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The purpose of this study is to determine if physical disruption of wheat aleurone cell walls (micro-milling) increases micronutrient availability.
This research project is a short-term dietary intervention study to investigate the bio-availability of iron and zinc from wheat. Approximately 50% of iron and 30% of zinc in the United Kingdom diet is provided by cereals and cereal products (e.g. bread and breakfast cereals). The localisation of both iron and zinc metals in wheat is largely confined to the aleurone layer, a single layer of cells located between the centre (endosperm) and outer layers (testa and pericarp). The aleurone layer is removed during the production of white flour. For this reason, since 1953 it has been mandatory to add iron to flours at the mill to restore iron to levels present in wholegrain flour (The Bread and Flour Regulations, 1998).
The investigators have shown that aleurone cells are resistant to physical disruption and digestion as they pass along the gastrointestinal tract and are excreted intact in faeces. The investigators believe that disruption of wheat aleurone cell walls prior to food manufacturing would therefore increase iron and zinc availability. Using wholegrain flour and purified wheat aleurone flour the investigators have shown that micro-milling, a process which reduces particle size of flour from approximately 100μm to 10μm, ruptures the aleurone cell walls, and increases iron availability, i.e. the amount absorbed by intestinal cells, compared with flour produced using standard milling techniques (which does not break down the aleurone layer).
Based on these initial findings, the current study therefore has 2 main aims:
(i) to determine whether physical disruption of the aleurone (by micro-milling) in wholegrain flour increases iron and zinc availability from wholegrain bread.
(ii) to determine whether addition of micro-milled aleurone flour to white flour increases iron availability from white bread.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard-milled Wholegrain | Active Comparator | Bread rolls prepared using standard-milled Wholegrain (75 g per bread roll, containing stable isotopes of Fe and Zn), with butter and strawberry jam. |
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| Micro-milled Wholegrain | Experimental | Bread rolls prepared using Micro-milled Wholegrain (75 g per bread roll, containing stable isotopes of Fe and Zn), with butter and strawberry jam. |
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| White flour fortified with standard milled Aleurone | Active Comparator | Bread rolls prepared using a white flour and standard-milled aleurone mix (75 g per bread roll, containing stable isotope of Fe), with butter and strawberry jam. |
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| White flour fortified with micro-milled Aleurone | Experimental | Bread rolls prepared using a white flour and micro-milled aleurone mix (75 g per bread roll, containing stable isotope of Fe), with butter and strawberry jam. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Bread product (standard milled) | Other | Bread rolls made from standard milled flour. |
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| Measure | Description | Time Frame |
|---|---|---|
| Analysis of 57-Fe incorporation into erythrocytes | Determines Fe incorporation from test meal into Red Blood Cells | Through study completion, an average of 1 year |
| Urinary excretion of Zinc | Determine excretion of Zinc in urine samples to assess Zinc bioavailability | Through study completion, an average of 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Analysis of iron status biomarkers from blood samples | Determine Hepcidin concentration from sample | Through study completion, an average of 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mohamad F Aslam, PhD | Contact | 020 7836 5454 | micronutrient@kcl.ac.uk | |
| Paul A Sharp, PhD | Contact | 020 7836 5454 | micronutrient@kcl.ac.uk |
| Name | Affiliation | Role |
|---|---|---|
| Paul A Sharp, PhD | King's College London, Department of Nutritional Sciences | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| King's College London | Recruiting | London | United Kingdom |
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| Bread Product (micro-milled) | Other | Bread rolls made from micro-milled whole grain flour. |
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| Bread Product (standard aleurone) | Other | Bread rolls made from white flour/standard milled aleurone mix |
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| Bread product (micro-milled aleurone) | Other | Bread rolls made from white flour/micro-milled aleurone mix. |
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