The quality of carbohydrate-rich foods rather than quantity has the strongest effect on major health outcomes. Systematic reviews and meta-analyses of prospective studies report lower mortality and reduced incidence of cardiovascular diseases, type 2 diabetes mellitus and colorectal cancer in people who habitually consume diets rich in fibre and whole grain.
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References
Ludwig, D. S. et al. Dietary fat: from foe to friend? Science 362, 764–770 (2018).
Dehghan, M. et al. Associations of fats and carbohydrate intake with cardiovascular disease and mortality in 18 countries from five continents (PURE): a prospective cohort study. Lancet 390, 2050–2062 (2017).
Reynolds, A. et al. Carbohydrate quality and human health: a series of systematic reviews and meta-analyses. Lancet 393, 434–445 (2019).
Della Pepa, G. et al. Whole grain intake and risk of type 2 diabetes: evidence from epidemiological and intervention studies. Nutrients 10, 1288 (2018).
Kelly, S. A. et al. Whole grain cereals for the primary or secondary prevention of cardiovascular disease. Cochrane Database Syst. Rev. 8, CD005051 (2017).
Clar, C. et al. Low glycaemic index diets for the prevention of cardiovascular disease. Cochrane Database Syst. Rev. 7, CD004467 (2017).
Hu, F. B. & Willett, W. C. Current and future landscape of nutritional epidemiologic research. JAMA 320, 2073–2074 (2018).
Ferruzzi, M. G. et al. Developing a standard definition of whole-grain foods for dietary recommendations: summary report of a multidisciplinary expert roundtable discussion. Adv. Nutr. 5, 164–176 (2014).
Meier, T. et al. Cardiovascular mortality attributable to dietary risk factors in 51 countries in the WHO European Region from 1990 to 2016: a systematic analysis of the Global Burden of Disease Study. Eur. J. Epidemiol. 34, 37–55 (2019).
Willett, W. et al. Food in the anthropocene: the EAT–Lancet Commission on healthy diets from sustainable food systems. Lancet 393, 447–492 (2019).
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The expert linguistic revision of R. Scala is gratefully acknowledged.
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G.R. is member of the Scientific Advisory Board of the Barilla Center for Food and Nutrition Foundation and of the Health & Wellbeing Advisory Board of Barilla Company.
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Riccardi, G., Costabile, G. Carbohydrate quality is key for a healthy and sustainable diet. Nat Rev Endocrinol 15, 257–258 (2019). https://doi.org/10.1038/s41574-019-0190-x
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DOI: https://doi.org/10.1038/s41574-019-0190-x
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