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The Influence of Dietary Fibre on Carbohydrate Digestion and Absorption

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Part of the ILSI Human Nutrition Reviews book series (ILSI HUMAN)

Abstract

Acute studies in normal and diabetic subjects with purified fibres have indicated that the blood glucose and endocrine responses to test meals (liquid carbohydrate load or meals) are reduced by addition of fibre, especially viscous fibre, while the effect of particulate fibre such as wheat bran and cellulose appears more variable (Jenkins et al., 1978; Anderson et al., 1979; Levitt et al., 1980; Monnier, 1985; Hamberg et al., 1989a). Longer-term studies with fibre-supplemented diets in diabetic patients have confirmed that viscous fibres improve glycaemic control. However, it is difficult to make the quantity of soluble fibre used in these experiments acceptable; this has stimulated further work with foods rich in fibre. The specific effect of fibre taken as whole foods, as opposed to fibre supplements, in the management of diabetics is not easy to assess because changes in one dietary element can seldom be made without changes in another — studies with fibre in unprocessed foods usually entail fat restriction and higher intake of available carbohydrate in addition to the fibre. Thus, these studies did not indicate the extent to which high fibre or the combination of high fibre and high carbohydrate (particularly low glycaemic index food) in the diet was responsible for improved diabetic control, but they suggested that fibre and carbohydrate could act synergistically; in the context of starchy foods, fibre intake is one of the aspects which may render these foods particularly useful.

Keywords

  • Gastric Emptying
  • Dietary Fibre
  • Wheat Bran
  • White Bread
  • Unstirred Layer

These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  • Anderson JW (1986) Dietary fibre in nutrition management of diabetes. In: Vahouny GV, Kritchevsky D (eds) Dietary fibre: basic and clinical aspects. Plenum Press, New York, pp 343–360

    Google Scholar 

  • Anderson JW, Midgley WR, Wedman B (1979) Fibre and diabetes. Diabetes Care 2:369–379

    CrossRef  PubMed  CAS  Google Scholar 

  • Anderson BW, Levine AS, Levitt DG, Kneip JM, Levitt MD (1988) Physiological measurement of luminal stirring in perfused rat jejunum. Am J Physiol 17.G843-G848

    Google Scholar 

  • Anderson BW, Kneip JM, Levine AS, Levitt MD (1989) Influence of infusate viscosity on intestinal absorption in the rat. Gastroenterology 97:938–943

    PubMed  CAS  Google Scholar 

  • Arnal-Peyrot F, Adrian J (1974) Role des gommes et des mucilages sur la digestibilité. Cas de la feuille de baobab (Adamsonia digitata). Ann Nutr Alim 28:505–521

    Google Scholar 

  • Blackburn NA, Redfern JS, Jarjis H et al. (1984a) The mechanism of action of guar gum in improving glucose tolerance in man. Clin Sci 66:329–336

    PubMed  CAS  Google Scholar 

  • Blackburn NA, Holgate AM, Read NW (1984b) Small intestinal contact area — another mechanism by which gum reduces postprandial hyperglycaemia in man. Br J Nutr 52:197–204

    CrossRef  PubMed  CAS  Google Scholar 

  • Bosello O, Ostuzzi R, Armellini F, Micciolo RM, Ludovico AS (1980) Glucose tolerance and blood lipids in bran fed patients with impaired glucose tolerance. Diabetes Care 3:46–49

    CrossRef  PubMed  CAS  Google Scholar 

  • Brodribb AJM, Humphreys DM (1976) Diverticular disease. Part III. Metabolic effect of bran in patients with diverticular disease. Br Med J i:428–430

    CrossRef  Google Scholar 

  • Brown NJ, Worlding J, Rumsey RDE, Read NW (1988) The effect of guar gum on the distribution of a radiolabeled meal in the gastrointestinal tract of the rat. Br J Nutr 59:223–231

