Poutanen Kaisa S, Dussort Pierre, Erkner Alfrun, Fiszman Susana, Karnik Kavita, Kristensen Mette, Marsaux Cyril Fm, Miquel-Kergoat Sophie, Pentikäinen Saara P, Putz Peter, Slavin Joanne L, Steinert Robert E, Mela David J
VTT Technical Research Center of Finland, Espoo, Finland.
International Life Sciences Institute (ILSI) Europe a.i.s.b.l., Brussels, Belgium.
Am J Clin Nutr. 2017 Sep;106(3):747-754. doi: 10.3945/ajcn.117.157172. Epub 2017 Jul 19.
Many intervention studies have tested the effect of dietary fibers (DFs) on appetite-related outcomes, with inconsistent results. However, DFs comprise a wide range of compounds with diverse properties, and the specific contribution of these to appetite control is not well characterized. The influence of specific DF characteristics [i.e., viscosity, gel-forming capacity, fermentability, or molecular weight (MW)] on appetite-related outcomes was assessed in healthy humans. Controlled human intervention trials that tested the effects of well-characterized DFs on appetite ratings or energy intake were identified from a systematic search of literature. Studies were included only if they reported ) DF name and origin and ) data on viscosity, gelling properties, fermentability, or MW of the DF materials or DF-containing matrixes. A high proportion of the potentially relevant literature was excluded because of lack of adequate DF characterization. In total, 49 articles that met these criteria were identified, which reported 90 comparisons of various DFs in foods, beverages, or supplements in acute or sustained-exposure trials. In 51 of the 90 comparisons, the DF-containing material of interest was efficacious for ≥1 appetite-related outcome. Reported differences in material viscosity, MW, or fermentability did not clearly correspond to differences in efficacy, whereas gel-forming DF sources were consistently efficacious (but with very few comparisons). The overall inconsistent relations of DF properties with respect to efficacy may reflect variation in measurement methodology, nature of the DF preparation and matrix, and study designs. Methods of DF characterization, incorporation, and study design are too inconsistent to allow generalized conclusions about the effects of DF properties on appetite and preclude the development of reliable, predictive, structure-function relations. Improved standards for characterization and reporting of DF sources and DF-containing materials are strongly recommended for future studies on the effects of DF on human physiology. This trial was registered at http://www.crd.york.ac.uk/PROSPERO as CRD42015015336.
许多干预研究已测试膳食纤维(DFs)对食欲相关结果的影响,但结果并不一致。然而,膳食纤维包含多种具有不同特性的化合物,它们对食欲控制的具体作用尚未得到充分表征。本研究评估了特定膳食纤维特性[即粘度、凝胶形成能力、发酵性或分子量(MW)]对健康人群食欲相关结果的影响。通过系统检索文献,确定了测试特征明确的膳食纤维对食欲评分或能量摄入影响的人体对照干预试验。仅当研究报告了(1)膳食纤维名称和来源以及(2)膳食纤维材料或含膳食纤维基质的粘度、胶凝特性、发酵性或分子量数据时,才纳入研究。由于缺乏足够的膳食纤维特性描述,大量潜在相关文献被排除。总共确定了49篇符合这些标准的文章,这些文章报告了在急性或持续暴露试验中对食品、饮料或补充剂中各种膳食纤维的90次比较。在90次比较中的51次中,感兴趣的含膳食纤维材料对≥1项食欲相关结果有效。报告的材料粘度、分子量或发酵性差异与功效差异并不明显对应,而形成凝胶的膳食纤维来源始终有效(但比较次数很少)。膳食纤维特性与功效之间总体不一致的关系可能反映了测量方法、膳食纤维制剂和基质的性质以及研究设计的差异。膳食纤维特性表征、添加方法和研究设计过于不一致,无法得出关于膳食纤维特性对食欲影响的普遍结论,也无法建立可靠的、预测性的结构-功能关系。强烈建议在未来关于膳食纤维对人体生理影响的研究中,改进膳食纤维来源和含膳食纤维材料的表征和报告标准。本试验已在http://www.crd.york.ac.uk/PROSPERO上注册,注册号为CRD42015015336。