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食用抗性淀粉和β-葡聚糖均可改善女性餐后的血糖和胰岛素水平。

Consumption of both resistant starch and beta-glucan improves postprandial plasma glucose and insulin in women.

作者信息

Behall Kay M, Scholfield Daniel J, Hallfrisch Judith G, Liljeberg-Elmståhl Helena G M

机构信息

Diet and Human Performance Laboratory, Beltsville Human Nutrition Research Center, ARS, USDA, Beltsville, MD 20705-2350, USA.

出版信息

Diabetes Care. 2006 May;29(5):976-81. doi: 10.2337/diacare.295976.

Abstract

OBJECTIVE

Consumption of a meal high in resistant starch or soluble fiber (beta-glucan) decreases peak insulin and glucose concentrations and areas under the curve (AUCs). The objective was to determine whether the effects of soluble fiber and resistant starch on glycemic variables are additive.

RESEARCH DESIGN AND METHODS

Ten normal-weight (43.5 years of age, BMI 22.0 kg/m2) and 10 overweight women (43.3 years of age, BMI 30.4 kg/m2) consumed 10 tolerance meals in a Latin square design. Meals (1 g carbohydrate/kg body wt) were glucose alone or muffins made with different levels of soluble fiber (0.26, 0.68, or 2.3 g beta-glucan/100 g muffin) and three levels of resistant starch (0.71, 2.57, or 5.06 g/100 g muffin).

RESULTS

Overweight subjects had plasma insulin concentrations higher than those of normal-weight subjects but maintained similar plasma glucose levels. Compared with low beta-glucan-low resistant starch muffins, glucose and insulin AUC decreased when beta-glucan (17 and 33%, respectively) or resistant starch (24 and 38%, respectively) content was increased. The greatest AUC reduction occurred after meals containing both high beta-glucan-high resistant starch (33 and 59% lower AUC for glucose and insulin, respectively). Overweight women were somewhat more insulin resistant than control women.

CONCLUSIONS

Soluble fiber appears to have a greater effect on postprandial insulin response while glucose reduction is greater after resistant starch from high-amylose cornstarch. The reduction in glycemic response was enhanced by combining resistant starch and soluble fiber. Consumption of foods containing moderate amounts of these fibers may improve glucose metabolism in both normal and overweight women.

摘要

目的

食用富含抗性淀粉或可溶性纤维(β-葡聚糖)的一餐可降低胰岛素和葡萄糖峰值浓度以及曲线下面积(AUC)。目的是确定可溶性纤维和抗性淀粉对血糖变量的影响是否具有相加性。

研究设计与方法

10名正常体重女性(43.5岁,BMI 22.0kg/m²)和10名超重女性(43.3岁,BMI 30.4kg/m²)采用拉丁方设计食用10次耐量餐。餐食(1g碳水化合物/千克体重)为单独的葡萄糖或用不同水平的可溶性纤维(0.26、0.68或2.3gβ-葡聚糖/100g松饼)和三种水平的抗性淀粉(0.71、2.57或5.06g/100g松饼)制作的松饼。

结果

超重受试者的血浆胰岛素浓度高于正常体重受试者,但血浆葡萄糖水平相似。与低β-葡聚糖-低抗性淀粉松饼相比,当β-葡聚糖(分别降低17%和33%)或抗性淀粉(分别降低24%和38%)含量增加时,葡萄糖和胰岛素AUC降低。在含有高β-葡聚糖-高抗性淀粉的餐后,AUC降低幅度最大(葡萄糖和胰岛素的AUC分别降低33%和59%)。超重女性的胰岛素抵抗程度比对照女性略高。

结论

可溶性纤维似乎对餐后胰岛素反应影响更大,而高直链玉米淀粉中的抗性淀粉对降低葡萄糖的效果更显著。抗性淀粉和可溶性纤维联合使用可增强血糖反应的降低。食用含有适量这些纤维的食物可能改善正常和超重女性的葡萄糖代谢。

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