The Effect of Regular Consumption of Reformulated Breads on Glycemic Control

Detalhes bibliográficos
Autor(a) principal: Schadow, Alena M
Data de Publicação: 2023
Outros Autores: Revheim, Ingrid, Spielau, Ulrike, Dierkes, Jutta, Schwingshackl, Lukas, Frank, Jan, Hodgson, Jonathan M, Moreira-Rosário, André, Seal, Chris J, Buyken, Anette E, Rosendahl-Riise, Hanne
Tipo de documento: Outros
Idioma: eng
Título da fonte: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Texto Completo: http://hdl.handle.net/10362/150338
Resumo: Copyright © 2022. Published by Elsevier Inc.
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spelling The Effect of Regular Consumption of Reformulated Breads on Glycemic ControlA Systematic Review and Meta-Analysis of Randomized Clinical TrialsAdultHumansDiabetes Mellitus, Type 2BreadBlood Glucose/analysisGlycated HemoglobinRandomized Controlled Trials as TopicInsulinDietary FiberCardiovascular DiseasesSDG 3 - Good Health and Well-beingCopyright © 2022. Published by Elsevier Inc.Bread is a major source of grain-derived carbohydrates worldwide. High intakes of refined grains, low in dietary fiber and high in glycemic index, are linked with increased risk for type 2 diabetes mellitus (T2DM) and other chronic diseases. Hence, improvements in the composition of bread could influence population health. This systematic review evaluated the effect of regular consumption of reformulated breads on glycemic control among healthy adults, adults at cardiometabolic risk or with manifest T2DM. A literature search was performed using MEDLINE, Embase, Web of Science and the Cochrane Central Register of Controlled Trials. Eligible studies employed a bread intervention (≥2 wk) in adults (healthy, at cardiometabolic risk or manifest T2DM) and reported glycemic outcomes (fasting blood glucose, fasting insulin, HOMA-IR, HbA1c, and postprandial glucose responses). Data were pooled using generic inverse variance with random-effects model and presented as mean difference (MD) or standardized MD between treatments with 95% CIs. Twenty-two studies met the inclusion criteria (n = 1037 participants). Compared with "regular" or comparator bread, consumption of reformulated intervention breads yielded lower fasting blood glucose concentrations (MD: -0.21 mmol/L; 95% CI: -0.38, -0.03; I2 = 88%, moderate certainty of evidence), yet no differences in fasting insulin (MD: -1.59 pmol/L; 95% CI: -5.78, 2.59; I2 = 38%, moderate certainty of evidence), HOMA-IR (MD: -0.09; 95% CI: -0.35, 0.23; I2 = 60%, moderate certainty of evidence), HbA1c (MD: -0.14; 95% CI: -0.39, 0.10; I2 = 56%, very low certainty of evidence), or postprandial glucose response (SMD: -0.46; 95% CI: -1.28, 0.36; I2 = 74%, low certainty of evidence). Subgroup analyses revealed a beneficial effect for fasting blood glucose only among people with T2DM (low certainty of evidence). Our findings suggest a beneficial effect of reformulated breads high in dietary fiber, whole grains, and/or functional ingredients on fasting blood glucose concentrations in adults, primarily among those with T2DM. This trial was registered at PROSPERO as CRD42020205458.Centro de Investigação em Tecnologias e Serviços de Saúde (CINTESIS)NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNSchadow, Alena MRevheim, IngridSpielau, UlrikeDierkes, JuttaSchwingshackl, LukasFrank, JanHodgson, Jonathan MMoreira-Rosário, AndréSeal, Chris JBuyken, Anette ERosendahl-Riise, Hanne2023-03-10T22:52:15Z2023-012023-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/other14application/pdfhttp://hdl.handle.net/10362/150338eng2161-8313PURE: 54520711https://doi.org/10.1016/j.advnut.2022.10.008info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2024-05-22T18:09:49Zoai:run.unl.pt:10362/150338Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T17:40:09.522752Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv The Effect of Regular Consumption of Reformulated Breads on Glycemic Control
A Systematic Review and Meta-Analysis of Randomized Clinical Trials
title The Effect of Regular Consumption of Reformulated Breads on Glycemic Control
spellingShingle The Effect of Regular Consumption of Reformulated Breads on Glycemic Control
Schadow, Alena M
Adult
Humans
Diabetes Mellitus, Type 2
Bread
Blood Glucose/analysis
Glycated Hemoglobin
Randomized Controlled Trials as Topic
Insulin
Dietary Fiber
Cardiovascular Diseases
SDG 3 - Good Health and Well-being
title_short The Effect of Regular Consumption of Reformulated Breads on Glycemic Control
title_full The Effect of Regular Consumption of Reformulated Breads on Glycemic Control
title_fullStr The Effect of Regular Consumption of Reformulated Breads on Glycemic Control
title_full_unstemmed The Effect of Regular Consumption of Reformulated Breads on Glycemic Control
title_sort The Effect of Regular Consumption of Reformulated Breads on Glycemic Control
author Schadow, Alena M
author_facet Schadow, Alena M
Revheim, Ingrid
Spielau, Ulrike
Dierkes, Jutta
Schwingshackl, Lukas
Frank, Jan
Hodgson, Jonathan M
Moreira-Rosário, André
Seal, Chris J
Buyken, Anette E
Rosendahl-Riise, Hanne
author_role author
author2 Revheim, Ingrid
Spielau, Ulrike
Dierkes, Jutta
Schwingshackl, Lukas
Frank, Jan
Hodgson, Jonathan M
Moreira-Rosário, André
Seal, Chris J
Buyken, Anette E
Rosendahl-Riise, Hanne
author2_role author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Centro de Investigação em Tecnologias e Serviços de Saúde (CINTESIS)
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
RUN
dc.contributor.author.fl_str_mv Schadow, Alena M
Revheim, Ingrid
Spielau, Ulrike
Dierkes, Jutta
Schwingshackl, Lukas
Frank, Jan
Hodgson, Jonathan M
Moreira-Rosário, André
Seal, Chris J
Buyken, Anette E
Rosendahl-Riise, Hanne
dc.subject.por.fl_str_mv Adult
Humans
Diabetes Mellitus, Type 2
Bread
Blood Glucose/analysis
Glycated Hemoglobin
Randomized Controlled Trials as Topic
Insulin
Dietary Fiber
Cardiovascular Diseases
SDG 3 - Good Health and Well-being
topic Adult
Humans
Diabetes Mellitus, Type 2
Bread
Blood Glucose/analysis
Glycated Hemoglobin
Randomized Controlled Trials as Topic
Insulin
Dietary Fiber
Cardiovascular Diseases
SDG 3 - Good Health and Well-being
description Copyright © 2022. Published by Elsevier Inc.
publishDate 2023
dc.date.none.fl_str_mv 2023-03-10T22:52:15Z
2023-01
2023-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/150338
url http://hdl.handle.net/10362/150338
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2161-8313
PURE: 54520711
https://doi.org/10.1016/j.advnut.2022.10.008
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