Whole Grain and Cereal Fibre Intake in the Australian Health Survey: Associations to CVD Risk Factors

Overview

Journal Public Health Nutr

Publisher Cambridge University Press

Date 2020 Mar 24

PMID 32200767

Citations 12

Authors

Eden M Barrett

Marijka J Batterham

Eleanor J Beck

Affiliations

Soon will be listed here.

Abstract

Objective: To explore associations of whole grain and cereal fibre intake to CVD risk factors in Australian adults.

Design: Cross-sectional analysis. Intakes of whole grain and cereal fibre were examined in association to BMI, waist circumference (WC), blood pressure (BP), serum lipid concentrations, C-reactive protein, systolic BP, fasting glucose and HbA1c.

Setting: Australian Health Survey 2011-2013.

Participants: A population-representative sample of 7665 participants over 18 years old.

Results: Highest whole grain consumers (T3) had lower BMI (T0 26·8 kg/m2, T3 26·0 kg/m2, P < 0·0001) and WC (T0 92·2 cm, T3 90·0 cm, P = 0·0005) compared with non-consumers (T0), although only WC remained significant after adjusting for dietary and lifestyle factors, including cereal fibre intake (P = 0·03). Whole grain intake was marginally inversely associated with fasting glucose (P = 0·048) and HbA1c (P = 0·03) after adjusting for dietary and lifestyle factors, including cereal fibre intake. Cereal fibre intake was inversely associated with BMI (P < 0·0001) and WC (P < 0·0008) and tended to be inversely associated with total cholesterol, LDL-cholesterol and apo-B concentrations, although associations were attenuated after further adjusting for BMI and lipid-lowering medication use.

Conclusions: The extent to which cereal fibre is responsible for the CVD-protective associations of whole grains may vary depending on the mediators involved. Longer-term intervention studies directly comparing whole grain and non-whole grain diets of similar cereal fibre contents (such as through the use of bran or added-fibre refined grain products) are needed to confirm independent effects.

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References

Montonen J, Knekt P, Jarvinen R, Reunanen A . Dietary antioxidant intake and risk of type 2 diabetes. Diabetes Care. 2004; 27(2):362-6. DOI: 10.2337/diacare.27.2.362. View

Berry J, Dyer A, Cai X, Garside D, Ning H, Thomas A . Lifetime risks of cardiovascular disease. N Engl J Med. 2012; 366(4):321-9. PMC: 3336876. DOI: 10.1056/NEJMoa1012848. View

Vega-Lopez S, Venn B, Slavin J . Relevance of the Glycemic Index and Glycemic Load for Body Weight, Diabetes, and Cardiovascular Disease. Nutrients. 2018; 10(10). PMC: 6213615. DOI: 10.3390/nu10101361. View

Thies F, Masson L, Boffetta P, Kris-Etherton P . Oats and CVD risk markers: a systematic literature review. Br J Nutr. 2014; 112 Suppl 2:S19-30. DOI: 10.1017/S0007114514002281. View

Moshfegh A, Rhodes D, Baer D, Murayi T, Clemens J, Rumpler W . The US Department of Agriculture Automated Multiple-Pass Method reduces bias in the collection of energy intakes. Am J Clin Nutr. 2008; 88(2):324-32. DOI: 10.1093/ajcn/88.2.324. View

Jacobs Jr D, Meyer K, Kushi L, Folsom A . Is whole grain intake associated with reduced total and cause-specific death rates in older women? The Iowa Women's Health Study. Am J Public Health. 1999; 89(3):322-9. PMC: 1508593. DOI: 10.2105/ajph.89.3.322. View

Pan A, Hu F . Effects of carbohydrates on satiety: differences between liquid and solid food. Curr Opin Clin Nutr Metab Care. 2011; 14(4):385-90. DOI: 10.1097/MCO.0b013e328346df36. View

Koh-Banerjee P, Franz M, Sampson L, Liu S, Jacobs Jr D, Spiegelman D . Changes in whole-grain, bran, and cereal fiber consumption in relation to 8-y weight gain among men. Am J Clin Nutr. 2004; 80(5):1237-45. DOI: 10.1093/ajcn/80.5.1237. View

Steffen L, Jacobs Jr D, Stevens J, Shahar E, Carithers T, Folsom A . 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. 2003; 78(3):383-90. DOI: 10.1093/ajcn/78.3.383. View

10.

Macdiarmid J, Blundell J . Assessing dietary intake: Who, what and why of under-reporting. Nutr Res Rev. 2008; 11(2):231-53. DOI: 10.1079/NRR19980017. View

11.

Thielecke F, Jonnalagadda S . Can whole grain help in weight management?. J Clin Gastroenterol. 2014; 48 Suppl 1:S70-7. DOI: 10.1097/MCG.0000000000000243. View

12.

Goldberg G, Black A, Jebb S, Cole T, Murgatroyd P, Coward W . Critical evaluation of energy intake data using fundamental principles of energy physiology: 1. Derivation of cut-off limits to identify under-recording. Eur J Clin Nutr. 1991; 45(12):569-81. View

13.

Rimm E, Ascherio A, Giovannucci E, Spiegelman D, Stampfer M, Willett W . Vegetable, fruit, and cereal fiber intake and risk of coronary heart disease among men. JAMA. 1996; 275(6):447-51. DOI: 10.1001/jama.1996.03530300031036. View

14.

Hu E, Pan A, Malik V, Sun Q . White rice consumption and risk of type 2 diabetes: meta-analysis and systematic review. BMJ. 2012; 344:e1454. PMC: 3307808. DOI: 10.1136/bmj.e1454. View

15.

Ludwig D . The glycemic index: physiological mechanisms relating to obesity, diabetes, and cardiovascular disease. JAMA. 2002; 287(18):2414-23. DOI: 10.1001/jama.287.18.2414. View

16.

Threapleton D, Greenwood D, Evans C, Cleghorn C, Nykjaer C, Woodhead C . Dietary fibre intake and risk of cardiovascular disease: systematic review and meta-analysis. BMJ. 2013; 347:f6879. PMC: 3898422. DOI: 10.1136/bmj.f6879. View

17.

Slavin J . Dietary fiber and body weight. Nutrition. 2005; 21(3):411-8. DOI: 10.1016/j.nut.2004.08.018. View

18.

Klop B, Elte J, Cabezas M . Dyslipidemia in obesity: mechanisms and potential targets. Nutrients. 2013; 5(4):1218-40. PMC: 3705344. DOI: 10.3390/nu5041218. View

19.

Reynolds A, Mann J, Cummings J, Winter N, Mete E, Te Morenga L . Carbohydrate quality and human health: a series of systematic reviews and meta-analyses. Lancet. 2019; 393(10170):434-445. DOI: 10.1016/S0140-6736(18)31809-9. View

20.

. Diet, nutrition and the prevention of chronic diseases. World Health Organ Tech Rep Ser. 2003; 916:i-viii, 1-149, backcover. View