The currently accepted definition of a whole grain is a cereal grain for consumption that retains its original plant form. In this respect, the cereal retains its original composition of fibre, micro nutrients and starch. Refined grains undergo a manufacturing process by which the fibre and most of the micronutrients are removed by stripping the grain of its bran and germ layers. This leaves the starchy endosperm with contains the energy content of the cereal grain as carbohydrate. The differences between whole grains and refined grains in terms of their health effects in humans have been extensively studied. Generally refined grains have been shown to possess detrimental glycaemic effects and this can have both short and long term implications. In the short term, the rapid rise in blood glucose levels can generate a nutrient overload syndrome in cells, resulting in the excessive oxidation of glucose with a resulting increase in free radical generation. These free radicals then contribute to the oxidative stress of the cell.
The increase in the generation of free radicals can have long term implications on health because it results in a down regulation of the insulin receptor signalling on the cell membrane. This is likely a protective effect to stop further nutrient influx to the cell. This oxidative stress process is also detrimental because it depletes the cell and tissues of antioxidants, and this may generate tissue damage systemically. The presence of oxidative stress and insulin resistance have been shown to increase the risk of cardiovascular disease, and so it should be no surprise that consumption of refined grains is associated with cardiovascular disease. In turn, consumption of whole grains is associated with protection from cardiovascular disease. Whole grains are also a source of antioxidants, and in particular the alkylresorcinols have been identified as potentially beneficial antioxidants in cereal grains. These antioxidants may also protect the cells from oxidative stress, providing a further benefit to the consumption of whole grains.
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