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. 2019 Jan 17;9(1):e023662. doi: 10.1136/bmjopen-2018-023662

Table 3.

The effect of 4-week wheat germ-enriched bread versus control bread on cardiovascular, inflammatory and metabolic risk markers

Wheat germ-enriched bread Control bread Effect of wheat germ*
N Baseline† N Post-Intervention† P value within group N Baseline† N Post-Intervention† P value within group Effect (95% CI) P value between group
Total cholesterol to mg/dL 52 175.17±31.82 50 172.98±32.4 0.147 48 174.00±32.17 48 170.00±31.38 0.100 1.20 (−4.54 to 6.95) 0.675
HDL cholesterol to mg/dL 52 60.92±15.13 50 59.38±16.07 0.010 48 60.65±15.21 48 58.38±13.77 0.012 0.14 (−1.83 to 2.12) 0.886
LDL cholesterol to mg/dL 52 97.31±26.07 50 96.92±26.22 0.853 48 97.23±25.79 48 95.21±27.08 0.356 1.74 (−3.80 to 7.28) 0.530
Triglycerides to mg/dL 52 85.13±54.67 50 83.8±42.62 0.565 48 81.10±49.96 48 82.48±59.66 0.763 −3.60 (−16.28 to 9.08) 0.571
Glucose to mg/dL‡ 27 84.22±6.82 26 81.27±7.32 0.011 25 83.48±6.13 25 80.68±7.50 0.012 −0.24 (−3.28 to 2.81) 0.8765§
Insulin to µU/mL 51 7.00±3.08 50 7.04±2.83 0.729 47 6.84±3.45 48 7.32±5.75 0.524 −0.39 (−2.03 to 1.24) 0.629
HOMA-IR 51 1.46±0.68 50 1.44±0.67 0.973 47 1.43±0.78 48 1.54±1.38 0.541 0.12 (−0.49 to 0.26) 0.529
HbA1c to %¶ 27 5.18±0.31 26 5.26±0.30 0.004 24 5.16±0.15 24 5.21±0.16 0.002 0.027 (−0.03 to 0.09) 0.380§
IAUC glucose to mg.min/dL 51 3399.58±2095.88 48 3017.74±1959.09 0.166 46 3379.91±2149.45 44 3334.59±2101.47 0.812 −221.13 (−901.34 to 459.08) 0.524
CRP to mg/dL 52 0.13±0.21 50 0.18±0.42 0.374 48 0.12±0.17 48 0.25±0.57 0.093 −0.07 (−0.26 to 0.13) 0.481

*Intervention effects were analysed using linear mixed model for repeated measures with compound symmetry as covariance structure.

†Mean±SD.

CRP, C-reactive protein; HbA1c, glycated haemoglobin; HDL, high-density lipoprotein; HOMA-IR, homeostasis model assessment for insulin resistance; IAUC, incremental area under the curve: LDL, low-density lipoprotein.

‡The intervention–sequence interaction was significant (−5.73 [−10.00,–1.46], p=0.010); the intervention effect was 2.07 in the first sequence and −3.66 in the second sequence.

§Only the first period was used in the analysis due the existence of carryover effect. Differences in changes within and between groups were compared by using the paired and unpaired t-test, respectively.

¶The intervention–sequence interaction was significant (0.15 [0.07, 0.23]; p<0.001); the intervention effect was −0.04 in the first sequence and 0.12 in the second sequence.