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Quercetin—The Flavonoid that Combats Inflammation?



Quercetin is abundant in foods such as apples, onions, and more! Photo Credit: Imagemag.ru
                                                                                           
Many of us have heard the phrase “an apple a day keeps the doctor away,” but recent research has strengthened the health-connection between eating quercetin-abundant foods (like apples) and reduced inflammation in the body.  A recent meta-analysis studying the effects of dietary quercetin supplementation on blood levels of C-reactive protein (CRP:  a protein that is produced in the body in response to inflammatory stress and often used as a inflammation marker and predictor of cardiovascular disease) found that this specific antioxidant and flavonoid has strong anti-inflammatory associations. Studies on quercetin have found the compound to be a potential dietary combatant of cardiovascular disease and other inflammation-related processes. Before you add apples and more to your shopping list, here is what the studies concluded.
A total of 7 randomized controlled trials were gathered for the meta-analysis, looking at the primary outcome of change in CRP concentrations due to quercetin supplementation. The studies were conducted primarily in Europe and the Middle East, in overweight/obese patients, athletes, and patients with rheumatoid arthritis or Type 2 Diabetes. Subjects were given doses of daily quercetin from 150 to 500 mg/day to consume for anywhere from 6 to 10 weeks. After the duration of the supplemented period, researchers looked at the differences from baseline measures of CRP in participants. Overall, the combined trials found that CRP levels significantly declined following quercetin supplementation. CRP levels were shown to decrease significantly when quercetin was supplemented at levels of at least 500 mg/day, for at least 8 weeks, in persons younger than 45 on average, and in those with initial CRP levels lower than 3 mg/L.  Trials, however, found no significant changes to the circulating levels of CRP when persons who were supplemented received less than 500 mg/day, were supplemented less than 8 weeks time, were on average older than 45 years of age, or had baseline CRP levels greater than 3 mg/L.
The verdict? While the results show a promising relationship between increased intake of quercetin and decreased CRP levels, inconsistencies prove further research is warranted. Limitations included the fact that the grouped studies were not performed in certain populations, namely in healthy, normal weight individuals, the elderly, or adolescents; the results seen in these seven studies may not carry over into other distinct populations. Also, it is plausible that lifestyle factors outside of quercetin intake may have affected participants’ CRP levels, as well as the variations among what was used as a supplement in the studies. However, quercetin is heralded by much research for its positive anti-inflammatory effects and can be found in a variety of unprocessed foods. Increasing the consumption of fruits, vegetables, and teas can nutritionally bolster the diet with these potential anti-inflammatory compounds. According to researchers, quercetin has been recognized as safe, with supplementation at doses above 1000 mg/day showing only mild side effects such as nausea and headaches. Quercetin can be found in apples, but also in other whole foods such as onions, berries, red grapes, broccoli, green tea, black tea, citrus, capers, cocoa, and red wine; it can also be found in supplement form. The questions of the effectiveness of supplements, the ideal amount (in mg) to consume, the flavonoid amount in mg per usual serving of food, the differences in absorbance among the natural sources of quercetin, and the effectiveness of quercetin for inflammatory reversal versus prevention are questions to consider asking of future research. 

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