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Barley for Food and Health: Science, Technology, and Products

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180 HEALTH BENEFITS OF BARLEY FOODS<br />

Mechanisms Responsible <strong>for</strong> Cholesterol Effects<br />

As reports of cholesterol-lowering effects of both oats <strong>and</strong> barley increased,<br />

speculation about the causative mechanisms occurred among scientists. One<br />

early consideration concerned the intestinal viscosity effect of β-glucan, which<br />

is believed to increase the thickness of the unstirred layer of the small intestine,<br />

slowing <strong>and</strong> inhibiting the absorption of lipids <strong>and</strong> cholesterol (Wang et al.<br />

1992). The cholesterol-lowering property of oats is attributed to viscosity <strong>for</strong>med<br />

in the intestine due to β-glucans (Tietyan et al. 1990). Oat <strong>and</strong> barley β-glucans<br />

are basically the same, varying primarily in the concentration <strong>and</strong> degree of solubility<br />

<strong>and</strong> molecular weight among varieties (Wood 1986). Delaney et al. (2003)<br />

reported increased fecal neutral sterol concentrations <strong>and</strong> reduced aortic cholesterol<br />

levels in hamsters fed either oats or barley, <strong>and</strong> concluded that the two<br />

grains were equal in cholesterol-lowering effect. Arabinoxylans are also capable<br />

of producing viscous solutions <strong>and</strong> hence contribute somewhat to the hypocholesterolemic<br />

effect of both grains. Quantitatively, some barley varieties are known<br />

to have a wide range in β-glucan levels, as described in Chapter 3.<br />

β-Glucans are also believed to cause binding of bile acids in the intestine,<br />

causing them to be excreted in fecal waste, with the result of body cholesterol<br />

being broken down to replace them. Thus, changes in bile acid metabolism in<br />

response to β-glucan have been implicated in their hypocholesterolemic action<br />

(Kahlon et al. 1993). Jenkins et al. (1993) conducted a crossover study with<br />

hyperlipidemic men <strong>and</strong> women on a low-fat diet, in which foods with either<br />

soluble or insoluble fiber from various sources were consumed. When soluble<br />

fiber was consumed, subjects’ LDL cholesterol was the lowest <strong>and</strong> fecal bile acid<br />

excretion was the greatest. In an in vitro study, Kahlon <strong>and</strong> Woodruff (2003)<br />

reported that dehulled barley <strong>and</strong> β-glucan-enriched barley both exhibited bile<br />

acid binding under physiological conditions. Yang et al. (2003) fed diets with<br />

30% waxy barley to cholesterol-fed rats. There was greater bile acid excretion in<br />

animals fed barley compared to controls, <strong>and</strong> serum total <strong>and</strong> LDL cholesterol<br />

were decreased 19 <strong>and</strong> 24% respectively. In addition, activity of cholesterol<br />

7α-hydroxylase was up-regulated 2.3-fold in barley-fed rats, indicating increased<br />

synthesis of bile acids to replace those excreted.<br />

Human Clinical Studies<br />

<strong>Barley</strong> has been shown to be equally effective in human lipid metabolism trials<br />

as in animal studies (Behall <strong>and</strong> Hallfrisch 2006). Because wheat is a commonly<br />

used grain in baked products <strong>and</strong> differs from barley in the proportion of soluble<br />

fiber, it is generally used as a control product. Newman et al. (1989a) compared<br />

a variety of baked products <strong>and</strong> cereal foods made from barley or wheat in a<br />

clinical study to measure possible effects on plasma cholesterol levels. Fourteen<br />

healthy volunteers consumed three products containing either barley or wheat<br />

daily <strong>for</strong> four weeks. Subjects who consumed wheat foods had small but significant<br />

increases in total <strong>and</strong> LDL cholesterol compared with pretreatment levels,<br />

whereas those who consumed barley had significantly lower cholesterol levels. In

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