Effects of 12-Week Sorghum Consumption on Visceral Fat Area and Metabolic Parameters in Japanese Adults: An Exploratory Single-Arm Trial
Abstract
1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Participants
2.3. Intervention
2.4. Outcome Measures
2.4.1. VFA
2.4.2. Anthropometric and Clinical Parameters
2.5. Dietary Assessment
2.6. Statistical Analysis
2.7. Ethical Approval
3. Results
4. Discussion
Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
| ALT | Alanine aminotransferase |
| AST | Aspartate aminotransferase |
| ALB | Albumin |
| BIA | Bioelectrical impedance analysis |
| BMI | Body mass index |
| BP | Blood pressure |
| cm2 | Square centimeters |
| Cr | Creatinine |
| CT | Computed tomography |
| DBP | Diastolic blood pressure |
| FBG | Fasting blood glucose |
| GLP-1 | Glucagon-like peptide-1 |
| HbA1c | Hemoglobin A1c |
| HDL-C | High-density lipoprotein cholesterol |
| HOMA-IR | Homeostasis model assessment of insulin resistance |
| LDL-C | Low-density lipoprotein cholesterol |
| Non-HDL-C | Non-high-density lipoprotein cholesterol |
| PYY | Peptide YY |
| SBP | Systolic blood pressure |
| SCFAs | Short-chain fatty acids |
| SD | Standard deviation |
| TC | Total cholesterol |
| TGs | Triglycerides |
| UA | Uric acid |
| UN | Urea nitrogen |
| VFA | Visceral fat area |
| γ-GTP | Gamma-glutamyl transpeptidase |
References
- Matsushita, Y.; Nakagawa, T.; Yamamoto, S.; Takahashi, Y.; Yokoyama, T.; Mizoue, T.; Noda, M. Effect of longitudinal changes in visceral fat area and other anthropometric indices on changes in metabolic risk factors in Japanese men: The Hitachi Health Study. Diabetes Care 2012, 35, 1139–1145. [Google Scholar] [CrossRef] [PubMed]
- Matsuzawa, Y. The metabolic syndrome and adipocytokines. FEBS Lett. 2006, 580, 2917–2921. [Google Scholar] [CrossRef] [PubMed]
- Azuma, K.; Kadowaki, T.; Cetinel, C.; Kadota, A.; El-Saed, A.; Kadowaki, S.; Edmundowicz, D. Higher liver fat content among Japanese in Japan compared with non-Hispanic whites in the United States. Metabolism 2009, 58, 1200–1207. [Google Scholar] [CrossRef] [PubMed]
- Nazare, J.A.; Smith, J.D.; Borel, A.L.; Haffner, S.M.; Balkau, B.; Ross, R.; Després, J.P. Ethnic influences on the relations between abdominal subcutaneous and visceral adiposity, liver fat, and cardiometabolic risk profile. Am. J. Clin. Nutr. 2012, 96, 714–726. [Google Scholar] [CrossRef] [PubMed]
- Awika, J.M.; Rooney, L.W. Sorghum phytochemicals and their potential impact on human health. Compr. Rev. Food Sci. Food Saf. 2004, 3, 113–124. [Google Scholar] [CrossRef]
- da Silva, L.A.; de São José, V.P.B.; Rodrigues, L.A.; do Prado, P.V.C.; Toledo, R.C.L.; de Barros, F.A.R.; Martino, H.S.D. Effects of a sorghum beverage with Lacticaseibacillus paracasei on body composition, lipid profiles, and intestinal health in overweight and obese adults: A randomized single-blind pilot study. Foods 2024, 13, 3128. [Google Scholar] [CrossRef] [PubMed]
- Lee, H.S.; Santana, Á.L.; Peterson, J.; Yucel, U.; Perumal, R.; De Leon, J.; Smolensky, D. Anti-adipogenic activity of high-phenolic sorghum brans in pre-adipocytes. Nutrients 2022, 14, 1493. [Google Scholar] [CrossRef] [PubMed]
