Whole Grains and Health

Whole Grains and Health
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WHOLE GRAINS AND <b>HEALTH</b> <p><b>The updated guide to whole grains and their integral role in nutritional health</b><p>In an increasingly health-conscious society, the potential benefits of whole grain products are of paramount importance to manufacturers, dieticians, and consumers alike. <i>Whole Grains and Health</i> covers all aspects of this crucial topic, presenting a data-driven study of whole grains’ functional components, associated biomarkers and overall impact upon human health. Now in its second edition, the text has been revised and expanded to include six new chapters and groundbreaking new data. This essential guide features:<ul><li>Summaries of large research projects on the health effects of whole grain in Europe and the US</li><li>New data on the associations between whole grain consumption and risk of developing chronic diseases </li><li>Discussions of metabolomics and their use in addressing health effects and finding new biomarkers of both dietary exposure and health effects related to the diet </li><li>Information on the use of genomics in studies of how gene-expression profiles change in response to whole grain intake </li><li>Newly identified bioactive compounds in whole grains and whole grain fractions </li><li>The new EU regulations on health claims that affect whole grain food products </li></ul><p>Providing information that will be of interest to food scientists, healthcare specialists and food industry professionals alike, the second edition of <i>Whole Grains and Health</i> is an essential resource for anyone concerned with the impact whole grains may have upon health.

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Группа авторов. Whole Grains and Health

