You can eat
- Wholemeal bread with tomato and olive oil
- Brown rice with vegetables and pulses
- Wholemeal pasta with tomato sauce and vegetables
- Rolled oats with yoghurt and fruit
- Quinoa, buckwheat or millet in a warm salad
- Mixed-grain bread when you know the percentage of wholemeal flour
What to avoid
- Dark bread whose product name does not say “wholemeal”
- “Multigrain” bread assumed to be wholemeal without checking the percentage
- “High-fibre” pasta with no wholemeal semolina or flour in the ingredients
- “Wholemeal” biscuits and pastries with sugar among the first ingredients
- “Wholemeal” toast and rusks with refined flour as the first ingredient
- Adding spoonfuls of bran if it gives you gas or discomfort
Changes that help
Homemade dough
Instead of switching all the flour at once, replace part of it so you can adjust the texture.
Rice side dish
Instead of switching all the rice at once, mix white and brown rice so you can adjust the texture and cooking time.
Sandwich bread
Choose wholemeal bread instead of a white baguette, because the same serving provides almost twice as much fibre [1].
Habits that help
- Freeze wholemeal bread in slices so it is always ready to use
- If you cook extra rice, put it in the fridge as soon as it has cooled down.
To compare wholegrain foods, you need two details: which parts of the grain each product retains and the dry weight of the serving. Rice and pasta gain water and volume when cooked, but their fibre content stays the same.
What is a whole grain?
A whole grain retains its bran, germ and endosperm. The bran is its outer covering; the germ can develop into a plant; the endosperm stores mainly starch. When wheat or rice is refined, the bran and germ are removed. This means some of the fibre, B vitamins and minerals are lost [1].
Wheat, rice, oats and millet are cereals. Quinoa and buckwheat are pseudocereals, and they are used in similar ways in cooking.
What do wholemeal bread, rice and pasta provide?
This per-serving comparison uses the BEDCA entries [1]. Bread means 40 g of the product ready to eat. Rice means 60 g uncooked, and pasta, 70 g uncooked. These are example servings for comparison.
| Food and serving | Fibre | Magnesium | Vitamin B1 (thiamine) |
|---|---|---|---|
| Wholemeal bread, 40 g | 2.4 g | 23 mg | 140 µg (0.14 mg) |
| White baguette, 40 g | 1.4 g | 10 mg | 32 µg (0.032 mg) |
| Uncooked brown rice, 60 g | 1.8 g | 86 mg | 234 µg (0.234 mg) |
| Uncooked white rice, 60 g | 0.1 g | 8 mg | 30 µg (0.03 mg) |
| Uncooked wholemeal pasta, 70 g | 8.1 g | 100 mg | 343 µg (0.343 mg) |
| Uncooked refined pasta, 70 g | 3.5 g | 39 mg | 105 µg (0.105 mg) |
These are values for generic foods [1], and your bread or pasta may differ. To compare two brands, check the fibre per 100 g when it is listed on the label.
These amounts are nowhere near any upper limit. No upper limit has been set for vitamin B1, and the magnesium limit, 250 mg a day from age 4, applies only to magnesium from supplements and fortified foods [3].
Are whole grains healthier?
People who eat more whole grains have fewer cardiovascular events, according to reviews of observational cohort studies [4]. Another review finds a lower incidence of type 2 diabetes [5]. These are associations in populations and do not prove that changing only your bread prevents a disease.
The rest of your diet, physical activity and individual circumstances also matter. If you already have high cholesterol, the guide to lowering cholesterol explains the overall changes and medical follow-up. To see where these foods fit on your plate, read foods high in carbohydrates.
How to recognise wholemeal bread in Spain
The name “wholemeal bread” is reserved for bread made exclusively with wholemeal flour [2]. If bread contains a mix of wholemeal and refined flour, it must be called “made with X% wholemeal flour”. This percentage is calculated against all the flour used [2].
Check the product name first, including when buying unwrapped bread. Then read the percentage. Dark bread may contain refined flour, while lighter bread may be wholemeal. The word “multigrain” indicates a mix of flours; it does not guarantee that they are wholemeal [2].
Pasta, rice and other grains when shopping
For wholemeal pasta, check that the semolina or flour is wholemeal and what proportion it makes up. Brown rice retains its bran; when comparing prepared products, check the ingredients. The bread regulation does not apply to pasta or rice, so for these foods the ingredient list is what matters.

Rolled oats also retain the grain. For serving and preparation ideas, see the oat guide. Quinoa, buckwheat and millet offer more flavours and textures, if you feel like trying them.
Packaged breakfast cereals raise other questions when shopping. We answer them in the breakfast cereal guide.
How to cook them without overcomplicating things
Brown rice usually takes longer than white rice. Check the cooking time on the packet: it varies by variety. Soaking it may shorten the cooking time. Drain it and adjust the water; taste a grain before turning off the heat.
Wholemeal pasta cooks in the same way as refined pasta. Check whether it is ready a few minutes before the stated cooking time. Quinoa, buckwheat and millet also have different cooking times depending on the product. Rinse them if the packet says to, and use its instructions as a starting point.
Bread dough made with wholemeal flour may need more water and a longer resting time. Add the liquid a little at a time until you can work the dough. It usually rises less than dough made with white flour, which is normal. For general methods, including pressure cooking, see healthy cooking techniques.
How many servings of cereals should you eat a day?
Spanish recommendations suggest between three and six servings of cereals a day, depending on energy needs, and prioritise whole grains [6]. This figure includes all cereals eaten during the day: breakfast bread, a rice side dish and a pasta dish each count.
