Those who eat the whole grains have a lower risk of heart disease, stroke and diabetes, not to mention better colon health. The reasons for the health benefits aren't hard to fathom. Whole grains include not just the starchy interior of a kernel, but also the fibrous bran that surrounds it, together with the vitamin- and mineral-rich germ (or seed). In contrast, fluffy white refined flour — the kind in most cakes, cookies and crackers — has the highly nutritious bran and germ stripped away.
Whole grains include unprocessed whole or cracked wheat, corn, cornmeal, brown rice, oatmeal and whole oats, barley, quinoa, sorghum, spelt and whole rye. Other examples are grains and flours made from the following: amaranth, buckwheat, bulgur, emmer, farro, grano (lightly pearled wheat), millet, triticale, wheat berries and wild rice. You can also find whole grain pasta in health food stores, along with whole grain bread. My favorite whole grain product is sprouted whole multi grain bread. See also cereal for more info.
Whole grains or foods made from them contain all the essential parts and naturally occurring nutrients of the entire grain seed. The outer skin of the seed is the B vitamin-, antioxidant- and fiber-rich bran; the germ (or embryo) holds the protein, minerals and healthy fats; and the endosperm (the main part of the grain between the bran and the germ) has the proteins, carbohydrates and smaller quantities of vitamins and minerals. The bran and germ contain 25 percent of the protein in whole grains and many nutrients. When highly processed, these valuable nutrients and proteins are lost (not to mention healthful fiber).
Refined grain intake is linked with adverse health outcomes, including a higher risk for cardiovascular disease, type 2 diabetes, and obesity.
Have variety in your diet
Rather than consuming wheat all the time, consider alternatives:
Oats can be eaten for breakfast once or twice a week.
Allergies are very rare. Ann Allergy Asthma Immunol. 2013.
Anaphylactic reaction to dietary oats.
Bulgur, which is chewy and soft, can be used in tabouli and similar recipes.
Buckwheat, which is easy to prepare and is similar to rice.
Millet, which cooks quickly and has a mild flavor.
Quinoa, which is rich in protein and magnesium, appears to be acceptable to
those with celiac disease.
Rice - germinated brown rice ingestion has the greatest impact on increasing
antioxidant enzyme activity and vitamin E level and on reducing lipid
peroxidation. Furthermore, germinated brown rice diet can also reduce the level
of hepatic enzymes. Therefore, minimize the use of white rice in favor of GBR.
Salba grain is a great
whole food source of Omega 3 fatty acids and fiber found in nature.
Spelt, which has a nutty flavor, is easy to digest and is rich in protein. You
can bake with spelt flour in place of flour from wheat.
Food Nutr Res. Feb 4 2014. The HEALTHGRAIN definition of 'whole grain'. Most cereal products, like white bread, pasta, and biscuits, are based on flour after removal of bran and germ, the two parts of grain kernels containing most of the dietary fibre and other bioactive components. In the past decade, consumers have been rediscovering whole grain-based products and the number of wholegrain products has increased rapidly. In most countries in Europe and worldwide, however, no legally endorsed definition of wholegrain flour and products exists. Current definitions are often incomplete, lacking descriptions of the included grains and the permitted flour manufacturing processes. The consortium of the HEALTHGRAIN EU project (FP6-514008, 2005-2010) identified the need for developing a definition of whole grain with the following scope: 1) more comprehensive than current definitions in most EU countries; 2) one definition for Europe - when possible equal to definitions outside Europe; 3) reflecting current industrial practices for production of flours and consumer products; 4) useful in the context of nutritional guidelines and for labelling purposes. The definition was developed in a range of discussion meetings and consultations and was launched in 2010 at the end of the HEALTHGRAIN project. The grains included are specified: a wide range of cereal grains from the Poaceae family, and the pseudo-cereals amaranth, buckwheat, quinoa, and wild rice. The definition also describes manufacturing processes allowed for producing wholegrain flours. This paper compares the HEALTHGRAIN definition with previous definitions, provides more comprehensive explanations than in the definition itself regarding the inclusion of specific grains, and sets out the permitted flour manufacturing processes.
FDA definition
FDA defines whole grains as cereal grains such as
barley, corn,
rice, oats or wheat that consist of the intact, ground, cracked or flaked
fruit of the grain. Products such as pizza crust could only be labeled as
"whole grain" or "whole wheat" when the crust is made entirely from grain
or wheat. Using the term multi-grain or seven-grain doesn't necessarily
mean that a product contains whole grains. Providing a standard definition
would help consumers select whole-grain products that are consistent with
dietary guidelines. The popularity of whole grains has soared in recent
years after scientific studies showed they may help prevent cardiovascular
disease, high blood pressure and diabetes.
Metabolic
syndrome
Older adults who regularly eat whole grains like high-fiber cereals and
cooked oatmeal may be less likely to develop a cluster of conditions that raise
the risk of heart attack and stroke.
