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Article ; Online: Effect of oat supplementation interventions on cardiovascular disease risk markers: a systematic review and meta-analysis of randomized controlled trials.

Llanaj, Erand / Dejanovic, Gordana M / Valido, Ezra / Bano, Arjola / Gamba, Magda / Kastrati, Lum / Minder, Beatrice / Stojic, Stevan / Voortman, Trudy / Marques-Vidal, Pedro / Stoyanov, Jivko / Metzger, Brandon / Glisic, Marija / Kern, Hua / Muka, Taulant

European journal of nutrition

2022 Volume 61, Issue 4, Page(s) 1749–1778

Abstract: Purpose: Oat supplementation interventions (OSIs) may have a beneficial effect on cardiovascular disease (CVD) risk. However, dietary background can modulate such effect. This systematic review assesses the effects of OSIs on CVD risk markers among ... ...

Abstract	Purpose: Oat supplementation interventions (OSIs) may have a beneficial effect on cardiovascular disease (CVD) risk. However, dietary background can modulate such effect. This systematic review assesses the effects of OSIs on CVD risk markers among adults, accounting for different dietary backgrounds or control arms. Methods: We included randomized clinical trials (RCTs) that assessed the effect of oat, oat beta-glucan-rich extracts or avenanthramides on CVD risk markers. Results: Seventy-four RCTs, including 4937 predominantly hypercholesterolemic, obese subjects, with mild metabolic disturbances, were included in the systematic review. Of these, 59 RCTs contributed to the meta-analyses. Subjects receiving an OSI, compared to control arms without oats, had improved levels of total cholesterol (TC) [weighted mean difference and (95% CI) - 0.42 mmol/L, (- 0.61; - 0.22)], LDL cholesterol [- 0.29 mmol/L, (- 0.37; - 0.20)], glucose [- 0.25 nmol/L, (- 0.36; - 0.14)], body mass index [- 0.13 kg/m Conclusion: Dietary OSIs resulted in lowered levels of blood lipids and improvements in anthropometric parameters among participants with predominantly mild metabolic disturbances, regardless of dietary background or control. Further high-quality trials are warranted to establish the role of OSIs on blood pressure, glucose homeostasis and inflammation markers.
MeSH term(s)	Adult ; Avena ; Biomarkers ; Cardiovascular Diseases/prevention & control ; Cholesterol ; Dietary Supplements ; Glucose ; Humans ; Inflammation ; Randomized Controlled Trials as Topic
Chemical Substances	Biomarkers ; Cholesterol (97C5T2UQ7J) ; Glucose (IY9XDZ35W2)
Language	English
Publishing date	2022-01-03
Publishing country	Germany
Document type	Journal Article ; Meta-Analysis ; Review ; Systematic Review
ZDB-ID	1466536-0
ISSN	1436-6215 ; 1436-6207
ISSN (online)	1436-6215
ISSN	1436-6207
DOI	10.1007/s00394-021-02763-1
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Article ; Online: Risk Prediction Models of Natural Menopause Onset: A Systematic Review.

Raeisi-Dehkordi, Hamidreza / Kummer, Stefanie / Francis Raguindin, Peter / Dejanovic, Gordana / Eylul Taneri, Petek / Cardona, Isabel / Kastrati, Lum / Minder, Beatrice / Voortman, Trudy / Marques-Vidal, Pedro / Dhana, Klodian / Glisic, Marija / Muka, Taulant

The Journal of clinical endocrinology and metabolism

2022 Volume 107, Issue 10, Page(s) 2934–2944

Abstract: Context: Predicting the onset of menopause is important for family planning and to ensure prompt intervention in women at risk of developing menopause-related diseases.: Objective: We aimed to summarize risk prediction models of natural menopause ... ...