    CrossRef  PubMed  CAS  Google Scholar 

  • Bueno L, Praddaube F, Fioramonti J, Ruckebush Y (1981) Effect of dietary fibre on gastrointestinal motility and jejunal transit time in dogs. Gastroenterology 80:701–707

    PubMed  CAS  Google Scholar 

  • Chapman RW, Sillery JK, Graham MM, Saunders DR (1985) Absorption of starch by healthy ileostomates: effects of transit time and of carbohydrate load. Am J Clin Nutr 41:1244–1248

    PubMed  CAS  Google Scholar 

  • Cortot A, Jobin G, Flourié B, Bernier JJ (1981) Effets du son de blé sur la digestion normale d’un repas. In: Les fibres céréalières dans Palimentation humaine. Ronac, Paris, pp 23–34.

    Google Scholar 

  • Di Lorenzo G, Williams CM, Hajnal F, Valenzuela JE (1988) Pectin delays gastric emptying and increases satiety in obese subjects. Gastroenterology 95:1211–1215

    PubMed  Google Scholar 

  • Dunaif G, Schneeman BO (1981) The effect of dietary fibre on human pancreatic enzyme activity in vitro. Am J Clin Nutr 34:1034–1035

    PubMed  CAS  Google Scholar 

  • Duncan KH, Bacon JA, Weinsier RL (1983) The effects of high and low energy density diets on satiety, energy intake and eating time of obese and non-obese subjects. Am J Clin Nutr 37:763–767

    PubMed  CAS  Google Scholar 

  • Ebihara K, Masuhara R, Kiriyama S, Manabe M (1981) Correlation between viscosity and plasma glucose- and insulin-flattening activities of pectins from vegetables and fruits in rats. Nutr Rep Int 23:985–992

    CAS  Google Scholar 

  • Edwards CA, Blackburn NA, Craigen L et al. (1987) Viscosity of food gums determined in vitro related to their hypoglycemic actions. Am J Clin Nutr 46:72–77

    PubMed  CAS  Google Scholar 

  • Ehrlein H-J, Pröve J (1982) Effect of viscosity of test meals on gastric emptying in dogs. Q J Exp Physiol 76:419–425

    Google Scholar 

  • Elsenhans B, Süfke U, 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 59:373–380

    PubMed  CAS  Google Scholar 

  • Elsenhans B, Süfke U, Blume R, Caspary WF (1981) In vitro inhibition of rat intestinal surface hydrolysis of disaccharides and dipeptides by guaran. Digestion 21:98–103

    CrossRef  PubMed  CAS  Google Scholar 

  • Elsenhans B, Zenker D, Caspary WF, Blume R (1984) Guaran effect on rat intestinal absorption. Gastroenterology 86:645–653

    PubMed  CAS  Google Scholar 

  • Flourié B, Vidon N, Florent C, Bernier JJ (1984) Effects of pectin on jejunal glucose absorption and unstirred layer thickness in normal man. Gut 25:936–941

    CrossRef  PubMed  Google Scholar 

  • Flourié B, Vidon N, Chayvialle JA, Palma R, Franchisseur C, Bernier JJ (1985) Effect of increased amounts of pectin on a solid-liquid meal digestion in healthy man. Am J Clin Nutr 42:495–503

    PubMed  Google Scholar 

  • Fuse K, Bamba T, Hosoda S (1989) Effects of pectin on fatty acid and glucose absorption and on thickness of unstirred water layer in rat and human intestine. Dig Dis Sci 34:1109–1116

    CrossRef  PubMed  CAS  Google Scholar 

  • Gallaher D, Schneeman BO (1986) Intestinal interaction of bile acids, phospholipids, dietary fibres, and cholestyramine. Am J Physiol 13:G420-G426

    Google Scholar 

  • Grimes DS, Goddard J (1977) Gastric emptying of wholemeal and white bread. Gut 18:725–729

    CrossRef  PubMed  CAS  Google Scholar 

  • Haber GB, Heaton KW, Murphy D, Burroughs L (1977) Digestion and disruption of dietary fibre. Effects on satiety, plasma glucose and serum insulin. Lancet ii:679–682

