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The role of whole grains and lignans in lifestyle diseases

emphasis on prostate cancer and type 2 diabetes and their risk factors

Eriksen, Anne Kirstine (2019). The role of whole grains and lignans in lifestyle diseases. Diss. (sammanfattning/summary) Uppsala : Sveriges lantbruksuniv., Acta Universitatis Agriculturae Sueciae, 1652-6880 ; 2019:25
ISBN 978-91-7760-368-9
eISBN 978-91-7760-369-6
[Doctoral thesis]

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Whole grains are rich in dietary fibre and bioactive compounds and have consistently been associated to improved health and lower mortality. Whole-grain rye is rich in fermentable fibre and lignans, that are converted to enterodiol and enterolactone by the gut microbiota. Enterolactone has been studied widely for several suggested beneficial health properties. In this thesis, the role of whole grains and lignans in cardio-metabolic health and mortality from type 2 diabetes and prostate cancer was studied.

Whole-grain rye and lignans did not affect glucose response assessed by an oral glucose tolerance test in men with metabolic syndrome after 8 wk intervention. Whole-grain rye improved lipid profile by lowering LDL-cholesterol compared to whole-grain wheat, whereas high-dose lignan supplementation had no effect on any of the investigated cardio-metabolic outcomes. Baseline microbiota enterotype appeared to explain some of the difference in response to treatments. Lipid profile was improved in the Prevotella enterotype by whole-grain rye diet and in the Bacteroides enterotype by whole-grain wheat diet. Lifestyle intervention with high intake of whole-grain rye and physical activity was feasible to implement in a group of men with non-aggressive prostate cancer. However, a full-scale trial is needed to investigate the potential of whole-grain rye in prostate cancer progression. Lastly, plasma enterolactone was investigated in two observational studies based on data from the population-based Diet, Cancer and Health cohort. Enterolactone concentrations were inversely associated with mortality among persons with type 2 diabetes, whereas no association with mortality was observed in men with prostate cancer.

Overall, the findings from the this thesis highlights that whole-grain rye has beneficial health properties related to lipid profile, that long-term dietary interventions with high intake of whole-grains are feasible among middle-aged men with metabolic syndrome or prostate cancer, and that plasma enterolactone is associated with lower mortality among persons with type 2 diabetes. Furthermore, the finding of no association between enterolactone and prostate cancer mortality contributes to the existing evidence from observational studies that does not support the findings of a protective role from cell, animal and a few human interventions.

Authors/Creators:Eriksen, Anne Kirstine
Title:The role of whole grains and lignans in lifestyle diseases
Subtitle:emphasis on prostate cancer and type 2 diabetes and their risk factors
Series Name/Journal:Acta Universitatis Agriculturae Sueciae
Year of publishing :2019
Number of Pages:88
IAnne Kirstine Eriksen*, Carl Brunius, Mohsen Mazidi, Per Hellström, Ulf Risérus, Kia Nøhr Iversen, Rikard Fristedt, Li Sun, Yi Huang, Knud Erik Bach Knudsen, Natalja Nørskov, Cecilie Kyrø, Kirsten Frederiksen, Anne Tjønneland, Anja Olsen, Johan Dicksved, Rikard Landberg (2019). Effects of whole-grain rye and lignan supplementation on cardio-metabolic risk factors in men with metabolic syndrome are associated with baseline gut microbiota enterotype: a randomized cross-over trial (manuscript)
IIAnne Kirstine Eriksen*, Cecilie Kyrø, Natalja Nørskov, Knud Erik Back Knudsen, Kirsten Frederiksen, Kim Overvad, Rikard Landberg, Anne Tjønneland and Anja Olsen (2019). Pre-diagnostic plasma enterolactone concentrations are associated with lower mortality among individuals with diabetes: a case-cohort study in the Diet, Cancer and Health cohort. Accepted 27 February Diabetologia
IIIAnne Kirstine Eriksen*, Rikke Dalgaard Hansen, Michael Borre, Ryan Godsk Larsen, Jeppe Munthe Jensen, Kristian Overgaard, Mette Borre, Cecilie Kyrø, Rikard Landberg, Anja Olsen and Anne Tjønneland (2017). A lifestyle intervention among elderly men on active surveillance for non-aggressive prostate cancer: a randomised feasibility study with whole-grain rye and exercise. Trials Jan 13;18(1):20
IVAnne Kirstine Eriksen*, Cecilie Kyrø, Natalja Nørskov, Anne Katrine Bolvig, Jane Christensen, Anne Tjønneland, Kim Overvad, Rikard Landberg and Anja Olsen (2017). Prediagnostic enterolactone concentrations and mortality among Danish men diagnosed with prostate cancer. Eur J Clin Nutr: 71(10), 1235-1240.
Place of Publication:Uppsala
Publisher:Department of Molecular Sciences, Swedish University of Agricultural Sciences
ISBN for printed version:978-91-7760-368-9
ISBN for electronic version:978-91-7760-369-6
Publication Type:Doctoral thesis
Article category:Other scientific
Full Text Status:Public
Agris subject categories.:Q Food science > Q04 Food composition
S Human nutrition > S01 Human nutrition - General aspects
X Agricola extesions > X38 Human medicine, health, and safety
Subjects:(A) Swedish standard research categories 2011 > 3 Medical and Health Sciences > 303 Health Sciences > Public Health, Global Health, Social Medicine and Epidemiology
(A) Swedish standard research categories 2011 > 3 Medical and Health Sciences > 303 Health Sciences > Nutrition and Dietetics
Keywords:whole-grain rye, lignans, enterolactone, metabolic syndrome, human intervention, type 2 diabetes, prostate cancer, cohort study, prognosis
Permanent URL:
ID Code:16071
Faculty:NJ - Fakulteten för naturresurser och jordbruksvetenskap
Department:(NL, NJ) > Department of Molecular Sciences
Deposited By: SLUpub Connector
Deposited On:15 Apr 2019 13:20
Metadata Last Modified:26 Apr 2019 06:06

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