Systematic review2020

Whole grain consumption and human health: an umbrella review of observational studies

Tieri M, Ghelfi F, Vitale M, Vetrani C, Marventano S, Lafranconi A, Godos J, Titta L, Gambera A, Alonzo E, Sciacca S, Riccardi G, Buscemi S, Del Rio D, Ray S, Galvano F, Beck E, Grosso G

International journal of food sciences and nutrition · 85 citations

Review labels

Funding not disclosed

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
Systematic review (indexed by PubMed)
Studied in
People
Main outcome
Clinical events such as disease or death
Intake measured by
Not stated

Who paid for it

Funding
Funding not disclosed

Publication

Published
2020-01-21 · Int J Food Sci Nutr · vol. 71 · issue 6 · pp. 668–677
Publisher
Taylor & Francis
Cited
140 citations · more than 99% of similar papers · 10.3× the field average
Impact
Top 10% most cited in its field
References
73 works
Access
Open access (repository copy) · OTHER-OA
Research areas
Food composition and properties · Nutritional Studies and Diet · Nutrition and Health in Aging
Keywords
Observational study, Whole grains, Medicine, Colorectal cancer, Environmental health, Consumption (sociology), Prostate cancer, Type 2 diabetes, Diabetes mellitus, Cancer, Internal medicine, Endocrinology, Food science, Biology
MeSH
humans, colorectal neoplasms, colonic neoplasms, prostatic neoplasms, cardiovascular diseases, diabetes mellitus, type 2, diet, health status, eating, dietary fiber, female, male, observational studies as topic, whole grains

18 authors

From IT, NL, GB, AU

  • Maria TieriEuropean Institute of Oncology
  • Francesca GhelfiFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
  • Marilena VitaleFederico II University Hospital
  • Claudia VetraniFederico II University Hospital
  • Stefano MarventanoAzienda Unità Sanitaria Locale Rimini
  • Alessandra LafranconiMaastricht University; Care and Public Health Research Institute; University of Milano-Bicocca

Abstract

Whole grains have been associated with a number of health benefits. We systematically reviewed existing meta-analyses of observational studies and evaluated the level of evidence for their putative effects based on pre-selected criteria. Of the 23 included studies, we found convincing evidence of an inverse association between whole grain consumption and risk of type-2 diabetes and colorectal cancer; possible evidence of decreased risk of colon cancer and cardiovascular mortality with increased whole grain intake, as well as increased risk of prostate cancer. Limited or insufficient evidence was available for all other outcomes investigated. Overall findings are encouraging for a positive effect of whole grain consumption on certain diseases, especially highly prevalent metabolic diseases, however, uncertainty of some negative associations deserves further attention.

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

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