Researchers found that among 535 adults between 60 and 98 years old, those who
ate more whole-grain foods were less likely to develop a group of risk factors
known as metabolic syndrome
x or to die of cardiovascular disease over the next 12
to 15 years.
All of the study subjects underwent a physical exam, completed a 3-day food
diary to track their eating habits, and provided information on other lifestyle
habits such as exercise, smoking and drinking.
Overall, the researchers found that men and women with the highest whole-grain
intake -- typically three servings a day -- were less than half as likely to
have metabolic syndrome as their peers who consumed less than one serving of
whole grains per day.
Similarly, whole-grain eaters were about half as likely to die from
cardiovascular disease over the next 12 to 15 years.
Men and women who ate more whole grains also tended to have lower blood sugar
levels and to weigh less than those who favored refined grains.
American Journal of Clinical Nutrition, January 2006.
Americans should bulk up on whole grains like oatmeal, barley
and brown rice to help lower their risk of clogged arteries, heart attacks and
strokes.
Diabetes
Diets rich in whole grains can lower the risk of diabetes and heart
disease. Such diets would include bran, whole wheat, fruit and vegetables.
Higher intake of whole grains is associated with higher levels of physical
activity, greater fruit and vegetable intake, less smoking and lower consumption
of alcohol and saturated and monounsaturated fats. While there appears to be a
lowered risk of diabetes and heart disease among individuals who consume higher
levels of whole grains, the mechanism for how this works is unclear. Whole
grains are a rich source of fiber, minerals, vitamins and antioxidants.
The type of
fiber found in whole grains
and many vegetables -- called insoluble fiber -- may help prevent diabetes by
improving the body's use of the blood-sugar-regulating hormone insulin. Since a
decline in insulin sensitivity precedes type 2 diabetes, people may help lower
their diabetes risk by getting more insoluble fiber. There are two main types of
fiber -- soluble and insoluble. Soluble fiber dissolves in water to form a
gel-like material, and it's believed to lower cholesterol and blood sugar. Foods
like oatmeal and beans, as well as apples, berries and certain other fruits are
high in soluble fiber. Insoluble fiber does not dissolve, passing through the
digestive system largely intact. It's been unclear why, in some studies, diets
high in insoluble fiber have been linked to lower diabetes risk.
Among rice lovers, people who eat brown rice or other whole grains seem to have a lower risk of developing diabetes than those who eat white rice. Archives of Internal Medicine, June 14, 2010.
Heart disease
A diet high in whole grains may lower a person's likelihood of developing
diabetes and heart disease.
Am J Clin Nutr. 2016 . Intake of whole grains is
associated with lower risk of myocardial infarction: the Danish Diet, Cancer and
Health Cohort. High intake of whole grains has been associated with lower risk
of coronary heart disease.
Among more than 900 healthy men and women, those who reported consuming the most
whole grains had lower levels of cholesterol and various markers of heart
disease. Healthy men and women who report the highest intake of whole grains had
levels of homocysteine, a blood protein that has been tied to heart disease and
stroke, that were lower than those who reported consuming the least amount of
whole grains. Apart from the better cholesterol and blood sugar levels,
levels of insulin and C-peptide, a marker of insulin production, were also 14
percent lower in the high whole-grain consumers, the researchers report.
Furthermore, concentrations of
leptin, a hormone that generally reflects body fat levels, were lower among
the whole-grain eaters than among their counterparts. Source: American Journal
of Clinical Nutrition, February 2006.
Blood pressure
Diets with increases whole-grain foods, high in soluble or insoluble fiber, are
associated with a reduction in blood pressure in individuals with slightly
elevated cholesterol.
Eating lots of whole grains reduces high blood pressure. In a study published in the American Journal of Clinical Nutrition September 2009, men with the highest whole-grain consumption were 19 percent less likely to develop high blood pressure than men who ate the least amount of whole grains. While refining grains removes their outer coating, whole grains retain their bran and germ, so they are richer in many nutrients.
Longevity, living longer, lifespan
A 2015 study from the Harvard School of Public Health shows that each
average daily serving of whole grains lowers a person's risk of dying from heart
disease by 9 percent and lowers the overall risk of dying from anything by 5
percent over a quarter-century. That's even taking into account that whole grain
lovers tend to do other healthy stuff, too. The benefits probably come from the
bran, that fibrous coating that processing takes off of whole wheat and brown
rice, the researchers write in the American Medical Association's journal JAMA
Internal Medicine.
Pancreatic cancer
Medicine (Baltimore). 2016. Whole Grain Intake Reduces Pancreatic Cancer
Risk: A Meta-Analysis of Observational Studies. Mounting evidence from
epidemiology studies suggests that whole grain intake may reduce pancreatic
cancer risk, but convincing evidence is scarce. We conducted a meta-analysis to
assess the association between whole grain intake and pancreatic cancer risk. A
high intake of whole grains was associated with a reduced risk of pancreatic
cancer.
