People who regularly eat whole grains tend to have less of the type of  fat associated with heart health and diabetes risk than those who eat  more refined grains, according to a new study. 
 
Visceral adipose tissue (VAT) � or fat around the abdominal organs � has  been associated with higher risk of metabolic syndrome, a condition  characterized by central obesity, hypertension, and disturbed glucose  and insulin metabolism. The syndrome has been linked to increased risks  of both type-2 diabetes and cardiovascular disease. 
  This latest study, published in the 
American Journal of Clinical Nutrition,  examined nutrition survey data and body fat scans of 2834 individuals  aged 32 to 83, and adjusted results to take account of other lifestyle  factors, such as smoking, alcohol intake, and fruit and vegetable  consumption. 
  
"VAT volume was approximately ten percent lower in adults who  reported eating three or more daily servings of whole grains and who  limited their intake of refined grains to less than one serving per  day,� said study co-author Nicola McKeown of Tuft�s University. 
  In addition, those study participants who consumed four or more portions  of refined grain per day had a diminished association between 
whole grain  consumption and VAT, suggesting that high intake of refined grains can  cancel out the effect of whole grains on fat distribution. 
  
�This result implies that it is important to make substitutions in the diet, rather than simply adding whole grain foods,� McKeown said. 
     
 The current 2005 Dietary Guidelines for Americans recommend consumption  of at least three portions of whole grain foods per day, but the study�s  authors said that more education is needed to help the public  understand what is meant by the term �whole grain�, how much constitutes  a portion, and the health benefits of substituting refined grain foods  for whole grain ones. 
  The researchers counted one serving of whole grains as a cup of cold  breakfast cereal; half a cup of cooked oatmeal, brown rice, or other  grains; one slice of dark bread; three cups of popcorn; or two  tablespoons of added bran or added germ. 
  Refined grains were counted as refined-grain breakfast cereals, white  bread, English muffins, bagels, muffins, biscuits, white rice, pasta,  pancakes, waffles, crackers, and pizza. 
  Source: 
American Journal of Clinical Nutrition 
  doi: 10.3945/ajcn.2009.29106