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)
To investigate how intakes of whole grains and cereal fibre were associated to risk factors for CVD in UK adults. Cross-sectional analyses examined associations between whole grain and cereal fibre intakes and adiposity measurements, serum lipid concentrations, C-reactive protein, systolic blood pre...
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| Veröffentlicht in: | Public health nutrition 2020-06, Vol.23 (8), p.1392-1403 |
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| creator | Barrett, Eden M Amoutzopoulos, Birdem Batterham, Marijka J Ray, Sumantra Beck, Eleanor J |
| description | To investigate how intakes of whole grains and cereal fibre were associated to risk factors for CVD in UK adults.
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.
The National Diet and Nutrition Survey (NDNS) Rolling Programme 2008-2014.
A nationally representative sample of 2689 adults.
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.
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. |
| doi_str_mv | 10.1017/S1368980019004221 |
| format | Article |
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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.
The National Diet and Nutrition Survey (NDNS) Rolling Programme 2008-2014.
A nationally representative sample of 2689 adults.
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.
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><identifier>ISSN: 1368-9800</identifier><identifier>EISSN: 1475-2727</identifier><identifier>DOI: 10.1017/S1368980019004221</identifier><identifier>PMID: 32188530</identifier><language>eng</language><publisher>England: Cambridge University Press</publisher><subject>Adipose tissue ; Adult ; Adults ; Blood pressure ; C-reactive protein ; C-Reactive Protein - analysis ; Cardiovascular Diseases - epidemiology ; Cardiovascular Diseases - etiology ; Cardiovascular Diseases - prevention & control ; Cholesterol ; Cross-Sectional Studies ; Descriptive labeling ; Diet ; Dietary Fiber - analysis ; Edible Grain - chemistry ; Glycated Hemoglobin ; Grain ; Hip ; Homocysteine ; Humans ; Ingredients ; Intakes ; Lipids ; Methods ; Multivariate analysis ; Nutrition ; Nutrition research ; Nutrition Surveys ; Oats ; Polls & surveys ; Proteins ; Recipes ; Research Paper ; Risk analysis ; Risk Factors ; Studies ; United Kingdom ; Values ; Whole Grains</subject><ispartof>Public health nutrition, 2020-06, Vol.23 (8), p.1392-1403</ispartof><rights>The Authors 2020</rights><rights>The Authors 2020 2020 The Authors</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c428t-24a7d127a580f9b9a9b0a18eb49883bfdec5a3ee2e2f9f46cadffb0edfbea9783</citedby><cites>FETCH-LOGICAL-c428t-24a7d127a580f9b9a9b0a18eb49883bfdec5a3ee2e2f9f46cadffb0edfbea9783</cites><orcidid>0000-0003-0190-6130</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10200569/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10200569/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32188530$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Barrett, Eden M</creatorcontrib><creatorcontrib>Amoutzopoulos, Birdem</creatorcontrib><creatorcontrib>Batterham, Marijka J</creatorcontrib><creatorcontrib>Ray, Sumantra</creatorcontrib><creatorcontrib>Beck, Eleanor J</creatorcontrib><title>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)</title><title>Public health nutrition</title><addtitle>Public Health Nutr</addtitle><description>To investigate how intakes of whole grains and cereal fibre were associated to risk factors for CVD in UK adults.
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.
The National Diet and Nutrition Survey (NDNS) Rolling Programme 2008-2014.
A nationally representative sample of 2689 adults.
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.
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><subject>Adipose tissue</subject><subject>Adult</subject><subject>Adults</subject><subject>Blood pressure</subject><subject>C-reactive protein</subject><subject>C-Reactive Protein - analysis</subject><subject>Cardiovascular Diseases - epidemiology</subject><subject>Cardiovascular Diseases - etiology</subject><subject>Cardiovascular Diseases - prevention & control</subject><subject>Cholesterol</subject><subject>Cross-Sectional Studies</subject><subject>Descriptive labeling</subject><subject>Diet</subject><subject>Dietary Fiber - analysis</subject><subject>Edible Grain - chemistry</subject><subject>Glycated Hemoglobin</subject><subject>Grain</subject><subject>Hip</subject><subject>Homocysteine</subject><subject>Humans</subject><subject>Ingredients</subject><subject>Intakes</subject><subject>Lipids</subject><subject>Methods</subject><subject>Multivariate analysis</subject><subject>Nutrition</subject><subject>Nutrition research</subject><subject>Nutrition Surveys</subject><subject>Oats</subject><subject>Polls & surveys</subject><subject>Proteins</subject><subject>Recipes</subject><subject>Research Paper</subject><subject>Risk analysis</subject><subject>Risk Factors</subject><subject>Studies</subject><subject>United