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Go Grains E-News Issue 1, February 2004

Contents:

1. Low-carb Diets – adverse effects
When health professionals speak of low-carbohydrate diets, they often list the disadvantages as lack of concentration, kidney problems and bad breath, and say ‘low-carbohydrate diets can be dangerous’. This does little to deter people in the quest for weight loss and there is the commonly held belief that ‘as long as I lose weight, I don’t care what I have to do’.

2. Grains Reduce Diabetes by up to 30% – research review
A recent review of the scientific literature on diabetes and diet has found overwhelming evidence that people who eat just two or three serves* of wholegrain foods each day are 20-30% less likely to develop type 2 diabetes compared to those who don’t eat any wholegrain foods.

3. Grains and Diabetes – free consumer brochure now available
Given the overwhelming evidence supporting the beneficial role of wholegrains in the prevention and treatment of diabetes, Go Grains has produced an easy-to-read and up-to-date summary of the latest scientific evidence with helpful tips and meal suggestions.

4. Quick Tip: Getting Wholegrains into your Daily Diet
Eating more wholegrain foods and legumes is easy to achieve by including them in both meals and snacks.

5. Grains in the News and Journals:

  • Wholegrains Help Reduce Weight
    A new study by the Brigham and Women’s Hospital and Harvard Medical School in the US has found women with the greatest whole grain consumption weigh less, and are less likely to gain weight, while those consuming a large amount of refined grain foods are more likely to be obese.

  • Cereals Reduce Childhood Obesity
    Researchers have found a strong association between the frequent consumption of ready-to-eat cereals and body mass index (BMI) in children aged four to 12.

  • Fibre Vital To Prevent Breast Cancer
    Swedish researchers investigating the association between the intake of plant foods, fibre and fat in the diet, and the risk of breast cancer, found those with highest fibre intakes had a 40% lower risk of breast cancer. However, combining a high fibre diet with a low fat diet produced the lowest risk of cancer.

  • Low-carb Food Labels Under Fire In US
    As the Atkins diet fad rages on, food manufacturers have caught on to advertising ploys that glorify the newest buzz word: ‘low-carb’.

Full stories:

1. ‘Low-carb’ diets and potential adverse effects (back to contents)

Low-carbohydrate diets for weight loss have been around for many decades, but they’ve been receiving a lot of extra attention of late.

Given the popularity of these diets, many people are now asking whether carbohydrates are inherently ‘bad’ for us. Unfortunately, there is little scientific fact available regarding exactly how these diets work or, more importantly, if there is any potential for serious long-term harm.

In response to the current surge of interest, Dr Tim Crowe (School of Health Sciences, Deakin University, Melbourne) and co-author Shane Bilsborough, have sought out the evidence regarding the effectiveness and health implications of the low-carbohydrate diet.

Dr Crowe’s review of the literature has recently been published (Asia Pacific J. Clin.Nutr. 2003:12(4):396-404) and he has kindly consented to this snapshot of his findings.

There are many variations on exactly what a ‘low-carbohydrate’ diet is, but a common factor is advice to eat protein as the primary macronutrient for the body, with the remainder of the energy to be made up from fat.

While short-term carbohydrate restriction over a period of a week can result in a significant loss of weight (albeit mostly from water and glycogen stores), there is some serious concern regarding the adoption of this type of eating plan for longer periods of months or years.

Complications such as heart arrhythmias, cardiac contractile function impairment, sudden death, osteoporosis, kidney damage, increased cancer risk, impairment of physical activity and lipid abnormalities can all be linked to long-term restriction of carbohydrates in the diet.

When health professionals speak of low-carbohydrate diets, they often list the disadvantages as lack of concentration, kidney problems and bad breath, and say ‘low-carbohydrate diets can be dangerous’.

This does little to deter people in the quest for weight loss and there is the commonly held belief that ‘as long as I lose weight, I don’t care what I have to do’.

By delivering a stronger message and addressing the serious potential health risks such as potential cardiac complications, osteoporosis, muscle loss and possibly insulin resistance, people will be better able to make informed choices based on the latest scientific thinking about the risks associated with low-carbohydrate diets.

