Randomized controlled trial2017Industry fundedOpen access

Funded in part by Cereal Partners Worldwide

A High Rate of Non-Compliance Confounds the Study of Whole Grains and Weight Maintenance in a Randomised Intervention Trial-The Case for Greater Use of Dietary Biomarkers in Nutrition Intervention Studies

Kristensen M, Pelletier X, Ross AB, Thielecke F

Nutrients · 21 citations

Review labels

Industry funded

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
Health markers and function
Intake measured by
Intake biomarkers

Who paid for it

Funding
Industry funded
Company
Cereal Partners Worldwide

Based on 1 listed funder(s) and full-text disclosure statement.

Publication

Published
2017-01-11 · Nutrients · vol. 9 · issue 1 · p. 55
Publisher
Multidisciplinary Digital Publishing Institute
Cited
35 citations · more than 94% of similar papers · 4.1× the field average
Impact
Top 10% most cited in its field
References
53 works
Access
Open access (journal) · CC-BY
Research areas
Nutritional Studies and Diet · Nutrition and Health in Aging · Diet and metabolism studies
Keywords
Intervention (counseling), Medicine, Compliance (psychology), Randomized controlled trial, Whole grains, Physical therapy, Environmental health, Internal medicine, Food science, Psychology, Biology
MeSH
humans, weight loss, resorcinols, body mass index, diet, reducing, patient compliance, biomedical research, research design, adult, middle aged, patient satisfaction, france, female, overweight, nutritional sciences, secondary prevention, young adult, biomarkers, whole grains, obesity, metabolically benign, body weight maintenance, diet, healthy

4 authors

From DK, CH, SE

  • Mette KristensenUniversity of Copenhagen
  • Xavier Pelletier
  • Alastair B. Ross · correspondingNestlé (Switzerland); Chalmers University of Technology
  • Frank ThieleckeCereal Partners Worldwide (Switzerland)

Abstract

Observational studies consistently find an inverse relationship between whole-grain intake and weight gain. We aimed to confirm this in an open-label researcher-blinded parallel design randomised trial. A total of 179 overweight/obese women with a habitually low whole-grain intake (p = 0.052). Plasma alkylresorcinol concentrations, biomarkers of wholegrain wheat and rye intake, indicated poor compliance, particularly in the WG group, where >60% of participants had alkylresorcinol concentrations below 70 nmol/L, a concentration indicating low or no intake of whole-grain wheat. Further, weight regain was lower than expected in both intervention groups, further supporting a lack of compliance to the post-weight-loss diet. The rate of compliance was too low to conclude any effect of whole grain on weight maintenance, and reinforces the need to use objective measures of compliance in nutrition intervention studies.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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