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Whole-grain intake as a marker of healthy body weight and adiposity

  • Janice I Harland (a1) and Lynne E Garton (a2)
Abstract
AbstractObjective

To review evidence relating to the consumption of whole grains and healthy body weight (BW).

Design

Systematic review and analysis of observational studies reporting whole-grain consumption and measures of BW and adiposity, including the effect on macronutrient intakes and lifestyle factors.

Setting

Medline and other databases were searched for the period 1990 to 2006 to produce a full reference list; observational studies were retained for further analysis if they included an appropriate control group and reported whole-grain intake and body mass index (BMI) or a measure of adiposity.

Subjects

Fifteen trials were identified which included data from 119 829 male and female subjects aged 13 years and over.

Results

The combined and weighted mean difference in BMI from 15 studies representing 20 treatment groups (n = 119 829) using a random-effects model was 0·630 kg/m2 lower when high versus low whole-grain intake was compared, P < 0·0001 (95 % confidence interval (CI) 0·460, 0·800 kg/m2). In high consumers, adiposity assessed as waist circumference was reduced by 2·7 (95 % CI 0·2, 5·2) cm, P = 0·03 (six data sets, n = 4178) or as waist:hip ratio by 0·023 (95 % CI 0·016, 0·030), P < 0.0001 (four data sets, n = 20 147). Higher intake of whole grains led to increased dietary fibre intake (9 g, P < 0·01), while total and saturated fat intakes decreased by 11 g and 3·9 g, respectively.

Conclusion

A higher intake of whole grains (about three servings per day) was associated with lower BMI and central adiposity. In addition, people who consume more whole grains are likely to have a healthier lifestyle as fewer of them smoke, they exercise more frequently and they tend to have lower fat and higher fibre intakes.

