Meta-analysis2017Open access

Whole Grain Intake and Glycaemic Control in Healthy Subjects: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Marventano S, Vetrani C, Vitale M, Godos J, Riccardi G, Grosso G

Nutrients · 84 citations

How it was studied

Design
Meta-analysis (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function
Intake measured by
Not stated

Who paid for it

Funding
Independent funding

Based on full-text disclosure statement.

Publication

Published
2017-07-19 · Nutrients · vol. 9 · issue 7 · p. 769
Publisher
Multidisciplinary Digital Publishing Institute
Cited
119 citations · more than 86% of similar papers · 1.1× the field average
References
67 works
Access
Open access (journal) · CC-BY
Research areas
Food composition and properties · Nutritional Studies and Diet · Celiac Disease Research and Management
Keywords
Postprandial, Medicine, Insulin, Randomized controlled trial, Insulin resistance, Meta-analysis, Glucose homeostasis, Observational study, Homeostatic model assessment, Internal medicine, Endocrinology
MeSH
humans, insulin resistance, insulin, blood glucose, diet, postprandial period, randomized controlled trials as topic, whole grains

6 authors

From IT

  • Stefano MarventanoUniversity of Catania
  • Claudia VetraniFederico II University Hospital
  • Marilena Vitale · correspondingFederico II University Hospital
  • Justyna GodosAzienda Ospedaliero Universitaria Policlinico "G.Rodolico - San Marco"
  • Gabriele RiccardiFederico II University Hospital
  • Giuseppe GrossoAzienda Ospedaliero Universitaria Policlinico "G.Rodolico - San Marco"

Abstract

Backgrounds

There is growing evidence from both observational and intervention studies that Whole Grain (WG) cereals exert beneficial effects on human health, especially on the metabolic profile. The aim of this study was to perform a meta-analysis of randomised controlled trials (RCT) to assess the acute and medium/long-term effect of WG foods on glycaemic control and insulin sensitivity in healthy individuals.

Methods

A search for all the published RCT on the effect of WG food intake on glycaemic and insulin response was performed up to December 2016. Effect size consisted of mean difference (MD) and 95% CI between the outcomes of intervention and the control groups using the generic inverse-variance random effects model.

Results

The meta-analysis of the 14 studies testing the acute effects of WG foods showed significant reductions of the post-prandial values of the glucose iAUC (0-120 min) by -29.71 mmol min/L (95% CI: -43.57, -15.85 mmol min/L), the insulin iAUC (0-120 min) by -2.01 nmol min/L (95% CI: -2.88, -1.14 nmol min/L), and the maximal glucose and insulin response. In 16 medium- and long-term RCTs, effects of WG foods on fasting glucose and insulin and homeostatic model assessment-insulin resistance values were not significant.

Conclusions

The consumption of WG foods is able to improve acutely the postprandial glucose and insulin homeostasis compared to similar refined foods in healthy subjects. Further research is needed to better understand the long-term effects and the biological mechanisms.

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

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