It has been postulated that oxidative stress may play a key role in dementi
a. This is substantiated by the recent discovery of the protective effect o
f wine. In wine, the flavonoids - powerful antioxidant substances also cont
ained in tea, fruits and vegetables - have been thought to offer such prote
ction. We investigated whether flavonoid intake could be associated with a
lower incidence of dementia in a cohort of 1367 subjects above 65 years of
age (Paquid). A questionnaire was used to evaluate their intake of flavonoi
ds and subjects were followed-up for 5 years between 1991 and 1996: 66 inci
dent cases of dementia were observed. We estimated the relative risk (RR) o
f dementia according to tertiles of flavonoid intake using a Cox model. The
age-adjusted RR of dementia was 0.55 for the two highest tertiles compared
to the lowest (95% CI: 0.34-0.90; p = 0.02). After additional adjustment f
or gender, education, weight and vitamin C intake, the RR was 0.49 (95% CI:
0.26-0.92; p = 0.04). We conclude that the intake of antioxidant flavonoid
s is inversely related to the risk of incident dementia.