  • Mofrad MD, Siassi F, Guilani B, Bellissimo N, Azadbakht L. Association of dietary phytochemical index and mental health in women: a cross-sectional study. Br J Nutr. 2019;121:1049–56.

    Article  Google Scholar 

  • Moline J, Bukharovich I, Wolff M, Phillips R. Dietary flavonoids and hypertension: is there a link? Med Hypotheses. 2000;55:306–9.

    Article  CAS  PubMed  Google Scholar 

  • Moon YJ, Wang X, Morris ME. Dietary flavonoids: effects on xenobiotic and carcinogen metabolism. Toxicol In Vitro. 2006;20:187–210.

    Article  CAS  PubMed  Google Scholar 

  • Moskaug JØ, Carlsen H, Myhrstad MC, Blomhoff R. Polyphenols and glutathione synthesis regulation. Am J Clin Nutr. 2005;81:277S–83S.

    Article  CAS  PubMed  Google Scholar 

  • Mottaghi A, Bahadoran Z, Mirmiran P, Mirzaei S, Azizi F. Is dietary phytochemical index in association with the occurrence of hypertriglyceridemic waist phenotype and changes in lipid accumulation product index? A prospective approach in Tehran Lipid and Glucose study. Int J Pharmacog Phytochem Res. 2015;7:16–21.

    Google Scholar 

  • Murray M. Altered CYP expression and function in response to dietary factors: potential roles in disease pathogenesis. Curr Drug Metab. 2006;7:67–81.

    Article  CAS  PubMed  Google Scholar 

  • Myhrstad MC, Carlsen H, Nordström O, Blomhoff R, Moskaug JØ. Flavonoids increase the intracellular glutathione level by transactivation of the γ-glutamylcysteine synthetase catalytical subunit promoter. Free Radic Biol Med. 2002;32:386–93.

    Article  CAS  PubMed  Google Scholar 

  • Niedzielska E, Smaga I, Gawlik M, Moniczewski A, Stankowicz P, Pera J, Filip M. Oxidative stress in neurodegenerative diseases. Mol Neurobiol. 2016;53:4094–125.

    Article  CAS  PubMed  Google Scholar 

  • Organization, W. H. Cardiovascular disease. 2017. http://www.who.int/cardiovascular_diseases/en/

  • Organization, W. H. Mental health in primary care: illusion or inclusion? World Health Organization; 2018.

    Google Scholar 

  • Ouhtit A, Gaur RL, Abdraboh M, Ireland SK, Rao PN, Raj SG, Al-Riyami H, Shanmuganathan S, Gupta I, Murthy SN. Simultaneous inhibition of cell-cycle, proliferation, survival, metastatic pathways and induction of apoptosis in breast cancer cells by a phytochemical super-cocktail: genes that underpin its mode of action. J Cancer. 2013;4:703.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Payne ME, Steck SE, George RR, Steffens DC. Fruit, vegetable, and antioxidant intakes are lower in older adults with depression. J Acad Nutr Diet. 2012;112:2022–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ramawat K, Dass S, Mathur M. The chemical diversity of bioactive molecules and therapeutic potential of medicinal plants. In: Herbal drugs: ethnomedicine to modern medicine. Springer; 2009. p. 7–32.

    Chapter  Google Scholar 

  • Rao BN. Bioactive phytochemicals in Indian foods and their potential in health promotion and disease prevention. Asia Pac J Clin Nutr. 2003;12:9.

    CAS  PubMed  Google Scholar 

  • Rendeiro C, Rhodes JS, Spencer JP. The mechanisms of action of flavonoids in the brain: direct versus indirect effects. Neurochem Int. 2015;89:126–39.

    Article  CAS  PubMed  Google Scholar 

  • Rigi S, Shayanfar M, Mousavi SM, Mohammad-Shirazi M, Sharifi G, Esmaillzadeh A. Dietary phytochemical index in relation to risk of glioma: a case-control study in Iranian adults. Nutr J. 2021;20:31.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Saleh A, Cruickshank K, Morancy T, Cordero G, Baglieri N, Markell M. Attitudes towards plant-based eating and self reported vegetable intake in inner-city kidney patients: relationship to BMI and blood pressure. Curr Dev Nutr. 2020;4:559.