Table of Contents

List of Tables

List of Illustrations

Guide

Pages

Whole Grains and Health

Preface

Editors’ Biographies

Acknowledgments

Contributing Authors

Supplementary Material

1 The Structure of Cereal Grains and Their Products

1.1 Introduction

1.2 Grain structure

1.3 Embryo

1.4 Endosperm

1.5 Bran

1.5.1 Pericarp

1.5.2 Testa

1.5.3 Aleurone layer

1.6 Rolled cereals and porridge

1.7 Protein network‐based products

1.7.1 Bread

1.7.2 Sourdough bread

1.7.3 Cakes

1.7.4 Pasta

1.8 Starch network‐based products

1.8.1 Whole grain flakes

1.8.2 Puffed‐grain cereals

1.8.3 Extruded breakfast cereals and snacks

1.8.4 Crispbread

1.9 Conclusions

1.10 References

2 Definition of Whole Grain and Determination of Content in Cereal Products

2.1 Introduction

2.2 Definition of whole grain in different countries

2.2.1 AACC International and American Whole Grain Council definitions of whole grain

2.2.2 Whole grain definition in Denmark and the Scandinavian Keyhole

2.2.3 The HealthGrain definition of whole grain

2.3 Definition of whole grain food

2.4 Recommendations for intake of whole grain foods

2.5 Dietary recommendations for whole grain intake

2.6 Markers for whole grain wheat and rye content in food

2.7 Effects of processing on whole grain

2.8 References

3 Whole grain Fractions and Their Utilization in Foods

3.1 Introduction

3.2 Cereal technologies to obtain fractions from whole grains

3.3 The starchy endosperm fraction – a good source of energy

3.4 The germ fraction – the most unstable of cereal fractions

3.5 Bran fractions – a source of micronutrients to exploit?

3.6 Innovative fractions

3.6.1 The aleurone fraction – richest in micronutrients and phytochemicals

3.6.2 From a grain tissue separation to isolation of macromolecules

3.7 Conclusion

3.8 References

4 Whole grain Carbohydrates

4.1 Introduction

4.2 General composition of whole grain carbohydrates

4.3 Dietary fibre

4.3.1 Arabinoxylan

4.3.2 β‐glucans

4.3.3 Other Cereal Dietary Fibres

4.3.4 Starch

4.4 Carbohydrate quality of whole grain foods

4.5 Slow digestion property of starch

4.6 Physical form of whole grain foods

4.7 Digestibility of dietary fibre

4.8 Phytochemicals

4.9 Future perspectives

4.10 References

5 Whole grain Content of Cereal Products

5.1 Introduction

5.2 Why is it important to know the whole grain content of food?

5.2.1 How whole grain content of cereal products has been reported

5.2.2 Quantifying whole grain content

5.2.3 Whole grain contents in different cereal foods

a. Bread

b. Breakfast cereals

c. Cooked cereal foods

d. Sweet baked goods, snacks and other products

5.2.4 Measuring the whole grain content of foods

5.2.5 Reporting whole grain content in foods in clinical trials

5.3 How can we better measure whole grain content and intake in the future?

5.4 References

6 Whole grain consumption and associated lifestyle and sociodemographic factors

6.1 Introduction

6.2 Global whole grain intake

6.3 Whole grain intake according to Mica et al. (2015)

6.4 Single studies of whole grain intake

6.5 Consumers of whole grains

6.6 Recommendations and compliance with recommendations

6.7 Different cereal and product sources of whole grains

6.8 Factors associated with whole grain intake

6.9Acknowledgements

6.10 References

7 Alkylresorcinols and Their Metabolites as Biomarkers for Whole grain Wheat and Rye

7.1 Introduction

7.2 What is a biomarker?

7.3 Dietary biomarkers

7.3.1 Biomarker features

7.4 Discovery and validation of a biomarker. 7.4.1 Approaches for biomarker discovery

7.4.2 Biomarker evaluation

7.5 Biomarkers of whole grain intake and cereal fibre

7.6 Alkylresorcinols as biomarkers of whole grain wheat and rye

7.6.1 Occurrence

7.6.2 Intake

7.6.3 Absorption

7.6.4 Distribution

7.6.5 Metabolism

7.6.6 Excretion

7.7 Analytical methods

7.8 Dose‐response

7.9 Reproducibility

7.10 Relative validity

