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New hypotheses for the health-protective mechanisms of whole-grain cereals: what is beyond fibre?
Open accessAbstract
Epidemiological studies have clearly shown that whole-grain cereals can protect against obesity, diabetes, CVD and cancers. The specific effects of food structure (increased satiety, reduced transit time and glycaemic response), fibre (improved faecal bulking and satiety, viscosity and SCFA production, and/or reduced glycaemic response) and Mg (better glycaemic homeostasis through increased insulin secretion), together with the antioxidant and anti-carcinogenic properties of numerous bioactive compounds, especially those in the bran and germ (minerals, trace elements, vitamins, carotenoids, polyphenols and alkylresorcinols), are today well-recognised mechanisms in this protection. Recent findings, the exhaustive listing of bioactive compounds found in whole-grain wheat, their content in whole-grain, bran and germ fractions and their estimated bioavailability, have led to new hypotheses. The involvement of polyphenols in cell signalling and gene regulation, and of sulfur compounds, lignin and phytic acid should be considered in antioxidant protection. Whole-grain wheat is also a rich source of methyl donors and lipotropes (methionine, betaine, choline, inositol and folates) that may be involved in cardiovascular and/or hepatic protection, lipid metabolism and DNA methylation. Potential protective effects of bound phenolic acids within the colon, of the B-complex vitamins on the nervous system and mental health, of oligosaccharides as prebiotics, of compounds associated with skeleton health, and of other compounds such as α-linolenic acid, policosanol, melatonin, phytosterols and para-aminobenzoic acid also deserve to be studied in more depth. Finally, benefits of nutrigenomics to study complex physiological effects of the ‘whole-grain package’, and the most promising ways for improving the nutritional quality of cereal products are discussed.
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“Many of these compounds have previously been linked to a reduced risk of chronic diseases, including CVD and neurodegenerative diseases and certain cancers, in dietary intervention and epidemiological studies.”
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“This estimated magnitude of difference would be equivalent to the amount of antioxidants/(poly)phenolics present in one to two of the five portions of fruits and vegetables recommended to be consumed daily and would therefore be significant/meaningful in terms of human nutrition, if information linking these plant secondary metabolites to the health benefits associated with increased fruit,”
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“…different benefits in providing faecal bulk and delivering fermentable 96 carbohydrates and associated phenolic antioxidants throughout the colon (Fardet, 2010; 97 Topping, 2007; Lazaridou & Biliaderis, 2007); these benefits may result in a reduction in 98 colo-rectal cancer risk (Shewry, 2009;…”
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“The phytates in moringa leaves from these regions were greater than those found in legumes and cereals (Leone et al., 2015; Reddy, 2002), but slightly lower compared to the amounts found in wheat bran, as reported by Fardet (2010).”
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“The bran and germ contain many micronutrients, bioactive compounds, and dietary fiber, which may contribute to lowering the risk for the aforementioned related diseases (4).”
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“The possible mechanisms involved can include appetite suppression and weight loss, reduced glycemic load in the diet, improved insulin sensitivity, and modulation of the intestinal microbiota [321,324].”
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“Conclusion: Evidence from observational cohort studies indicates inverse associations of intake of whole grains with risk of mortality from all-cause, CVD, and CHD.”
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“Dietary antioxidants such as carotenoids, polyphenols, vitamins, choline, sulfur amino acids and lignans of whole cereal grain are primarily located in the bran and germ fractions (Fardet, 2010).”
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“The protective role of whole grains in cancer risk, specifically colorectal cancer, may be attributed to the health benefits of their dietary fiber content.(22) Dietary fiber, particularly from cereal sources, increases fecal 2 Nutrition Reviews Vol.”
BackgroundClassification and target compounds
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“Whole grain contain various nutrients and bioactive components, such as magnesium, polyphenols, betaine, resistant starch, and fiber, which reduce inflammation (38,39).”
BackgroundIn Vitro Bioaccessibility of Phenolics and Vitamins from Durum Wheat Aleurone Fractions
Zaupa, M., Scazzina, F., Dall’Asta, M., Calani, L., Rio, D. D., Bianchi, M. A., Melegari, C., Albertis, P. D., Tribuzio, G., Pellegrini, N., et al. (2014) · Journal of Agricultural and Food Chemistry · doi:10.1021/jf404522a · Cited by 49
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“Fermentation of dietary fibers increases the surface area accessible for mineral absorption (epithelial cell hypertrophy) in rats (Fardet, 2010).”
BackgroundReducing of acrylamide formation in wheat biscuits supplemented with flaxseed and lupine
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An overview of the nutritional and therapeutic properties of amaranth
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“[34] Since the population of people with celiac disease is rising, such high-quality products are increasingly demanded.”
