PMID- 30213062 OWN - NLM STAT- MEDLINE DCOM- 20181217 LR - 20191210 IS - 2072-6643 (Electronic) IS - 2072-6643 (Linking) VI - 10 IP - 9 DP - 2018 Sep 12 TI - Wholegrain Intake and Risk of Type 2 Diabetes: Evidence from Epidemiological and Intervention Studies. LID - 10.3390/nu10091288 [doi] LID - 1288 AB - Type 2 diabetes mellitus (T2DM) is one of the most common metabolic diseases and represents a leading cause of morbidity and mortality because of its related complications. The alarming rise in T2DM prevalence worldwide poses enormous challenges in relation to its social, economic, and a clinical burden requiring appropriate preventive strategies. Currently, lifestyle modifications-including approaches to promote a moderate body weight reduction and to increase regular physical exercise-are the first crucial intervention for T2DM prevention. In the light of the difficulty in reducing body weight and in long-term maintenance of weight loss, quality changes in dietary patterns-in terms of macro and micronutrient composition-can also strongly affect the development of T2DM. This may provide a more practical and suitable preventative approach than simply implementing caloric restriction. Along this line, there is increasing evidence that wholegrain consumption in substitution of refined grains is associated with a reduction of the incidence of several non-communicable chronic diseases. The aim of the present review is to summarize the current evidence from observational and randomized controlled clinical trials on the benefits of wholegrain on T2DM prevention and treatment. Plausible mechanisms by which wholegrain could act on glucose homeostasis and T2DM prevention are also evaluated. Altogether, the totality of the available evidence supports present dietary recommendations promoting wholegrain foods for the prevention and treatment of T2DM. FAU - Della Pepa, Giuseppe AU - Della Pepa G AD - Department of Clinical Medicine and Surgery, "Federico II" University, 80131 Naples, Italy. giuseppe.dellapepa@unina.it. FAU - Vetrani, Claudia AU - Vetrani C AD - Department of Clinical Medicine and Surgery, "Federico II" University, 80131 Naples, Italy. c.vetrani@libero.it. FAU - Vitale, Marilena AU - Vitale M AUID- ORCID: 0000-0002-3566-4363 AD - Department of Clinical Medicine and Surgery, "Federico II" University, 80131 Naples, Italy. marilena.vitale@yahoo.it. FAU - Riccardi, Gabriele AU - Riccardi G AD - Department of Clinical Medicine and Surgery, "Federico II" University, 80131 Naples, Italy. gabriele.riccardi@unina.it. LA - eng PT - Journal Article PT - Review DEP - 20180912 PL - Switzerland TA - Nutrients JT - Nutrients JID - 101521595 RN - 0 (Biomarkers) RN - 0 (Blood Glucose) SB - IM MH - Biomarkers/blood MH - Blood Glucose/metabolism MH - Diabetes Mellitus, Type 2/blood/diagnosis/epidemiology/*prevention & control MH - *Diet, Healthy MH - Humans MH - Incidence MH - *Nutritive Value MH - Protective Factors MH - *Recommended Dietary Allowances MH - Risk Assessment MH - Risk Factors MH - *Risk Reduction Behavior MH - *Whole Grains PMC - PMC6163785 OTO - NOTNLM OT - diabetes diet OT - diabetes prevention OT - plasma glucose OT - plasma insulin OT - type 2 diabetes mellitus OT - wholegrain COIS- Some of the trials on wholegrain performed by the authors that were reviewed in this paper have been funded, in part, by Barilla. EDAT- 2018/09/15 06:00 MHDA- 2018/12/18 06:00 PMCR- 2018/09/01 CRDT- 2018/09/15 06:00 PHST- 2018/08/03 00:00 [received] PHST- 2018/09/03 00:00 [revised] PHST- 2018/09/10 00:00 [accepted] PHST- 2018/09/15 06:00 [entrez] PHST- 2018/09/15 06:00 [pubmed] PHST- 2018/12/18 06:00 [medline] PHST- 2018/09/01 00:00 [pmc-release] AID - nu10091288 [pii] AID - nutrients-10-01288 [pii] AID - 10.3390/nu10091288 [doi] PST - epublish SO - Nutrients. 2018 Sep 12;10(9):1288. doi: 10.3390/nu10091288.