Barley for Food and Health: Science, Technology, and Products
Barley for Food and Health: Science, Technology, and Products
Barley for Food and Health: Science, Technology, and Products
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BARLEY AND HEART DISEASE 181<br />
a subsequent study with 22 hypercholesterolemic individuals, this same research<br />
group compared muffins, flatbread, nugget cereal, <strong>and</strong> cookies made with barley<br />
or oat flour. For both oat <strong>and</strong> barley foods, there was significant reduction in<br />
serum total <strong>and</strong> LDL cholesterol from base levels, with no difference between<br />
the two groups. The latter study (Newman et al. 1989b) clearly demonstrated that<br />
barley is equivalent to oats in lowering cholesterol.<br />
McIntosh et al. (1991) conducted a crossover study of 21 hypercholesterolemic<br />
men, in which bread, muesli, spaghetti, <strong>and</strong> biscuits made from either barley<br />
or wheat were consumed <strong>for</strong> four weeks. Total plasma cholesterol <strong>and</strong> LDL<br />
cholesterol were lowered significantly in subjects who consumed barley products<br />
compared to wheat products. A remarkable study from Japan (Ikegami et al.<br />
1996) demonstrated a strategy <strong>for</strong> dietary variation to increase soluble fiber intake<br />
in a large population. This research combined cooked white rice <strong>and</strong> pearled barley<br />
in a 50 : 50 mix which was consumed by 20 hypercholesterolemic men at each<br />
meal <strong>for</strong> four weeks. Because rice is a staple food in Japan, subjects were provided<br />
convenient packages of the precooked barley–rice blend, to be microwaved <strong>and</strong><br />
consumed with meals instead of their customary plain white rice. The researchers<br />
reported a significant drop in total <strong>and</strong> LDL cholesterol from baseline levels. A<br />
second phase of this study involved female subjects, <strong>and</strong> comparable results were<br />
achieved. In a similar study conducted later in Japan (Li et al. 2003b), 10 women<br />
subjects consumed either 100% rice or 30% barley with 70% rice three times<br />
daily <strong>for</strong> four weeks. The barley intake reduced plasma total <strong>and</strong> LDL cholesterol<br />
significantly. A third study from Japan conducted by Shimizu et al. (2007)<br />
investigated whether pearled barley as an alternative to rice would reduce visceral<br />
body fat as well as reduce LDL <strong>and</strong> total cholesterol in 44 hypercholesterolemic<br />
men. The pearl barley intake reduced cholesterol significantly in subjects consuming<br />
barley, <strong>and</strong> there were also reduced waist measurements <strong>and</strong> reduced<br />
visceral fat stores as measured by CT scans, all positive factors <strong>for</strong> prevention<br />
of heart disease.<br />
Behall et al. (2004a) of the USDA Agricultural Research Service conducted<br />
a study on hypercholesterolemic men. Subjects were fed the American Heart<br />
Association step l diet (AHA 1988) <strong>for</strong> two weeks, followed by the same diet<br />
with 20% of the energy replaced by either (1) brown rice/whole wheat,<br />
(2) 1 2 barley <strong>and</strong> 1 2<br />
brown rice/whole wheat, or (3) barley, <strong>for</strong> five weeks. Total<br />
dietary fiber in the diets was 27 to 33%, <strong>and</strong> added soluble fiber from the barley<br />
variedfrom0.4g(low)to3g(medium)to6g(high).Comparedwithprestudy<br />
baseline levels, total cholesterol <strong>and</strong> LDL cholesterol were significantly lower in<br />
subjects after all levels of added soluble fiber. The percent of cholesterol reduction<br />
followed a dose–response pattern, with maximum reductions of 20% <strong>for</strong><br />
total cholesterol <strong>and</strong> 24% <strong>for</strong> LDL cholesterol. Serum triglycerides were lowered<br />
as well, <strong>and</strong> HDL cholesterol was increased, providing an additional health risk<br />
advantage <strong>for</strong> subjects. These researchers also measured lipid subclass fractions<br />
in plasma of experimental subjects. The size <strong>and</strong> density of LDL particles have<br />
been implicated as risk factors <strong>for</strong> heart disease (Freedman et al. 1998). Increased<br />
risk has been associated with a gender-related predominance of small, dense LDL