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Wholegrain health claims in Europe

Published online by Cambridge University Press:  05 March 2007

David P. Richardson
David P. Richardson*
Affiliation:
dprnutrition, 34 Grimwade Avenue, Croydon, Surrey, CRO 5DG, UK
*
*Corresponding author: Professor D. P. Richardson, fax +44 20 8654 3097, [email protected]
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Abstract

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Wholegrain foods are important sources of nutrients and phyto-protective components, which are in short supply in many member states of the EU, including the UK. Encouraging the public to increase consumption of whole-grain foods is a positive health message that has critical public health implications. In February 2002 the UK Joint Health Claims Initiative (JHCI) published its authoritative endorsement that whole-grain foods are associated with a healthy heart (Joint Health Claims Initiative, 2002). This new health claim reflects a similar one in the USA based on the accumulation of epidemiological evidence between 1996 and 2001 from several very large cohort studies in the USA, Finland and Norway, which show a consistent protective effect of whole grain and reduced risk of CHD. The JHCI code of practice on health claims requires that the claimed benefit must be scientifically valid, with evidence supporting efficacy of the food in human consumers, under typical conditions of use. The evidence-based approach consists of the identification of studies, an evaluation of individual references, a critical evaluation of the totality of the evidence and a statement that there is significant scientific agreement to establish the validity of the claim. The studies suggest that an intake of three servings per d may have an important cardio-protective effect. The development of a process for the substantiation of health claims in the UK and in the EU is important to underpin regulatory developments, which should protect the consumer, promote fair trade and encourage innovation in the food industry. The present paper sets out the format of the scientific dossier that was presented to the JHCI and includes a call to promote further research to identify the important protective components in the whole grain ‘package’ and the biological mechanisms behind the observed beneficial effects on health. The major sources of whole grain in the UK are bread and breakfast cereals, and >90% of adults in the UK consume less than three servings per d. Increasing the variety and availability of acceptable whole-grain foods could lead to greater consumption levels, which has important public health implications and offers an attractive and food-based dietary strategy for targeting the whole population.

Keywords

Whole grainsHealth claimsCoronary heart disease
Type
Session: Health effects of whole grains
Information
Proceedings of the Nutrition Society , Volume 62 , Issue 1 , February 2003 , pp. 161 - 169
Copyright
Copyright © The Nutrition Society 2003

