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Financiado en parte por Top Sector Agri and Food, GoodMills Innovation GmbH, Dutch Bakery Center

Whole Grain Wheat Consumption Affects Postprandial Inflammatory Response in a Randomized Controlled Trial in Overweight and Obese Adults with Mild Hypercholesterolemia in the Graandioos Study

Hoevenaars FPM, Esser D, Schutte S, Priebe MG, Vonk RJ, van den Brink WJ, van der Kamp JW, Stroeve JHM, Afman LA, Wopereis S

The Journal of nutrition · 34 citas

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Alimentación controladaFinanciado por la industria

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Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
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Resultado principal
Marcadores de salud y funcionamiento
Consumo medido con
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Quién lo pagó

Financiación
Financiado por la industria
Grupo de la industria
Top Sector Agri and Food
Universidad u hospital
Universitair Medisch Centrum Groningen
Universidad u hospital
Wageningen University and Research
Empresa
GoodMills Innovation GmbH
Universidad u hospital
TNO roadmap Nutrition and Health
Grupo de la industria
Dutch Bakery Center
Gobierno
Topsector Agri & Food
Subvenciones
Top Sector Agri and Food (TKI-AF 12083)

Según 7 financiadores declarados y la declaración de financiación del texto completo.

Publicación

Publicado
2019-07-05 · J Nutr · vol. 149 · número 12 · págs. 2133–2144
Editorial
Elsevier BV
Citado
58 citas · más que el 93% de estudios similares · 3.2× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
49 trabajos
Acceso
Acceso abierto (revista híbrida) · CC-BY-NC
Áreas de investigación
Dietary Effects on Health · Food composition and properties · Nutritional Studies and Diet
Palabras clave
Postprandial, Medicine, Overweight, Internal medicine, Randomized controlled trial, Meal, Endocrinology, Obesity, Gastroenterology, Insulin
MeSH
humans, triticum, hypercholesterolemia, obesity, inflammation, double-blind method, postprandial period, adult, aged, middle aged, female, male, overweight

10 autores

  • Femke P. M. Hoevenaars🇳🇱Netherlands Organisation for Applied Scientific Research
  • Diederik Esser🇳🇱Wageningen University & Research
  • Sophie Schutte🇳🇱Wageningen University & Research
  • Marion G. Priebe🇳🇱University Medical Center Groningen; University of Groningen
  • Roel J. Vonk🇳🇱University Medical Center Groningen; University of Groningen
  • Willem J van den Brink🇳🇱Netherlands Organisation for Applied Scientific Research
  • J.W. van der Kamp🇳🇱Netherlands Organisation for Applied Scientific Research
  • Johanna H. M. Stroeve🇳🇱Netherlands Organisation for Applied Scientific Research
  • Lydia A. Afman🇳🇱Wageningen University & Research
  • Suzan Wopereis🇳🇱 · autor de correspondenciaNetherlands Organisation for Applied Scientific Research

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background

Whole grain wheat (WGW) consumption is associated with health benefits in observational studies. However, WGW randomized controlled trial (RCT) studies show mixed effects.

Objectives

The health impact of WGW consumption was investigated by quantification of the body's resilience, which was defined as the "ability to adapt to a standardized challenge."

Methods

A double-blind RCT was performed with overweight and obese (BMI: 25-35 kg/m2) men (n = 19) and postmenopausal women (n = 31) aged 45-70 y, with mildly elevated plasma total cholesterol (>5 mmol/L), who were randomly assigned to either 12-wk WGW (98 g/d) or refined wheat (RW). Before and after the intervention a standardized mixed-meal challenge was performed. Plasma samples were taken after overnight fasting and postprandially (30, 60, 120, and 240 min). Thirty-one biomarkers were quantified focusing on metabolism, liver, cardiovascular health, and inflammation. Linear mixed-models evaluated fasting compared with postprandial intervention effects. Health space models were used to evaluate intervention effects as composite markers representing resilience of inflammation, liver, and metabolism.

Results

Postprandial biomarker changes related to liver showed decreased alanine aminotransferase by WGW (P = 0.03) and increased β-hydroxybutyrate (P = 0.001) response in RW. Postprandial changes related to inflammation showed increased C-reactive protein (P = 0.001), IL-6 (P = 0.02), IL-8 (P = 0.007), and decreased IL-1B (P = 0.0002) in RW and decreased C-reactive protein (P < 0.0001), serum amyloid A (P < 0.0001), IL-8 (P = 0.02), and IL-10 (P < 0.0001) in WGW. Health space visualization demonstrated diminished inflammatory (P < 0.01) and liver resilience (P < 0.01) by RW, whereas liver resilience was rejuvenated by WGW (P < 0.05).

Conclusions

Twelve-week 98 g/d WGW consumption can promote liver and inflammatory resilience in overweight and obese subjects with mildly elevated plasma cholesterol. The health space approach appeared appropriate to evaluate intervention effects as composite markers. This trial was registered at www.clinicaltrials.gov as NCT02385149.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY-NC).

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