Abstract	Context: Predicting the onset of menopause is important for family planning and to ensure prompt intervention in women at risk of developing menopause-related diseases. Objective: We aimed to summarize risk prediction models of natural menopause onset and their performance. Methods: Five bibliographic databases were searched up to March 2022. We included prospective studies on perimenopausal women or women in menopausal transition that reported either a univariable or multivariable model for risk prediction of natural menopause onset. Two authors independently extracted data according to the CHARMS (critical appraisal and data extraction for systematic reviews of prediction modelling studies) checklist. Risk of bias was assessed using a prediction model risk of bias assessment tool (PROBAST). Results: Of 8132 references identified, we included 14 articles based on 8 unique studies comprising 9588 women (mainly Caucasian) and 3289 natural menopause events. All included studies used onset of natural menopause (ONM) as outcome, while 4 studies also predicted early ONM. Overall, there were 180 risk prediction models investigated, with age, anti-Müllerian hormone, and follicle-stimulating hormone being the most investigated predictors. Estimated C-statistic for the prediction models ranged from 0.62 to 0.95. Although all studies were rated at high risk of bias mainly due to the methodological concerns related to the statistical analysis, their applicability was satisfactory. Conclusion: Predictive performance and generalizability of current prediction models on ONM is limited given that these models were generated from studies at high risk of bias and from specific populations/ethnicities. Although in certain settings such models may be useful, efforts to improve their performance are needed as use becomes more widespread.
MeSH term(s)	Anti-Mullerian Hormone ; Female ; Follicle Stimulating Hormone ; Humans ; Menopause ; Prospective Studies
Chemical Substances	Anti-Mullerian Hormone (80497-65-0) ; Follicle Stimulating Hormone (9002-68-0)
Language	English
Publishing date	2022-07-31
Publishing country	United States
Document type	Journal Article ; Systematic Review ; Research Support, Non-U.S. Gov't
ZDB-ID	3029-6
ISSN	1945-7197 ; 0021-972X
ISSN (online)	1945-7197
ISSN	0021-972X
DOI	10.1210/clinem/dgac461
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Article: Effect of oat supplementation interventions on cardiovascular disease risk markers: a systematic review and meta-analysis of randomized controlled trials

Llanaj, Erand / Dejanovic, Gordana M. / Valido, Ezra / Bano, Arjola / Gamba, Magda / Kastrati, Lum / Minder, Beatrice / Stojic, Stevan / Voortman, Trudy / Marques-Vidal, Pedro / Stoyanov, Jivko / Metzger, Brandon / Glisic, Marija / Kern, Hua / Muka, Taulant

European journal of nutrition. 2022 June, v. 61, no. 4

2022

Abstract: PURPOSE: Oat supplementation interventions (OSIs) may have a beneficial effect on cardiovascular disease (CVD) risk. However, dietary background can modulate such effect. This systematic review assesses the effects of OSIs on CVD risk markers among ... ...

Abstract	PURPOSE: Oat supplementation interventions (OSIs) may have a beneficial effect on cardiovascular disease (CVD) risk. However, dietary background can modulate such effect. This systematic review assesses the effects of OSIs on CVD risk markers among adults, accounting for different dietary backgrounds or control arms. METHODS: We included randomized clinical trials (RCTs) that assessed the effect of oat, oat beta-glucan-rich extracts or avenanthramides on CVD risk markers. RESULTS: Seventy-four RCTs, including 4937 predominantly hypercholesterolemic, obese subjects, with mild metabolic disturbances, were included in the systematic review. Of these, 59 RCTs contributed to the meta-analyses. Subjects receiving an OSI, compared to control arms without oats, had improved levels of total cholesterol (TC) [weighted mean difference and (95% CI) − 0.42 mmol/L, (− 0.61; − 0.22)], LDL cholesterol [− 0.29 mmol/L, (− 0.37; − 0.20)], glucose [− 0.25 nmol/L, (− 0.36; − 0.14)], body mass index [− 0.13 kg/m², (− 0.26; − 0.01)], weight [− 0.94 kg, (− 1.84: − 0.05)], and waist circumference [− 1.06 cm, (− 1.85; − 0.27)]. RCTs on inflammation and/or oxidative stress markers were scarce and with inconsistent findings. RCTs comparing an OSI to heterogeneous interventions (e.g., wheat, eggs, rice, etc.), showed lowered levels of glycated haemoglobin, diastolic blood pressure, HDL cholesterol and apolipoprotein B. The majority of included RCTs (81.1%) had some concerns for risk of bias. CONCLUSION: Dietary OSIs resulted in lowered levels of blood lipids and improvements in anthropometric parameters among participants with predominantly mild metabolic disturbances, regardless of dietary background or control. Further high-quality trials are warranted to establish the role of OSIs on blood pressure, glucose homeostasis and inflammation markers.
Keywords	apolipoprotein B ; avenanthramides ; blood ; body mass index ; cardiovascular diseases ; diastolic blood pressure ; glucose ; hemoglobin ; high density lipoprotein cholesterol ; homeostasis ; hypercholesterolemia ; inflammation ; low density lipoprotein cholesterol ; meta-analysis ; nutrition ; oats ; oxidative stress ; rice ; systematic review ; waist circumference ; wheat
Language	English
Dates of publication	2022-06
Size	p. 1749-1778.
Publishing place	Springer Berlin Heidelberg
Document type	Article
Note	Review
ZDB-ID	1466536-0
ISSN	1436-6215 ; 1436-6207
ISSN (online)	1436-6215
ISSN	1436-6207
DOI	10.1007/s00394-021-02763-1
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Phytochemical characterization of turnip greens (Brassica rapa ssp. rapa): A systematic review.

