PMID- 34067821 OWN - NLM STAT- MEDLINE DCOM- 20210723 LR - 20240402 IS - 2072-6643 (Electronic) IS - 2072-6643 (Linking) VI - 13 IP - 5 DP - 2021 May 17 TI - Dietary Polyphenol Intake Is Associated with Biological Aging, a Novel Predictor of Cardiovascular Disease: Cross-Sectional Findings from the Moli-Sani Study. LID - 10.3390/nu13051701 [doi] LID - 1701 AB - Biological aging, or the discrepancy between biological and chronological age of a subject (Deltaage), has been associated with a polyphenol-rich Mediterranean diet and represents a new, robust indicator of cardiovascular disease risk. We aimed to disentangle the relationship of dietary polyphenols and total antioxidant capacity with Deltaage in a cohort of Italians. A cross-sectional analysis was performed on a sub-cohort of 4592 subjects (aged >/= 35 y; 51.8% women) from the Moli-sani Study (2005-2010). Food intake was recorded by a 188-item food-frequency questionnaire. The polyphenol antioxidant content (PAC)-score was constructed to assess the total dietary content of polyphenols. Total antioxidant capacity was measured in foods by these assays: trolox equivalent antioxidant capacity (TEAC), total radical-trapping antioxidant parameter (TRAP) and ferric reducing-antioxidant power (FRAP). A deep neural network, based on 36 circulating biomarkers, was used to compute biological age and the resulting Deltaage, which was tested as outcome in multivariable-adjusted linear regressions. Deltaage was inversely associated with the PAC-score (beta = -0.31; 95%CI -0.39, -0.24) but not with total antioxidant capacity of the diet. A diet rich in polyphenols, by positively contributing to deceleration of the biological aging process, may exert beneficial effects on the long-term risk of cardiovascular disease and possibly of bone health. FAU - Esposito, Simona AU - Esposito S AD - Department of Epidemiology and Prevention, IRCCS Neuromed, via dell'Elettronica, 86077 Pozzilli, Italy. FAU - Gialluisi, Alessandro AU - Gialluisi A AUID- ORCID: 0000-0002-7388-4463 AD - Department of Epidemiology and Prevention, IRCCS Neuromed, via dell'Elettronica, 86077 Pozzilli, Italy. FAU - Costanzo, Simona AU - Costanzo S AD - Department of Epidemiology and Prevention, IRCCS Neuromed, via dell'Elettronica, 86077 Pozzilli, Italy. FAU - Di Castelnuovo, Augusto AU - Di Castelnuovo A AD - Mediterranea Cardiocentro, 80122 Napoli, Italy. FAU - Ruggiero, Emilia AU - Ruggiero E AUID- ORCID: 0000-0002-7109-1128 AD - Department of Epidemiology and Prevention, IRCCS Neuromed, via dell'Elettronica, 86077 Pozzilli, Italy. FAU - De Curtis, Amalia AU - De Curtis A AUID- ORCID: 0000-0001-5104-0318 AD - Department of Epidemiology and Prevention, IRCCS Neuromed, via dell'Elettronica, 86077 Pozzilli, Italy. FAU - Persichillo, Mariarosaria AU - Persichillo M AD - Department of Epidemiology and Prevention, IRCCS Neuromed, via dell'Elettronica, 86077 Pozzilli, Italy. FAU - Cerletti, Chiara AU - Cerletti C AUID- ORCID: 0000-0002-4759-3179 AD - Department of Epidemiology and Prevention, IRCCS Neuromed, via dell'Elettronica, 86077 Pozzilli, Italy. FAU - Donati, Maria Benedetta AU - Donati MB AD - Department of Epidemiology and Prevention, IRCCS Neuromed, via dell'Elettronica, 86077 Pozzilli, Italy. FAU - de Gaetano, Giovanni AU - de Gaetano G AUID- ORCID: 0000-0002-7823-1402 AD - Department of Epidemiology and Prevention, IRCCS Neuromed, via dell'Elettronica, 86077 Pozzilli, Italy. FAU - Iacoviello, Licia AU - Iacoviello L AUID- ORCID: 0000-0003-0514-5885 AD - Department of Epidemiology and Prevention, IRCCS Neuromed, via dell'Elettronica, 86077 Pozzilli, Italy. AD - Department of Medicine and Surgery, Research Center in Epidemiology and Preventive Medicine (EPIMED), University of Insubria, 21100 Varese-Como, Italy. FAU - Bonaccio, Marialaura AU - Bonaccio M AD - Department of Epidemiology and Prevention, IRCCS Neuromed, via dell'Elettronica, 86077 Pozzilli, Italy. FAU - On Behalf Of The Investigators For The Moli-Sani Study AU - On Behalf Of The Investigators For The Moli-Sani Study LA - eng GR - F/080032/01-03/X35/Ministero dello Sviluppo Economico/ GR - RF-2018-12367074/Ministero della Salute/ PT - Journal Article DEP - 20210517 PL - Switzerland TA - Nutrients JT - Nutrients JID - 101521595 RN - 0 (Antioxidants) RN - 0 (Biomarkers) RN - 0 (Polyphenols) SB - IM MH - Adult MH - Aging/blood/*physiology MH - Antioxidants/*analysis MH - Biomarkers/blood MH - Cardiovascular Diseases/*etiology MH - Chronobiology Phenomena MH - Cohort Studies MH - Cross-Sectional Studies MH - Diet/adverse effects MH - Diet Surveys MH - Diet, Mediterranean/statistics & numerical data MH - Eating/*physiology MH - Female MH - Heart Disease Risk Factors MH - Humans MH - Italy MH - Linear Models MH - Male MH - Neural Networks, Computer MH - Polyphenols/*analysis MH - Risk Assessment PMC - PMC8157169 OTO - NOTNLM OT - biological aging OT - bone health OT - cardiovascular disease OT - dietary polyphenols COIS- None of the authors of the present manuscript have conflicts of interest to disclose. EDAT- 2021/06/03 06:00 MHDA- 2021/07/24 06:00 PMCR- 2021/05/17 CRDT- 2021/06/02 01:20 PHST- 2021/04/13 00:00 [received] PHST- 2021/05/12 00:00 [revised] PHST- 2021/05/12 00:00 [accepted] PHST- 2021/06/02 01:20 [entrez] PHST- 2021/06/03 06:00 [pubmed] PHST- 2021/07/24 06:00 [medline] PHST- 2021/05/17 00:00 [pmc-release] AID - nu13051701 [pii] AID - nutrients-13-01701 [pii] AID - 10.3390/nu13051701 [doi] PST - epublish SO - Nutrients. 2021 May 17;13(5):1701. doi: 10.3390/nu13051701.