Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-19T03:05:58.849Z Has data issue: false hasContentIssue false

Behavioural, attitudinal and dietary responses to the consumption of wholegrain foods

Published online by Cambridge University Press:  05 March 2007

A. T. Smith
Affiliation:
Human Nutrition Research Centre, School of Agriculture, Food and Rural Development, University of Newcastle, Newcastle upon Tyne, NEl 7RU, UK
S. Kuznesof
Affiliation:
Human Nutrition Research Centre, School of Agriculture, Food and Rural Development, University of Newcastle, Newcastle upon Tyne, NEl 7RU, UK
D. P. Richardson
Affiliation:
Nestle UK Ltd, St George's House, Croydon, CR9 1NR, UK
C. J. Seal*
Affiliation:
Human Nutrition Research Centre, School of Agriculture, Food and Rural Development, University of Newcastle, Newcastle upon Tyne, NEl 7RU, UK
*
*Corresponding author: Dr C. J. Seal, fax +44 191222 6720, [email protected]
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Whole grains are important dietary constituents as they provide a plethora of nutrients and protective chemicals that may have synergistic actions in promoting health. Regular consumption of wholegrain foods has been associated with a reduced risk of several chronic diseases such as CHD and certain cancers, although their exact role in disease prevention is not yet fully elucidated. Studies reporting levels of whole grain consumption reveal that those subjects who include higher levels of whole grain foods in their diets also have many other favourable dietary and lifestyle practices. While the actions of these practices and whole grains may not be mutually exclusive, these variables do not appear to explain the reduction in risk of disease observed for high-whole grain consumers. Actual whole grain consumption levels are extremely low and many practical barriers exist to consumer uptake of these foods. Effective communication of the whole grain health message is an important strategy to increase awareness of the importance of whole grains in the diet. Increasing the variety and availability of acceptable wholegrain foods is also important. Whole grain consumption at breakfast can have an important impact on total daily nutrient intakes. This simple dietary modification is potentially relatively easy to achieve and could greatly contribute to increased whole grain intake for many individuals.

Type
Micronutrient Group Symposium on ‘Micronutrient supplementation: when and why?’
Copyright
Copyright © The Nutrition Society 2003

References

Adams, JF & Engstrom, A (2000a) Dietary intake of whole grain vs. recommendations. Cereal Foods World 45, 7578Google Scholar
Adams, JF & Engstrom, A (2000b) Helping consumers achieve recommended intakes of whole grain foods. Journal of the American College of Nutrition 19, 339S344SCrossRefGoogle ScholarPubMed
Adlercreutz, H (1995) Phytoestrogens – epidemiology and a possible role in cancer protection. Environmental Health Perspectives 103, 103112Google Scholar
Adlercreutz, H (2002) Phyto-oestrogens and cancer. Lancet Oncology 3, 364373CrossRefGoogle ScholarPubMed
Adlercreutz, H & Mazur, W (1997) Phyto-oestrogens and Western diseases. Annals of Medicine 29, 95120CrossRefGoogle ScholarPubMed
Albertson, AM & Tobelmann, RC (1995) Consumption of grain and whole-grain foods by an American population during the years 1990 to 1992. Journal of the American Dietetic Association 95, 703704CrossRefGoogle ScholarPubMed
Anderson, JW, Hanna, TJ, Peng, X & Kryscio, RJ (2000) Whole grain foods and heart disease risk. Journal of the American College of Nutrition 19, 291S299SCrossRefGoogle ScholarPubMed
Andlauer, W & Furst, P (1998) Antioxidative power of phyto-chemicals with special reference to cereals. Cereal Foods World 43, 356359Google Scholar
