Randomized controlled trial2014

Whole-grain intake favorably affects markers of systemic inflammation in obese children: a randomized controlled crossover clinical trial

Hajihashemi P, Azadbakht L, Hashemipor M, Kelishadi R, Esmaillzadeh A

Molecular nutrition & food research · 49 citations

Review labels

Mechanisms only

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Randomized controlled trial (indexed by PubMed)
Studied in
People
Main outcome
Mechanisms only
Intake measured by
Not stated

Who paid for it

Funding
Independent funding
University or hospital
Food Security Research Center, IUMS, Isfahan, Iran

Based on 1 listed funder(s).

Publication

Published
2014-01-30 · Mol Nutr Food Res · vol. 58 · issue 6 · pp. 1301–1308
Publisher
Wiley
Cited
66 citations · more than 93% of similar papers · 3.6× the field average
Impact
Top 10% most cited in its field
References
39 works
Access
Paywalled
Research areas
Food composition and properties · Celiac Disease Research and Management · Nutritional Studies and Diet
Keywords
Systemic inflammation, Randomized controlled trial, Crossover study, Inflammation, Medicine, Internal medicine, Whole grains, Clinical trial, Crossover, Pathology, Biology, Food science, Placebo, Alternative medicine
MeSH
humans, obesity, inflammation, body weight, c-reactive protein, intercellular adhesion molecule-1, vascular cell adhesion molecule-1, body mass index, cross-over studies, life style, energy intake, dietary fiber, adolescent, child, diet records, female, overweight, adipokines, waist circumference, biomarkers, edible grain

5 authors

From IR

  • Parisa HajihashemiIsfahan University of Medical Sciences
  • Leila AzadbakhtIsfahan University of Medical Sciences
  • Mahin HashemiporIsfahan University of Medical Sciences
  • Roya KelishadiIsfahan University of Medical Sciences
  • Ahmad Esmaillzadeh · correspondingIsfahan University of Medical Sciences

Abstract

Scope

Whole-grain foods have been reported to affect serum levels of inflammatory cytokines. However, we are aware of no study examining the effect of whole-grain intake on inflammatory biomarkers among children. The present study aimed to determine the effect of whole-grain intake on serum levels of inflammatory biomarkers in overweight or obese children.

Methods and results

In this randomized crossover clinical trial, 44 overweight or obese girls aged 8-15 years participated. After a 2-week run-in period, subjects were randomly assigned to either whole-grain or control groups. Subjects in the whole-grain group were given a list of whole-grain foods and were asked to obtain half of their needed servings of grains from whole-grain foods each day for 6 weeks. Individuals in the control group were also given a list of whole-grain foods and were asked not to consume any of these foods during the intervention phase of the study. A 4-week washout period was applied following which subjects were crossed over to the alternate arm for an additional 6 weeks. Fasting blood samples were taken before and after each phase of the study to quantify markers of systemic inflammation. Mean age, weight, and BMI of study participants were 11.2 ± 1.49 years, 51.2 ± 10.2 kg, and 23.5 ± 2.5 kg/m(2) , respectively. No significant effect of whole-grain intake on weight and BMI was seen compared with the control group. We found a significant effect of whole-grain intake on serum levels of high-sensitive C-reactive protein (-21.8 versus +12.1%, p = 0.03), soluble intercellular adhesion molecule-1 (-28.4 versus +6.3%, p = 0.02), serum amyloid A (-17.4 versus +9.9%, p = 0.02), and leptin (-9.7 versus +39.2%, p = 0.02) after 6 weeks. A trend toward the significant effect of whole-grain intake on serum levels of soluble vascular cell adhesion molecule-1 (-36.2% versus -7.8%, p = 0.07) was also observed.

Conclusion

This study provides evidence supporting the beneficial effects of whole-grain foods on biomarkers of systemic inflammation in obese children.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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