Short-Term Hemodynamic Effects of Modern Wheat Products Substitution in Diet with Ancient Wheat Products: A Cross-Over, Randomized Clinical Trial

Nutrients. 2018 Nov 4;10(11):1666. doi: 10.3390/nu10111666.

Abstract

Recent evidence suggests that bioactive compounds isolated from cereals and legumes could exert some metabolic and vascular effects in humans. Due to the recent identification of a non-specific lipid transfer protein (nsLTP2) in wheat with antioxidant and anti-inflammatory activity, we aimed to comparatively test the hemodynamic and metabolic effects of ancient wheat foodstuffs (made of organic KAMUT® khorasan wheat) or modern wheat ones, made of a mixture of organic modern commercial durum (T. durum) varieties and soft wheat (T. aestivum), with different nsLTP2 content. Thus, we carried out a randomized, cross-over clinical trial on 63 non-diabetic healthy volunteers (aged 40⁻70 years) with systolic blood pressure (SBP) 130⁻139 mmHg and/or diastolic blood pressure (DBP) 85⁻90 mmHg (pre-hypertensive/borderline high pressure subjects). Each treatment period lasted four weeks. After ancient wheat foodstuffs intake, subjects experienced a significant improvement in triglycerides (-9.8% vs. baseline and -14.5% versus modern wheat), fasting plasma glucose (-4.3% versus baseline and -31.6% versus modern wheat), diurnal SBP (-3.1% vs. baseline and ⁻30.2% vs. modern wheat) and nocturnal SBP (-3.2% vs. baseline and -36.8% vs. modern wheat), and pulse volume change (+4.2% vs. baseline and +2.3% vs. modern wheat) (p < 0.05 vs. baseline and versus modern wheat foodstuffs intake). Therefore, our findings show that substituting modern wheat products in diet with ancient wheat ones, might exert a mild improvement in 24-h SBP and endothelial reactivity in pre-hypertensive healthy subjects.

Keywords: ancient wheat; bioactive peptide; blood pressure; endothelial reactivity; non-specific lipid-transfer protein type 2; randomized clinical trial.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Alanine Transaminase / blood
  • Anthropometry
  • Aspartate Aminotransferases / blood
  • Blood Pressure
  • Cholesterol / blood
  • Cross-Over Studies
  • Diet*
  • Double-Blind Method
  • Female
  • Hemodynamics
  • Humans
  • Hypertension
  • Male
  • Middle Aged
  • Triglycerides / blood
  • Triticum / chemistry*
  • Uric Acid / blood

Substances

  • Triglycerides
  • Uric Acid
  • Cholesterol
  • Aspartate Aminotransferases
  • Alanine Transaminase