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SPECIAL SECTION: Proceedings of the 2009 Cereals & Europe

Meeting: Whole Grain Global Summit

Grains for Health: A Look to the Past and Insights into the Future
Denise Hauge,1,2 Steve McCurry,3 Jodi Englson,3 Gary Fulcher,4 David Hesse,3 and Len Marquart1
Cereal Chem. 87(2):155–158

The 2nd C&E Spring Meeting and 3rd International Whole investigations to continue to understand various issues relating
Grain Summit provided a venue to convene scientists and health whole grains and health such as how to measure chemical com-
professionals from around the world to examine where we have pounds in the whole grain and also how to measure the relevant
been and where we are going in the area of research on whole biological response. By using grain research dollars wisely, we
grains, dietary fiber, and functional grain components. This series can increase both the quantity and quality of research as the field
of international whole grains meetings began with the 1st Whole continues to expand. Researchers studying whole grains and
Grain Summit in Finland and continued with the Whole Grain health can potentially serve as a model for others trying to under-
Summit in Minneapolis in 2005. Most recently, the Summit in stand the biological effects of chemically complex foods or ingre-
New Castle reconvened whole grain experts. These summits have dients.
continued to build on the quantity and quality of scientific knowl- A 1990’s revival of whole grains and health begins our whole
edge disseminated. As we review the 2009 Whole Grain Summit grain journey. In 1993, Alta Engstrom, a former Director of Nutri-
and discuss where we are going next, we will first look at a brief tion at General Mills, initiated a whole grain meeting involving
historical perspective through a short “whole grain journey” par- government, industry, and academia. This began the initial drive
ticularly highlighting the last 15 years. Second, we will examine to establish a whole grain health claim in the United States in
several research milestones presented at the 2009 Summit that we 1999 and to provide sufficient data to support a recommendation
have achieved since the 2005 Whole Grain Summit in Minneapo- for the Dietary Guidelines. This slowly evolved from 1995 as a
lis, MN. Lastly, we will explore approaches for building a global mere mention of whole grains to a major recommendation in the
community for whole grains and health that will promote a deeper 2005 Dietary Guidelines for Americans: one-half of all grain serv-
awareness of what we should do and how we should conduct sci- ings should be consumed as whole grain. Around the same time,
ence (Table I). Europe initiated the Nordic Industrial Consortium with the Nordic
Grain researchers, especially when relating “whole grain” and “Rye and Health” Research Consortium (1994). In 2001, Kaisa
“health” have made strides in the last century to establish an asso- Poutanen and her colleagues convened the 1st International whole
ciation between whole grains and reduced risk for chronic disease grains meeting in Porvoo, Finland. At this time, initial discussions
as reported in many observational studies (Liu et al 2003; Mur- regarding the HEALTHGRAIN Project were conceived and
taugh et al 2003; Lutsey et al 2007). However, health research HEALTHGRAIN subsequently kicked-off in 2005 (http://www.
related to whole grain intake still lags behind other superfood healthgrain.org/pub/). During this same year, over 400 scientists
categories such as soy and fruits and vegetables. A PubMed and health professionals were brought together for the 2nd Inter-
search for “whole grain” returned 53 publications from the year national Whole Grain Conference in Minneapolis, MN (Marquart
1993, 77 publications in 1997, 119 from 2001, 209 from 2005, et al 2007).
and 236 from 2009 (Fig. 1). While research concerning whole The 2005 Whole Grain Summit brought together scientists,
grains has increased over the last decade and a half, whole grain educators, food technologists, producers, marketers, health pro-
still has a long way to go to catch up to the depth of research that fessionals, and regulators. The conference focused on whole-grain
has been done on fruits and vegetables and soy. In similar year- research and, specifically, the impact of whole grains on health.
specific searches of PubMed, neither fruits and vegetables nor soy Potential strategies that might influence their consumption were
return many studies for the time period 1900-1992. However, also discussed. The conference objectives were to review recent
based on journal entries between the years of 1993-2009, fruits data on whole grains and health; set research priorities; identify
and vegetables nearly tripled and soy approximately doubled in barriers to consumption; and evaluate effective means for whole-
quantity (Fig. 2). grain message communication.
The quantity of publications about whole grains increased be-
tween 1993 and the present, but lag behind fruits and vegetables Summary of 2005 Whole Grain Summit Recommendations
by nearly 10,000 total PubMed publications since 1900. Similarly, and Outcomes Since 2005
whole grain journal publications lag behind soy by approximately During the program in 2005, representatives from various areas
6,000 publications since 1900. This is a very crude measure of of focus created a list of recommendations for advancing whole
research progress, but it demonstrates the lack of multidiscipli- grain research efforts and encouraging greater utilization and
consumption. The focused recommendations in three key areas
nary efforts to focus and prioritize grain research. We need these
were 1) biological science and health—research unique sub-
stances and biological mechanisms by which whole grains affect
1 University health; 2) consumer research—increase the learning and interest
of Minnesota, Food Science, St. Paul, MN.
2 Corresponding author. Phone: 763-360-6859. Fax: 612-625-5272. E-mail address: in whole grains among stakeholders and consumers; and 3) edu-
ottxx064@umn.edu cation, and grain science and technology—expand knowledge of
3 Grains for Health Foundation, St. Paul, MN.
whole grains and develop new whole grain products.
4 University of Manitoba, Department of Food Science, Winnipeg, MB.
Table I gives a brief overview of advances in the biological sci-
doi:10.1094 / CCHEM-87-2-0155
ences, consumer and regulatory areas, and technology from 2005
© 2010 AACC International, Inc. to 2009. It highlights specific areas of progress presented during