7.11 Applications

7.12 Interventions

7.13 References

8 Body Composition and Weight Management

8.1 Introduction

8.2 Obesity prevalence around the globe

8.3 Abdominal adiposity and cardiometabolic risk

8.4 Studies investigating the link between body weight and whole grain consumption

8.5 Defining grain ingredients and foods in observational studies

8.6 Defining grain ingredients and foods in intervention studies

8.7 Evidence from observational studies. 8.7.1 Cross‐sectional studies

8.7.2 Prospective cohort studies

8.8 Intervention studies

8.9 Studies without calorie‐restriction

8.10 Studies with calorie‐restriction

8.11 Proposed mechanism of action by which whole grains influence weight gain

8.12 Conclusion. 8.12.1 Summary of the evidence

8.12.2 Future directions

8.13 Acknowledgements

8.14 References

9 Whole Grains and Type 2 Diabetes

9.1 Introduction

9.2 Evidence from epidemiological studies

9.2.1 Prospective studies

9.2.2 Cross‐sectional studies

9.3 Evidence from randomized controlled trials

9.4 Potential biological mechanisms

9.5 Conclusions and future directions

References

10 Whole Grains and Cardiovascular Disease

10.1 Introduction

10.2 Whole grains and CVD

10.3 Summary

10.4 References

11 Whole Grains and Cancer Risk

11.1 Introduction

11.2 Diet and cancer

11.3 Dietary fibre and colorectal cancer risk

11.4 Possible cancer protective mechanisms

11.5 Colorectal cancer

11.5.1 Alkylresorcinols and colorectal cancer

11.6 Breast cancer

11.7 Other cancers

11.8 Cancer patients and prognosis

11.9 Epidemiological evidence – colorectal cancer

11.10 Epidemiological evidence – breast cancer

11.11 Epidemiological evidence – prostate cancer

11.12 Epidemiological evidence – endometrial cancer

11.13 Epidemiological evidence – stomach cancer

11.14 Epidemiological evidence – whole grains and cancer prognosis

11.15 Conclusion

11.16 Acknowledgments

11.17 References

12 Whole Grain Intake and Mortality

12.1 Introduction

12.2 Epidemiological evidence. 12.2.1 Whole grains and mortality

12.2.2 Total mortality

12.2.3 Cardiovascular mortality

12.2.4 Total cancer mortality

12.2.5 Other causes of death

12.2.6 Summary

12.3 Types of whole grain products and varieties of grain

12.4 Dietary patterns with whole grains and mortality

12.5 Human intervention studies

12.6 Cell and animal studies

12.7 Conclusion

12.8 References

13 Whole Grains and Appetite

13.1 Introduction

13.2 Acute effects of whole grain intake on appetite

13.3 Potential mechanisms of acute effects of whole grain intake on appetite. 13.3.1 Gastric emptying and distension

13.3.2 Lower glucose and insulin responses

13.3.3 Summary of potential mechanisms

13.4 Impact of whole grain characteristics on appetite and suggested mechanisms

13.4.1 Dietary fibre content

13.4.2 Structure and particle size

13.4.3 Cereal type

13.5 Second‐meal effects of whole grain intake on appetite

13.5.1 Evidence from second meal studies

13.5.2 Potential Mechanisms of second‐meal effects on appetite

13.5.2.1 GLP‐1, PYY and gastric emptying

13.5.2.2 Ghrelin

13.5.2.3 Glucose and insulin response

13.5.2.4 Summary of potential mechanisms

13.6 Influence of whole grain characteristics on appetite and suggested mechanisms

13.7 Long‐term effects of regular whole grain intake on appetite

13.7.1 Evidence from intervention studies

13.7.2 Potential mechanisms of long‐term effects on appetite

13.7.2.1 PYY and GLP‐1

13.7.2.2 Leptin

13.7.3 Potential adaption of appetite sensation to whole grain intake

13.8 Concluding remarks

13.9 References

14 Modulating Glycaemia with Cereal Products

14.1 Introduction

14.2 Postprandial glucose fluxes and hormonal responses determining glycaemia

14.3 Postprandial glucose fluxes – monitoring with the stable isotope technique

14.4 Glycaemia and underlying glucose fluxes – results of isotope studies. 14.4.1 Postprandial glycaemia and glucose fluxes