Baublis, AJ, Clydesdale, FM & Decker, EA (2000a) Antioxidants in wheat-based breakfast cereals. Cereal Foods World 45, 7174Google Scholar
Baublis, AJ, Lu, C, Clydesdale, FM & Decker, EA (2000b) Potential of wheat-based breakfast cereals as a source of dietary antioxidants. Journal of the American College of Nutrition 19, 308S311SCrossRefGoogle ScholarPubMed
Bosetti, C, Negri, E, Franceschi, S, Conti, E, Levi, F, Tomei, F, La, Vecchia C (2000) Risk factors for oral and pharyngeal cancer in women: a study from Italy and Switzerland. British Journal of Cancer 82, 204207CrossRefGoogle ScholarPubMed
Brand Miller, JC (1994) Importance of glycemic indexes in diabetes. American Journal of Clinical Nutrition 59, 747SGoogle Scholar
Nutrition Foundation (2001) The health benefits of whole grains, http://www.nutrition.org.uk.Google Scholar
Brown, L, Rosner, B, Willett, WW & Sacks, FM (1999) Cholesterol-lowering effects of dietary fiber: a meta-analysis. American Journal of Clinical Nutrition 69, 3042CrossRefGoogle ScholarPubMed
Bruce, B, Spiller, GA, Klevay, LM & Gallagher, SK (2000) A diet rich in whole and unrefined foods favorably alters lipids, antioxidant defenses, and colon function. Journal of the American College of Nutrition 19, 6167CrossRefGoogle Scholar
Burr, ML, Fehily, AM, Gilbert, JF, Rogers, S, Holliday, RM, Sweetnam, PM, Elwood, PC & Deadman, NM (1989) Effects of changes in fat, fish and fibre intakes on death and myocardial reinfarction: diet and reinfarction trial (DART). Lancet ii, 757761CrossRefGoogle Scholar
Chatenoud, L, Tavani, A, La, Vecchia, C, Jacobs, DR, Jr, Negri, E, Levi, F & Franceschi, S (1998) Whole grain food intake and cancer risk. International Journal of Cancer 77, 24283.0.CO;2-1>CrossRefGoogle ScholarPubMed
Cleveland, LE, Moshfegh, AJ, Albertson, AM & Goldman, JD (2000) Dietary intake of whole grains. Journal of the American College of Nutrition 19, 331S338SCrossRefGoogle ScholarPubMed
Colagiuri, S & Miller, JB (2002) The ‘carnivore connection’ – evolutionary aspects of insulin resistance. European Journal of Clinical Nutrition 56, 3035CrossRefGoogle ScholarPubMed
Craig, WJ (1997) Phytochemicals: Guardians of our health. Journal of the American Dietetic Association 97, S199S204CrossRefGoogle ScholarPubMed
Cummings, JH, Bingham, SA, Heaton, KW & Eastwood, MA (1992) Fecal weight, colon cancer risk, and dietary intake of nonstarch polysaccharides (dietary fiber). Gastroenterology 103, 17831789CrossRefGoogle ScholarPubMed
Cuskelly, GJ, McNulty, H & Scott, JM (1996) Effect of increasing dietary folate on red-cell folate: Implications for prevention of neural tube defects. Lancet 347, 657659CrossRefGoogle ScholarPubMed
Englyst, HN & Cummings, JH (1988) An improved method for the measurement of dietary fibre and the non-starch polysaccharides in plant foods. Journal of the Association of Analytical Chemists 71, 808814Google ScholarPubMed
Food, and & Drug, Administration (1999) Health claim notification for whole grain foods. http://~dms/flgrains.html.Google Scholar
Fraser, GE (1999) Associations between diet and cancer, ischemic heart disease, and all-cause mortality in non-Hispanic white California Seventh-day Adventists. American Journal of Clinical Nutrition 70, 532S538SCrossRefGoogle ScholarPubMed
Fung, TT, Hu, FB, Pereira, MA, Liu, S, Stampfer, MJ & Colditz, GA (2001) Whole grain intake and the risk of type 2 diabetes in men. American Journal of Epidemiology 153, 145Google Scholar
Greenwald, P, Cliford, CK & Milner, JA (2001) Diet and cancer prevention. European Journal of Cancer 37, 948965CrossRefGoogle ScholarPubMed
Hallfrisch, J & Behall, KM (2000) Improvement in insulin and glucose responses related to grains. Cereal Foods World 45, 6669Google Scholar
Health Education Authority (1995) Enjoy Healthy Eating, The Balance of Good Health. London: HEAGoogle Scholar
