Author
SAWICKI, CALEIGH - Jean Mayer Human Nutrition Research Center On Aging At Tufts University | |
LIVINGSTON, KARA - Jean Mayer Human Nutrition Research Center On Aging At Tufts University | |
ROSS, ALASTAIR - Chalmers University Of Technology | |
JACQUES, PAUL - Jean Mayer Human Nutrition Research Center On Aging At Tufts University | |
KOECHER, KATIE - The Bell Institute | |
MCKEOWN, NICOLA - Jean Mayer Human Nutrition Research Center On Aging At Tufts University |
Submitted to: Nutrients
Publication Type: Peer Reviewed Journal Publication Acceptance Date: 8/6/2018 Publication Date: 8/9/2018 Citation: Sawicki, C., Livingston, K.A., Ross, A.B., Jacques, P.F., Koecher, K., McKeown, N.M. 2018. Evaluating whole grain intervention study designs and reporting practices using evidence mapping methodology. Nutrients. 10(8). https://doi.org/10.3390/nu10081052. DOI: https://doi.org/10.3390/nu10081052 Interpretive Summary: Consumption of whole grains has been associated with reduced risk of chronic diseases in many observational studies; however, results of intervention studies have been mixed. In order to explore the variability in intervention study design characteristics and reporting practices that may be contributing to the inconsistency in results, we created an evidence map of published whole grain intervention studies. Evidence mapping is a method by which scientific evidence on an expansive or complex topic is identified, organized and summarized. We first conducted a reproducible, broad search for published whole grain human intervention studies. After screening based on a priori criteria, we identified 202 publications describing a total of 213 unique trials. We then extracted information of study design and reporting practices. We found several weaknesses in the evidence, including: few studies longer than 6 weeks, wide variation in the description of whole grains with few studies referencing published whole grain definitions, inconsistency in reporting the amount of whole grain consumed versus the amount of food/product consumed, a lack of specifying particular grain types, and little use of independent biomarkers of whole grain intake. This evidence map highlights the need to standardize both study protocols and reporting practices to support effective synthesis of study results and provide a stronger foundation to better inform nutrition scientists and public health policy. Technical Abstract: Consumption of whole grains have been associated with reduced risk of chronic diseases in many observational studies; yet, results of intervention studies are mixed. We aimed to use evidence mapping to capture the methodological and reporting variability in whole grain intervention studies that may contribute to this inconsistency. We conducted a reproducible search in OVID Medline for whole grain human intervention studies (published 1946 to February 2018). After screening based on a priori criteria, we identified 202 publications describing a total of 213 unique trials. Over half (55%) were acute trials, lasting =1 day, 30% were moderate duration studies (up to 6 weeks), and 15% were of longer duration (more than 6 weeks). The majority of acute trials (75%) examined measures of glycemia and/or insulinemia, while most of the longer trials included measures of cardiometabolic health (71%), appetite/satiety (57%), and weight/adiposity (56%). Among the moderate and long duration trials, there was a wide range of how whole grains were described, but only 10 publications referenced an established definition. Only 55% of trials reported the actual amount of whole grains (in grams or servings), while 36% reported the amount of food/product and 9% did not report a dose at all. Of the interventions that provided a mixture of whole grains, less than half (46%) reported the distribution of the different grain types. Reporting of subject compliance also varied, and only 22% used independent biomarkers of whole grain intake. This evidence map highlights the need to standardize both study protocols and reporting practices to support effective synthesis of study results and provide a stronger foundation to better inform nutrition scientists and public health policy. |