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Copyright
Corresponding author
*Corresponding author: Email jan.harland@harlandhall.co.uk
References
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1.World Health Organization (2000) Obesity: Preventing and Managing the Global Epidemic. WHO Technical Report Series no. 894. Geneva: WHO.
2.Department of Health (2005) Healthier England. London: The Stationery Office.
3. National Institute for Health and Clinical Excellence (2006) Obesity: Guidance on the Prevention, Identification and Management of Obesity and Overweight in Adults and Children. NICE Clinical Publication no. 43. London: NICE; available at http://www.nice.org.uk/CG043
4. US Department of Agriculture (2005) Dietary Guidelines for Americans 2005. http://www.health.gov/dietaryguidelines/dga2005/recommendations.htm (accessed January 2007).
5. World Health Organization (2003) Recommendations for preventing excess weight gain and obesity. In Diet, Nutrition and the Prevention of Chronic Diseases. Joint WHO/FAO Expert Consultation. WHO Technical Report Series no. 916, pp. 61–71. Geneva: WHO; available at http://whqlibdoc.who.int/trs/WHO_TRS_916.pdf
6.Pereira MA & Ludwig DS (2001) Dietary fiber and body-weight regulation. Observations and mechanisms. Pediatr Clin North Am 48, 969980.
7.Howarth NC, Saltzman E & Roberts SB (2001) Dietary fiber and weight regulation. Nutr Rev 59, 129139.
8.Seal CJ (2006) Whole grains and CVD risk. Proc Nutr Soc 65, 2434.
9.Slavin J (2003) Why whole grains are protective: biological mechanisms. Proc Nutr Soc 62, 129134.
10.Anderson JW (2003) Whole grains protect against atherosclerotic cardiovascular disease. Proc Nutr Soc 62, 135142.
11.Koh-Banerjee P & Rimm EB (2003) Whole grain consumption and weight gain: a review of the epidemiological evidence, potential mechanisms and opportunities for future research. Proc Nutr Soc 62, 2529.
12. Food and Drug Administration (1999) Whole-Grain Foods Authoritative Statement Claim, Notification Docket 99P-2209. http://www.cfsan.fda.gov/wdms/flg.6c.html (accessed June 2007).
13.Richardson DP (2003) Wholegrain health claims in Europe. Proc Nutr Soc 62, 161169.
14.Stroup DF, Berlin JA, Morton SC, Olkin I, Williamson GD, Rennie D, Moher D, Becker BJ, Sipe TA & Thacker SB (2000) Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group. JAMA 283, 20082012.
15.JrJacobs DR, Marquart L, Slavin J & Kushi LH (1998) Whole-grain intake and cancer: an expanded review and meta-analysis. Nutr Cancer 30, 8596.
16.Thane CW, Jones AR, Stephen AM, Seal CJ & Jebb SA (2005) Whole-grain intake of British young people aged 4–18 years. Br J Nutr 94, 825831.
17.Lang R, Thane CW, Bolton-Smith C & Jebb SA (2003) Consumption of whole-grain foods by British adults: findings from further analysis of two national dietary surveys. Public Health Nutr 6, 479484.
18.Lang R & Jebb SA (2003) Who consumes whole grains, and how much? Proc Nutr Soc 62, 123127.
19.Cleveland LE, Moshfegh AJ, Albertson AM & Goldman JD (2000) Dietary intake of whole grains. J Am Coll Nutr 19, 331S338S.
20.Lean ME, Han TS & Seidell JC (1998) Impairment of health and quality of life in people with large waist circumference. Lancet 351, 853856.
21.Sahyoun NR, Jacques PF, Zhang XL, Juan W & McKeown NM (2006) Whole-grain intake is inversely associated with the metabolic syndrome and mortality in older adults. Am J Clin Nutr 83, 124131.
22.Bazzano LA, Song Y, Bubes V, Good CK, Manson JE & Liu S (2005) Dietary intake of whole and refined grain breakfast cereals and weight gain in men. Obes Res 13, 19521960.
23.Esmaillzadeh A, Mirmiran P & Azizi F (2005) Whole-grain consumption and the metabolic syndrome: a favorable association in Tehranian adults. Eur J Clin Nutr 59, 353362.
24.Larsson SC, Giovannucci E, Bergkvist L & Wolk A (2005) Whole grain consumption and risk of colorectal cancer: a population-based cohort of 60 000 women. Br J Cancer 92, 18031807.
25.Steffen LM, Kroenke CH, Yu X, Pereira MA, Slattery ML, Van Horn L, Gross MD & JrJacobs DR (2005) Associations of plant food, dairy product, and meat intakes with 15-y incidence of elevated blood pressure in young black and white adults: the Coronary Artery Risk Development in Young Adults (CARDIA) Study. Am J Clin Nutr 82, 11691177.