Holt, SHA & Miller, JB (1994) Particle size, satiety and the glycaemic response. European Journal of Clinical Nutrition 48, 496502Google ScholarPubMed
Hu, FB, Rimm, EB, Stampfer, MJ, Ascherio, A, Spiegelman, D & Willett, WC (2000) Prospective study of major dietary patterns and risk of coronary heart disease in men. American Journal of Clinical Nutrition 72, 912921CrossRefGoogle ScholarPubMed
Jacobs, DR, Jr, Marquart, L, Slavin, J Kushi, LH (1998a) Whole-grain intake and cancer: an expanded review and meta-analysis. Nutrition and Cancer 30, 8596CrossRefGoogle ScholarPubMed
Jacobs, DR, Jr, Meyer, KA, Kushi, LH Folsom, AR (1998b) Whole-grain intake may reduce the risk of ischemic heart disease death in postmenopausal women: the Iowa Women's Health Study. American Journal of Clinical Nutrition 68, 248257CrossRefGoogle ScholarPubMed
Jacobs, DR, Jr, Meyer, KA, Kushi, LH Folsom, AR (1999) Is whole grain intake associated with reduced total and cause-specific death rates in older women? The Iowa Women's Health Study. American Journal of Public Health 89, 322329CrossRefGoogle ScholarPubMed
Jacobs, DR, Jr, Meyer, HE Solvoll, K (2001) Reduced mortality among whole grain bread eaters in men and women in the Norwegian County Study. European Journal of Clinical Nutrition 55, 137143CrossRefGoogle ScholarPubMed
Jacobs, DR, Jr, Pereira, MA, Meyer, KA Kushi, LH (2000) Fiber from whole grains, but not refined grains is inversely associated with all-cause mortality in older women: the Iowa Women's Health Study. Journal of the American College of Nutrition 19, 326S330SCrossRefGoogle Scholar
Johnston, L, Reynolds, HR, Patz, MH, Huntinghake, DB, Schultz, K & Westereng, B (1998) Cholesterol-lowering benefits of a whole grain oat ready-to-eat cereal. Nutrition in Clinical Care 1, 612Google Scholar
Joint, Health & Claims, Initiative (2002) Generic health claim for wholegrain foods and heart health, http://www.jhci.org.uk/wholegrainheart.htm.Google Scholar
Juntunen, KS, Niskanen, LK, Liukkonen, KH, Poutanen, KS, Holst, JJ & Mykkanen, HM (2002) Postprandial glucose, insulin, and incretin responses to grain products in healthy subjects. American Journal of Clinical Nutrition 75, 254262CrossRefGoogle ScholarPubMed
Knekt, P, Reunanen, A, Jarvinen, R, Seppanen, R, Heliovaara, M & Aromaa, A (1994) Antioxidant vitamin intake and coronary mortality in a longitudinal population study. American Journal of Epidemiology 139, 11801189CrossRefGoogle Scholar
Kurzer, MS & Xu, X (1997) Dietary phytoestrogens. Annual Review of Nutrition 17, 353381CrossRefGoogle ScholarPubMed
Lang, R, Jebb, SA, Thane, CW, Bolton-Smith, C (2003 ) Consumption of Wholegrain Foods by British Adults: Findings from Further Analysis of Two National Surveys Public Health Nutrition (in the press).Google Scholar
Levi, F, Pasche, C, La Vecchia, C, Lucchini, F & Francheschi, S (1999) Food groups and colorectal cancer risk. British Journal of Cancer 79, 12831287CrossRefGoogle ScholarPubMed
Levi, F, Pasche, C, Lucchini, F, Chatenoud, L, Jacobs, DR, La, Vecchia C (2000) Refined and whole grain cereals and the risk of oral, oesophageal and laryngeal cancer. European Journal of Clinical Nutrition 54, 487489CrossRefGoogle ScholarPubMed
Liu, S, Manson, JE, Stampfer, MJ, Hu, FB, Giovannucci, E, Colditz, GA, Hennekens, CH & Willett, WC (2000a) A prospective study of whole grain intake and risk of Type 2 diabetes mellitus in US women. American Journal of Public Health 90, 14091415Google ScholarPubMed
Liu, S, Manson, J, Stampfer, MJ, Rexrode, KM, Hu, FB, Rimm, EB & Willett, WC (2000b) Whole grain consumption and risk of ischemic stroke in women: A prospective study. Journal of the American Medical Association 284, 15341540CrossRefGoogle ScholarPubMed