    CrossRef  Google Scholar 

  • Hagander B, Asp N-G, Efendic S, Nilsson-Ehle P, Lundquist I, Shersten B (1986) Reduced glycemic response to beet-fibre meal in noninsulin-dependent diabetics and its relation to plasma levels of pancreatic and gastrointestinal hormones. Diabetes Res 3:91–96

    PubMed  CAS  Google Scholar 

  • Hagander B, Asp N-G, Efendic S, Nilsson-Ehle P, Schersten B (1988) Dietary fibre decreases fasting blood glucose levels and plasma LDL concentration in noninsulin-dependent diabetes mellitus patients. Am J Clin Nutr 47:852–858

    PubMed  CAS  Google Scholar 

  • Hamberg O, Rumessen JJ, Gudman-Hoyer E (1989a) Blood glucose response to pea fibre: comparisons with sugar beet fibre and wheat bran. Am J Clin Nutr 50:324–328

    PubMed  CAS  Google Scholar 

  • Hamberg O, Rumessen JJ, Gudman-Hoyer E (1989b) Inhibition of starch absorption by dietary fibre. Scand J Gastroenterol 24:103–109

    CrossRef  PubMed  CAS  Google Scholar 

  • Heaton KW, Marcus SN, Emmett PM, Bolton CH (1988) Particle size of wheat, maize, and oat test meals: effects on plasma glucose and insulin responses and on the rate of starch digestion in vitro. Am J Clin Nutr 47:675–682

    PubMed  CAS  Google Scholar 

  • Holgate AM, Read NW (1983) Relationship between small bowel transit time and absorption of a solid meal. Influence of metoclopramide, magnesium sulphate, and lactulose. Dig Dis Sci 28:812–819

    CrossRef  PubMed  CAS  Google Scholar 

  • 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 i:636–639

    CrossRef  Google Scholar 

  • Ikegami S, Tsuchihashi F, Harada H, Tsuchihashi N, Nishide E, Innami S (1990) Effect of viscous indigestible polysaccharides on pancreatic-biliary secretion and digestive organs in rats. J Nutr 120:353–360

    PubMed  CAS  Google Scholar 

  • Imsidumi K, Tominaga A, Mawatari K, Sugano M (1982) Effect of cellulose and guar gum on the secretion of mesenteric lymph chylomicrons in meal-fed rats. Nutr Rep Int 26:263–269

    Google Scholar 

  • Isaksson G, Lundquist I, Ihse I (1982) Effect of dietary fibre on pancreatic enzyme activity in vitro. Gastroenterology 82:918–924

    PubMed  CAS  Google Scholar 

  • Jarjis HA, Blackburn NA, Redfern JS, Read NW (1984) The effect of ispaghule (Fybogel and Metamucil) and guar gum on glucose tolerance in man. Br J Nutr 51:371–378

    CrossRef  PubMed  CAS  Google Scholar 

  • Jenkins DJA (1980) Dietary fibre and carbohydrate metabolism. In: Spiller GA, McPherson Kay R (eds) Medical aspects of dietary fibre, Plenum Press, New York, pp 175–192

    Google Scholar 

  • Jenkins DJA, Leeds AR, Gassull MA, Cochet B, Alberti GMM (1977a) Decrease in postprandial insulin and glucose concentrations by guar and pectin. Ann Intern Med 86:20–23

    PubMed  CAS  Google Scholar 

  • Jenkins DJA, Leeds AR, Houston H, Hinks L, Alberti KGMM, Cummings JH (1977b) Carbohydrate tolerance in man after six weeks of pectin administration. Proc Nutr Soc 36:60 (abstract)

    Google Scholar 

  • Jenkins DJA, Wolever TMS, Leeds AR et al. (1978) Dietary fibres, fibre analogues and glucose tolerance: importance of viscosity. Br Med J i: 1392–1394

