Cited by 634Food composition and propertiesNutritional Studies and DietDiabetes, Cardiovascular Risks, and Lipoproteins

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Eva Qing Ye, Sara A. Chacko, Elizabeth L. Chou, Matthew Kugizaki, Simin Liu·2013·The Journal of Nutrition

Abstract

Whole-grain and high fiber intakes are routinely recommended for prevention of vascular diseases; however, there are no comprehensive and quantitative assessments of available data in humans. The aim of this study was to systematically examine longitudinal studies investigating whole-grain and fiber intake in relation to risk of type 2 diabetes (T2D), cardiovascular disease (CVD), weight gain, and metabolic risk factors. We identified 45 prospective cohort studies and 21 randomized-controlled trials (RCT) between 1966 and February 2012 by searching the Cumulative Index to Nursing and Allied Health Literature, Cochrane, Elsevier Medical Database, and PubMed. Study characteristics, whole-grain and dietary fiber intakes, and risk estimates were extracted using a standardized protocol. Using random effects models, we found that compared with never/rare consumers of whole grains, those consuming 48-80 g whole grain/d (3-5 serving/d) had an ~26% lower risk of T2D [RR = 0.74 (95% CI: 0.69, 0.80)], ~21% lower risk of CVD [RR = 0.79 (95% CI: 0.74, 0.85)], and consistently less weight gain during 8-13 y (1.27 vs 1.64 kg; P = 0.001). Among RCT, weighted mean differences in post-intervention circulating concentrations of fasting glucose and total and LDL-cholesterol comparing whole-grain intervention groups with controls indicated significantly lower concentrations after whole-grain interventions [differences in fasting glucose: -0.93 mmol/L (95% CI: -1.65, -0.21), total cholesterol: -0.83 mmol/L (-1.23, -0.42); and LDL-cholesterol: -0.82 mmol/L (-1.31, -0.33)]. [corrected] Findings from this meta-analysis provide evidence to support beneficial effects of whole-grain intake on vascular disease prevention. Potential mechanisms responsible for whole grains' effects on metabolic intermediates require further investigation in large intervention trials.

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Crossref · 10.3945/jn.111.155325

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Authors
Ye, E. Q., Chacko, S. A., Chou, E. L., Kugizaki, M., & Liu, S.
Affiliations
University of California, Los Angeles (US)
Venue
The Journal of Nutrition
Publisher
Elsevier BV
Published
2013-08
Volume
143
Issue
8
Pages
1348
ISSN
0022-3166 (ISSN-L)
OpenAlex
W2117488979
Cited by
634
References
4
Citations by year
2026: 5 · 2025: 5 · 2024: 13 · 2023: 12 · 2022: 33 · 2021: 41 · 2020: 53 · 2019: 56 · 2018: 71 · 2017: 68 · 2016: 71 · 2015: 69 · 2014: 84 · 2013: 43 · 2012: 9
Type
journal article
Language
en
Update notices
erratum (2013-09-01)
Open access
Locations
  • Journal of Nutrition (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institute of Diabetes and Digestive and Kidney Diseases (R01DK062290, R56DK062290)
  • National Center for Research Resources (M01RR002635)
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, dietary fiber, type 2 diabetes, cardiovascular disease, weight gain, metabolic risk factors, vascular disease prevention, fasting blood glucose, LDL cholesterol, total cholesterol
MeSH terms
Blood Glucose, Energy Intake, Cardiovascular Diseases, Edible Grain, Cholesterol, Diabetes Mellitus, Type 2, Diet, Dietary Carbohydrates, Dietary Fiber, Food Handling, Humans, Cholesterol, LDL, Obesity, Risk, Weight Gain

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