Liu, S, Stampfer, MJ, Hu, FB, Giovannucci, E, Rimm, E, Manson, J & Hennekens, CH (1999) Whole-grain consumption and risk of coronary heart disease: results from the Nurses' Health Study. American Journal of Clinical Nutrition 70, 412419CrossRefGoogle ScholarPubMed
Ludwig, DS, Majzoub, JA, Al-zahrani, A, Dallal, GE, Blanco, I & Roberts, SB (1999) High glycemic index foods, overeating and obesity. Pediatrics 103, e26CrossRefGoogle ScholarPubMed
Mclntyre, A, Gibson, PR & Young, GP (1993) Butyrate production from dietary fibre and protection against large bowel cancer in a rat model. Gut 34, 386391CrossRefGoogle Scholar
Meyer, KA, Kushi, LH, Jacobs, DR, Slavin, J, Sellers, TA & Folsom, AR (2000) Carbohydrates, dietary fiber, and incident type 2 diabetes in older women. American Journal of Clinical Nutrition 71, 921930CrossRefGoogle ScholarPubMed
Miller, HE, Rigelhof, F, Marquart, L, Prakash, A & Kanter, M (2000a) Antioxidant content of whole grain breakfast cereals, fruits and vegetables. Journal of the American College of Nutrition 19, 312S319SCrossRefGoogle ScholarPubMed
Miller, HE, Rigelhof, F, Marquart, L, Prakash, A & Kanter, M (2000b) Whole grain products and antioxidants. Cereal Foods World 45, 5963Google Scholar
Morris, JN, Marr, JW & Clayton, DG (1977) Diet and heart: a postscript. British Medical Journal 2, 13071314CrossRefGoogle Scholar
Nelson, M, Atkinson, M & Meyer, J (1997) A Photographic Atlas of Food Portion Sizes. London: MAFFGoogle Scholar
Nicodemus, KK, Jacobs, DR & Folsom, AR (2001) Whole and refined grain intake and risk of incident postmenopausal breast cancer (United States). Cancer Causes and Control 12, 917925CrossRefGoogle ScholarPubMed
Pereira, MA, Jacobs, DR, Pins, JJ, Raatz, SK, Gross, MD, Slavin, JL & Seaquist, ER (2002) Effect of whole grains on insulin sensitivity in overweight hyperinsulinemic adults. American Journal of Clinical Nutrition 75, 848855CrossRefGoogle ScholarPubMed
Pietinen, P, Rimm, EB, Korhonen, P, Hartman, AM, Willett, WC, Albanes, D & Virtamo, J (1996) Intake of dietary fiber and risk of coronary heart disease in a cohort of Finnish men–The Alpha Tocopherol, Beta-Carotene Cancer Prevention Study. Circulation 94, 27202727CrossRefGoogle Scholar
Richardson, DP (2000) The grain, the wholegrain and nothing but the grain: the science behind wholegrain and the reduced risk of heart disease and cancer. Nutrition Bulletin 25, 353360CrossRefGoogle Scholar
Rimm, EB, Ascherio, A, Giovannucci, E, Spiegelman, D, Stampfer, MJ & Willett, WC (1996) Vegetable, fruit, and cereal fiber intake and risk of coronary heart disease among men. Journal of the American Medical Association 275, 447451CrossRefGoogle ScholarPubMed
Rimm, EB, Stampfer, MJ, Ascherio, A, Giovannucci, E, Colditz, GA & Willett, WC (1993) Vitamin-E consumption and the risk of coronary heart disease in men. New England Journal of Medicine 328, 14501456CrossRefGoogle ScholarPubMed
Salmeron, J, Ascherio, A, Rimm, EB, Colditz, GA, Spiegelman, D, Jenkins, DJ, Stampfer, MJ, Wing, AL & Willett, WC (1997a) Dietary fiber, glycemic load, and risk of non-insulin-dependent diabetes mellitus in men. Diabetes Care 20, 545550CrossRefGoogle ScholarPubMed
Salmeron, J, Manson, JE, Stampfer, MJ, Colditz, GA, Wing, AL & Willett, WC (1997b) Dietary fiber, glycemic load, and risk of non-insulin-dependent diabetes mellitus in women. Journal of the American Medical Association 277, 472477CrossRefGoogle ScholarPubMed
Shoff, SM, Newcomb, PA, Mares-Perlman, JA, Klein, BEK, Haffner, SM, Storer, BE & Klein, R (1998) Usual consumption of plant foods containing phytoestrogens and sex hormone levels in postmenopausal women in Wisconsin. Nutrition and Cancer 30, 207212CrossRefGoogle ScholarPubMed
Slavin, JL (1999) Health benefits of oligosaccharides. Journal of Nutraceuticals, Functional and Medical Foods 1, 4355CrossRefGoogle Scholar