14.4.2 Second‐meal glycaemia and glucose fluxes

14.4.3 Postprandial glycaemia and hormonal response

14.5 Food factors influencing GIP release

14.6 Food factors influencing GLP‐1 release

14.7 Conclusion

14.8 General implications

14.9 References

15 Whole Grains, Cereal Fibre and the Gut Function

15.1 Introduction

15.2 Whole grains and influence on gut physiology. 15.2.1 Importance of molecular structure and solubility

15.2.2 Gastrointestinal transit time

15.2.3 Nutrient absorption

15.3 The intestinal gut microbiome

15.3.1 Whole grain cereals and the intestinal microbiome

15.4 Microbial fermentation end‐products and their impact for gut function

15.5 Microbiome mediated benefits of whole grain consumption

15.6 References

16. Bioactive Compounds in Whole Grains and Their Implications for Health

16.1 Introduction

16.2 Folate. 16.2.1 Chemical characteristics

16.2.2 Folate content in cereals

16.2.3 The effect of food processing on folate content

16.2.4 Bioavailability and health implications of folate

16.2.5 Folate and cancer

16.3 Glycine betaine, choline and trigonelline

16.4 Tocopherols and tocotrienols. 16.4.1 Chemical characteristics, contents in cereals and effects of food processing

16.4.2 Absorption, distribution, metabolism, excretion and health implications

16.5 Carotenoids. 16.5.1 Chemical characteristics, contents in cereals and effects of food processing

16.5.2 Absorption, distribution, metabolism, excretion and health implications

16.6 Plant Sterols. 16.6.1 Chemical characteristics, contents in cereals and effects of food processing

16.6.2 Absorption, distribution, metabolism, excretion and health implications

16.6.3 Plant sterols and cancer

16.7 Inositol phosphates. 16.7.1 Chemical characteristics and abundance of inositol phosphates in cereals

16.7.2 Effects of food processing on inositol phosphate content

16.7.3 Absorption, distribution, metabolism and health implications

16.7.4 Inositol phosphates and cancer

16.8 Lignans. 16.8.1 Chemical characteristics, contents in cereals and effects of food processing

16.8.2 Absorption, distribution, metabolism, excretion and health implications

16.8.3 Lignans and cancer

16.9 Phenolic acids. 16.9.1 Chemical characteristics, contents in cereals and effects of food processing

16.9.2 Absorption, distribution, metabolism and health implications

16.9.3 Phenolic acids and cancer

16.10 Avenanthramides. 16.10.1 Chemical characteristics, contents in cereals and effects of food processing

16.10.2 Bioavailability, metabolism and health implications

16.10.3 Avenanthramides and cancer

16.11 Benzoxazinoids. 16.11.1 Chemical characteristics, content in cereals and effects of food processing

16.11.2 Absorption, metabolism and health implications

16.12 Alkylresorcinols. 16.12.1 Chemical characteristics, contents in cereals and effects of food processing

16.12.2 Absorption, distribution, metabolism and health implications

16.13 References

17 Potential Negative Effects of Whole grain Consumption

17.1 Introduction

17.2 Allergies associated with grain intake

17.3 Non‐allergic conditions associated with wheat, barley and rye intake

17.4 The heavy metal cadmium

17.5 The mineral absorption inhibitor phytate

17.6 Anti‐nutrient properties of phenolic compounds

17.7 The heat‐induced toxicant acrylamide

17.8 Conclusion and future perspectives

17.9 References

18 Application of Metabolomics for the Assessment of Process‐induced Changes in Whole Grain Foods

18.1 Introduction

18.2 Targeted versus untargeted approaches

18.3 Bioactive compounds present in whole grain cereals

18.4 Processing of grains

18.5 Milling

18.6 Germination and malting

18.7 Soaking/hydrothermal processing of grains

18.8 Baking and roasting

18.9 Pasta processing and extrusion cooking

18.10 Fermentation and bioprocessing

18.11 Bioactives in human intervention studies

18.12 Conclusion

18.13 References

19 Application of Metabolomics for the Assessment of Health Effects of Whole grain Foods

19.1 Introduction

19.2 Study designs

19.2.1 Acute postprandial interventions

19.2.2 Short‐ to medium‐term interventions

19.3 Metabolomics in epidemiological studies on whole grains and health

19.4 Whole grain research on animal models utilizing metabolomics

19.5 Conclusion and future prospects

19.6 References

20 Using Transcriptomics and RNA Sequencing to Assess Health Effects of Whole Grains

20.1 Introduction

20.2 Transcriptomics and RNA sequencing

20.3 Effects of whole grains on gene expression

20.4 Conclusion

20.5 References

21 Whole Grains from an Industry Perspective

21.1 Introduction

21.2 Whole grains in foods

21.3 Whole grain raw materials

21.3.1 Dry milling

21.3.2 Milling techniques

21.4 Whole grains in manufactured foods

21.4.1 Whole grains in traditional breakfast cereals

21.5 Whole grains in extruded products

21.6 Sensory characteristics

21.7 Whole grains and food safety

21.8 Outlook and research needs

21.9 References

22 Global Regulation and Labeling, Claims and Communication with Consumers

22.1 Introduction

22.2 Global regulation on whole grain labelling

22.2.1 Canada

22.2.2 Europe. 22.2.2.1 Germany

22.2.2.2 Italy

22.2.2.3 The Netherlands

22.2.2.4 The Nordic countries

22.2.2.5 United Kingdom

22.2.3 The United States of America

22.3 Nutrition and health claims

22.3.1 Nutrition claims

22.3.1.1 Australia

22.3.1.2 Europe

22.3.1.3 The United States of America

22.3.2 Health claims

22.3.2.1 Canada

22.3.2.2 Europe

22.3.2.3 Singapore

22.3.2.4 The United States of America

22.4 Communication with consumers

22.4.1 Australia

22.4.2 Canada

22.4.3 Europe. 22.4.3.1 Denmark

22.4.3.2 Hungary

22.4.3.3 The Netherlands

22.4.4 Singapore

22.4.5 The United States of America

22.5 Conclusion

22.6 Acknowledgments

22.7 References

Summary. The future of whole grains and health

Index

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Second Edition

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Guri Skeie, The Arctic University of Norway, Norway

David R. Jacobs Jr., University of Minnesota, USA

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