Cited by 421Food composition and propertiesNutritional Studies and DietDiabetes, Cardiovascular Risks, and Lipoproteins

Consumption of cereal fiber, mixtures of whole grains and bran, and whole grains and risk reduction in type 2 diabetes, obesity, and cardiovascular disease

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Cho, Susan S, Qi, Lu, Fahey Jr, George C, Klurfeld, David M·2013·The American Journal of Clinical Nutrition

Abstract

Background Studies of whole grain and chronic disease have often included bran-enriched foods and other ingredients that do not meet the current definition of whole grains. Therefore, we assessed the literature to test whether whole grains alone had benefits on these diseases.Objective The objective was to assess the contribution of bran or cereal fiber on the impact of whole grains on the risk of type 2 diabetes (T2D), obesity and body weight measures, and cardiovascular disease (CVD) in human studies as the basis for establishing an American Society for Nutrition (ASN) position on this subject.Design We performed a comprehensive PubMed search of human studies published from 1965 to December 2010.Results Most whole-grain studies included mixtures of whole grains and foods with ≥25% bran. Prospective studies consistently showed a reduced risk of T2D with high intakes of cereal fiber or mixtures of whole grains and bran. For body weight, a limited number of prospective studies on cereal fiber and whole grains reported small but significant reductions in weight gain. For CVD, studies found reduced risk with high intakes of cereal fiber or mixtures of whole grains and bran.Conclusions The ASN position, based on the current state of the science, is that consumption of foods rich in cereal fiber or mixtures of whole grains and bran is modestly associated with a reduced risk of obesity, T2D, and CVD. The data for whole grains alone are limited primarily because of varying definitions among epidemiologic studies of what, and how much, was included in that food category.

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  1. Meyer KA, Kushi LH, Jacobs DR Jr, Slavin J, Sellers TA, Folson AR. Carbohydrates, dietary fiber, and incident T2D in older women. Am J Clin Nutr 2000;71:921-30.
  2. Schulze MB, Schulz M, Heidemann C, Schienkiewitz A, Hoffmann K, Boeing H. Fiber and magnesium intake and incidence of diabetes: a pro- spective study and meta-analysis. Arch Intern Med 2007;167:956-65.
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  4. Steffen LM, Jacobs DR Jr, Murtaugh MA, Moran A, Steinberger J, Hong CP, Sinaiko AR. Whole grain intake is associated with lower body mass and greater insulin sensitivity among adolescents. Am J Epidemiol 2003;158:243-50.
  5. Life Sciences Research Office. Whole grain intake and cardiovascular disease and whole grain intake and T2D. A review. Bethesda, MD: Life Sciences Research Office, 2008.

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Authors
Cho, S. S., Qi, L., Fahey Jr, G. C., & Klurfeld, D. M.
Affiliations
  • Nutrasource (CA)
  • Harvard University (US)
  • Agricultural Research Service (US)
Corresponding author
Klurfeld, David M
Venue
The American Journal of Clinical Nutrition
Publisher
Elsevier BV
Published
2013-08
Volume
98
Issue
2
Pages
594-619
ISSN
0002-9165 (ISSN-L)
OpenAlex
W2133994619
Cited by
421
References
82
Citations by year
2026: 8 · 2025: 20 · 2024: 14 · 2023: 20 · 2022: 26 · 2021: 36 · 2020: 43 · 2019: 35 · 2018: 50 · 2017: 30 · 2016: 51 · 2015: 43 · 2014: 40 · 2013: 4 · 2012: 1
FWCI
5.18
Type
journal article
Language
en
Open access
Locations
  • American Journal of Clinical Nutrition (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • U.S. Department of Agriculture
  • Kellogg's
  • Agricultural Research Service
Topics
  • Health Sciences › Nursing › Nutrition and Dietetics › Food composition and properties
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Keywords
whole grains, cereal fiber, bran, type 2 diabetes, obesity, body weight, cardiovascular disease
MeSH terms
Cardiovascular Diseases, Edible Grain, Diabetes Mellitus, Type 2, Dietary Fiber, Humans, Obesity, Weight Gain, Randomized Controlled Trials as Topic, Risk Reduction Behavior

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