Dejanovic, Gordana M / Asllanaj, Eralda / Gamba, Magda / Raguindin, Peter Francis / Itodo, Oche Adam / Minder, Beatrice / Bussler, Weston / Metzger, Brandon / Muka, Taulant / Glisic, Marija / Kern, Hua

PloS one

2021 Volume 16, Issue 2, Page(s) e0247032

Abstract: Objective: The Turnip (Brassica rapa L. ssp. rapa) is a leaf and root vegetable grown and consumed worldwide. The consumption of Turnip has been associated with beneficial effects on human health due to their phytochemicals that may control a variety of ...

Abstract	Objective: The Turnip (Brassica rapa L. ssp. rapa) is a leaf and root vegetable grown and consumed worldwide. The consumption of Turnip has been associated with beneficial effects on human health due to their phytochemicals that may control a variety of physiological functions, including antioxidant activity, enzyme regulation, and apoptotic control and the cell cycle. The current systematic review of the literature aims to evaluate both the profile and quantity of phytochemicals commonly found in Turnip greens and to provide perspectives for further investigation. Methods: This review was conducted following the PRISMA guidelines. Four bibliographic databases (PubMed, Embase, Web-of-Science and Cochrane Central Register of Controlled Trials) were searched to identify published studies until April 8th, 2020 (date last searched) without data and language restriction. Studies were included if they used samples of Turnip greens (the leaves), and evaluated its phytochemical content. Two reviewers independently evaluated the titles and abstracts according to the selection criteria. For each potentially eligible study, two reviewers assessed the full-texts and independently extracted the data using a predesigned data extraction form. Results: Based on the search strategy 5,077 potentially relevant citations were identified and full texts of 37 studies were evaluated, among which 18 studies were eligible to be included in the current review. The majority of included studies were focused on identification of glucosinolates and isothiocyanates (n = 14, 82%), four studies focused on organic acids, and five studies reported phenolic component profile in Turnip greens. Among included studies nine studies (50%) provided information on phytochemical's content. We found 129 phytochemicals (19 glucosinolates, 33 glucosinolate-breakdown products, 10 organic acids and 59 polyphenolic compounds) reported in Turnip greens. Flavonoids were mainly present as quercetin, kaempferol and isorhamnetin derivatives; while aliphatic forms were the predominant glucosinolate (gluconapin was the most common across five studies, followed by glucobrassicanapin). In general, the phytochemical content varied among the leaves, tops and Turnip roots. Conclusions: Emerging evidence suggests the Turnip as a substantial source of diverse bioactive compounds. However, detailed investigation on the pure compounds derived from Turnip green, their bioavailability, transport and metabolism after consumption is further needed. Additional studies on their biological activity are crucial to develop dietary recommendations on the effective dosage and dietary recommendation of Turnip greens for nutrition and health.
MeSH term(s)	Brassica rapa/chemistry ; Brassica rapa/metabolism ; Flavonoids/analysis ; Flavonoids/metabolism ; Glucosinolates/analysis ; Glucosinolates/metabolism ; Phytochemicals/analysis ; Phytochemicals/metabolism ; Plant Leaves/chemistry ; Plant Leaves/metabolism ; Polyphenols/analysis ; Polyphenols/metabolism ; Vegetables/chemistry ; Vegetables/metabolism
Chemical Substances	Flavonoids ; Glucosinolates ; Phytochemicals ; Polyphenols
Language	English
Publishing date	2021-02-17
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Systematic Review
ISSN	1932-6203
ISSN (online)	1932-6203
DOI	10.1371/journal.pone.0247032
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: A systematic review of phytochemicals in oat and buckwheat