Vol. 87, No. 2, 2010 155


the 2009 Summit as they relate to the outcome recommendations rative contributions from various sectors and a wide variety of
from the 2005 Summit. Many other milestones have occurred disciplines.
between the summits, and other relevant research was presented
during the 2009 Summit. Table I offers only a snapshot of the What We Will Do
many abstracts presented in Newcastle. By working together, our goal is to focus, prioritize, and lever-
age research dollars to gradually transform the food supply and
Where We Are target complex public health issues such as childhood obesity,
Around the globe, various government agencies, health-related Type 2 diabetes, and heart disease. We must first create a viable
organizations, and activist groups are all proactively asking for infrastructure to develop, deliver, and increase consumer intake of
change in the food supply to promote human health. Massachu- added-value grain-based foods, replacing less healthy options to
setts has recently followed New York City and California by re- promote public health. It seems prudent to help facilitate the re-
quiring certain restaurants to post caloric content of foods on their design of the food supply gradually over the course of the next 15
menu boards (Barron 2008; Winstein 2009). Activist organiza- years. With industry, academia, government, and others working
tions such as the Center for Science in the Public Interest are together, more grain-based foods that are higher in whole grain
championing increased taxes on unhealthy foods such as beer, and dietary fiber and lower in calories, fat, and sodium will be
soft drinks, and others, while calling for drastic reductions to so- readily available to consumers. One outcome of this collaborative
dium content of the food supply (CSPI 2009a,b). The European initiative is preventing complex public health issues by reducing
Commission EUROPA (2008) is in the process of label regulation the incidence of chronic diseases. While performing grain re-
change to help consumers address obesity and chronic disease search based on improving foods available throughout the supply
prevention by making better nutrition choices. Australia’s Preven- chain, a gradual approach to change could have a significant im-
tative Health Taskforce is expected to recommend no advertising pact toward improving health.
of unhealthy foods or alcohol on television between 6 a.m. and 9 To provide the initiative and innovation to make these processes
p.m. in an effort to eliminate these products being advertised to possible, future health, science, and business professionals will
children (Australia 2009). need to learn to think about and communicate across the supply
We are at a crossroads where we must choose between our cur- chain. By training students to think globally and across disci-
rent models or develop our vision and strategic plan to position plines, they learn to work together to solve the world’s complex
the grain industry as the leader in promoting human health. Rec- public health issues. Realigning reward systems for those who
ommendations should be proactive, rooted in scientific evidence, administer and instruct at the undergraduate and graduate levels is
and grounded in practical advice through systematic and collabo- an effective way to encourage this transition in training.

