TABLE 2.
Subgroup analysis based on fixed-effects models for the effects of whole-grain consumption on inflammatory biomarkers in adults aged ≥18 y
Effect size, n | Mean (95% CI) | P-within | I 2, % | P-between | |
---|---|---|---|---|---|
Whole-grain consumption on serum concentrations of C-reactive protein | |||||
Overall | 15 | −0.29 (−1.10, 0.52) | 0.48 | 97.0 | |
Baseline concentrations | <0.001 | ||||
Normal (<3 mg/L) | 8 | 0.04 (−0.12, 0.20) | 0.619 | 84.2 | |
High (≥3 mg/L) | 7 | −1.10 (−1.30, −0.90) | <0.001 | 98.2 | |
Health condition | 0.006 | ||||
Healthy | 10 | −0.35 (−0.48, −0.22) | <0.001 | 97.9 | |
Unhealthy | 5 | −0.97 (−1.39, −0.55) | <0.001 | 77.2 | |
Duration of intervention | <0.001 | ||||
<8 wk | 6 | 0.94 (0.67, 1.22) | <0.001 | 95.9 | |
≥8 wk | 9 | −0.76 (−0.90, −0.62) | <0.001 | 96.5 | |
Study design | <0.001 | ||||
Parallel | 10 | −0.74 (−0.88, −0.60) | <0.001 | 96.0 | |
Crossover | 5 | 1.47 (1.15, 1.80) | <0.001 | 95.2 | |
Calorie restriction | 0.265 | ||||
Hypocaloric diet | 3 | −0.22 (−0.57, 0.14) | 0.232 | 53.3 | |
Isocaloric diet | 12 | −0.43 (−0.57, −0.30) | <0.001 | 97.6 | |
Type of intervention | 0.48 | ||||
Whole-grain–containing diet1 | 12 | −0.33 (−1.36, 0.70) | 0.524 | 97.6 | |
Specif ic whole-grain product foods2 | 3 | −0.29 (−1.10, 0.52) | 0.083 | 0.0 | |
Adjustment for baseline values | 0.013 | ||||
Nonadjusted | 9 | −0.10 (−0.37, 0.17) | 0.462 | 91.2 | |
Adjusted | 6 | −0.49 (−0.63, −0.35) | <0.001 | 97.6 | |
Risk of bias | <0.001 | ||||
Others | 10 | 0.11 (−0.10, 0.31) | 0.316 | 94.5 | |
Low | 5 | −0.70 (−0.86, −0.54) | <0.001 | 98.5 | |
Whole-grain consumption on serum concentrations of IL-6 | |||||
Overall | 11 | −0.08 (−0.27, 0.11) | 0.399 | 67.5 | |
Baseline concentrations | 0.84 | ||||
Normal (<4.4 pg/mL) | 10 | −0.03 (−0.11, 0.05) | 0.445 | 70.7 | |
High (≥4.4 pg/mL) | 1 | 0.50 (−4.67, 5.67) | 0.850 | 0.0 | |
Health condition | 0.026 | ||||
Healthy | 7 | −0.00 (−0.09, 0.08) | 0.935 | 0.0 | |
Unhealthy | 4 | −0.33 (−0.61, −0.06) | 0.019 | 85.2 | |
Duration of intervention | <0.001 | ||||
<8 wk | 4 | −0.62 (−0.92, −0.32) | <0.001 | 59.2 | |
≥8 wk | 7 | 0.01 (−0.07, 0.10) | 0.733 | 21.2 | |
Study design | <0.001 | ||||
Parallel | 8 | 0.01 (−0.07, 0.10) | 0.736 | 14.2 | |
Crossover | 3 | −0.62 (−0.92, −0.32) | <0.001 | 67.5 | |
Calorie restriction | 0.413 | ||||
Hypocaloric diet | 3 | 0.07 (−0.19, 0.32) | 0.594 | 0.0 | |
Isocaloric diet | 8 | −0.04 (−0.13, 0.04) | 0.326 | 75.4 | |
Type of intervention | 0.399 | ||||
Whole-grain–containing diet | 8 | −0.14 (−0.37, 0.09) | 0.243 | 75.9 | |
Specific whole-grain product foods | 3 | 0.10 (−0.16, 0.36) | 0.465 | 67.5 | |
Adjustment for baseline values | 0.44 | ||||
Nonadjusted | 8 | −0.05 (−0.17, 0.27) | 0.659 | 0.0 | |
Adjusted | 3 | −0.04 (−0.13, 0.04) | 0.322 | 81.5 | |
Risk of bias | 0.355 | ||||
Others | 6 | 0.03 (−0.12, 0.18) | 0.70 | 0.0 | |
Low | 5 | −0.06 (−0.15, 0.04) | 0.25 | 84.3 | |
Whole-grain consumption on serum concentrations of TNF-α | |||||
Overall | 7 | −0.06 (−0.25, 0.14) | 0.56 | 73.7 | |
Baseline concentrations | 0.67 | ||||
Normal (<2.3 pg/mL) | 5 | −0.03 (−0.10, 0.04) | 0.35 | 26.8 | |
High (≥2.3 pg/mL) | 2 | −0.24 (−1.22, 0.74) | 0.63 | 94.2 | |
Health condition | 0.26 | ||||
Healthy | 3 | −0.00 (−0.09, 0.09) | 0.96 | 88.5 | |
Unhealthy | 4 | −0.08 (−0.19, 0.03) | 0.14 | 27.8 | |
Duration of intervention | 0.853 | ||||
<8 wk | 3 | −0.01 (−0.24, 0.21) | 0.91 | 88.5 | |
≥8 wk | 4 | −0.03 (−0.11, 0.04) | 0.33 | 44.3 | |
Study design | 0.83 | ||||
Parallel | 5 | −0.04 (−0.11, 0.04) | 0.33 | 82.3 | |
Crossover | 2 | −0.01 (−0.24, 0.21) | 0.92 | 0.0 | |
Calorie restriction | 0.28 | ||||
Hypocaloric diet | 2 | −0.09 (−0.22, 0.04) | 0.15 | 56.3 | |
Isocaloric diet | 5 | −0.01 (−0.09, 0.07) | 0.82 | 79.4 | |
Type of intervention | 0.56 | ||||
Whole-grain–containing diet | 5 | −0.05 (−0.14, 0.04) | 0.25 | 13.8 | |
Specific whole-grain product foods | 2 | −50.25 (−154.84, 54.33) | 0.346 | 94.2 | |
Adjustment for baseline values | 0.176 | ||||
Nonadjusted | 6 | −0.39 (−0.91, 0.13) | 0.143 | 76.6 | |
Adjusted | 1 | 0.03 (−0.10, 0.04) | 0.444 | 18.5 | |
Risk of bias | 0.78 | ||||
Others | 5 | −0.04 (−0.11, 0.04) | 0.32 | 27.2 | |
Low | 2 | −0.00 (−0.23, 0.23) | 0.98 | 94.2 |
Whole-grain–containing diet: contained a mix of different types of whole-grain foods.
Specific types of whole-grain foods: limited to specific foods like brown rice, whole wheat, etc.