Objective: Wheat fiber appears to protect from cardiovascular disease despi
te ifs lack of consistent effect on serum lipids. We therefore wished to de
termine whether reported inconsistencies in the effect of wheat bran result
ed from differences in particle size or its high gluten content.
Methods: Two studies were conducted. In one-month metabolic diets, 24 hyper
lipidemic subjects consumed breads providing an additional 19 g/d dietary f
iber as medium or ultra-fine wheat bran and extra protein (10% of energy as
wheat gluten). In two-week ad libitum diets, 24 predominantly normolipidem
ic subjects consumed breakfast cereals providing an additional 19 g/d of di
etary fiber as coarse or a mixture of ultra-fine and coarse wheat bran with
no change in gluten intake. Both studies followed a randomized crossover d
esign with control periods when subjects ate low-fiber breads and cereals r
espectively with no added gluten. Fasting blood lipids were measured on day
zero and at the end of each phase.
Results: Wheat bran had no effect on total, LDL or HDL cholesterol irrespec
tive of particle size or level of gluten in the diet. However, consumption
of increased gluten in the metabolic study was associated with a 13+/-4% re
duction in serum triglycerides (p=0.005) which was not seen in the normal-g
luten ad libitum study.
Conclusions: The protective effect of wheat fiber in cardiovascular disease
cannot be explained by an effect of wheat bran in reducing serum cholester
ol although in hyperlipidemic subjects displacement of carbohydrate by glut
en on the high-fiber phases was associated with lower serum triglycerides.