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. 2019 Jul 13;11(1):52–65. doi: 10.1093/advances/nmz063

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
1

Whole-grain–containing diet: contained a mix of different types of whole-grain foods.

2

Specific types of whole-grain foods: limited to specific foods like brown rice, whole wheat, etc.