The servings in the table are a starting point; adjust them to your appetite, activity and the rest of your meals. If you manage your blood glucose or take medication, it is best to tailor the amount with your healthcare team. The glycaemic index provides context, but does not replace that assessment.
If whole grains do not agree with you
Fibre may increase gas at first. Increase the amount gradually and see which product you tolerate. If you have constipation, see the constipation diet guide. If you live with irritable bowel syndrome, avoid cutting out all cereals on your own: the irritable bowel syndrome guide explains how to tailor the approach.
What we see in consultations
In consultations, we often hear two questions: people choose bread by its colour and expect “wholemeal” to mean fewer calories. Refining changes the composition of the grain, but a wholemeal product still provides energy. Compare products by their fibre, ingredients and the amount you actually eat.
We also see people put off by a first attempt at cooking brown rice that turns out too firm. Changing the variety or following the packet’s cooking time usually solves this. A choice that works in your kitchen is easier to stick with.
Start with a food you already buy and check its name or ingredients. You can gradually add the wholegrain version, prepared in a way you enjoy.
The best change is to choose a wholegrain cereal that you know how to prepare and enjoy eating.
If you have high cholesterol, diabetes or questions about your eating plan, our team of metabolic health registered dietitian-nutritionists can help you adapt it, in Barcelona or online.
We explain it on video
Your first step this week
Switch one pasta
Next time you shop, choose the wholemeal version of the pasta you eat most often and cook it as usual.
When to see a doctor
When to see a doctor
Diet and exercise can reduce cholesterol and blood pressure considerably. They do not replace medication when risk is high, and they cannot detect a heart attack.
- If you have tight, pressing chest pain that lasts several minutes, call 112. (ESC, arterial hypertension guidelines, 2024) [7]
- If you suddenly have difficulty breathing or speaking, or lose strength on one side of your body, call 112. (ESC, 2024) [7]
- If your blood pressure is very high and you also have chest pain, difficulty breathing, vision changes or neurological symptoms, seek urgent care. (ESC, 2024) [7]
- If you have a family history of early heart attack or notice yellowish lumps on your tendons or eyelids, consult your doctor to assess your cardiovascular risk. (ESC/EAS, dyslipidaemia guidelines, Mach et al., 2019) [8]
- Since starting a statin, you have severe, widespread muscle pain (ESC/EAS, 2019) [8]
If you have tight, pressing chest pain or sudden symptoms, call 112 right now. If your blood pressure is very high and you have symptoms, seek urgent care. If you have yellowish lumps or a family history of early heart attacks, book an appointment with your GP this week: you may have familial hypercholesterolaemia. If you notice muscle pain while taking a statin, contact your doctor this week and do not stop taking it on your own.
High cholesterol and blood pressure may cause no symptoms; that is why they are measured. These are among the few signs you can notice; if you experience any of them, follow the advice above.
For more information about cardiovascular risk assessment, see the high cholesterol guide.

Tell us what your week looks like and what you would like to change
At the first visit we talk about your schedule, who cooks at home and what you have tried before. At the second visit you receive your plan in writing.
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Sources
- Red BEDCA; Agencia Española de Seguridad Alimentaria y Nutrición. Base de Datos Española de Composición de Alimentos: pan integral, pan blanco de barra, arroz integral crudo, arroz, pasta alimenticia integral cruda y pasta alimenticia cruda. BEDCA; undated. https://www.bedca.net/bdpub/index.php
- Gobierno de España. Real Decreto 308/2019, de 26 de abril, por el que se aprueba la norma de calidad para el pan. Boletín Oficial del Estado. 2019. https://www.boe.es/eli/es/rd/2019/04/26/308/con/20231004
- European Food Safety Authority. Overview on Tolerable Upper Intake Levels as derived by the Scientific Committee on Food (SCF) and the EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA). Version 11. EFSA; 2025. https://www.efsa.europa.eu/sites/default/files/2023-11/ul_summary_tables-version-8.pdf
- Hu H, Zhao Y, Feng Y, et al. Consumption of whole grains and refined grains and associated risk of cardiovascular disease events and all-cause mortality: a systematic review and dose-response meta-analysis of prospective cohort studies. The American Journal of Clinical Nutrition. 2023;117:149-159. doi:10.1016/j.ajcnut.2022.10.010
- Neuenschwander M, Ballon A, Weber KS, et al. Role of diet in type 2 diabetes incidence: umbrella review of meta-analyses of prospective observational studies. BMJ. 2019;366:l2368. doi:10.1136/bmj.l2368
- López García E, Bretón Lesmes I, Díaz Perales A, et al. Informe del Comité Científico de la Agencia Española de Seguridad Alimentaria y Nutrición sobre recomendaciones dietéticas sostenibles y recomendaciones de actividad física para la población española. Revista del Comité Científico de la AESAN. 2022;36:11-70. https://www.aesan.gob.es/dam/jcr:cef3d84f-e072-42f6-8492-d783e670b66c/comite_cientifico_36.pdf
- McEvoy JW, McCarthy CP, Bruno RM, et al. 2024 ESC Guidelines for the management of elevated blood pressure and hypertension. European Heart Journal. 2024;45:3912-4018. https://academic.oup.com/eurheartj/article/45/38/3912/7741010
- Mach F, Baigent C, Catapano AL, et al. 2019 ESC/EAS Guidelines for the management of dyslipidaemias: lipid modification to reduce cardiovascular risk. European Heart Journal. 2020;41:111-188. https://academic.oup.com/eurheartj/article/41/1/111/5556353
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