Monday Medical: Thinking outside the ‘wheat box’ |

Monday Medical: Thinking outside the ‘wheat box’

Cara Marrs/For the Steamboat Today

Are you confused about whole grains? A trip to the bread aisle of any grocery store may cause confusion in anyone, with so many labels shouting "whole grain" or "gluten free." What does "whole grain" mean? What is gluten?

You are not alone. Many people are confused about how to incorporate "real" whole grains into their diets. Let me begin by saying that all grains start out whole. What is important to know is that the more grains are processed, the less nutritious they become.

Whole grains come from the entire seed of a plant that is deemed a grain. The seed is made up of three parts: the bran, the germ and the endosperm. The bran is the outer layer that contains fiber, B vitamins, minerals and healthy fats. The germ is the innermost part of the seed, where a plant sprouts, and contains B vitamins, protein, minerals and healthy fats. The endosperm of the seed contains starchy carbohydrates and lesser amounts of vitamins and protein. When a grain is overly processed, the endosperm is the only portion of the seed that remains, causing the product to be less nutritious.

How does gluten fit in? Gluten is a natural protein that gives bread its fluffy texture and pizza dough its pliability. Some of our traditional whole grains — such as wheat, barley and rye — contain gluten. Many people digest gluten just fine and suffer no ill effects from the protein.

However, for people with diagnosed celiac disease, gluten is indigestible and causes serious health complications if it is not completely removed from their diet. Others may suffer from gluten sensitivities, and they are unable to fully break down this protein. If you are sensitive to gluten, you may suffer from symptoms such as irritable bowel syndrome, fatigue, headaches, sinusitis and joint pain.

Research on the increase in gluten sensitivities is not definitive, but many theories abound. Some researchers suggest that the proliferation of wheat hybrids is responsible for the increase in sensitivity to gluten.

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In the U.S. alone, there are more than 20,000 wheat hybrids. Compared to wheat hybrids in other countries, the U.S. hybrids have higher gluten content. Additionally, most bread found in grocery stores is mass-produced and has higher gluten content.

Further, wheat has been identified as a crop that needs to be monitored for GMO (genetically modified organism) contamination by the Non-GMO Project due to high occurrences of GMO wheat in commercial production. Although further research is needed, this also may be a contributing factor to the rise in wheat sensitivities.

Whether you have a gluten-free diet or not, there are many nutritious grain choices available, so I encourage you to think outside the "wheat box" and sample different whole grains.

Which grains are considered "whole grains"? Traditionally, whole grains have been defined as those that come from cereal grasses, such as wheat, rice, buckwheat, oats, millet, rye and barley. The new, looser definition of whole grain would be any "grain" whose seed can be ground into flour, such as amaranth, flax, chia, teff, kamut and quinoa.

We all can benefit from variety in our diets. Ancient and nontraditional grains are sometimes more nutritious and have a more intense flavor. Because they sometimes contain less carbohydrates per serving, and often contain higher fiber content, many of these non-cereal-grass grains and grain substitutes can be better choices for diabetics.

Individuals who have gluten intolerances may benefit from trying ancient grains such as amaranth and nontraditional grain substitutes such as flax because they are gluten-free.

Recipe hints: Try millet served under a roasted salmon filet with steamed vegetables. Use ground flax meal and ground almonds mixed with olive oil, butter or coconut oil as a pie crust. You also can substitute quinoa or farro in Middle Eastern tabbouleh for the cracked wheat traditionally used in these tasty dishes.

Cara Marrs is a registered dietitian nutritionist at Yampa Valley Medical Center. She can be reached at

For more

Attend the Real Food Talk: The Magic of Whole Grains at noon Wednesday. To sign up, visit or call 970-875-2731.

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