Mah Eunice, Liska DeAnn J, Goltz Shellen, Chu YiFang
Biofortis Research, Addison, IL, USA.
Ridgefield, WA, USA.
Appetite. 2023 Jan 1;180:106340. doi: 10.1016/j.appet.2022.106340. Epub 2022 Oct 8.
In light of the increasing prevalence of obesity and cardiometabolic diseases, the underconsumption of fiber is concerning due to its various associated health benefits such as weight management. Adding extracted or isolated dietary fibers into various consumer products is a practical strategy for addressing the fiber gap. This comprehensive review identified evidence on the efficacy of different types of extracted and isolated fibers in reducing appetite and energy intake. Published reports of randomized controlled trials assessing appetite or energy intake in healthy adults were systematically searched, and those investigating extracted and isolated fibers following acute or chronic intake were selected. A total of 136 studies, consisting of 107 acute studies and 29 chronic studies, were included in the review. Overall, most fiber types did not show significant effects on appetite ratings and energy intakes. Acute intakes of two viscous fibers, alginate or guar gum, as well as oat fiber, were observed to most frequently result in reductions in appetite ratings. Additionally, chronic, but not acute, intakes of resistant maltodextrin/dextrin were also beneficial for appetite ratings. Viscous fibers were more likely to improve appetite ratings compared to non-viscous fibers, and fermentability did not appear to affect appetite ratings. Unfortunately, the current evidence base is highly varied due to the many differences in methodology and limited research on many of the fibers. While the possible benefits of extracted and isolated fibers on appetite sensations, food intake, and ultimately body weight regulation should not be completely dismissed, our review highlights the complexity of this research area and the gaps that need to be addressed to improve the robustness of the evidence.
鉴于肥胖症和心血管代谢疾病的患病率不断上升,膳食纤维摄入不足令人担忧,因为它具有多种相关的健康益处,如体重管理。将提取或分离的膳食纤维添加到各种消费品中是解决纤维缺口的一种切实可行的策略。这篇综述确定了不同类型的提取和分离纤维在降低食欲和能量摄入方面的功效证据。我们系统检索了已发表的评估健康成年人食欲或能量摄入的随机对照试验报告,并选择了那些研究急性或慢性摄入提取和分离纤维的报告。该综述共纳入了136项研究,其中包括107项急性研究和29项慢性研究。总体而言,大多数纤维类型对食欲评分和能量摄入没有显著影响。观察到急性摄入两种粘性纤维(藻酸盐或瓜尔胶)以及燕麦纤维最常导致食欲评分降低。此外,抗性麦芽糊精/糊精的慢性(而非急性)摄入对食欲评分也有益。与非粘性纤维相比,粘性纤维更有可能改善食欲评分,而可发酵性似乎不影响食欲评分。不幸的是,由于方法学上的许多差异以及对许多纤维的研究有限,目前的证据基础差异很大。虽然提取和分离纤维对食欲感觉、食物摄入以及最终体重调节的潜在益处不应被完全忽视,但我们的综述强调了该研究领域的复杂性以及为提高证据的稳健性需要解决的差距。