    Article  PubMed Central  Google Scholar 

  • Salmerón J, Ascherio A, Rimm EB, Colditz GA, Spiegelman D, Jenkins DJ, Stampfer MJ, Wing AL, Willett WC. Dietary fiber, glycemic load, and risk of NIDDM in men. Diabetes Care. 1997;20:545–50.

    Article  PubMed  Google Scholar 

  • Salmeron J, Manson JE, Stampfer MJ, Colditz GA, Wing AL, Willett WC. Dietary fiber, glycemic load, and risk of non-insulin-dependent diabetes mellitus in women. JAMA. 1997;277:472–7.

    Article  CAS  PubMed  Google Scholar 

  • Serdula MK, Byers T, Mokdad AH, Simoes E, Mendlein JM, Coates RJ. The association between fruit and vegetable intake and chronic disease risk factors. Epidemiology. 1996;7:161–5.

    Article  CAS  PubMed  Google Scholar 

  • Seymour E, Singer AA, Bennink MR, Parikh RV, Kirakosyan A, Kaufman PB, Bolling SF. Chronic intake of a phytochemical-enriched diet reduces cardiac fibrosis and diastolic dysfunction caused by prolonged salt-sensitive hypertension. J Gerontol Ser A Biol Med Sci. 2008;63:1034–42.

    Article  CAS  Google Scholar 

  • Seymour EM, Bennink MR, Bolling SF. Diet-relevant phytochemical intake affects the cardiac AhR and nrf2 transcriptome and reduces heart failure in hypertensive rats. J Nutr Biochem. 2013;24:1580–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Shu L, Cheung K-L, Khor TO, Chen C, Kong A-N. Phytochemicals: cancer chemoprevention and suppression of tumor onset and metastasis. Cancer Metastasis Rev. 2010;29:483–502.

    Article  CAS  PubMed  Google Scholar 

  • Sofi F, Casini A. Mediterranean diet and non-alcoholic fatty liver disease: new therapeutic option around the corner? World J Gastroenterol: WJG. 2014;20:7339.

    Article  PubMed  PubMed Central  Google Scholar 

  • Spaas J, Van Veggel L. Oxidative stress and impaired oligodendrocyte precursor cell differentiation in neurological disorders. Cell Mol Life Sci. 2021;78:4615–37.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Steel Z, Marnane C, Iranpour C, Chey T, Jackson JW, Patel V, Silove D. The global prevalence of common mental disorders: a systematic review and meta-analysis 1980–2013. Int J Epidemiol. 2014;43:476–93.

    Article  PubMed  PubMed Central  Google Scholar 

  • Steffen Y, Gruber C, Schewe T, Sies H. Mono-O-methylated flavanols and other flavonoids as inhibitors of endothelial NADPH oxidase. Arch Biochem Biophys. 2008;469:209–19.

    Article  CAS  PubMed  Google Scholar 

  • Stewart J, Manmathan G, Wilkinson P. Primary prevention of cardiovascular disease: a review of contemporary guidance and literature. JRSM Cardiovasc Dis. 2017;6:2048004016687211. https://doi.org/10.1177/2048004016687211. Epub 2017/03/14.

    Article  PubMed  PubMed Central  Google Scholar 

  • Sun J, Liu RH. Apple phytochemical extracts inhibit proliferation of estrogen-dependent and estrogen-independent human breast cancer cells through cell cycle modulation. J Agric Food Chem. 2008;56:11661–7.

    Article  CAS  PubMed  Google Scholar 

  • Tabung FK, Smith-Warner SA, Chavarro JE, Wu K, Fuchs CS, Hu FB, Chan AT, Willett WC, Giovannucci EL. Development and validation of an empirical dietary inflammatory index. J Nutr. 2016;146:1560–70.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Tabung FK, Smith-Warner SA, Chavarro JE, Fung TT, Hu FB, Willett WC, Giovannucci EL. Comparison of the predictive ability of an empirical and a literature-derived index of dietary inflammation potential. FASEB J. 2017;31:167.1.

