Quercetin, which is frequently found in vegetables such as onion, is widely found to have biological activities such as visceral fat reduction. Therefore, we performed this randomised double-blind placebo-controlled parallel-group study and analysed the effects of daily intake of quercetin-rich onion on visceral fat for 12 weeks. Seventy healthy Japanese subjects whose body mass index (BMI) was ≥23 and <30 were recruited and randomly assigned to either the quercetin-rich onion group or placebo group. The subjects ingested 9 g of onion powder per day for 12 weeks. We conducted medical interviews, hematological and biological tests; measured body composition and vital signs; and analysed the Food Frequency Questionnaire weeks 0, 4, 8, and 12. Abdominal fat area was measured using computed tomography scanning at weeks 0 and 12. No significant differences in visceral fat area (VFA) were observed between the two groups. However, in subjects whose high-density lipoprotein cholesterol was lower, VFA was significantly lower in the quercetin-rich onion group. In addition, alanine aminotransferase was significantly lower in the quercetin-rich onion group than in the placebo group. Thus, the results suggest that quercetin-rich onion may be beneficial for preventing obesity and improving liver function.Nutrients 2020, 12, 91 2 of 12 including prevention of metabolic syndrome for fresh vegetables, research on and development of various vegetables containing highly functional components is expected.Quercetin is a flavonoid that is abundant in vegetables such as onions and in fruit, tea, and wine [3][4][5]. It exhibits antioxidant [6,7] and antihypertensive effects [8,9]. In a placebo-controlled double-blind parallel-group comparison study for subjects with body mass index (BMI) of ≥25 kg/m 2 , daily intake of tea containing 110 mg quercetin glycoside for 12 weeks significantly decreased visceral fat area (VFA) at weeks 8 and 12 after intake compared to that in the placebo food intake group [10]. The mechanism underlying suppression of fat accumulation by quercetin was indicated to involve suppression of the expression of peroxisome proliferator-activated receptor γ which is related to fat accumulation, and sterol regulatory element-binding protein 1 and fatty acid synthase which are related to fatty acid synthesis, and to increase the expression of cAMP which is related to lipolysis [11][12][13].Onion is the one of the most popular vegetables in the world, and a major source of quercetin (28.4-48.6 mg/100 g) [14]. In the current clinical trial, we used the two quercetin-rich onion cultivars 'Quergold' and 'Sarasara-gold' to adjust the amount of quercetin contained in the test food. These onions were developed via selective breeding to develop onions containing increased amounts of quercetin. One 'Quergold' onion bulb (~140 g) contains 109 mg quercetin aglycone [15], and one 'Sarasara-gold' onion bulb (~200 g) contains 200 mg quercetin glycoside. The above findings suggest that the intake of 'Quergold' and 'Sarasara-gold' onion...