Dietary guidance universally supports the importance of grains in the diet.
The United States Department of Agriculture pyramid suggests that American
s consume from six to 11 servings of grains per day, with three of these se
rvings being whole grain products. Whole grain contains the bran, germ and
endosperm, while refined grain includes only endosperm. Both refined and wh
ole grains can be fortified with nutrients to improve the nutrient profile
of the product, Most grains consumed in developed countries are subjected t
o some type of processing to optimize flavor and provide shelf-stable produ
cts. Grains provide important sources of dietary fibre, plant protein, phyt
ochemicals and needed vitamins and minerals. Additionally, in the United St
ates grains have been chosen as the best vehicle to fortify our diets with
vitamins and minerals that are typically in short supply. These nutrients i
nclude iron, thiamin, niacin, riboflavin and, more recently, folic acid and
calcium. Grains contain antioxidants, including vitamins, trace minerals a
nd non-nutrients such as phenolic acids, lignans and phytic acid, which are
thought to protect against cardiovascular disease and cancer. Additionally
, grains are our most dependable source of phytoestrogens, plant compounds
known to protect against cancers such as breast and prostate. Grains are ri
ch sources of oligosaccharides and resistant starch, carbohydrates that fun
ction like dietary fibre and enhance the intestinal environment and help im
prove immune function. Epidemiological studies find that whole grains are m
ore protective than refined grains in the prevention of chronic disease, al
though instruments to define intake of refined, whole and fortified grains
are limited. Nutritional guidance should support whole grain products over
refined, with fortification of nutrients improving the nutrient profile of
both refined and whole grain products.