Study2018Open access

Adiposity mediates the association between whole grain consumption, glucose homeostasis and insulin resistance: findings from the US NHANES

Mazidi M, Katsiki N, Kengne AP, Mikhailidis DP, Banach M

Lipids in health and disease · 14 citations

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Author industry ties

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
Cross-sectional study (classified by our AI screen)
Studied in
People
Main outcome
Health markers and function
Intake measured by
Not stated

Who paid for it

Funding
Independent funding
Authors
At least one author declares a financial tie to industry

Based on full-text disclosure statement.

Publication

Published
2018-09-17 · Lipids Health Dis · vol. 17 · issue 1 · p. 219
Publisher
BioMed Central
Cited
18 citations · more than 80% of similar papers · 1.4× the field average
References
58 works
Access
Open access (journal) · CC-BY
Research areas
Food composition and properties · Nutritional Studies and Diet · Phytoestrogen effects and research
Keywords
Internal medicine, Insulin resistance, Endocrinology, Triglyceride, Medicine, Body mass index, Homeostatic model assessment, Clinical nutrition, Glucose homeostasis, National Health and Nutrition Examination Survey, Waist, Metabolic syndrome, Insulin, Obesity, Cholesterol, Population
MeSH
humans, insulin resistance, insulin, blood glucose, triglycerides, glucose tolerance test, body mass index, nutrition surveys, adult, middle aged, female, male, intra-abdominal fat, adiposity, waist circumference, obesity, abdominal, whole grains

5 authors

From CN, GR, ZA, GB, PL

  • Mohsen Mazidi · correspondingChinese Academy of Sciences; Institute of Genetics and Developmental Biology
  • Niki KatsikiAristotle University of Thessaloniki
  • André Pascal KengneSouth African Medical Research Council; University of Cape Town
  • Dimitri P. MikhailidisThe Royal Free Hospital; University College London
  • Maciej BanachMedical University of Lodz; Polish Mother’s Memorial Hospital Research Institute; University of Zielona Góra

Abstract

Background

Growing evidence suggests an inverse association between whole grain (WG) consumption and insulin resistance (IR) or inflammation. However, it is still unclear whether adiposity plays a role in this relationship. We investigated whether the associations between WG intake with IR, glucose homeostasis and inflammation are mediated by adiposity in US adults.

Methods

The 2005-2010 National Health and Nutrition Examination Surveys participants were included. WG intake was assessed and markers of IR and glucose homeostasis, inflammation, general and central adiposity. Analysis of co-variance and mediation analysis were applied, while accounting for survey design.

Results

Overall 16,621 participants were included in this analysis (mean age = 47.1 years, 48.3% men). After adjustment for age, gender, and race, mean C-reactive protein (CRP), apolipoprotein B (apo-B), fasting blood glucose (FBG), insulin, homeostatic model assessment of IR (HOMA-IR) and β cell function (HOMA-β), hemoglobin A1c (HbA1c), and 2 h glucose after an oral glucose tolerance test decreased with increasing quarters of WG (all p 1c, triglyceride to high density lipoprotein-cholesterol (TG:HDL-C) ratio and triglyceride-glucose (TyG) index (all p 1c, TG:HDL-C ratio and TyG index, i.e. WC and apVAT had indirect effect (all p < 0.05).

Conclusion

Our findings provide insights into the favourable impact of WG consumption on IR and inflammation, which may be affected by both central and visceral adiposity, i.e. the link between WG with IR and inflammation is more mediated in overweight/obese compared with lean individuals.

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

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