Scientific Opinion on the substantiation of health claims related to  
quercetin and protection of DNA, proteins and lipids from oxidative  
damage (ID 1647), “cardiovascular system” (ID 1844), “mental state and  
performance” (ID 1845), and “liver, kidneys” (ID 1846) pursuant to Article  
13(1) of Regulation (EC) No 1924/2006[sup]1[/sup]  
EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA)2, 3  
European Food Safety Authority (EFSA), Parma, Italy  
Słowa kluczowe:
Quercetin
 
cardiovascular system
 
health claims
 
kidneys
 
liver
 
mental performance
 
oxidative damage
 
	
	1. Charakterystyka żywności / składnika
	
        
		The food constituent that is the subject of the health claims is quercetin.  
Quercetin [2-(3,4-dihydroxyphenyl)-3,5,7-trihydroxy-4H-chromen-4-one] is a flavonol naturally  present in onions and to a lesser extent in French beans, broad beans, apples, apricots, cherries,  grapes, wine, fruit juices, black tea and green tea. Quercetin is measurable in foods by established  methods.   
The Panel considers that the food constituent, quercetin, which is the subject of the health claims, is  sufficiently characterised.  
		
	
	
    
	
	
		
 
	
	2. Znaczenie oświadczenia dla zdrowia człowieka
	
        
		
		
	
	
    
	
	
		
			
2.1. Ochrona DNA, białek i lipidów przed uszkodzeniem oksydacyjnym (ID 1647)
	
	
			The claimed effect is “antioxidant properties”. The Panel assumes that the target population is the  general population.  
The Panel considers that claims made on the antioxidant capacity/content or properties of food/food  constituents based on their capability to scavenge free radicals in vitro refer to a property of the  food/food constituent measured in model systems, and that the information provided does not  establish that this capability exerts a beneficial physiological effect in humans as required by  Regulation (EC) No 1924/2006.  
The proposed wordings include “antioxidant containing foods support of healthy aging” and  “antioxidants contribute to the total antioxidant capacity of the body and may help strengthen our  body's defences”.  
No definition has been provided of “healthy aging” in relation to the antioxidant properties of foods.  The Panel considers that this claimed effect is general and non-specific, and does not refer to any  specific health claim as required by Regulation (EC) No 1924/2006.  
In the context of the references provided, the Panel assumes that the claimed effect refers to the  protection of DNA, proteins and lipids from oxidative damage.  
Reactive oxygen species (ROS), including several kinds of radicals, are generated in biochemical  processes (e.g. the respiratory chain) and as a consequence of exposure to exogenous factors  (e.g. radiation and pollutants). These reactive intermediates can damage molecules such as DNA,  proteins and lipids if they are not intercepted by the antioxidant network which includes free radical  scavengers such as antioxidant nutrients.  
The Panel considers that the protection of DNA, proteins and lipids from oxidative damage may be a  beneficial physiological effect.  
	
    
			
	
		
			
2.2. Układ sercowo-naczyniowy (ID 1844)
	
	
			The claimed effect is “cardiovascular system”. The Panel assumes that the target population is the  general population.   
The claimed effect is not sufficiently defined and no further details were provided in the proposed  wording. No clarifications have been provided by Member States.  
The Panel considers that the claimed effect is general and non-specific, and does not refer to any  specific health claim as required by Regulation (EC) No 1924/2006.  
	
    
			
	
		
			
2.3. Stan psychiczny (ID 1845)
	
	
			The claimed effect is “mental state and performance”. The Panel assumes that the target population is  the general population.   
The claimed effect is not sufficiently defined and no further details were provided in the proposed  wording. No clarifications have been provided by Member States.  
The Panel considers that the claimed effect is general and non-specific, and does not refer to any  specific health claim as required by Regulation (EC) No 1924/2006.  
	
    
			
	
		
			
2.4. Wątroba, nerki (ID 1846)
	
	
			The claimed effect is “liver, kidneys”. The Panel assumes that the target population is the general  population.   
The claimed effect is not sufficiently defined and no further details were provided in the proposed  wording. No clarifications have been provided by Member States.  
The Panel considers that the claimed effect is general and non-specific, and does not refer to any  specific health claim as required by Regulation (EC) No 1924/2006.  
	
