Repository logo
 

Whole grain intake compared with cereal fibre intake in association to CVD risk factors: a cross-sectional analysis of the National Diet and Nutrition Survey (UK).

Published version
Peer-reviewed

Type

Article

Change log

Authors

Amoutzopoulos, Birdem 
Batterham, Marijka J 
Ray, Sumantra 
Beck, Eleanor J 

Abstract

OBJECTIVE: To investigate how intakes of whole grains and cereal fibre were associated to risk factors for CVD in UK adults. DESIGN: Cross-sectional analyses examined associations between whole grain and cereal fibre intakes and adiposity measurements, serum lipid concentrations, C-reactive protein, systolic blood pressure, fasting glucose, HbA1c, homocysteine and a combined CVD relative risk score. SETTING: The National Diet and Nutrition Survey (NDNS) Rolling Programme 2008-2014. PARTICIPANTS: A nationally representative sample of 2689 adults. RESULTS: Participants in the highest quartile (Q4) of whole grain intake had lower waist-hip ratio (Q1 0·872; Q4 0·857; P = 0·04), HbA1c (Q1 5·66 %; Q4 5·47 %; P = 0·01) and homocysteine (Q1 9·95 µmol/l; Q4 8·76 µmol/l; P = 0·01) compared with participants in the lowest quartile (Q1), after adjusting for dietary and lifestyle factors, including cereal fibre intake. Whole grain intake was inversely associated with C-reactive protein using multivariate analysis (P = 0·02), but this was not significant after final adjustment for cereal fibre. Cereal fibre intake was also inversely associated with waist-hip ratio (P = 0·03) and homocysteine (P = 0·002) in multivariate analysis. CONCLUSIONS: Similar inverse associations between whole grain and cereal fibre intakes to CVD risk factors suggest the relevance of cereal fibre in the protective effects of whole grains. However, whole grain associations often remained significant after adjusting for cereal fibre intake, suggesting additional constituents may be relevant. Intervention studies are needed to compare cereal fibre intake from non-whole grain sources to whole grain intake.

Description

Keywords

CVD, Cereal fibre, Cross-sectional, UK, Whole grain, Adult, Humans, Edible Grain, Cross-Sectional Studies, C-Reactive Protein, Glycated Hemoglobin, Dietary Fiber, Diet, Whole Grains, Risk Factors, Nutrition Surveys, Cardiovascular Diseases, United Kingdom

Journal Title

Public Health Nutr

Conference Name

Journal ISSN

1368-9800
1475-2727

Volume Title

23

Publisher

Cambridge University Press (CUP)

Rights

All rights reserved