Raguindin, Peter Francis / Adam Itodo, Oche / Stoyanov, Jivko / Dejanovic, Gordana M / Gamba, Magda / Asllanaj, Eralda / Minder, Beatrice / Bussler, Weston / Metzger, Brandon / Muka, Taulant / Glisic, Marija / Kern, Hua

Food chemistry. 2021 Feb. 15, v. 338

2021

Abstract: Consumption of oat and buckwheat have been associated with various health benefits that may be attributed to their nutritional composition. We performed a systematic review to evaluate the profile and quantity of bioactive compounds present in oat and ... ...

Abstract	Consumption of oat and buckwheat have been associated with various health benefits that may be attributed to their nutritional composition. We performed a systematic review to evaluate the profile and quantity of bioactive compounds present in oat and buckwheat. Among 154 studies included in final analysis, 113 and 178 bioactive compounds were reported in oat and buckwheat, respectively. Total phytosterols, tocols, flavonoids and rutin content were generally higher in buckwheat, β-glucans were significantly higher in oat, while avenanthramides and saponins were characteristically present in oat. The majority of studies included in current review were published before 2010s. The heterogeneous methodological procedures used across the studies precluded our possibility to meta-analyse the evidence and raises the need for harmonization of separation and extraction methods in future studies. Our findings should further stimulate the exploration of metabolites related to identified phytochemicals and their roles in human health.
Keywords	avenanthramides ; buckwheat ; extraction ; food chemistry ; human health ; metabolites ; nutrient content ; oats ; phytosterols ; rutin ; saponins ; separation ; systematic review
Language	English
Dates of publication	2021-0215
Publishing place	Elsevier Ltd
Document type	Article
Note	NAL-light
ZDB-ID	243123-3
ISSN	1873-7072 ; 0308-8146
ISSN (online)	1873-7072
ISSN	0308-8146
DOI	10.1016/j.foodchem.2020.127982
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Risk Prediction Models of Natural Menopause Onset

The Journal of clinical endocrinology and metabolism

A Systematic Review

2022 Volume 107, Issue 10

Abstract: CONTEXT: Predicting the onset of menopause is important for family planning and to ensure prompt intervention in women at risk of developing menopause-related diseases. OBJECTIVE: We aimed to summarize risk prediction models of natural menopause onset ... ...

Abstract	CONTEXT: Predicting the onset of menopause is important for family planning and to ensure prompt intervention in women at risk of developing menopause-related diseases. OBJECTIVE: We aimed to summarize risk prediction models of natural menopause onset and their performance. METHODS: Five bibliographic databases were searched up to March 2022. We included prospective studies on perimenopausal women or women in menopausal transition that reported either a univariable or multivariable model for risk prediction of natural menopause onset. Two authors independently extracted data according to the CHARMS (critical appraisal and data extraction for systematic reviews of prediction modelling studies) checklist. Risk of bias was assessed using a prediction model risk of bias assessment tool (PROBAST). RESULTS: Of 8132 references identified, we included 14 articles based on 8 unique studies comprising 9588 women (mainly Caucasian) and 3289 natural menopause events. All included studies used onset of natural menopause (ONM) as outcome, while 4 studies also predicted early ONM. Overall, there were 180 risk prediction models investigated, with age, anti-Müllerian hormone, and follicle-stimulating hormone being the most investigated predictors. Estimated C-statistic for the prediction models ranged from 0.62 to 0.95. Although all studies were rated at high risk of bias mainly due to the methodological concerns related to the statistical analysis, their applicability was satisfactory. CONCLUSION: Predictive performance and generalizability of current prediction models on ONM is limited given that these models were generated from studies at high risk of bias and from specific populations/ethnicities. Although in certain settings such models may be useful, efforts to improve their performance are needed as use becomes more widespread.
Keywords	onset of menopause ; perimenopause ; premenopausal women ; risk prediction model
Subject code	310
Language	English
Publishing country	nl
Document type	Article ; Online
ZDB-ID	3029-6
ISSN	1945-7197 ; 0021-972X
ISSN (online)	1945-7197
ISSN	0021-972X
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Effect of oat supplementation interventions on cardiovascular disease risk markers