    CrossRef  Google Scholar 

  • Jenkins DJA, Wolever TMS, Nineham R, Bacon S, Smith R, Hockaday TDR (1979) Dietary fibre and diabetic therapy: a progressive effect with time. Adv Exp Med Biol 119:275–279

    PubMed  CAS  Google Scholar 

  • Jenkins DJA, Jenkins AL, Wolever TMS, Collier GR, Rao AV, Thompson LU (1987a) Starchy foods and fibre: reduced rate of digestion and improved carbohydrate metabolism. Scand J Gastroenterol 22 (Suppl 129):132–141

    CrossRef  Google Scholar 

  • Jenkins DJA, Cuff D, Wolever TMS et al. (1987b) Digestibility of carbohydrate foods in an ileostomate: relationship to dietary fibre, in vitro digestibility, and glycemic response. Am J Gastroenterol 82:709–717

    PubMed  CAS  Google Scholar 

  • Johnson IT, Gee JM (1981) Effect of gel-forming gums on the intestinal unstirred layer and sugar transport in vitro. Gut 22:398–403

    CrossRef  PubMed  CAS  Google Scholar 

  • Johnson IT, Gee JM, Mahoney RR (1984) Effect of dietary supplements of guar gum and cellulose on intestinal cell proliferation, enzyme levels and sugar transport in the rat. Br J Nutr 52:477–487

    CrossRef  PubMed  CAS  Google Scholar 

  • Kelly KA (1980) Gastric emptying of liquids and solids: roles of proximal and distal stomach. Am J Physiol 239:G71-G76

    PubMed  CAS  Google Scholar 

  • Lawaetz O, Blackburn AM, Bloom SR, Aritas Y, Ralphs DNL (1983) Effect of pectin on gastric emptying and gut hormone release in the dumping syndrome. Scand J Gastroenterol 18:327–336

    CrossRef  PubMed  CAS  Google Scholar 

  • Leeds AR (1982) Modification of intestinal absorption of dietary fibre and fibre components. In: Vahouny GV, Kritchevsky D (eds) Dietary fibre in health and disease. Plenum Press, New York, pp 53–71

    Google Scholar 

  • Leeds AR, Bolster NR, Andrews R, Truswell AS (1979) Meal viscosity, gastric emptying and glucose absorption in the rat. Proc Nutr Soc 38:44 (abstract)

    CrossRef  Google Scholar 

  • Levitt NS, Vinik AI, Sive AA, Child PT, Jackson WPU (1980) The effect of dietary fibre on glucose and hormone responses to a mixed meal in normal subjects and in diabetic subjects with and without autonomic neuropathy. Diabetes Care 3:515–519

    CrossRef  PubMed  CAS  Google Scholar 

  • Levitt MD, Hirsh P, Fetzer CA, Sheahan M, Levine AS (1987) H2 excretion after ingestion of complex carbohydrates. Gastroenterology 92:383–389

    PubMed  CAS  Google Scholar 

  • McCance RA, Prior KM, Widdowson EM (1953) A radiological study of the rate of passage of brown and white bread through the digestive tract of man. Br J Nutr 7:98–104

    CrossRef  PubMed  CAS  Google Scholar 

  • Meyer JH, Doty JE (1988). GI transit and absorption of solid food: multiple effects of guar. Am J Clin Nutr 48:267–173

    PubMed  CAS  Google Scholar 

  • Meyer JH, Gu Y, Elashoff J, Reedy T, Dressman J, Amidon G (1986) Effects of viscosity and fluid outflow on postcibal gastric emptying of solids. Am J Physiol 13:G161-G164

    Google Scholar 

  • Miranda PM, Horwitz DL (1978) High fibre diets in the treatment of diabetes mellitus. Ann Intern Med 88:482–486

    PubMed  CAS  Google Scholar 

  • Monnier L (1985) Intérêt des fibres alimentaires en thérapeutique gastroentérologique et nutritionnelle. Ann Med Interne (Paris) 136:677–681

