Effects of whole grain rye, with and without resistant starch type 2 supplementation, on glucose tolerance, gut hormones, inflammation and appetite regulation in an 11-14.5 hour perspective; a randomized controlled study in healthy subjects.

Background: The prevalence of obesity is increasing worldwide and prevention is needed. Whole grain has shown potential to lower the risk of obesity, cardiovascular disease and type 2 diabetes. One possible mechanism behind the benefits of whole grain is the gut fermentation of dietary fiber (DF), e...

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Publicado en:Nutrition Journal Vol. 16; pp. 1 - 12
Autores principales: Sandberg, Jonna C., Björck, Inger M. E., Nilsson, Anne C.
Formato: research randomized controlled trial Journal Article
Publicado: BioMed Central 4/21/2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 4/21/2017
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      pub: BioMed Central
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        10.1186/s12937-017-0246-5
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        atl: Effects of whole grain rye, with and without resistant starch type 2 supplementation, on glucose tolerance, gut hormones, inflammation and appetite regulation in an 11-14.5 hour perspective; a randomized controlled study in healthy subjects.
      aug:
        au:
          Sandberg, Jonna C.
          Björck, Inger M. E.
          Nilsson, Anne C.
        affil: Food for Health Science Centre, Lund University, SE-221 00 Lund, Sweden
      sug:
        subj:
          Glucose Tolerance Test
          Glucans Analysis
          Inflammation Blood
          Peptide Hormones Blood
          Appetite
          Young Adult
          Inflammation Diet Therapy
          Triglycerides Blood
          Cholesterol Blood
          Crossover Design
          Fatty Acids Blood
          Portion Size
          Dietary Carbohydrates Administration and Dosage
          Dietary Fiber Administration and Dosage
          Dietary Fiber Analysis
          Female
          Blood Glucose Metabolism
          Postprandial Period
          Cytokines Blood
          Insulin Blood
          Dietary Carbohydrates Analysis
          Adult
          Human
          Male
          Research Subjects
          Interleukins Blood
          Gastrointestinal Hormones Blood
          Bread
          Body Mass Index
          Diet
          Treatment Outcomes
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Randomized Controlled Trials
          Adult: 19-44 years
          Female
          Male
      ab: Background: The prevalence of obesity is increasing worldwide and prevention is needed. Whole grain has shown potential to lower the risk of obesity, cardiovascular disease and type 2 diabetes. One possible mechanism behind the benefits of whole grain is the gut fermentation of dietary fiber (DF), e.g. non-starch polysaccharides and resistant starch (RS), in whole grain. The purpose of the study is to investigate the effect of whole grain rye-based products on glucose- and appetite regulation.Method: Twenty-one healthy subjects were provided four rye-based evening test meals in a crossover overnight study design. The test evening meals consisted of either whole grain rye flour bread (RFB) or a 1:1 ratio of whole grain rye flour and rye kernels bread (RFB/RKB), with or without added resistant starch (+RS). White wheat flour bread (WWB) was used as reference evening meal. Blood glucose, insulin, PYY, FFA, IL-6 as well as breath H2 and subjective rating of appetite were measured the following morning at fasting and repeatedly up to 3.5 h after a standardized breakfast consisting of WWB. Ad libitum energy intake was determined at lunch, 14.5 h after evening test and reference meals, respectively.Results: The evening meal with RFB/RKB + RS decreased postprandial glucose- and insulin responses (iAUC) (P < 0.05) and increased the gut hormone PYY in plasma the following morning 0-120 min after the standardized breakfast, compared to WWB (P = 0.01). Moreover, RFB increased subjective satiety and decreased desire to eat, and both RFB and RFB/RKB decreased feeling of hunger (AUC 0-210 min). All rye-based evening meals decreased or tended to decrease fasting FFA (P < 0.05, RFB/RKB: P = 0.057) and increased breath hydrogen concentration (0-120 min, P < 0.001). No effects were noted on energy intake at lunch or inflammatory marker IL-6 (0 + 180 min) after the rye-based evening meals, compared to WWB.Conclusion: Whole grain rye bread has the potential to improve cardiometabolic variables in an 11-14.5 h perspective in healthy humans. The combination RFB/RKB + RS positively affected biomarkers of glucose- and appetite regulation in a semi-acute perspective. Meanwhile, RFB and RFB/RKB improved subjective appetite ratings. The effects probably emanate from gut fermentation events.Trial Registration: The study was registered at: ClinicalTrials.gov, register number NCT02347293 ( www.clinicaltrials.gov/ct2/show/NCT02347293 ). Registered 15 January 2015.
      pubtype: Academic Journal
      doctype:
        research
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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