26.Koh-Banerjee P, Franz M, Sampson L, Liu S, JrJacobs DR, Spiegelman D, Willett W & Rimm E (2004) Changes in whole-grain, bran, and cereal fiber consumption in relation to 8-y weight gain among men. Am J Clin Nutr 80, 12371245.
27.Liu S, Willett WC, Manson JE, Hu FB, Rosner B & Colditz G (2003) Relation between changes in intakes of dietary fiber and grain products and changes in weight and development of obesity among middle-aged women. Am J Clin Nutr 78, 920927.
28.Montonen J, Knekt P, Jarvinen R, Aromaa A & Reunanen A (2003) Whole-grain and fiber intake and the incidence of type 2 diabetes. Am J Clin Nutr 77, 622629.
29.Steffen LM, JrJacobs DR, Murtaugh MA, Moran A, Steinberger J, Hong CP & Sinaiko AR (2003) Whole grain intake is associated with lower body mass and greater insulin sensitivity among adolescents. Am J Epidemiol 158, 243250.
30.Steffen LM, JrJacobs DR, Stevens J, Shahar E, Carithers T & Folsom AR (2003) Associations of whole-grain, refined-grain, and fruit and vegetable consumption with risks of all-cause mortality and incident coronary artery disease and ischemic stroke: the Atherosclerosis Risk in Communities (ARIC) Study. Am J Clin Nutr 78, 383390.
31.McKeown NM, Meigs JB, Liu S, Wilson PW & Jacques PF (2002) Whole-grain intake is favorably associated with metabolic risk factors for type 2 diabetes and cardiovascular disease in the Framingham Offspring Study. Am J Clin Nutr 76, 390398.
32.JrJacobs DR, Meyer HE & Solvoll K (2001) Reduced mortality among whole grain bread eaters in men and women in the Norwegian County Study. Eur J Clin Nutr 55, 137143.
33.JrJacobs DR, Meyer KA, Kushi LH & Folsom AR (1998) Whole-grain intake may reduce the risk of ischemic heart disease death in postmenopausal women: the Iowa Women's Health Study. Am J Clin Nutr 68, 248257.
34. Good CK, Holschuh K, Albertson AK & Eldridge AK. (2004) The relationship between whole grain consumption and body mass index in adult men and women: data from the USDA's continuing survey of food intakes by individuals, pyramid servings data, 1994–1996. Presented at Experimental Biology 2004: Translating the Genome, Washington, DC, 17–21 April, FASEB006960 107.3abs.
35. Thane CW, Stephen AM & Jebb SA (2007) Whole-grains and adiposity: little association among British adults. Eur J Clin Nutr (Epublication ahead of print version).
36.Pereira MA, Jacobs DR, Slattery ML, Ruth KJ, Van Horn L, Hilner JE & Kushi LHl (1998) The association of whole grain intake and fasting insulin in a biracial cohort of young adults: the CARDIA study. CVD Prev 1, 233242.
37.Jensen MK, Koh-Banerjee P, Hu FB, Franz M, Sampson L, Gronbaek M & Rimm EB (2004) Intakes of whole grains, bran, and germ and the risk of coronary heart disease in men. Am J Clin Nutr 80, 14921499.
38.Liu S, Stampfer MJ, Hu FB, Giovannucci E, Rimm E, Manson JE, Hennekens CH & Willett WC (1999) Whole-grain consumption and risk of coronary heart disease: results from the Nurses' Health Study. Am J Clin Nutr 70, 412419.
39.Pereira MA, JrJacobs DR, Van Horn L, Slattery ML, Kartashov AI & Ludwig DS (2002) Dairy consumption, obesity, and the insulin resistance syndrome in young adults: the CARDIA Study. JAMA 287, 20812089.
40.McKeown NM, Meigs JB, Liu S, Saltzman E, Wilson PW & Jacques PF (2004) Carbohydrate nutrition, insulin resistance, and the prevalence of the metabolic syndrome in the Framingham Offspring Cohort. Diabetes Care 27, 538546.
41.Melanson KJ, Angelopoulos TJ, Nguyen VT, Martini M, Zukley L, Lowndes J, Dube TJ, Fiutem JJ, Yount BW & Rippe JM (2006) Consumption of whole-grain cereals during weight loss: effects on dietary quality, dietary fiber, magnesium, vitamin B-6, and obesity. J Am Diet Assoc 106, 13801388.
42.Saltzman E, Das SK, Lichtenstein AH, Dallal GE, Corrales A, Schaefer EJ, Greenberg AS & Roberts SB (2001) An oat-containing hypocaloric diet reduces systolic blood pressure and improves lipid profile beyond effects of weight loss in men and women. J Nutr 131, 14651470.
43.Newby PK, Muller D, Hallfrisch J, Andres R & Tucker KL (2004) Food patterns measured by factor analysis and anthropometric changes in adults. Am J Clin Nutr 80, 504513.
44.Fung TT, Rimm EB, Spiegelman D, Rifai N, Tofler GH, Willett WC & Hu FB (2001) Association between dietary patterns and plasma biomarkers of obesity and cardiovascular disease risk. Am J Clin Nutr 73, 6167.
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