    CAS  Google Scholar 

  • Munoz JM, Sandstead HH, Jacob RA (1979) Effects of dietary fibre on glucose tolerance of normal men. Diabetes 28:496–502

    PubMed  CAS  Google Scholar 

  • Nygren C, Hallmans G, Lithner F (1984) Effects of high-bran bread on blood glucose control in insulin-dependent diabetic patients. Diabete Metab 10:39–43

    PubMed  CAS  Google Scholar 

  • Osilesi O, Trout DL, Glover EE et al. (1985) Use of xanthan gum in dietary management of diabetes mellitus. Am J Clin Nutr 42:597–603

    PubMed  CAS  Google Scholar 

  • Poksay KS, Schneeman BO (1983) Pancreatic and intestinal response to dietary guar gum in rats. J Nutr 113:1544–1549

    PubMed  CAS  Google Scholar 

  • Pröve J, Ehrlein H-J (1982) Motor function of gastric antrum and pylorus for evacuation of low and high viscosity meals in dogs. Gut 23:150–156

    CrossRef  PubMed  Google Scholar 

  • Rainbird AL (1986) Effect of guar gum on gastric emptying of test meals of varying energy content in growing pigs. Br J Nutr 55:99–109

    CrossRef  PubMed  CAS  Google Scholar 

  • Rainbird AL, Low AG (1986) Effect of guar gum on gastric emptying in growing pigs. Br J Nutr 55:87–98

    CrossRef  PubMed  CAS  Google Scholar 

  • Ray TK, Mansell KM, Knight LC, Malmud LS, Owen OE, Boden G (1983) Long-term effects of dietary fibre on glucose tolerance and gastric emptying in noninsulin-dependent diabetic patients. Am J Clin Nutr 37:376–381

    PubMed  CAS  Google Scholar 

  • Read NW (1986) Dietary fibre and bowel transit. In: Vahouny GV, Kritchevsky D (eds) Dietary fibre. Basic and clinical aspects. Plenum Press, New York, pp 81–100

    Google Scholar 

  • Russell J, Bass P (1985) Canine gastric emptying of fibre meals: influence of meal viscosity and antroduodenal motility. Am J Physiol 249:G662-G667

    PubMed  CAS  Google Scholar 

  • Russell J, Bass P (1986) Effects of laxative and nonlaxative hydrophillic polymers on canine small intestinal motor activity. Dig Dis Sci 31:281–288

    CrossRef  PubMed  CAS  Google Scholar 

  • Rydning A, Berstad A, Berstad T, Hertzenberg L (1985) The effect of guar gum and fibre-enriched wheat bran on gastric emptying of a semi-solid meal in healthy subjects. Scand J Gastroenterol 20:330–334

    CrossRef  PubMed  CAS  Google Scholar 

  • Sandberg A-S, Andersson H, Hallgren B, Hasselbled K, Isaksson B (1981) Experimental model for in vivo determination of dietary fibre and its effect on the absorption of nutrients in the small intestine. Br J Nutr 45:283–294

    CrossRef  PubMed  CAS  Google Scholar 

  • Sandberg A-S, Ahderinne R, Andersson H, Hallgren B, Hulten L (1983) The effect of citrus pectin on the absorption of nutrients in the small intestine. Hum Nutr Clin Nutr 37C: 171–183

    CAS  Google Scholar 

  • Sandhu KS, El Samahi MM, Mena I, Dooley GP, Valenzuela JE (1987) Effect of pectin on gastric emptying and gastroduodenal motility in normal subjects. Gastroenterology 92:486–492

    PubMed  CAS  Google Scholar 

  • Schneeman BO (1982) Pancreatic and digestive function. In: Vahouny GV, Kritchevsky D (eds) Dietary fibre in health and disease. Plenum Press, New York, pp 73–83

    Google Scholar 

  • Schneeman BO, Richter BD, Jacobs LR (1982) Response to dietary wheat bran in the exocrine pancreas and intestine of rats. J Nutr 42:283–286