Allergy symptoms
and allergies
Introducing cereals into the diet of babies before the age of 6 months
does not increase the likelihood that they'll become allergic to wheat. In fact,
a delay seems to raise the risk.
Whole grain cereals and
weight loss
High-fiber whole grain cereals may help dieters lose weight while making gains
in some nutrients. In a six-month study of 180 overweight adults, whole-grain
cereals helped people lose weight while boosting their consumption of fiber,
magnesium and vitamin B-6. Their intake of these nutrients was higher than that
of dieters who cut calories but did not eat whole-grain cereal. The implication
is that fiber-rich cereals can help people cut calories while maintaining or
improving the quality of their diet. The study, which received funding from
Kraft Foods, Inc., was published in the Journal of the American Dietetic
Association.
Avena sativa and cholesterol
Effect of Avena Sativa (oat bran) enriched diet on the atherogenic lipid
profile in patients with an increased coronary heart disease risk. A controlled
randomized lifestyle intervention study.
Ann Nutrition Metabolism. 2003.
We performed a randomized, controlled,
parallel-group, single-centre study in which 1,994 patients from the Wehrawald
Hospital were screened and 235 met the criteria male gender,
hypercholesterolemia, and overweight. All patients in the Hospital took part in
a 4-week standardized inpatient lifestyle health program consisting of dietary
intervention, increased physical activity, and health education. Caloric
restriction, fat modification, and avena sativa bran supplementation were part
of the nutritional regimen within the lifestyle health program. Ninety-nine
patients were randomized to a fat-modified diet with caloric restriction and a
daily intake of 35-50 grams avena sativa bran and 136 patients to a fat-modified,
oat bran-free diet with caloric restriction. The most
significant decreases in total cholesterol, low-density lipoprotein cholesterol,
and apolipoprotein B were found with the combination of the fat-modified and
avena sativa enriched food. Added to a fat-modified diet, oat bran within a practical range of intake significantly reduces total
cholesterol, low-density lipoprotein cholesterol, and apolipoprotein B.
Celiac patients and avena sativa
Adult celiac patients do tolerate large amounts of oats.
Eur J Clinical Nutrition. 2003.
The aim of the present study was to
investigate whether adult patients with celiac disease in remission could
include large amounts of oats in their daily gluten-free diet for an extended
period of time without adverse effects. Twenty adult celiac patients in
remission included large amounts of uncontaminated rolled avena sativa in their
daily diet for a prolonged period. No adverse effects of a large intake were seen in small bowel histology,
serology nor in nutritional status in the 15 subjects who completed the whole
study period. The median intake of oats was 93
g/day and the compliance to the avena sativa diet was found to be good.
Examinations of the patients after drop-out did not show any deterioration in
small bowel histology or nutritional status nor raised levels of antibodies.
Results from this study indicate that adult patients with celiac
disease in remission can include large amounts of controlled wheat-free rolled
oats for an extended period of time without adverse effects.
Salvia
Salba is a whole grain developed from Salvia hispanica L. and produced by Salba
Corporation, Buenos Aires, Argentina. Salvia grain is a rich source of fibre,
omega-3 fatty acids, calcium, magnesium, iron, and antioxidants.
Barley Bran Rice Bran Barley Flour Soy Flour Blanched Almond Flour Soy Protein Isolate Brown Rice Flour Vital Wheat Glutan Buckwheat Wheat Bran Corn Bran Wheat Germ Flaxmeal Wheat Grass Malted Barley Wheat Soy Isolate Oat Bran Whey Protein Oat Fiber White Corn Flour Polydextrose White Corn Meal Potato Flour White Rice Flour Potato Starch Yellow Corn Flour Red Flour Yellow Corn Meal Red Wheat Bran.
Inquiries
I read that whole grains aren't as healthy as once thought. Can you please
suggest any grains that don't rapidly break down into sugar?
When consumed in moderate amounts as part of a healthy diet,
these foods are a healthy addition to one's overall food intake. It is best to
consume small amounts of several types rather than a high amount of one or two.
I am a 68 year old male with a history of cardiovascular
disease and colon polyps. I have read with great interest and appreciation your
articles on whole grain health benefits. I have now been presented by my support
group with a drastically conflicting point of view regarding the health benefits
of grains. They say grains have been shown to be very atherogenic,
plaque-causing and severe irritants to the fragile endothelium of coronary
arteries. They say they can cause gut irritation as well; to produce celiac
disease, Crohn's Disease, diverticulitis. Please share your thoughts.
Except in those who have specific GI problems (such as Celiac
patients), studies in general have shown benefits of whole grains, when ingested
in reasonable amounts and in a wide variety, as part of a diet that includes a
variety of other foods as listed on this page. Many cultures have based their
diets predominantly on grains and the people who live in those countries do not
seem to have an excess health issues.