Slavin, JL (2000) Mechanisms for the impact of whole grain foods on cancer risk. Journal of the American College of Nutrition 19, 300S307SCrossRefGoogle ScholarPubMed
Slavin, JL, Jacobs, D & Marquart, L (1997) Whole-grain con- sumption and chronic disease: protective mechanisms. Nutrition and Cancer 27, 1421CrossRefGoogle Scholar
Slavin, JL, Jacobs, D & Marquart, L (2000) Grain processing and nutrition. Critical Reviews in Food Science and Nutrition 40, 309326CrossRefGoogle ScholarPubMed
Slavin, JL, Jacobs, D, Marquart, L & Weimer, K (2001) The role of whole grains in disease prevention. Journal of the American Dietetic Association 101, 780785CrossRefGoogle ScholarPubMed
Smith, A, Kuznesof, S, Richardson, DP & Seal, CJ (2001a) Effectiveness of dietary intervention strategies aimed at increasing consumption of whole grain or low- and reduced-fat products in free-living volunteers. Proceedings of the Nutrition Society 60, 178AGoogle Scholar
Smith, A, Richardson, DP, Kuznesof, S & Seal, CJ (2001b) Effectiveness and acceptability of a dietary intervention to increase consumption of whole grain products in free living individuals In Whole Grain and Human Health, pp. 3235 [Liukkonen, K, Kuokka, A and Poutanen, K, editors]. Espoo, Finland: Technical Research Centre of FinlandGoogle Scholar
Smith, AT, Kuznesof, S, Richardson, DP & Seal, CJ (2002) Impact of whole grain breakfast consumption on daily nutrient intakes. Proceedings of the Nutrition Society 61, 118AGoogle Scholar
Smith, S, Smith, A, Richardson, DP & Seal, CJ (2001) Regional variations in consumer knowledge and purchasing of whole grain foods. Proceedings of the Nutrition Society 60, 218AGoogle Scholar
Southgate, DAT (2000) Cereals and cereal products. In Human Nutrition and Dietetics, pp. 333347 [Garrow, JS, James, WPT and Ralph, A, editors].London: Churchill LivingstoneGoogle Scholar
Stephen, AM (1994) Whole grains–impact of consuming whole grains on physiological effects of dietary fiber and starch. Critical Reviews in Food Science and Nutrition 34, 499511CrossRefGoogle ScholarPubMed
Stevens, VJ, Glasgow, RE, Toobert, DJ, Karanja, N & Smith, KS (2002) Randomized trial of a brief dietary intervention to decrease consumption of fat and increase consumption of fruit and vegetables. American Journal of Health Promotion 16, 129134CrossRefGoogle Scholar
Terry, P, Suzuki, R, Hu, FB & Wolk, A (2001) A prospective study of major dietary patterns and the risk of breast cancer. Cancer Epidemiology Biomarkers and Prevention 10, 12811285Google ScholarPubMed
Thompson, LU (1994) Antioxidants and hormone-mediated health benefits of whole grains. Critical Reviews in Food Science and Nutrition 34, 473497CrossRefGoogle ScholarPubMed
Togo, P, Osier, M, Sorensen, T & Heitmann, B (2001) Food intake patterns and body mass index in observational studies. International Journal of Obesity 25, 17411751CrossRefGoogle ScholarPubMed
Truswell, AS (2002) Cereal grains and coronary heart disease. European Journal of Clinical Nutrition 56, 114CrossRefGoogle ScholarPubMed
VanHorn, L, Moagstahlberg, A, Liu, K, Ballew, C, Rut, K, Hughes, R & Stamler, J (1991) Effects on serum-lipids of adding oats to usual American diets. American Journal of Public Health 81, 183188CrossRefGoogle Scholar
Walker, KZ, O'Dea, K (2001) Is a low fat diet the optimal way to cut energy intake over the long term in overweight people?. Nutrition Metabolism and Cardiovascular Diseases 11, 244248Google Scholar
Ward, M (2001) Homocysteine, folate, and cardiovascular disease. International Journal for Vitamin and Nutrition Research 71, 173178CrossRefGoogle ScholarPubMed
Wolk, A, Manson, JE, Stampfer, MJ, Colditz, GA, Hu, FB, Speizer, FE, Hennekens, CH & Willett, WC (1999) Long-term intake of dietary fiber and decreased risk of coronary heart disease among women. Journal of the American Medical Association 281, 19982004CrossRefGoogle ScholarPubMed