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Role of Whole Grain Consumption in Glycaemic Control of Diabetic Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Xu D, Fu L, Pan D, Lu Y, Yang C, Wang Y, Wang S, Sun G

Nutrients · 24 citas

Cómo se estudió

Diseño
Metaanálisis (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento
Consumo medido con
No se indica

Quién lo pagó

Financiación
Financiación independiente
Gobierno
Postgraduate Research&Practice Innovation Program of Jiangsu Province

Según 1 financiador declarado y la declaración de financiación del texto completo.

Publicación

Publicado
2021-12-27 · Nutrients · vol. 14 · número 1 · pág. 109
Editorial
Multidisciplinary Digital Publishing Institute
Citado
28 citas · más que el 66% de estudios similares · 0.8× el promedio de su campo
Referencias
61 trabajos
Acceso
Acceso abierto (revista) · CC-BY
Áreas de investigación
Food composition and properties · Celiac Disease Research and Management · Nutritional Studies and Diet
Palabras clave
Medicine, Randomized controlled trial, Meta-analysis, Cochrane Library, Internal medicine, Insulin resistance, Area under the curve, Whole grains, Observational study, Plasma glucose, Insulin, Gastroenterology, Endocrinology, Food science, Chemistry
MeSH
humans, diabetes mellitus, blood glucose, diet, whole grains, glycemic control

8 autores

  • Dengfeng Xu🇨🇳Southeast University
  • Lingmeng Fu🇨🇳Zhejiang Provincial People's Hospital
  • Da Pan🇨🇳Southeast University
  • Yifei Lü🇨🇳Southeast University
  • Chao Yang🇨🇳Southeast University
  • Yuanyuan Wang🇨🇳Southeast University
  • Shaokang Wang🇨🇳Southeast University
  • Guiju Sun🇨🇳 · autor de correspondenciaSoutheast University

Resumen

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

Background

Observational studies have indicated beneficial effects of whole grain consumption on human health. However, no evidence based on randomized controlled trials has been established. Our objective was to perform a systematic review and meta-analysis of randomized controlled trials to assess the effects of whole grain consumption in glycaemic control of diabetic patients.

Methods

A comprehensive search in four databases (Web of Science, Pubmed, Scopus and Cochrane library) was conducted to collect potential articles which measured the roles of whole grain consumption on glycaemic control up to October 2021.

Results

A total of 16 eligible trials involving 1068 subjects were identified to evaluate the pooled effect. The overall results indicated that compared with the control group, whole grain intake presented a significantly reduced concentration in fast plasma glucose (WMD = -0.51 mmol/L, 95% CI: -0.73, -0.28; I2 = 88.6%, p 2, 95% CI: -0.73, -0.04; I2 = 58.4%, p = 0.014), and glycosylated haemoglobin (WMD = -0.56%, 95% CI: -0.88, -0.25, I2 = 88.5%, p p = 0.120). In terms of incremental area under the curve (iAUC), data suggested that whole grain effected a significant decrease in Glucose-iAUC (WMD = -233.09 min × mmol/L, 95% CI: -451.62, -14.57; I2 = 96.1%, p p = 0.002), although only in a small number of studies. Of note, there is evidence for modest unexplained heterogeneity in the present meta-analysis.

Conclusion

Whole grain consumption confers a beneficial effect on glucose metabolism in patients with diabetes. Regrettably, since relevant studies were scarce, we failed to provide confident evidence of whole grain consumption on acute effects including Glucose-iAUC and Insulin-iAUC, which should be addressed in further trials.

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

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