The need to further explore and communicate the untoward side-effects of low-carbohydrate diets should be an important public health message from nutrition professionals.


2. Grains reduce diabetes by 20-30% (back to contents)

The prevalence of type 2 diabetes has escalated to such an extent throughout the world that the condition is considered to have reached epidemic proportions in many countries, including Australia.

Nearly one-in-four Australian adults either have diabetes, or are at high risk of developing the disease. This figure has doubled in the last 20 years.

A recent review of the scientific literature on diabetes and diet has found overwhelming evidence that people who eat just two or three serves* of wholegrain foods each day are 20-30% less likely to develop type 2 diabetes compared to those who don’t eat any wholegrain foods.

The review’s author, Professor Jim Mann (Professor in Human Nutrition and Medicine, University of Otago in NZ) said there is strong evidence to suggest that eating wholegrain and high fibre grain-based foods and legumes is beneficial for the prevention, treatment and control of diabetes.

"For those who are at risk, but have not yet developed diabetes, the progression of impaired glucose tolerance to Type 2 diabetes can be delayed, and insulin resistance improved, by lifestyle changes that include exercise and a diet with some wholegrain foods,” Professor Mann said.

"For people who already have diabetes, diets that include substantial amounts of wholegrain and high fibre cereal foods, fruits, vegetables, and legumes are associated with improvements in insulin sensitivity and improved blood sugar control.

"People with diabetes are up to four times more at risk from heart disease, and wholegrain foods have also been clearly associated with a reduced risk of heart disease," Professor Mann said.

The nutrients in wholegrains, such as fibre and the essential mineral magnesium, may account for some of the beneficial effect, but Professor Mann said it is possible that the intact structure of the grain may also be important.

* One serve of wholegrain food is equivalent to:

  • 2 slices of bread (made from ingredients that include whole or kibbled grains, wholemeal or stoneground flour, or rye flour), or
  • 1 cup of cooked brown rice or wholemeal pasta, or
  • 1 cup of cooked porridge, or
  • 1 1/3 cups flaked breakfast cereal (wholegrain or high fibre)

3. New brochure: Grains and diabetes - Now available (back to contents)

Given the overwhelming evidence supporting the beneficial role of wholegrains in the prevention and treatment of diabetes, Go Grains has produced an easy-to-read and up-to-date summary of the latest scientific evidence with helpful tips and meal suggestions.

Eating more wholegrain and high fibre foods made from grains (such as breads crispbreads, breakfast cereals, oats and brown rice) and legumes (such as chickpeas, baked beans and lentils) is recommended for people with diabetes, as well as for the general population.

A free copy of the brochure is available to print from the Go Grains website. Open the brochure and print out a copy, or save a copy on your computer for future reference.


4. Quick tip to increase intake of grains (back to contents)

Eating more wholegrain foods and legumes is easy to achieve by including them in both meals and snacks.

Try beginning the day with a wholegrain or high fibre breakfast cereal or oats. For lunch, choose a wholegrain sandwich or roll. At dinner, include some legumes (try lentils in a soup or chickpeas in curry) served with brown rice or wholemeal pasta.

Wholegrain crispbreads or rye bread with a favourite topping are an ideal snack.


5. Grains in the News and Journals:

Wholegrains help reduce weight (back to contents)

American Journal of Clinical Nutrition, Vol 78, No 5, 920-927, Nov 2003

A new study by the Brigham and Women’s Hospital and Harvard Medical School in the US has found women with the greatest whole grain consumption weigh less, and are less likely to gain weight, while those consuming a large amount of refined grain foods are more likely to be obese.

The researchers investigated the relation between the intake of dietary fibre and whole or refined grain products with weight gain over time. They used a prospective cohort study on more than 74,000 female nurses aged 38-63 in 1984 who were free of cardiovascular disease, cancer and diabetes at baseline. Their dietary habits were regularly assessed over the years with food-frequency questionnaires.

Over 12 years, those women with the greatest increase in intake of dietary fibre gained an average of 1.52kg less than those with the smallest increase in intake of dietary fibre. This result was independent of age and body weight at baseline.