    
			
	
		
 
	
	3. Naukowe uzasadnienia wpływu na zdrowie człowieka
	
        
		
		
	
	
    
	
	
		
			
3.1. Ochrona DNA, białek i lipidów przed uszkodzeniem oksydacyjnym (ID 1647)
	
	
			Some references provided in the consolidated list were narrative reviews or textbooks that did not  contain any original data which could be used to substantiate the claim. Several references referred to  intake, bioavailability and plasma kinetics of quercetin and other polyphenols, or were related to 
effects of quercetin (and polyphenol) on body functions unrelated to the claimed effect. The Panel  considers that no conclusions can be drawn from these references for the scientific substantiation of  the claimed effect.   
One human intervention study compared the effects of a high flavonol (HF) diet to a low flavonol  (LF) diet in 36 healthy human subjects using a randomised cross-over design (Beatty et al., 2000).  Subjects consumed each diet for 14 days with a 14-day wash-out period in between. Subjects were  asked to avoid foods containing flavonols, flavones and flavanols during the LF dietary treatment  period and to consume one 150 g onion cake containing 89.7 mg of quercetin and one 300 mL cup of  black tea containing 1.4 mg quercetin daily during the HF dietary treatment. Oxidative damage to  DNA was measured in isolated DNA from leukocytes using Gas Chromatography-Mass Spectrometry  (GC-MS) analysis of DNA bases. No significant differences between the HF and the LF treatment  periods were observed with respect to changes in oxidative damage to DNA.   
Chopra et al. (2000) investigated the effects of quercetin supplementation on ex vivo low density  lipoproteins (LDL) resistance to (copper-initiated) oxidation (lag time) in healthy male subjects. The  Panel notes that this method is not appropriate to assess oxidative damage of blood lipids and  considers that no conclusions can be drawn from this study for the scientific substantiation of the  claimed effect.  
Among the references provided were also in vitro and ex vivo studies on the antioxidant capacity of  quercetin or on effects of quercetin on markers of lipid peroxidation. The Panel considers that  evidence provided in in vitro and ex vivo studies is not sufficient to predict the occurrence of an effect  of quercetin consumption on protection of DNA, proteins and lipids from oxidative damage in  humans.  
In weighing the evidence, the Panel took into account that the only human intervention study provided  which used a valid marker of oxidative damage to DNA did not show an effect of quercetin on the  protection of DNA from oxidative damage.  
The Panel concludes that a cause and effect relationship has not been established between the  consumption of quercetin and protection of DNA, proteins or lipids from oxidative damage.  
	
    
			
	
		
 
Wnioski
	
		On the basis of the data presented, the Panel concludes that:  
The food constituent, quercetin, which is the subject of the health claims, is sufficiently  characterised.  
Protection of DNA, proteins and lipids from oxidative damage (ID 1647)  
The claimed effect is “antioxidant properties”. The target population is assumed to be the  general population. In the context of the references provided, it is assumed that the claimed  effect refers to the protection of DNA, proteins and lipids from oxidative damage. Protection  of DNA, proteins and lipids from oxidative damage may be a beneficial physiological effect.  
A cause and effect relationship has not been established between the consumption of  quercetin and protection of DNA, proteins or lipids from oxidative damage.  
“Cardiovascular system” (ID 1844)  
The claimed effect is “cardiovascular system”. The target population is assumed to be the  general population.  
The claimed effect is general and non-specific, and does not refer to any specific health claim  as required by Regulation (EC) No 1924/2006.  
“Mental state and performance” (ID 1845)  
The claimed effect is “mental state and performance”. The target population is assumed to be  the general population.   
The claimed effect is general and non-specific, and does not refer to any specific health claim  as required by Regulation (EC) No 1924/2006.  
“Liver, kidneys” (ID 1846)  
The claimed effect is “liver, kidneys”. The target population is assumed to be the general  population.   
The claimed effect is general and non-specific, and does not refer to any specific health claim  as required by Regulation (EC) No 1924/2006.