- Lúcio, H.; Anunciação, P.; da Silva, B.; da Silva, A.; Queiroz, V.; de Carvalho, C.; Martino, H. Consumption of extruded sorghum SC319 improved gut microbiota and reduced anthropometric markers in men with overweight: A randomized controlled clinical trial. Nutrients 2023, 15, 3786. [Google Scholar] [CrossRef] [PubMed]
- Poquette, N.M.; Gu, X.; Lee, S.O. Grain sorghum muffin reduces glucose and insulin responses in men. Food Funct. 2014, 5, 894–899. [Google Scholar] [CrossRef] [PubMed]
- Shen, R.L.; Zhang, W.L.; Dong, J.L.; Ren, G.X.; Chen, M. Sorghum resistant starch reduces adiposity in high-fat diet–induced overweight and obese rats via mechanisms involving adipokines and intestinal flora. Food Agric. Immunol. 2013, 26, 120–130. [Google Scholar] [CrossRef]
- Ryo, M.; Maeda, K.; Onda, T.; Katashima, M.; Okumiya, A.; Nishida, M.; Yamaguchi, T.; Funahashi, T.; Matsuzawa, Y.; Nakamura, T.; et al. A new simple method for the measurement of visceral fat accumulation by bioelectrical impedance. Diabetes Care 2005, 28, 451–453. [Google Scholar] [CrossRef] [PubMed]
- Ryo, M. Validity of visceral fat area measurement by bioelectrical impedance analysis in Japanese obese individuals. Oleoscience 2015, 15, 355–362. [Google Scholar] [CrossRef]
- Kanda, Y. Investigation of the freely available easy-to-use software “EZR” for medical statistics. Bone Marrow Transplant. 2013, 48, 452–458. [Google Scholar] [CrossRef] [PubMed]
- Kikuchi, Y.; Hirata, T.; Nakashima, M. Effects of whole grain wheat bread on visceral fat obesity in Japanese subjects: A randomized double-blind study. J. Nutr. Sci. Vitaminol. 2018, 64, 103–109. [Google Scholar] [CrossRef] [PubMed]
- Moraes, É.A.; Marçal, A.C.; Lacerda, D.R.; Queiroz, V.A.V.; de Oliveira, L.L.; Martino, H.S.D.; Ribeiro, S.M.R. Sorghum flour improves gut microbiota and reduces metabolic risk markers in overweight adults: A randomized, double-blind, placebo-controlled trial. J. Funct. Foods 2019, 58, 234–242. [Google Scholar] [CrossRef]
- Benisi-Kohansal, S.; Saneei, P.; Salehi-Marzijarani, M.; Larijani, B.; Esmaillzadeh, A. Whole-grain intake and mortality from all causes, cardiovascular disease, and cancer: A systematic review and dose–response meta-analysis of prospective cohort studies. Adv. Nutr. 2017, 8, 512–528. [Google Scholar] [CrossRef] [PubMed]
- Panizza, C.E.; Lim, U.; Yonemori, K.M.; Cassel, K.D.; Wilkens, L.R.; Harvie, M.N.; Maskarinec, G.; Delp, E.J.; Lampe, J.W.; Shepherd, J.A.; et al. Effects of Intermittent Energy Restriction Combined with a Mediterranean Diet on Reducing Visceral Adiposity: A Randomized Active Comparator Pilot Study. Nutrients 2019, 11, 1386. [Google Scholar] [CrossRef] [PubMed]
- Zelicha, H.; Kloting, N.; Kaplan, A.; Yaskolka Meir, A.; Rinott, E.; Tsaban, G.; Shai, I. The effect of a high-polyphenol Mediterranean diet on visceral adiposity: The DIRECT PLUS randomized controlled trial. BMC Med. 2022, 20, 327. [Google Scholar] [CrossRef] [PubMed]
- Zhou, J.; Martin, R.J.; Tulley, R.T.; Raggio, A.M.; McCutcheon, K.L.; Shen, L.; Keenan, M.J. Dietary resistant starch upregulates total GLP-1 and PYY in a sustained day-long manner through fermentation in rodents. Am. J. Physiol. Endocrinol. Metab. 2008, 295, E1160–E1166. [Google Scholar] [CrossRef] [PubMed]
- Gastaldelli, A.; Sabatini, S.; Carli, F.; Gaggini, M.; Bril, F.; Belfort-DeAguiar, R.; Positano, V.; Barb, D.; Kadiyala, S.; Harrison, S.; et al. PPARγ-induced changes in visceral fat and adiponectin levels are associated with improvement of steatohepatitis in patients with NASH. Liver Int. 2021, 41, 2659–2670. [Google Scholar] [CrossRef] [PubMed]