Extrusion of Barley and Oat Improves the Bioaccessibility of Dietary Phenolic Acids in Growing Pigs
Hole, A. S., Kjos, N. P., Grimmer, S., Köhler, A., Lea, P., Rasmussen, B., Lima, L. R., Narvhus, J., & Sahlstrøm, S. (2013) · Journal of Agricultural and Food Chemistry · doi:10.1021/jf3045236 · Cited by 47
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The Postprandial Plasma Rye Fingerprint Includes Benzoxazinoid-Derived Phenylacetamide Sulfates
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“Until now, there are only a few assumptions on the actual molecular mechanisms underlying these effects (4), partially because the bioavailable phytochemicals of whole-grain cereal products and their endogenous metabolism are not comprehensively characterized.”
BackgroundZiegler, J. U., Schweiggert, R. M., Würschum, T., Longin, C. F. H., & Carle, R. (2015) · Journal of Functional Foods · doi:10.1016/j.jff.2015.11.022 · Cited by 47
Navigating the gluten-free boom
Gaesser, G. A., & Angadi, S. S. (2015) · JAAPA · doi:10.1097/01.jaa.0000469434.67572.a4 · Cited by 47
Processing in the food chain: do cereals have to be processed to add value to the human diet?
Thielecke, F., Lecerf, J.-M., & Nugent, A. P. (2020) · Nutrition Research Reviews · doi:10.1017/s0954422420000207 · Cited by 56
Dietary Management of Type 2 Diabetes in the MENA Region: A Review of the Evidence
Hwalla, N. C., Jaafar, Z. A., & Sawaya, S. (2021) · Nutrients · doi:10.3390/nu13041060 · Cited by 49
The Wheat Aleurone Layer: Optimisation of Its Benefits and Application to Bakery Products
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“Total Dietary Fibre 43–48 [12] 40–53 [3] 13 [1]”
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“Thus, whole-grain wheat flour contains substantially more vitamins, minerals, antioxidants and other nutrients, including carotenoids, than refined wheat flour (Fardet, 2010).”
BackgroundPlant-Based Foods as a Source of Lipotropes for Human Nutrition: A Survey of In Vivo Studies
Fardet, A., & Chardigny, J. (2013) · Critical Reviews in Food Science and Nutrition · doi:10.1080/10408398.2010.549596 · Cited by 46
“…and Tucker, 2011) properties of polyphenols and other micronutrients richly contained in the bran and germ fractions of cereals and also in whole-grain legumes, fruits, and vegetables (Eastwood, 1999; Azzi and Stocker, 2000; Prior, 2003; Thompson et al., 2005; Lotito and Frei, 2006; Fardet, 2010).”
BackgroundSelf-citationThe intake of grain fibers modulates cytokine levels in blood
Chuang, S.-C., Vermeulen, R. C. H., Sharabiani, M. T. A., Sacerdote, C., Hosnijeh, F. S., Berrino, F., Krogh, V., Palli, D., Panico, S., Tumino, R., et al. (2011) · Biomarkers · doi:10.3109/1354750x.2011.599042 · Cited by 46
“Whole grain cereals are also rich sources for other bioactive compounds that have anti-inflammatory properties, such as Mg2+ or Zn2+, etc (Fardet, 2010).”
BackgroundBautista-Castaño, I., & Serra‐Majem, L. (2012) · Nutrition Reviews · doi:10.1111/j.1753-4887.2012.00454.x · Cited by 46
D'Alessandro, A., Lampignano, L., & Pergola, G. D. (2019) · Nutrients · doi:10.3390/nu11061296 · Cited by 55
“Also the MAI was very close to the MAI of the diet in 1960 that was 9.4 for males and 11.4 for females living in Nicotera [122].”
BackgroundInfluentialEffect of extrusion of whole-grain maize flour on the characteristics of gluten-free cookies
Paesani, C., Bravo‐Núñez, Á., & Gómez, M. (2020) · LWT · doi:10.1016/j.lwt.2020.109931 · Cited by 46
Carotenoids in cereals: an ancient resource with present and future applications
Mellado‐Ortega, E., & Hornero‐Méndez, D. (2015) · Phytochemistry Reviews · doi:10.1007/s11101-015-9423-3 · Cited by 46
“These emerging techniques are being incorporated into the traditional enhancement programs and genetic manipulation for obtaining bio-fortified grain crops (Fardet 2010; Hemery et al. 2007).”
Determination of Free Inositols and Other Low Molecular Weight Carbohydrates in Vegetables
Hernández‐Hernández, O., Ruiz‐Aceituno, L., Sanz, M. L., & Martínez-Castro, I. (2011) · Journal of Agricultural and Food Chemistry · doi:10.1021/jf1045552 · Cited by 46
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Pugh, J. E., Cai, M., Altieri, N., & Frost, G. S. (2023) · Frontiers in Nutrition · doi:10.3389/fnut.2023.1118229 · Cited by 48
“Additionally, resistant starch type 1 may increase intestinal viscosity and have higher concentrations of phenolic compounds, found within whole grains, which contribute to a lower rate of digestion (72, 73).”