References

American Association of Cereal ChemistsAmerican Association of Cereal Chemists (2000) AACC Members Agree on Definition of Whole Grain. St Paul, MN: American Association of Cereal Chemists; available at www.scisoc.org/aaccGoogle Scholar
Anderson, JW, Hanna, TJ (1999) Wholegrains and protection against coronary heart disease: what are the active components and mechanisms?. American Journal of Clinical Nutrition 70, 307–308.CrossRefGoogle Scholar
Anderson, JW, Hanna, TJ, Peng, X, Kryscio, RJ (2000) Wholegrain foods and heart disease risk. Journal of the American College of Nutrition 19 291S – 299SCrossRefGoogle Scholar
Association of Official Analytical Chemists (2000) Official Methods of Analysis, 17th edition. Gaithersburg, MD, USA: Association of Official Analytical Chemists.Google Scholar
Bellisle, F, Diplock, AT, Hornstra, G, Koletzko, B, Roberfroid, M, Salminen, S, Saris, WHM (1998) Functional food science in Europe. British Journal of Nutrition 80, S1–S193. Suppl. 1CrossRefGoogle Scholar
Cleveland, LE, Moshfegh, AJ, Albertson, AM, Goldman, JD (2000) Dietary intake of wholegrains. Journal of the American College of Nutrition 19, 331S–338S.CrossRefGoogle Scholar
Commission of, the European Communities (2002) Draft Proposal for Regulation of the European Parliament and of the Council on Nutrition, Functional and Health Claims Made on Foods. Working Document, SANCO/1832/2002. Brussels, Belgium Commission of the European CommunitiesGoogle Scholar
Coppens, P, Biljsma, M, Craddock, N, Herreman, I, Hurt, E, Le Bail-Collet, Y, Loosen, P (2001) Are foods bearing health claims medicinal products?. Scandinavian Journal of Nutrition 45, 140–145.Google Scholar
Diplock, AT, Aggett, PJ, Ashwell, M, Bornet, F, Fern, EB, Roberfroid, MB (1999) Scientific concepts of functional foods in Europe: consensus document. British Journal of Nutrition 81, S1–S27.Google Scholar
Finch, S, Doyle, W, Lowe, C, Bates, CJ, Prentice, A, Smithers, G, Clarke, PC (1998) National Diet and Nutrition Survey: People aged 65 Years and Over. Vol. 1, Report of the Diet and Nutrition Survey. London: The Stationery Office.Google Scholar
Gregory, J, Foster, K, Tyler, H, Wiseman, M (1990) Dietary and Nutritional Survey of British Adults. London H.M. Stationery Office.Google Scholar
International Life, Sciences Institute Europe (2001) Process for the Assessment of Scientific Support for Claims on Foods (PASSCLAIM). A European Commission (1995) Concerted Action Programme Supported by the European Commission DG Research, Thematic Programme 1 Quality of Life and Management, Key Action 1–Health, Food and Nutrition. Brussels, Belgium: ILSI Europe.Google Scholar
Jacobs, DR Jr (2001) Grain v. cereal: an impediment to public understanding of food and a study in language. British Journal of Nutrition 86, 543–544.CrossRefGoogle Scholar
Jacobs, DR Jr, Meyer, HE, Kushi, LH, Folsom, AR (1998) Wholegrain 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, 248–257.CrossRefGoogle ScholarPubMed
Jacobs, DR Jr, Meyer, HE, Kushi, LH, Folsom, AR (1999) Is wholegrain intake associated with reduced total and cause-specific death rates in older women? The Iowa Women's Health Study. American Journal of Clinical Nutrition 89, 322–329.Google Scholar
Jacobs, DR Jr, Meyer, HE, Solvoll, K (2001) Reduced mortality among wholegrain bread eaters in men and women in the Norwegian County Study. European Journal of Clinical Nutrition 55, 137–143.CrossRefGoogle Scholar
Joint Health, Claims Initiative (2000) Code of Practice on Health Claims on Foods. Leatherhead, Surrey: Leatherhead Food Research Association.Google Scholar
Joint Health, Claims Initiative (2002) Generic Claims Assessments. www.jhci.co.ukGoogle Scholar
Lang, R, Jebb, SA, Thane, CW, Bolton-Smith, C (2001) Consumption of Wholegrain Foods in the UK. Cambridge: MRC Human Nutrition Research.Google Scholar
Leatherhead Food, Research Association (2001) European Health Claims Forum Conference Proceedings, pp.1–82 Leatherhead, Surrey: Leatherhead Publishing.Google Scholar
Liu, S, Stampfer, MJ, Hu, FB, Giovannucci, E, Rimm, E, Manson, J, Hennekens, CH (1999) Wholegrain consumption and risk of coronary heart disease: results from the Nurses' Health Study. American Journal of Clinical Nutrition 70, 412–419.CrossRefGoogle ScholarPubMed
Richardson, DP (1996) Functional foods – shades of grey: an industry perspective. Nutrition Reviews 54, S174–S185.CrossRefGoogle 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. British Nutrition Foundation Bulletin 25, 353–360.CrossRefGoogle Scholar
Richardson, DP, Affertsholt, T, Asp, N-G, Bruce, Å, Grossklaus, R, Howlett, J, Ross, R, Verhagen, H, Viechtbauer, V (2003) Process for the assessment of scientific support for claims on food. European Journal of Nutrition 42, (In the Press)Google Scholar
Richardson, DP, Brady, M (1997) The UK food and drink manufacturing industry response to the Health of the Nation: a strategy for health. British Food Journal 99, 220–232.CrossRefGoogle Scholar
Slavin, JL, Jacobs, D, Marquart, L, Weimer, K (2001) The role of wholegrains in disease prevention. Journal of the American Dietetic Association 101, 780–785.CrossRefGoogle ScholarPubMed
Smith, A, Kuznesof, S, Richardson, DP, Seal, CJ (2001a) Effectiveness of dietary intervention strategies aimed at increasing consumption of wholegrain 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 wholegrain products in free-living individuals. In Wholegrain and Human Health, 32–35 [Liukkonen, K, Kuokka, A and Poutanen, K, editors]. Espoo, Finland: VTT Technical Research Centre of Finland.Google Scholar
Truswell, AS (2002) Cereal grains and coronary heart disease. European Journal of Clinical Nutrition 56, 1–14.CrossRefGoogle ScholarPubMed
US Department of AgricultureUS Department of Agriculture (1997) Pyramid Servings Data – Results from USDA's 1994–1996 Continuing Survey of Food Intake by Individuals. Riverdale, CA: Food Surveys Research Group.Google Scholar
US Department of AgricultureUS Department of Agriculture (2000) Nutrition and your Health: Dietary Guidelines for Americans 2000. Washington, DC: USDA.Google Scholar
US Food and, Drug Administration (1999a) Health Notifications for Wholegrain Foods. http://vm.cfsan.fda.gov/?dms/flgrains. html.Google Scholar
US Food and, Drug Administration (1999b) Wholegrain Foods. Authoritative Statement Claim Notification, Docket 99p–2209. Washington, DC: US Government Printing Office.Google Scholar