    Google Scholar 

  • Schwartz SE, Levine GD (1980) Effects of dietary fibre on intestinal glucose absorption and glucose tolerance in rats. Gastroenterology 79:833–836

    PubMed  CAS  Google Scholar 

  • Schwartz SE, Levine RA, Singh A, Scheidecker JR, Track NS (1982) Sustained pectin ingestion delays gastric emptying. Gastroenterology 83:812–817

    PubMed  CAS  Google Scholar 

  • Schwartz SE, Levine RA, Singh A, Scheidecker JB (1984) Chronic pectin ingestion enhances glucose tolerance and delays gastric emptying in diabetics. Gastroenterology 86:1240 (abstract)

    Google Scholar 

  • Sigleo S, Jackson MJ, Vahouny GV (1984) Effects of dietary fibre constituents on intestinal morphology and nutrient transport. Am J Physiol 246:G34-G39

    PubMed  CAS  Google Scholar 

  • Snow P, O’Dea K (1981) Factors affecting the rate of starch hydrolysis in food. Am J Clin Nutr 34:2721–2727

    PubMed  CAS  Google Scholar 

  • Sommer H, Kasper H (1980) The effect of dietary fibre on pancreatic excretory function. Hepatogastroenterology 27:477–483

    PubMed  CAS  Google Scholar 

  • Stock-Damgé C, Bouchet P, Dentinger A, Aprahamian M, Grenier JF (1983) Effect of dietary supplementation on the secretory function of the exocrine pancreas in the dog. Am J Clin Nutr 38:843–848

    PubMed  Google Scholar 

  • Torsdottir I, Alpsten M, Andersson H, Einarsson S (1989) Dietary guar gum effects on postprandial blood glucose, insulin and hydroxyproline in humans. J Nutr 119:1925–1931

    PubMed  CAS  Google Scholar 

  • Vahouny GV (1987) Effects of dietary fibre on digestion and absorption. In: Johnson LR (ed) Physiology of the gastrointestinal tract, 2nd edn. Raven Press, New York, pp 1623–1648

    Google Scholar 

  • Villaume C, Flourié B, Beck B, Vidon N, Debry G, Bernier JJ (1988) Insuline et glucagon plasmatiques après ingestion d’un repas enrichi par des doses croissantes de pectine chez l’homme sain. Gastroenterol Clin Biol 12:559–564

    PubMed  CAS  Google Scholar 

  • Wahren J, Juhlin-Dannfelt A, Björkman O, DeFronzo R, Felig P (1982) Influence of fibre ingestion on carbohydrate utilization and absorption. Clin Physiol 2:315–321

    CrossRef  PubMed  CAS  Google Scholar 

  • Welch IMcL, Worlding J (1986) The effect of ileal infusion of lipid on the motility pattern in humans after ingestion of a viscous, nonnutrient meal. J Physiol 378:12P (abstract)

    Google Scholar 

  • Wong S, Traianedes K, O’Dea K (1985) Factors affecting the rate of hydrolysis of starch in legumes. Am J Clin Nutr 42:38–43

    PubMed  CAS  Google Scholar 

  • Würsch P, Del Vedovo S, Koellreutter B (1986) Cell structure and starch nature as key determinants of the digestion rate of starch in legume. Am J Clin Nutr 43:25–29

    PubMed  Google Scholar 

  • Edwards CA, Johnson IT, Read NW (1988) Do viscous polysaccharides slow absorption by inhibiting diffusion or convection? Eur J Clin Nutr 42:307–312

    PubMed  CAS  Google Scholar 

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Flourié, B. (1992). The Influence of Dietary Fibre on Carbohydrate Digestion and Absorption. In: Schweizer, T.F., Edwards, C.A. (eds) Dietary Fibre — A Component of Food. ILSI Human Nutrition Reviews. Springer, London. https://doi.org/10.1007/978-1-4471-1928-9_10

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