Predicting mixed-meal measured glycaemic index in healthy subjects.

Purpose: To determine the influence of meal composition on the glycaemic impact of different carbohydrate staples, and the accuracy of "adjusted calculated meal GI" compared with "measured mixed-meal GI". Methods: In a non-blind randomized crossover trial fasted healthy subjects consumed four dinner...

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Publicado en:European Journal of Nutrition Vol. 58; no. 7; pp. 2657 - 2668
Autores principales: Ballance, Simon, Knutsen, Svein Halvor, Fosvold, Øivind Winther, Fernandez, Aida Sainz, Monro, John
Formato: equations & formulas research tables/charts randomized controlled trial Journal Article
Publicado: Springer Nature Oct2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2019
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00394-018-1813-z
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        atl: Predicting mixed-meal measured glycaemic index in healthy subjects.
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          Ballance, Simon
          Knutsen, Svein Halvor
          Fosvold, Øivind Winther
          Fernandez, Aida Sainz
          Monro, John
        affil: Nofima AS, Norwegian Institute of Food, Fisheries and Aquaculture Research, Osloveien 1, 1433, Ås, Norway
      sug:
        subj:
          Glycemic Index Evaluation
          Blood Glucose Analysis
          Diet
          Food
          Human
          Randomized Controlled Trials
          Random Assignment
          Crossover Design
          Insulin Blood
          Restricted Diet
          Dietary Carbohydrates Administration and Dosage
          Meals
          Blood Analysis
          Glycemic Load
          Glucose Metabolism
          Postprandial Period
          Sweetened Beverages
          Treatment Outcomes
      ab: Purpose: To determine the influence of meal composition on the glycaemic impact of different carbohydrate staples, and the accuracy of "adjusted calculated meal GI" compared with "measured mixed-meal GI". Methods: In a non-blind randomized crossover trial fasted healthy subjects consumed four dinner-type mixed meals of realistic serving size comprising a carbohydrate staple of either mashed potato, pasta, rice or a glucose drink, combined with fixed portions of boiled carrots, poached salmon and herb sauce. Blood samples collected between 0 and 180 min were analysed for glucose and insulin concentrations. Adjusted calculated meal GI values were determined against a 50 g reference glucose drink, and compared to corresponding measured mixed-meal GIs, supplemented with data from four previous mixed-meal postprandial glycaemic response studies. Results: The common carbohydrate staples, and the glucose drink, ingested as part of the salmon mixed meal induced a significantly lower post-prandial relative glycaemic response (RGR) and concurrent higher relative insulin response than the same amount of staple eaten alone. Adjusted calculated mixed-meal GI closely predicted measured mixed-meal GI in healthy subjects for 15 out of 17 mixed meals examined, showing the need to account for effects of fat and protein when predicting measured mixed-meal GI. Further, we showed the validity of using customarily consumed food amounts in mixed-meal postprandial RGR study design. Conclusions: Adjusted calculated mixed-meal GI appears a useful model to predict measured mixed-meal GI in healthy subjects and with further development and validation could aid nutrition research and rational design of healthy meals for personalized nutrition and particular consumer groups.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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