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Whole grain intake, diet quality and risk factors of chronic diseases: results from a population-based study in Finnish adults

Tammi R, Männistö S, Maukonen M, Kaartinen NE

European journal of nutrition · 13 citations

Review labels

Food frequency questionnaireNo stated lifestyle adjustment

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
Food frequency questionnaire

Who paid for it

Funding
Independent funding
Nonprofit
Yrjö Jahnssonin Säätiö
Nonprofit
Juho Vainion Säätiö
Government
Strategic Research Council
Government
Finnish Institute for Health and Welfare
Grants
Yrjö Jahnssonin Säätiö (20227585); Strategic Research Council (327698); Strategic Research Council (352483); Juho Vainion Säätiö (202200116); Strategic Research Council (327699)

Based on 4 listed funder(s) and full-text disclosure statement.

Publication

Published
2023-11-07 · Eur J Nutr · vol. 63 · issue 2 · pp. 397–408
Publisher
Springer Science+Business Media
Cited
16 citations · more than 86% of similar papers · 2.0× the field average
References
50 works
Access
Open access (hybrid journal) · CC-BY
Research areas
Food composition and properties · Celiac Disease Research and Management · Wheat and Barley Genetics and Pathology
Keywords
Environmental health, Medicine, Whole grains, Quality (philosophy), Population, Food science, Biology
MeSH
humans, chronic disease, cholesterol, diet, risk factors, dietary fiber, adult, finland, female, male, edible grain, whole grains

4 authors

From FI

  • Rilla Tammi · correspondingFinnish Institute for Health and Welfare
  • Satu MännistöFinnish Institute for Health and Welfare
  • Mirkka MaukonenFinnish Institute for Health and Welfare
  • Niina E. KaartinenFinnish Institute for Health and Welfare

Abstract

Objectives

Better diet quality of whole grain consumers could contribute to the associations between whole grain intake and chronic disease risk factors. We examined whole grain intake in relation to diet quality and chronic disease risk factors (anthropometrics, blood pressure, cholesterol, triglycerides, C-reactive protein and glucose) and the role of diet quality in whole grains' associations with each risk factor.

Methods

Our data included 5094 Finnish adults who completed a validated food frequency questionnaire and participated in a health examination within the National FinHealth 2017 Study. We assessed diet quality by the modified Baltic Sea Diet Score. P trends were calculated across whole grain intake quintiles by linear regression analysis. Interactions were assessed by including an interaction term in the analyses.

Results

Higher whole grain intake was associated with slightly better diet quality compared with lower intakes in both sexes (P < 0.001). Whole grain intake was inversely associated with body mass index (P < 0.001), waist circumference (P < 0.001) and total cholesterol (P = 0.02) in men. Adjusting for medication use attenuated the inverse associations with diastolic blood pressure (P = 0.06) and HDL cholesterol (P = 0.14) in men. We observed no associations in women. Diet quality did not modify the associations between whole grain intake and chronic disease risk factors.

Conclusions

Our results suggest that whole grain intake was associated with small improvements in the chronic disease risk factors in men, regardless of diet quality. The sex differences may arise from varying health associations of whole grains from different cereal sources.

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

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