Women in the highest quintile of dietary fibre intake had a 49 per cent lower risk of major weight gain than did women in the lowest quintile.

The research team concluded that: “Weight gain was inversely associated with the intake of high-fibre, wholegrain foods but positively related to the intake of refined-grain foods. This indicates the importance of distinguishing wholegrain products from refined-grain products to aid in weight control”.

Cereals reduce childhood obesity (back to contents)

Journal of the American Dietetic Association, 103 (12):1613-1619, Dec 2003

Researchers have found a strong association between the frequent consumption of ready-to-eat cereals and Body Mass Index (BMI) in children aged four to 12.

Lead researcher Ann Albertson, a senior nutrition research scientist at Bell Institute of Health and Nutrition in the US, collected data on cereal consumption in 2,000 households that included 603 children aged four to 12. The researchers accounted for all types of cereal, including whole-grain and pre-sweetened cereals.

They found that children who ate eight or more servings of cereal over the two weeks had significantly lower BMIs compared with children who ate three servings or less.

Almost 80 percent of the children who ate cereal often had an appropriate body weight for their age and gender, according to a report in the Journal of the American Dietetic Association.

In addition, children who ate the most cereal also had more vitamins A and B6, thiamin, riboflavin, niacin, folate, calcium, iron and zinc compared with children who ate little or no cereal. Cereals are unique in that they are a fortified grain product, and they are low in fat and almost always eaten with milk, which is a good source of calcium, Albertson said

Despite the fact that some of the cereals were pre-sweetened, there was no difference in the overall sugar consumption between the two groups of children. Ready-to eat-cereal contributes only about five percent of total sugar intake in kid's diets.

If you can get children to eat a cereal breakfast, you can help guarantee a more sound nutrient intake, and set them up for eating patterns that are associated with more favourable body weight, Albertson says.

Fibre intake vital for preventing breast cancer (back to contents)

British Journal of Cancer, 90, 122-127.

Swedish researchers set out to investigate the association between the intake of plant foods, fibre and fat in the diet, and the risk of breast cancer.

More than 11,000 postmenopausal women were interviewed about their diet history. This data was then combined with anthropometrical measurements and data from national and regional cancer registries.

Those with highest fibre intakes had a 40% lower risk of postmenopausal breast cancer. However, combining a high fibre diet with a low fat diet produced the lowest risk of cancer.

The researchers conclude that: “These findings support the hypothesis that a dietary pattern characterised by high fibre and low fat intakes is associated with a lower risk of postmenopausal breast cancer”.

Low carb food labels under fire in the US (back to contents)

United Press International, Wed Feb 4, 2004

Washington: As the Atkins diet fad rages on, food manufacturers have begun to catch on to advertising ploys that glorify the newest buzz word: ‘low-carb’.

Though the US Food and Drug Administration currently prohibits the use of both explicit and vague carbohydrate claims in foods, the market has experienced an onslaught of products plastered with mention of the high calorie nutrient.

Convenience chains offer more than 50 snacks touted as low-carb. Two groups are now pressuring the FDA to establish labelling requirements for low-carbohydrate foods. If the FDA decides to develop labels for carbohydrates, the nutrient will become the first to have its own labelling standards.

The FDA is scheduled to release a report from its Obesity Working Group later in February which may contain plans to label low-carb products.


* Go Grains is a joint initiative of BRI Australia Ltd., an independent grains research centre, and the Grains Research and Development Corporation, which plans and invests in research and development on behalf of grain growers and the Federal Government.
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Disclaimer : The Go-Grains E-News Service is a collection of articles published by the sources identified. Go Grains and BRI Australia Ltd has collated and distributed these articles to update recipients on the latest scientific research and news concerning the nutrition and health benefits of grains and legumes. The articles may relate to products not yet approved, licensed, registered or available in Australia . Go Grains and BRI Australia Ltd accepts no responsibility for the accuracy of the information in the articles and cannot endorse the conclusions reached by researchers and/or the authors of these articles. We acknowledge NutraIngredients.com and FoodNavigator.com for providing some of the content for this edition of E-News.



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