|
03 Issues & Trends
Print To PDF
DisplayTitle Whole Grains, Health, and Sustainability1
Authors Nicola M. McKeown2 and Timothy S. Griffin3
Affiliations Tufts University, Boston, MA, U.S.A.
1 Funding: Supported in part by USDA ARS agreement No. 58-1950-4-003 and the General Mills Bell Institute of Health.
2 Nutritional Epidemiology Program at Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University, 711 Washington St, Boston, MA 02111, U.S.A.; Friedman School of Nutrition Science and Policy, Tufts University,150 Harrison Ave, Boston, MA 02111, U.S.A. E-mail: nicola.mckeown@tufts.edu; Twitter: @nicolamkiely1 and @jmhnrca.
3 Friedman School of Nutrition Science and Policy, Tufts University,150 Harrison Ave, Boston, MA 02111, U.S.A.
This article is in the public domain and not copyrightable. It may be freely reprinted with customary crediting of the source. AACC International, Inc., 2019.
Abstract
CFWAbstract Despite shifts toward increasing whole grain intake, consumption of whole grains by Americans remains low. Because whole grains can greatly improve the nutritional profile of diets, increasing whole grain intake is a potential modifiable behavior that could lead to improvements in health at both the individual and population levels. In addition, modeling of dietary patterns suggests that substantial increases in consumption of whole grains, which, unlike refined grains, retain the entire content of the kernel, would result in a decrease in the amount of land needed to meet global dietary energy and nutrition demands. To sustainably meet increased demand for grains, a “sustainable intensification” approach is required to dramatically increase yields in areas of the world where smallholder farm production is also the primary livelihood. As research exploring the mechanisms behind the observed health benefits of whole grains grows, it will be important for health professionals to focus on disseminating information to the public, with an emphasis on translating the science into actual public health practice and behavioral changes.
Trying to reach content?
View Full Article
if you don't have access, become a member
References References
- Albertson, A. M., Reicks, M., Joshi, N., and Gugger, C. K. Whole grain consumption trends and associations with body weight measures in the United States: Results from the cross sectional National Health and Nutrition Examination Survey 2001–2012. Nutr. J. 15:8, 2016.
- Aune, D., Keum, N., Giovannucci, E., Fadnes, L. T., Boffetta, P., Greenwood, D. C., Tonstad, S., Vatten, L. J., Riboli, E., and Norat, T. Whole grain consumption and risk of cardiovascular disease, cancer, and all cause and cause specific mortality: Systematic review and dose-response meta-analysis of prospective studies. BMJ. DOI: https://doi.org/10.1136/bmj.i2716. 2016.
- Aune, D., Norat, T., Romundstad, P., and Vatten, L. J. Whole grain and refined grain consumption and the risk of type 2 diabetes: A systematic review and dose-response meta-analysis of cohort studies. Eur. J. Epidemiol. 28:845, 2013.
- Awika, J. M. Major cereal grains production and use around the world. Page 1 in: Advances in Cereal Science: Implications to Food Processing and Health Promotion. ACS Symposium Series, vol. 1089. American Chemical Society, Washington, DC, 2011.
- Brouns, F., Hemery, Y., Price, R., and Anson, N. M. Wheat aleurone: Separation, composition, health aspects, and potential food use. Crit. Rev. Food Sci. Nutr. 52:553, 2012.
- Buzby, J. C., Wells, H. F., and Vocke, G. Possible implications for U.S. agriculture from adoption of select dietary guidelines. Econ. Res. Rep. No. ERR-31. Published online at www.ers.usda.gov/publications/pub-details/?pubid=45694. U.S. Department of Agriculture, Economic Research Service, Washington, DC, 2006.
- Chen, G.-C., Tong, X., Xu, J.-Y., Han, S.-F., Wan, Z.-X., Qin, J.-B., and Qin, L.-Q. Whole-grain intake and total, cardiovascular, and cancer mortality: A systematic review and meta-analysis of prospective studies. Am. J. Clin. Nutr. 104:164, 2016.
