Relationship between rate of digestion of foods and post-prandial glycaemia
- 421 Downloads
- 124 Citations
Summary
The amount of carbohydrate released at 1 and 5 h by digestion in vitro of 2 g carbohydrate portions of 14 foods by human digestive juices was compared with the area under the 2-h blood glucose response curve when 50 g carbohydrate portions were fed to groups of five to ten healthy volunteers. A significant relationship was found between the amounts of sugars and oligosaccharides liberated at 1 and 5 h and the food blood glucose area expressed as a percentage of the blood glucose area for 50 g glucose (r=0.8627 and 0.8618, p<0.001). A significant relationship was also found between the glycaemic index and the food fibre content (p<0.02) and between the glycaemic index and the glucose trapping capacity of the foods (p<0.05). Legumes as a group liberated 56% less sugars and oligosaccharides (p<0.01) than the eight cereal foods over 5 h. It is suggested that such studies in vitro may help to identify food of use for diabetic patients, and at the same time throw further light on factors which affect post-prandial glycaemia.
Key words
Digestion in vitro post-prandial glycaemia rate of absorption dietary fibre dietary carbohydrate diabetesReferences
- 1.Trowell HC (1975) Diabetes mellitus and obesity. In: Burkitt DP, Trowell HC (eds) Refined carbohydrate foods and fibre. Academic Press, London, pp 227–251Google Scholar
- 2.Anderson JW, Chen WJ (1979) Plant fiber: carbohydrate and lipid metabolism. Am J Clin Nutr 32:346–363Google Scholar
- 3.Anderson JW, Ward K (1979) High-carbohydrate, high-fiber diets for insulin-treated men with diabetes mellitus. Am J Clin Nutr 32:2312–2321Google Scholar
- 4.Brunzell JD, Learner RI, Hazzard WR, Porte D, Jr, Bierman EL (1971) Improved glucose tolerance with high carbohydrate feeding in mild diabetes. New Engl J Med 284: 521–524Google Scholar
- 5.Jenkins DJA (1979) Dietary fibre, diabetes and hyperlipidaemia. Lancet 2:1287–1290Google Scholar
- 6.Simpson RW, Mann JI, Eaton J, Moore RA, Carter R, Hockaday TDR (1979) Improved glucose control in maturity-onset diabetes treated with high-carbohydrate-modified fat diet. Br Med 11:1753–1756Google Scholar
- 7.Crapo PA, Reaven G, Olefsky J (1977) Postprandial plasmaglucose and -insulin responses to different complex carbohydrates. Diabetes 26:1178–1183Google Scholar
- 8.Jenkins DJA, Leeds AR, Gassull MA, Wolever TMS, Goff DV, Alberti KGMM, Hockaday TDR (1976) Unabsorbable carbohydrates and diabetes: decreased post-prandial hyperglycaemia. Lancet 2:172–174Google Scholar
- 9.Jenkins DJA, Wolever TMS, Nineham R, Taylor RH, Metz GL, Bacon S, Hockaday TDR (1978) Guar crispbread in the diabetic diet. Brit Med J 2:1744–1746Google Scholar
- 10.Miranda PM, Horwith DL (1978) High fibre diets in the treatment of diabetes mellitus. Ann Intern Med 88:482–486Google Scholar
- 11.Leeds AR, Bolster NR, Andrews R, Truswell AS (1979) Meal viscosity, gastric emptying and glucose absorption in the rat. Proc Nutr Soc 38:44A (Abstract)Google Scholar
- 12.Holt S, Heading RC, Carter DC, Prescott LF, Tothill P (1979) Effect of gel fibre on gastric emptying and absorption of glucose and paracetamol. Lancet 1:636–639Google Scholar
- 13.Jenkins DJA, Wolever TMS, Taylor RH, Ghafari H, Jenkins AL, Barker H, Jenkins MJA (1980) Rate of digestion of foods and postprandial glycaemia in normal and diabetic subjects. Br Med J 2:14–17Google Scholar
- 14.Jenkins DJA, Wolever TMS, Taylor RH, Barker HM, Fielden H, Baldwin JM, Newman HC, Bowlin AC, Goff DV (1980) Bioavailability to man of carbohydrate in foods. Proc Nutr Soc 39:11A (Abstract)Google Scholar