European Journal of Nutrition

a systematic review and meta-analysis of randomized controlled trials

2022 Volume 61, Issue 4

Abstract	Purpose: Oat supplementation interventions (OSIs) may have a beneficial effect on cardiovascular disease (CVD) risk. However, dietary background can modulate such effect. This systematic review assesses the effects of OSIs on CVD risk markers among adults, accounting for different dietary backgrounds or control arms. Methods: We included randomized clinical trials (RCTs) that assessed the effect of oat, oat beta-glucan-rich extracts or avenanthramides on CVD risk markers. Results: Seventy-four RCTs, including 4937 predominantly hypercholesterolemic, obese subjects, with mild metabolic disturbances, were included in the systematic review. Of these, 59 RCTs contributed to the meta-analyses. Subjects receiving an OSI, compared to control arms without oats, had improved levels of total cholesterol (TC) [weighted mean difference and (95% CI) − 0.42 mmol/L, (− 0.61; − 0.22)], LDL cholesterol [− 0.29 mmol/L, (− 0.37; − 0.20)], glucose [− 0.25 nmol/L, (− 0.36; − 0.14)], body mass index [− 0.13 kg/m2, (− 0.26; − 0.01)], weight [− 0.94 kg, (− 1.84: − 0.05)], and waist circumference [− 1.06 cm, (− 1.85; − 0.27)]. RCTs on inflammation and/or oxidative stress markers were scarce and with inconsistent findings. RCTs comparing an OSI to heterogeneous interventions (e.g., wheat, eggs, rice, etc.), showed lowered levels of glycated haemoglobin, diastolic blood pressure, HDL cholesterol and apolipoprotein B. The majority of included RCTs (81.1%) had some concerns for risk of bias. Conclusion: Dietary OSIs resulted in lowered levels of blood lipids and improvements in anthropometric parameters among participants with predominantly mild metabolic disturbances, regardless of dietary background or control. Further high-quality trials are warranted to establish the role of OSIs on blood pressure, glucose homeostasis and inflammation markers.
Keywords	Cardiovascular diseases ; Cholesterol ; Interventions ; Nutrition ; Oats ; Risk markers ; Supplementation
Subject code	610
Language	English
Publishing country	nl
Document type	Article ; Online
ZDB-ID	1466536-0
ISSN	1436-6215 ; 1436-6207
ISSN (online)	1436-6215
ISSN	1436-6207
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Effects of phytoestrogen supplementation on intermediate cardiovascular disease risk factors among postmenopausal women: a meta-analysis of randomized controlled trials.

Wolters, Maike / Dejanovic, Gordana M / Asllanaj, Eralda / Günther, Kathrin / Pohlabeln, Hermann / Bramer, Wichor M / Ahrens, Jenny / Nagrani, Rajini / Pigeot, Iris / Franco, Oscar H / Ahrens, Wolfgang / Muka, Taulant / Glisic, Marija

Menopause (New York, N.Y.)

2020 Volume 27, Issue 9, Page(s) 1081–1092

Abstract: Importance: Phytoestrogens are becoming popular constituents of human diets and are increasingly used by postmenopausal women.: Objective: Our study aims to determine the effects of phytoestrogen supplementation on intermediate cardiovascular disease ...