| Nutrient | Amount per 80 g (Dry Weight) |
|---|---|
| Energy (kcal) | 275 |
| Protein (g) | 8.2 |
| Fat (g) | 3.8 |
| Carbohydrate (g) | 56.9 |
| Dietary fiber (g) | 7.8 |
| Characteristic | Value (Mean ± SD) |
|---|---|
| N (M/W) | 9 (6/3) |
| Age | 43.3 ± 5.87 |
| Body weight (kg) | 80.6 ± 7.66 |
| BMI (kg/m2) | 27.5 ± 1.54 |
| Body fat (%) | 31.4 ± 7.98 |
| Visceral fat area (cm2) | 164.6 ± 34.5 |
| Waist circumference (cm) | 100.4 ± 5.73 |
| SBP (mmHg) | 123.8 ± 14.1 |
| DBP (mmHg) | 91.3 ± 8.16 |
| Variable | Pre (Mean ± SD) | Post (Mean ± SD) | p-Value |
|---|---|---|---|
| Body weight (kg) | 80.6 ± 7.66 | 81.1 ± 8.16 | 0.301 |
| BMI (kg/m2) | 27.5 ± 1.54 | 27.6 ± 1.51 | 0.359 |
| Body fat (%) | 31.4 ± 7.98 | 31.6 ± 7.73 | 0.813 |
| Visceral fat area (cm2) | 164.6 ± 34.5 | 146.0 ± 33.0 | 0.020 |
| Waist circumference (cm) | 100.4 ± 5.73 | 98.7 ± 5.17 | 0.129 |
| SBP (mmHg) | 123.8 ± 14.1 | 124.6 ± 15.4 | 0.812 |
| DBP (mmHg) | 91.3 ± 8.16 | 89.6 ± 13.4 | 0.721 |
| Pre (Mean ± SD) | Post (Mean ± SD) | p-Value | |
|---|---|---|---|
| TC (mg/dL) | 205.6 ± 30.7 | 198.8 ± 35.5 | 0.301 |
| HDL-C (mg/dL) | 48.3 ± 11.7 | 46.3 ± 13.6 | 0.523 |
| LDL-C (mg/dL) | 128.3 ± 31.3 | 128.2 ± 31.5 | 1.000 |
| TG (mg/dL) | 174.7 ± 75.9 | 148.4 ± 77.8 | 0.203 |
| Non-HDL-C (mg/dL) | 157.2 ± 29.1 | 152.4 ± 31.6 | 0.441 |
| FBG (mg/dL) | 90.1 ± 7.36 | 94.9 ± 8.94 | 0.122 |
| Insulin (µU/mL) | 7.11 ± 1.71 | 7.26 ± 3.82 | 0.734 |
| HbA1c (%) | 5.43 ± 0.24 | 5.44 ± 0.26 | 0.750 |
| HOMA-IR | 1.59 ± 0.42 | 1.75 ± 1.05 | 0.833 |
| AST (IU/L) | 25.9 ± 8.72 | 24.7 ± 6.73 | 0.722 |
| ALT (IU/L) | 48.2 ± 35.3 | 38.8 ± 22.3 | 0.080 |
| γ-GTP (IU/L) | 57.2 ± 46.2 | 54.0 ± 47.2 | 0.137 |
| UA (mg/dL) | 5.84 ± 1.20 | 5.87 ± 1.36 | 0.910 |
| UN (mg/dL) | 12.6 ± 3.33 | 12.5 ± 3.11 | 0.859 |
| Cr (mg/dL) | 0.828 ± 0.09 | 0.831 ± 0.09 | 0.953 |
| TP (g/dL) | 7.04 ± 0.11 | 7.26 ± 0.08 | 0.094 |
| ALB (g/dL) | 4.53 ± 0.05 | 4.48 ± 0.07 | 0.457 |
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Miyazaki, H.; Nagae, M.; Isa, A.; Takano, Y.; Uchida, H.; Shimizu, K. Effects of 12-Week Sorghum Consumption on Visceral Fat Area and Metabolic Parameters in Japanese Adults: An Exploratory Single-Arm Trial. Nutrients 2026, 18, 1884. https://doi.org/10.3390/nu18121884
Miyazaki H, Nagae M, Isa A, Takano Y, Uchida H, Shimizu K. Effects of 12-Week Sorghum Consumption on Visceral Fat Area and Metabolic Parameters in Japanese Adults: An Exploratory Single-Arm Trial. Nutrients. 2026; 18(12):1884. https://doi.org/10.3390/nu18121884
Chicago/Turabian StyleMiyazaki, Hitomi, Masumi Nagae, Akiko Isa, Yuko Takano, Hiroshi Uchida, and Kuniyoshi Shimizu. 2026. "Effects of 12-Week Sorghum Consumption on Visceral Fat Area and Metabolic Parameters in Japanese Adults: An Exploratory Single-Arm Trial" Nutrients 18, no. 12: 1884. https://doi.org/10.3390/nu18121884
APA StyleMiyazaki, H., Nagae, M., Isa, A., Takano, Y., Uchida, H., & Shimizu, K. (2026). Effects of 12-Week Sorghum Consumption on Visceral Fat Area and Metabolic Parameters in Japanese Adults: An Exploratory Single-Arm Trial. Nutrients, 18(12), 1884. https://doi.org/10.3390/nu18121884