- 15.Werner W, Rey HG, Wielinger H (1970) Über die Eigenschaften eines Chromogens für die Blutzuckerbestimmung nach der GOD/POD Methoden. Z Analyt Chem 252:224–227Google Scholar
- 16.Paul AA, Southgate DAT (1978) McCance and Widdowson's the composition of foods. Medical Research Council special report series no 297. Her Majesty's Stationery Office, LondonGoogle Scholar
- 17.Platt BS (1962) Tables of representative values of foods commonly used in tropical countries. Medical Research Council special report series no 302. Her Majesty's Stationery Office, LondonGoogle Scholar
- 18.Clark LC Jr (1973) A polarographic enzyme electrode for the measurement of oxidase substrates. In: Kessler M, Bruley DF, Leland CC, Lubbers DW, Silver IA, Strauss J (eds) Oxygen supply. Urban & Schwarzenberg, Munich, pp 120–128Google Scholar
- 19.Leeds AR, Ralphs DN, Boulos P, Ebied F, Metz G, Dilawari JB, Elliot A, Jenkins DJA (1978) Pectin and gastric emptying in the dumping syndrome. Proc Nutr Soc 37:23A (Abstract)Google Scholar
- 20.Jenkins DJA, Wolever TMS, Leeds AR, Gassull MA, Haisman P, Dilawari JB, Goff DV, Metz GL, Alberti KGMM (1978) Dietary fibres, fibre analogues, and glucose tolerance: importance of viscosity. Br Med J 1:1392–1394Google Scholar
- 21.Haber GH, Heaton KW, Murphy D, Burroughs LF (1976) Depletion and disruption of dietary fibre: effects on satiety, plasma-glucose, and serum insulin. Lancet 2:679–682Google Scholar
- 22.O'Dea K, Nestel PJ, Antonoff L (1980) Physical factors influencing postprandial glucose and insulin responses to starch. Am J Clin Nutr 33:760–765Google Scholar
- 23.Thompson DG, Archer L, Benson M, Green W, Hardy R, Wingate DL (1979) Variation in the glucose tolerance test with normal changes in fasting upper gastrointestinal motility. Clin Sci 57:25P (Abstract)Google Scholar
- 24.Elsenhaus B, Süfke V, Blume R, Caspary WF (1980) The influence of carbohydrate gelling agents on rat intestinal transport of monosaccharides and neutral amino acids in vitro. Clin Sci 59:373–380Google Scholar
- 25.Johnson IT, Gee JM (1980) Inhibitory effect of guar gum on the intestinal absorption of glucose in vitro. Proc Nutr Soc 39: 52 A (Abstract)Google Scholar
- 26.Dahlqvist A, Borgstrom B (1961) Digestion and absorption of disaccharides in man. Biochem J 81:411–418Google Scholar
- 27.Silk DBA, Dawson AM (1979) Intestinal absorption of carbohydrate and protein in man. In: Crane RK (ed) Gastrointestinal physiology III, vol 19. University Park Press, Baltimore, pp 151–203Google Scholar
- 28.Puls W, Keup U (1973) Influence of an α-amylase inhibitor (BAY d 7791) on blood glucose, serum insulin and NEFA in starch loading tests in rats, dogs and man. Diabetologia 9: 97–101Google Scholar
- 29.Marshall JJ, Lauda CM (1975) Purification and properties of Phaseolamin, an inhibitor of α-amylase from the kidney bean (Phaseolus vulgaris). J Biol Chem 250:8030–8037Google Scholar
- 30.Brodribb AGM, Humphreys DM (1976) Metabolic effects of bran in patients with diverticular disease. Br Med J 1: 424–430Google Scholar
- 31.Southgate DAT, Paul AA, Dean AC, Christie AA (1978) Free sugars in foods. J Human Nutr 32:335–347Google Scholar
- 32.Jenkins DJA, Wolever TMS, Taylor RH, Barker H, Fielden H (1980) Exceptionally low blood glucose response to dried beans: comparison with other carbohydrate foods. Br Med J 2: 578–580Google Scholar
- 33.Jenkins DJA, Wolever TMS, Taylor RH, Barker HM, Fielden H, Baldwin JM, Bowling AC, Newman HC, Jenkins AL, Goff DV (1981) Glycemic index of foods: a physiological basis for carbohydrate exchange. Am J Clin Nutr 34:362–366Google Scholar