Abstract	Importance: Phytoestrogens are becoming popular constituents of human diets and are increasingly used by postmenopausal women. Objective: Our study aims to determine the effects of phytoestrogen supplementation on intermediate cardiovascular disease (CVD) risk factors in postmenopausal women. Evidence review: Five electronic databases (Medline, EMBASE, Web of Science, Cochrane CENTRAL, Google Scholar) were systematically searched to identify eligible studies, that is, randomized controlled trials (RCTs) that assessed the association of phytoestrogen supplementation with CVD risk factors (serum lipids, homocysteine, fibrinogen, markers of inflammation, oxidative stress and endothelial function, carotid intima-media thickness [CIMT]) in postmenopausal women. Data were extracted by two independent reviewers using a predefined data collection form. Findings: In total, 56 RCTs were identified, including 4,039 individual postmenopausal women. There was substantial heterogeneity in quality across studies. Twenty-six (46%) RCTs showed poor quality and there was an indication of publication bias presence for some of the biomarkers. Results are reported in pooled mean difference (95% CI) of changes. Use of phytoestrogens was associated with a decrease in serum total cholesterol (-0.27 mmol/L [-0.41 to -0.13]), low-density lipoprotein (-0.25 mmol/L [-0.37 to -0.13]), triglycerides (-0.20 mmol/L [-0.28 to -0.11]), and apolipoprotein B (-0.13 g/L [-0.23 to -0.03]) and with an increase in serum apolipoprotein A-1 (0.04 g/L [0.02-0.07]. Also, phytoestrogen supplementation was associated with a decrease in serum intercellular adhesion molecule 1 (-18.86 ng/mL [-30.06 to -7.65]) and E-selectin (-2.32 ng/mL [-4.05 to -0.59]). There was no association observed between phytoestrogen supplementation and inflammatory markers, fibrinogen, homocysteine, or other endothelial function markers. In contrast, use of phytoestrogens was associated with an increase in CIMT (9.34 μm [95% CI, 0.39-18.29]). Effect estimates of phytoestrogen supplementation on oxidative stress could not be pooled. Conclusions and relevance: Phytoestrogen supplementation seems to modestly improve the CVD risk profile of postmenopausal women by influencing blood lipids and parameters of endothelial function. In women with an increased risk of atherosclerosis, although modest, a harmful effect on CIMT progression may be present. Because of limited quality and the heterogeneous nature of the current evidence, additional rigorous studies are needed to explore the role of phytoestrogens in menopausal cardiovascular health. : Video Summary: http://links.lww.com/MENO/A593.
MeSH term(s)	Cardiovascular Diseases/prevention & control ; Dietary Supplements ; Female ; Humans ; Phytoestrogens ; Postmenopause ; Randomized Controlled Trials as Topic ; Risk Factors
Chemical Substances	Phytoestrogens
Language	English
Publishing date	2020-08-27
Publishing country	United States
Document type	Journal Article ; Meta-Analysis
ZDB-ID	1205262-0
ISSN	1530-0374 ; 1072-3714
ISSN (online)	1530-0374
ISSN	1072-3714
DOI	10.1097/GME.0000000000001566
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Article ; Online: A systematic review of phytochemicals in oat and buckwheat.

Food chemistry

2020 Volume 338, Page(s) 127982

Abstract	Consumption of oat and buckwheat have been associated with various health benefits that may be attributed to their nutritional composition. We performed a systematic review to evaluate the profile and quantity of bioactive compounds present in oat and buckwheat. Among 154 studies included in final analysis, 113 and 178 bioactive compounds were reported in oat and buckwheat, respectively. Total phytosterols, tocols, flavonoids and rutin content were generally higher in buckwheat, β-glucans were significantly higher in oat, while avenanthramides and saponins were characteristically present in oat. The majority of studies included in current review were published before 2010s. The heterogeneous methodological procedures used across the studies precluded our possibility to meta-analyse the evidence and raises the need for harmonization of separation and extraction methods in future studies. Our findings should further stimulate the exploration of metabolites related to identified phytochemicals and their roles in human health.
MeSH term(s)	Avena/chemistry ; Fagopyrum/chemistry ; Humans ; Phytochemicals/analysis ; Phytochemicals/pharmacology
Chemical Substances	Phytochemicals
Language	English
Publishing date	2020-09-05
Publishing country	England
Document type	Journal Article ; Systematic Review
ZDB-ID	243123-3
ISSN	1873-7072 ; 0308-8146
ISSN (online)	1873-7072
ISSN	0308-8146
DOI	10.1016/j.foodchem.2020.127982
Database	MEDical Literature Analysis and Retrieval System OnLINE

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