Kingdom</subject><subject>Values</subject><subject>Whole Grains</subject><issn>1368-9800</issn><issn>1475-2727</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNplkstuFDEQRVsIRELgA9ggS2zCoqHsfthmg9CEl4jCIgSWrWp3OeOkpz3Y7qD5Hb4UTzKJeGxsS_fUkV2uonjK4SUHLl-d8qpVWgFwDVALwe8V-7yWTSmkkPfzOcflNt8rHsV4AQCNlPJhsVcJrlRTwX7x6_vSj8TOA7qJuSnhJTHjV2sMNLCfLi2ZoUA4Muv6QLdEZjFGbxwm5yeWPFt8O2LBxUtm0SQf4muGzAQfYxnJbKGswLxsoovMW5aWxE5wFxw5Sjkd2MmcgrtWns7hijbs8Ozzi8fFA4tjpCe7_aA4e__u6-Jjefzlw6fF2-PS1EKlUtQoBy4kNgqs7jXqHpAr6mutVNXbgUyDFZEgYbWtW4ODtT3QYHtCLVV1ULy58a7nfkWDoSkFHLt1cCsMm86j6_5OJrfszv1Vx0HkzrY6Gw53huB_zBRTt3LR0DjiRH6OnaikBqFaaDL6_B_0ws8hN2NL6baFuoatkN9Q160MZO9uw6HbjkD33wjkmmd_PuOu4vbPq9_uDa-Z</recordid><startdate>20200601</startdate><enddate>20200601</enddate><creator>Barrett, Eden M</creator><creator>Amoutzopoulos, Birdem</creator><creator>Batterham, Marijka J</creator><creator>Ray, Sumantra</creator><creator>Beck, Eleanor J</creator><general>Cambridge University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RQ</scope><scope>7RV</scope><scope>7T2</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-0190-6130</orcidid></search><sort><creationdate>20200601</creationdate><title>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)</title><author>Barrett, Eden M ; Amoutzopoulos, Birdem ; Batterham, Marijka J ; Ray, Sumantra ; Beck, Eleanor J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c428t-24a7d127a580f9b9a9b0a18eb49883bfdec5a3ee2e2f9f46cadffb0edfbea9783</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adipose tissue</topic><topic>Adult</topic><topic>Adults</topic><topic>Blood pressure</topic><topic>C-reactive protein</topic><topic>C-Reactive Protein - analysis</topic><topic>Cardiovascular Diseases - epidemiology</topic><topic>Cardiovascular Diseases - etiology</topic><topic>Cardiovascular Diseases - prevention & control</topic><topic>Cholesterol</topic><topic>Cross-Sectional Studies</topic><topic>Descriptive labeling</topic><topic>Diet</topic><topic>Dietary Fiber - analysis</topic><topic>Edible Grain - chemistry</topic><topic>Glycated Hemoglobin</topic><topic>Grain</topic><topic>Hip</topic><topic>Homocysteine</topic><topic>Humans</topic><topic>Ingredients</topic><topic>Intakes</topic><topic>Lipids</topic><topic>Methods</topic><topic>Multivariate analysis</topic><topic>Nutrition</topic><topic>Nutrition research</topic><topic>Nutrition Surveys</topic><topic>Oats</topic><topic>Polls & surveys</topic><topic>Proteins</topic><topic>Recipes</topic><topic>Research Paper</topic><topic>Risk analysis</topic><topic>Risk Factors</topic><topic>Studies</topic><topic>United Kingdom</topic><topic>Values</topic><topic>Whole Grains</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Barrett, Eden M</creatorcontrib><creatorcontrib>Amoutzopoulos, Birdem</creatorcontrib><creatorcontrib>Batterham, Marijka J</creatorcontrib><creatorcontrib>Ray, Sumantra</creatorcontrib><creatorcontrib>Beck, Eleanor J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Career & Technical Education Database</collection><collection>Nursing & Allied Health Database</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Public health nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Barrett, Eden M</au><au>Amoutzopoulos, Birdem</au><au>Batterham, Marijka J</au><au>Ray, Sumantra</au><au>Beck, Eleanor J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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)</atitle><jtitle>Public health nutrition</jtitle><addtitle>Public Health Nutr</addtitle><date>2020-06-01</date><risdate>2020</risdate><volume>23</volume><issue>8</issue><spage>1392</spage><epage>1403</epage><pages>1392-1403</pages><issn>1368-9800</issn><eissn>1475-2727</eissn><abstract>To investigate how intakes of whole grains and cereal fibre were associated to risk factors for CVD in UK adults.
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.
The National Diet and Nutrition Survey (NDNS) Rolling Programme 2008-2014.
A nationally representative sample of 2689 adults.
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.
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.</abstract><cop>England</cop><pub>Cambridge University Press</pub><pmid>32188530</pmid><doi>10.1017/S1368980019004221</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0003-0190-6130</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Adipose tissue Adult Adults Blood pressure C-reactive protein C-Reactive Protein - analysis Cardiovascular Diseases - epidemiology Cardiovascular Diseases - etiology Cardiovascular Diseases - prevention & control Cholesterol Cross-Sectional Studies Descriptive labeling Diet Dietary Fiber - analysis Edible Grain - chemistry Glycated Hemoglobin Grain Hip Homocysteine Humans Ingredients Intakes Lipids Methods Multivariate analysis Nutrition Nutrition research Nutrition Surveys Oats Polls & surveys Proteins Recipes Research Paper Risk analysis Risk Factors Studies United Kingdom Values Whole Grains |
| title | 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) |
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