Diabetes and Endocrinology, Postgraduate Medical School, University of Surrey, Guildford, Surrey GU2 7WG, UK.
Br J Nutr. 2010 Mar;103(6):917-22. doi: 10.1017/S0007114509992534. Epub 2009 Oct 27.
Resistant starch (RS), a non-viscous dietary fibre, may have postprandial effects on appetite regulation and metabolism, although the exact effects and mechanisms are unknown. An acute randomised, single-blind crossover study, aimed to determine the effects of consumption of 48 g RS on appetite compared to energy and available carbohydrate-matched placebo. Twenty young healthy adult males consumed either 48 g RS or the placebo divided equally between two mixed meals on two separate occasions. Effects on appetite were assessed, using an ad libitum test meal and 24-h diet diaries for energy intake, and using visual analogue scales for subjective measures. Changes to postprandial glucose, insulin and C-peptide were also assessed. There was a significantly lower energy intake following the RS supplement compared to the placebo supplement at both the ad libitum test meal (5241 (sem 313) v. 5606 (sem 345) kJ, P = 0.033) and over the 24 h (12 603 (sem 519) v. 13 949 (sem 755) kJ, P = 0.044). However, there was no associated effect on subjective appetite measures. Postprandial plasma glucose concentrations were not significantly different between supplements, but there was a significantly lower postprandial insulin response following the RS supplement (P = 0.029). The corresponding C-peptide concentrations were not significantly different, although the ratio of C-peptide to insulin was higher following the RS supplement compared to placebo (P = 0.059). These results suggest that consumption of 48 g RS, over a 24-h period, may be useful in the management of the metabolic syndrome and appetite. Further studies are required to determine the exact mechanisms.
抗性淀粉(RS)是一种不可消化的膳食纤维,它可能对食欲调节和新陈代谢有餐后作用,但确切的作用和机制尚不清楚。一项急性随机、单盲交叉研究旨在确定与能量和可利用碳水化合物相匹配的安慰剂相比,摄入 48 克 RS 对食欲的影响。20 名年轻健康的成年男性在两次不同的情况下,分别两次将 48 克 RS 或安慰剂等量分成两份混合餐食用。通过随意测试餐和 24 小时饮食日记评估能量摄入,通过视觉模拟量表评估主观测量来评估对食欲的影响。还评估了餐后血糖、胰岛素和 C 肽的变化。与安慰剂补充剂相比,RS 补充剂后能量摄入明显降低,在随意测试餐时(5241(sem 313)v. 5606(sem 345)kJ,P = 0.033)和 24 小时内(12603(sem 519)v. 13949(sem 755)kJ,P = 0.044)。然而,这与主观食欲测量没有关联。补充剂之间餐后血浆葡萄糖浓度没有显著差异,但 RS 补充剂后胰岛素反应明显降低(P = 0.029)。相应的 C 肽浓度没有显著差异,尽管 RS 补充剂后 C 肽与胰岛素的比值高于安慰剂(P = 0.059)。这些结果表明,在 24 小时内摄入 48 克 RS 可能有助于代谢综合征和食欲的管理。需要进一步研究以确定确切的机制。