TABLE I
Summary of Recommendations from Whole Grains & Health: A Global Summit in 2005 and Highlight of Progress
Reported at C&E Spring Meeting 2009: Whole Grain Global Summita
Focus Area 2005 Recommendations* 2009 Progress**
Biological Science and Health • Establish the long-term effects of increasing WG • Alkylresorcinols (AR) reviewed as a valid dietary
intake on risk of developing chronic diseases. biomarker of rye and wheat intake and may be es-
pecially useful in populations where WG intake is
• Evaluate parts of WG to determine which compo- relatively constant.
nents improve health.
• The current body of observational and interven-
• Develop biomarkers for specific grains and grain tion evidence linking WG and health was evalu-
components to assess intake. ated.

• Monitor WG products in market and determine intake


by consumers.
Consumer Research and Education • Develop international regulatory and policy standards • The AACCI WG Task Force Workshop further
for whole grains. addressed many consumer-related issues: in-
creased market use, labeling, gradual introduction,
• Evaluate perceptions, motivations and barriers to scientific base for WG health claims.
whole grain consumption.
• Communication strategies that worked in Nordic
• Develop key messages that speak to health profes- countries were shared.
sionals and consumers.
• Current consumer trend toward desire of a
• Investigate and monitor marketplace changes. ‘healthy gut’ was demonstrated.

Grain Science and Technology • Identify, characterize and determine bioavailability of • Innovative approaches to increasing oat products
bioactive components within WG. were addressed.

• Upgrade grain technology to better determine the • Food technologists were challenged to formulate
effects of grain structure on sensory properties and WG products that consumers want to eat.
digestibility.
• The need for optimized grain fractionation was
• Create new market-friendly WG foods. discussed.

• Investigate and monitor production of WG foods and • Sensory characteristics/challenges when making
bioactive components. WG foods were delineated.
a * indicates material from L. Marquart and J. M. Jones Whole Grains & Health: A Global Summit, A Summary of Recommendations. University of Minnesota
2005. ** indicates material from C&E Spring Meeting 2009 – Whole Grain Global Summit, Whole Grain Products: The Holy Grail for Health Conscious Con-
sumers? Online Supplement, Cereal Foods World, Vol. 54, No. 2, 2009.