- Cho, S. S., Qi, L., Fahey, G. C., Jr., and Klurfeld, D. M. Consumption of cereal fiber, mixtures of whole grains and bran, and whole grains and risk reduction in type 2 diabetes, obesity, and cardiovascular disease. Am. J. Clin. Nutr. 98:594, 2013.
- Esmaillzadeh, A., Mirmiran, P., and Azizi, F. Whole-grain consumption and the metabolic syndrome: A favorable association in Tehranian adults. Eur. J. Clin. Nutr. 59:353, 2005.
- Godfray, H. C. J., Aveyard, P., Garnett, T., Hall, J. W., Key, T. J., Lorimer, J., Pierrehumbert, R. T., Scarborough, P., Springmann, M., and Jebb, S. A. Meat consumption, health, and the environment. Science. DOI: 10.1126/science.aam5324. 2018.
- Ma, X., Tang, W.-G., Yang, Y., Zhang, Q.-L., Zheng, J.-L., and Xiang, Y.-B. Association between whole grain intake and all-cause mortality: A meta-analysis of cohort studies. Oncotarget 7:61996, 2016.
- McRorie, J. W., and McKeown, N. M. Understanding the physics of functional fibers in the gastrointestinal tract: An evidence-based approach to resolving enduring misconceptions about insoluble and soluble fiber. J. Acad. Nutr. Diet. 117:251, 2017.
- Pretty, J. Intensification for redesigned and sustainable agricultural systems. Science. DOI: 10.1126/science.aav0294. 2018.
- Rebello, C. J., Greenway, F. L., and Finley, J. W. Whole grains and pulses: A comparison of the nutritional and health benefits. J. Agric. Food Chem. 62:7029, 2014.
- Reynolds, A., Mann, J., Cummings, J., Winter, N., Mete, E., and Te Morenga, L. Carbohydrate quality and human health: A series of systematic reviews and meta-analyses. Lancet 393:434, 2019.
- Sahyoun, N. R., Jacques, P. F., Zhang, X. L., Juan, W., and McKeown, N. M. Whole-grain intake is inversely associated with the metabolic syndrome and mortality in older adults. Am. J. Clin. Nutr. 83:124, 2006.
- Schwingshackl, L., Schwedhelm, C., Hoffmann, G., Lampousi, A.-M., Knüppel, S., Iqbal, K., Bechthold, A., Schlesinger, S., and Boeing, H. Food groups and risk of all-cause mortality: A systematic review and meta-analysis of prospective studies. Am. J. Clin. Nutr. 105:1462, 2017.
- Smith, M. R., and Myers, S. S. Impact of anthropogenic CO2 emissions on global human nutrition. Nat. Clim. Change 8:834, 2018.
- Springmann, M., Clark, M., Mason-D’Croz, D., Wiebe, K., Bodirsky, B. L., et al. Options for keeping the food system within environmental limits. Nature 562:519, 2018.
- Tilman, D., Balzer, C., Hill, J., and Befort, B. L. Global food demand and the sustainable intensification of agriculture. Proc. Natl. Acad. Sci. U.S.A. 108:20260, 2011.
- U.S. Department of Agriculture and U.S. Department of Health and Human Services. Dietary Guidelines for Americans, 2015–2020, 8th ed. Published online at https://health.gov/dietaryguidelines/2015/guidelines. U.S. Government Printing Office, Washington, DC, 2015.
- Wei, H., Gao, Z., Liang, R., Li, Z., Hao, H., and Liu, X. Whole-grain consumption and the risk of all-cause, CVD and cancer mortality: A meta-analysis of prospective cohort studies. Br. J. Nutr. 116:514, 2016.
- Zhu, C., Kobayashi, K., Loladze, I., Zhu, J., Jiang, Q., et al. Carbon dioxide (CO2) levels this century will alter the protein, micronutrients, and vitamin content of rice grains with potential health consequences for the poorest rice-dependent countries. Sci. Adv. DOI: 10.1126/sciadv.aaq1012. 2018.
- Zong, G., Gao, A., Hu, F. B., and Sun, Q. Whole grain intake and mortality from all causes, cardiovascular disease, and cancer: A meta-analysis of prospective cohort studies. Circulation 133:2370, 2016.
|