BackgroundDinelli, G., Marotti, I., Silvestro, R. D., Bosi, S., Bregola, V., Accorsi, M., Loreto, A. D., Benedettelli, S., Ghiselli, L., & Catizone, P. (2013) · Italian Journal of Agronomy · doi:10.4081/ija.2013.e12 · Cited by 45
“Recently, Fardet (2010) provided a complete description of the bioactive compounds present in whole wheat grains (including dietary fibre, polyphenols and carotenoids) and Gil et al. (2011) reported on the numerous studies that have demonstrated a direct relationship between wholegrain consumption…”
BackgroundComparative effects of different whole grains and brans on blood lipid: a network meta-analysis
Hui, S., Liu, K., Lang, H., Liu, Y., Wang, X., Zhu, X., Doucette, S. P., Yi, L., & Mi, M. (2018) · European Journal of Nutrition · doi:10.1007/s00394-018-1827-6 · Cited by 46
Distribution of bioactive compounds in pearled fractions of tritordeum
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Developments in modulating glycaemic response in starchy cereal foods
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Li, M., Koecher, K. J., Hansen, L., & Ferruzzi, M. G. (2017) · Journal of Agricultural and Food Chemistry · doi:10.1021/acs.jafc.7b02171 · Cited by 44
Rye Flour and Rye Bran: New Perspectives for Use
Dziki, D. (2022) · Processes · doi:10.3390/pr10020293 · Cited by 44
Ghanbari‐Gohari, F., Mousavi, S. M., & Esmaillzadeh, A. (2022) · Food Science & Nutrition · doi:10.1002/fsn3.2811 · Cited by 45
“Consumption of these fibers reduces postprandial glycemic responses (Fardet, 2010).”
BackgroundDistribution and composition of phytosterols and steryl ferulates in wheat grain and bran fractions
Nurmi, T., Lampi, A., Nyström, L., Hémery, Y., Rouau, X., & Piironen, V. I. (2012) · Journal of Cereal Science · doi:10.1016/j.jcs.2012.04.010 · Cited by 43
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Effect of aleurone-rich flour on composition, cooking, textural, and sensory properties of pasta
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“In fact, dietary intake of whole wheat products has been associated with a reduced risk for developing metabolic diseases [1].”
BackgroundNew perspectives on nutritional interventions to augment lipid utilisation during exercise
Gonzalez, J. T., & Stevenson, E. (2011) · British Journal Of Nutrition · doi:10.1017/s0007114511006684 · Cited by 43
Prebiotics: Inulin and Other Oligosaccharides
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Dietary Fibers and Cardiometabolic Diseases
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Metadata
- Authors
- Fardet, A.
- Affiliations
- Unité de Nutrition Humaine (FR)
- Corresponding author
- Fardet, Anthony
- ORCID
- Fardet, Anthony
- Venue
- Nutrition Research Reviews
- Publisher
- Cambridge University Press (CUP)
- Published
- 2010-06
- Volume
- 23
- Issue
- 1
- Pages
- 65-134
- ISSN
- 0954-4224 (ISSN-L)
- 1475-2700
- OpenAlex
- W2167433110
- Cited by
- 1,030
- References
- 1,031
- Citations by year
- 2026: 34 · 2025: 44 · 2024: 54 · 2023: 63 · 2022: 69 · 2021: 77 · 2020: 77 · 2019: 77 · 2018: 68 · 2017: 78 · 2016: 69 · 2015: 82 · 2014: 87 · 2013: 68 · 2012: 45
- FWCI
- 5.39
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Nutrition Research Reviews (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Lunds Universitet
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Food composition and properties
- Health Sciences › Medicine › Biochemistry (medical) › Phytochemicals and Antioxidant Activities
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Keywords
- whole grain cereals, whole wheat, dietary fiber, magnesium, bioactive compounds, polyphenols, sulfur compounds, lignin, phytic acid, methyl donors, DNA methylation, prebiotics, oligosaccharides, bound phenolic acids, B vitamins, nutrigenomics, obesity, diabetes mellitus, cardiovascular disease, cancer prevention
- MeSH terms
- Antioxidants, Blood Glucose, Cardiovascular Diseases, Edible Grain, Diabetes Mellitus, Dietary Fiber, Flavonoids, Gastrointestinal Motility, Health Promotion, Humans, Lignin, Neoplasms, Obesity, Phenols, Phytic Acid, Satiation, Sulfur Compounds, Anticarcinogenic Agents, Butyric Acid, Polyphenols
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