156 CEREAL CHEMISTRY


Gradually Improving Health-Related Attributes tion, and leveraging of current research knowledge. Working to-
of Grain-Based Foods gether begins by finding who is working on what and where they
One approach is a proposed 15-year model that would allow the are working on it.
sectors and disciplines to set specific incremental targets for in- Connecting the continents. We need to work together as we
gredients/nutrients in grain-based foods and allow consumer cul- move forward and connect current and past research efforts in
tural norms to shift and equilibrate before moving onto the next order to know where to begin. Linking the continents to synthe-
incremental change. For example, there is a need to be realistic size existing data and identifying priorities for research will help
and practical in terms of minimum sodium levels used in grain improve supply chain efficiency and increase whole grain avail-
products, particularly for any initial recommendations that might ability.
limit grain products in functionality and palatability. A gradual
reduction in sodium will allow the sectors (government, industry, Training Young Scientists and Health Professionals
academia) and various disciplines (technology, consumer/behav- Jean Piaget, a Swiss cognitive psychologist who lived during
ioral, regulatory/policy) to adapt at each incremental stage. This the 1900’s, summed up an educator’s responsibility in that “The
provides a comfortable adaptation period for industry to develop principal goal of education is to create men who are capable of
the necessary technology around new ingredients and formula- doing new things, not simply of repeating what other generations
tion, innovative product development, and allow time for the con- have done.” To create sustainable change in the food supply, it
sumers to adjust their palates to less sodium or to alternative will be necessary to develop visionary leaders who can communi-
ingredient sources. It also allows for focused research to examine cate across sectors, disciplines, and cultures and apply skills to
the relationship between nutrients such as sodium and specific navigate the supply chain in an increasingly complex world.
chronic diseases. This same example can be used for other ingre- While many professionals who currently work in industry possess
dients, such as gradually lowering dietary fat and calories or in- these abilities, their skills have been developed over years of ex-
creasing whole grain or dietary fiber content in commonly perience. These skills should be taught early in the education ex-
consumed foods. perience to send young professionals into the workplace who are
more fully prepared to tackle challenging issues through commu-
Focusing Research Around the Supply Chain nication and by building meaningful relationships. Potential proc-
The HEALTHGRAIN Project in Europe is an excellent exam- esses for accomplishing this type of training include development
ple of collaboration that has generated considerable data in the of interdisciplinary and experiential learning environments by link-
areas of consumer research, grain improvement and biotechnol- ing schools of agriculture, public health, medicine, and business;
ogy, technology and processing, nutrition and metabolism, and creation of new models for training young scientists, business,
dissemination and technology transfer. A next step in future col- and health professionals to develop and deliver products that are
laboration will be to harness and direct the current body of re- sustainable and healthier for consumers; establishment of team
search and technology to fill the gaps in the grain supply chain. environments for students to participate in real-world case studies
For example, when science and technology transfer is carefully that emphasize development, marketing, distribution, and delivery
planned and targeted toward milling and manufacturing compa- of healthier grain-based products. These skills must be cultivated
nies, this can accelerate the development and delivery of food early if we are to succeed in improving public health through a
products into the marketplace with additional health attributes. value-added grain supply chain.
We should now focus, prioritize, and leverage these tremendous
data-rich resources. What is the right direction and how should we Rewarding Collaborative Behavior
approach whole grains, dietary fiber, and health from a scientific Few funding agencies have the structure, scope, or flexibility to
perspective to capitalize on our investment in research? support broad multidisciplinary projects. These funding sources
Identify gaps in supply chain. Survey the supply chain to iden- tend to be conservative in their portfolio management and consist
tify areas of opportunity for improvement in production, delivery, of program officers who are seldom focused on emerging collabo-
and consumption of whole grain products. rative opportunities. Several suggestions for contributions from
Identify gaps in research. Focus, prioritize, and leverage re- academia, industry, nonprofit organizations, and government might
search dollars. By examining the current body of research, we include the following.
discover unexplored gaps. Rallying multi-institutional collabora- From an academic perspective, there is a need to realign the
tion around specific issues will allow the research to address tar- reward systems for both the granting and tenure process. These
geted, prioritized issues methodically. Working together to first processes by which scientists and education professionals are
focus and prioritize research efforts and then perform the research
will prevent unintended duplication of efforts.
Researcher database with support of AACCI. Increase the op-
portunity for scientists to create innovative research. Synergistic
research can occur through increased collaboration, communica-

Fig. 2. A comparison of research for fruits and vegetables, soy, and whole
Fig. 1. A whole grain journey. grains from 1900 to the present.