    Google Scholar 

  • Tan AC, Konczak I, Sze DM-Y, Ramzan I. Molecular pathways for cancer chemoprevention by dietary phytochemicals. Nutr Cancer. 2011;63:495–505.

    Article  CAS  PubMed  Google Scholar 

  • Tilghman SL, Rhodes LV, Bratton MR, Carriere P, Preyan LC, Boue SM, Vasaitis TS, McLachlan JA, Burow ME. Phytoalexins, miRNAs and breast cancer: a review of phytochemical-mediated miRNA regulation in breast cancer. J Health Care Poor Underserved. 2013;24:36.

    Article  PubMed  PubMed Central  Google Scholar 

  • Trichopoulou A, Costacou T, Bamia C, Trichopoulos D. Adherence to a Mediterranean diet and survival in a Greek population. N Engl J Med. 2003;348:2599–608.

    Article  PubMed  Google Scholar 

  • Trinh TA, Seo YH, Choi S, Lee J, Kang KS. Protective effect of osmundacetone against neurological cell death caused by oxidative glutamate toxicity. Biomol Ther. 2021;11:328.

    CAS  Google Scholar 

  • Tur JA, Romaguera D, Pons A. The Diet Quality Index-International (DQI-I): is it a useful tool to evaluate the quality of the Mediterranean diet? Br J Nutr. 2005;93:369–76.

    Article  CAS  PubMed  Google Scholar 

  • Ventura A, Jacks T. MicroRNAs and cancer: short RNAs go a long way. Cell. 2009;136:586–91.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Vincent HK, Bourguignon CM, Taylor AG. Relationship of the dietary phytochemical index to weight gain, oxidative stress and inflammation in overweight young adults. J Hum Nutr Diet. 2010;23:20–9.

    Article  CAS  PubMed  Google Scholar 

  • Vissers MN, Zock PL, Roodenburg AJ, Leenen R, Katan MB. Olive oil phenols are absorbed in humans. J Nutr. 2002;132:409–17.

    Article  CAS  PubMed  Google Scholar 

  • Wang PY, Fang JC, Gao ZH, Zhang C, Xie SY. Higher intake of fruits, vegetables or their fiber reduces the risk of type 2 diabetes: a meta-analysis. J Diabetes Investig. 2016;7:56–69.

    Article  PubMed  Google Scholar 

  • Witte K, Clark AL. Chronic heart failure and multiple micronutrient supplementation: realistic hope or idealistic conjecture? Heart Fail Monit. 2005;4:123–9.

    CAS  PubMed  Google Scholar 

  • Xiong Z, Jiang B, Wu P-F, Tian J, Shi L-L, Gu J, Hu Z-L, Fu H, Wang F, Chen J-G. Antidepressant effects of a plant-derived flavonoid baicalein involving extracellular signal-regulated kinases cascade. Biol Pharm Bull. 2011;34:253–9.

    Article  CAS  PubMed  Google Scholar 

  • Ziaee RS, Keshani P, Salehi M, Ghaem H. Diet quality indices and their correlation with glycemic status and lipid profile in patients with type 2 diabetes. Adv Prev Med. 2021;2021:2934082.

    Article  PubMed  PubMed Central  Google Scholar 

  • Zis P, Hadjivassiliou M. Treatment of neurological manifestations of gluten sensitivity and coeliac disease. Curr Treat Options Neurol. 2019;21:10.

    Article  PubMed  Google Scholar 

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Qorbani, M., Angoorani, P., Ejtahed, HS. (2022). Dietary Phytochemical Index as a Biomarker in Nutritional Studies: Features and Applications. In: Patel, V.B., Preedy, V.R. (eds) Biomarkers in Nutrition . Biomarkers in Disease: Methods, Discoveries and Applications. Springer, Cham. https://doi.org/10.1007/978-3-031-07389-2_18

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