Study2022Open access

Consumption of whole grains and risk of type 2 diabetes: A comprehensive systematic review and dose-response meta-analysis of prospective cohort studies

Ghanbari-Gohari F, Mousavi SM, Esmaillzadeh A

Food science & nutrition · 24 citations

How it was studied

Design
Meta-analysis (classified by our AI screen)
Studied in
People
Main outcome
Clinical events such as disease or death
Intake measured by
Not stated

Who paid for it

Funding
Independent funding

Based on full-text disclosure statement.

Publication

Published
2022-03-10 · Food Sci Nutr · vol. 10 · issue 6 · pp. 1950–1960
Publisher
Wiley
Cited
45 citations · more than 88% of similar papers · 2.3× the field average
References
67 works
Access
Open access (hybrid journal) · CC-BY
Research areas
Nutritional Studies and Diet · Food composition and properties · Nutrition and Health in Aging
Keywords
Medicine, Type 2 diabetes, Meta-analysis, Relative risk, Prospective cohort study, Confidence interval, Observational study, Cohort study, Randomized controlled trial, Internal medicine, MEDLINE, Random effects model, Diabetes mellitus, Demography, Endocrinology, Biology

3 authors

From IR

  • Faezeh Ghanbari‐GohariTehran University of Medical Sciences
  • Seyed Mohammad MousaviObesity and Eating Habits Research Center; Tehran University of Medical Sciences
  • Ahmad Esmaillzadeh · correspondingIsfahan University of Medical Sciences; Obesity and Eating Habits Research Center; Tehran University of Medical Sciences

Abstract

This study aimed to quantitatively summarize earlier findings on the association between whole grain (WG) intake and type 2 diabetes (T2D) risk. We searched related keywords on PubMed/Medline, Scopus, and Google Scholar up to October 2021. Prospective observational studies investigating the association between WG intake and risk of T2D were included. The random-effects model calculates the summary relative risks by contrasting categories and linear and nonlinear dose-response associations. Eleven prospective cohort studies, including 463,282 participants and 37,249 type 2 diabetes incidents, were analyzed. The pooled relative risk (RR) for the highest versus the lowest WG intake category indicated a 21% decrease in T2D risk (95% confidence interval (CI): 0.73-0.85, I 2 = 77%). Each additional 50 grams WG consumption per day was associated with a 23% reduced risk of T2D. The nonlinear association of WG and T2D revealed that 60 grams WG intake per day would give the highest benefit to prevent T2D (Pnonlinearity < 0.001). The findings were not affected by any individual study. No evidence of publication bias was documented. In conclusion, a high intake of WG was associated with a lower risk of T2D. Randomized controlled trials are needed to confirm our results.

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

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