Vol. 87, No. 2, 2010 157


rewarded should promote formation of cross-disciplined research moderation, and small steps. This begins by asking the right sci-
projects and training of the upcoming generation to solve com- entific questions to elucidate problem identification and finding
plex public health problems. This will encourage present and fu- solutions that feed directly into the supply chain that result in
ture research professionals to branch out into nontraditional roles, improved food and health for consumers.
develop innovative teaching practices, and participate in collabo-
rative research projects. Conclusions
Industry funding will require a targeted strategy in pursuit of Cost, consumer acceptability, and a need for targeted health-
scientific goals. Funding should reward projects that focus on related science are all barriers to achieving health objectives.
improving weaknesses in the supply chain and that are directly Without solid scientific documentation of the health attributes of
applicable to improvement in the health attributes, taste quality, whole grain and fiber-rich grain foods, we undermine the credibil-
and cost containment of grain-based foods. ity of our products and our potential business opportunities. There
Nonprofit organizations are uniquely aligned to focus and lev- is no doubt we must all work together to develop and harness the
erage cross-disciplined efforts that strategically address complex foundational knowledge, tools, and wisdom for grains to further
food-related issues. They are also well positioned to address du- contribute to human health. Ultimately, we need to begin by ask-
plication of efforts and to frame projects within the big picture. ing the right questions and proactively engaging all sectors and
Nonprofits will require open-minded, progressive, and assertive grain-based disciplines to be part of the solution. Managing the
action to serve as an effective conduit between industry, acade- right tension between profit and public health, (cost, palatability,
mia, and government. and health benefit to the consumer) is the key to success.
Government agencies continue to move toward funding of re-
search projects that require collaborative, multidisciplinary efforts. LITERATURE CITED
This is one effective award system for encouraging collaboration.
Government can further improve this program by working with Australia. 2009. The Healthiest Country By 2020: National Preventative
other sectors to focus and prioritize research projects before dol- Health Strategy the Roadmap for Action. http://www. preventative-
health.org.au/internet/preventativehealth/publishing.nsf/Content/CCD7
lars are awarded. By working together to determine research pri- 323311E358BECA2575FD000859E1/$File/nphs-roadmap.pdf. National
orities, both industry and government funders will be able to Preventative Health Taskforce: Canberra.
leverage research dollars to address issues in a planned and priori- Barron, J. 2008. Restaurants Must Post Calories, Judge Affirms. New
tized manner. York Times April 17. http://www.nytimes. com/2008/04/ 17/nyregion/
The question arises as to whether there will be a need for a new 17 calorie.html? scp=4&sq=New%20York%20City%20 To%20Call%
discipline to help scientists communicate more effectively and 20for%20Calorie%20Counts%20On%20Menus&st=cse. NYTimes.
collaborate in the planning and outcome phase of their research. C&E. 2009. Spring Meeting Whole Grain Global Summit. Whole Grain
One example could be a new journal process that focuses on ap- Products: The Holy Grail for Health Conscious Consumers? Online
plied or transitional research that more closely ties grain-based Supplement. Cereal Foods World 54:2009.
CSPI. 2009a. Center for Science in the Public Interest. Taxing soda could
foods to the marketplace.
trim state deficits (and waistlines), says report. Available online at
http://www.cspinet.org/new/200909301.html.
How We Will Get There CSPI. 2009b. Center for Science in the Public Interest. Unsafe Sodium
Working together and training for the future both require an ex- levels at Denny’s prompt class action lawsuit. Available online at
cellent ability to communicate and relate to one another and the http://www.cspinet.org/new/200907231.html.
world around us. Focused and prioritized research will ultimately EUROPA. 2008. Commission proposal to overhaul EU food labelling
begin where our individual priorities lie. We will need to begin to rules. Available online at http://europa.eu/rapid/pressReleasesAction.
understand and respect one another’s priorities to connect with do?reference=IP/08/112&format=HTML.
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asking the right questions. It is not enough to recognize the many G. 2003. Relation between changes in intakes of dietary fiber and grain
ways in which we are all different; we need to go further to rec- products and changes in weight and development of obesity among
middle-aged women. Am. J. Clin. Nutr. 71:920-927.
ognize and capitalize on the many ways that we are also similar
Lutsey, P., Jacobs, D. R., Kori, S., Mayer-Davis, E., Shea, S., Steffen, L.
(Wilber 2007). Integration and harmony within the grain-based M., Szklo, M., and Tracy, R. 2007. Whole grain intake and its cross-
supply chain are essential. There should be no disconnects in the sectional association with obesity, insulin resistance, inflammation,
process if we are to successfully link research to public health diabetes, and subclinical CVD: The MESA study. Brit. J. Nutr. 98:397-
through changes in the supply chain. We need to raise each other 405.
up in all sectors, disciplines, and cultures to realize the full poten- Marquart, L., and Jones, J. M. 2005. Whole Grains & Health: A Global
tial of all to make changes to public health through human con- Summit. A Summary of Recommendations. University of Minnesota:
nection. St. Paul, MN.
One entity where such differences, priorities, and similarities Marquart, L., Jacobs, D., McIntosh, G., Poutanen, K., and Reicks, M.
are recognized and shared currently is the Grains for Health Foun- 2007. Whole Grains and Health. Blackwell: Ames IA.
Murtaugh, M. A., Jacobs, D. R., Jacob, B., Steffen, L. M., and Marquart,
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goal of the Foundation is to find an approach that affects public Winstein, K. J. 2009. Massachusetts adopts rules for calorie counts on
health by improving the food supply, an approach that everyone menus. http://online wsj.com/article/SB124225207517116943.html. Wall
can get behind with full passion but one guided by collaboration, Street Journal: New York.

[Received July 8, 2009. Accepted January 7, 2010.]

158 CEREAL CHEMISTRY

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