健康成人低聚糖、纤维素多糖和木聚糖的胃肠道耐受性和急性血糖反应:两项双盲、随机、对照、交叉试验

IF 6.8 4区 医学 Q1 NUTRITION & DIETETICS
Daniela Moura de Oliveira Beltrame, Thomas Joseph Simmons, Alexandra L Jenkins, Timothy Dinan, Thomas Joseph Nicholson
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引用次数: 0

摘要

目的:本研究的目的是研究植物纤维提取物(PFE)的胃肠道耐受性、血糖和胰岛素反应,PFE是一种由低聚糖和纤维素和木聚糖衍生的多糖组成的混合物。方法:在健康成人中进行两项双盲、随机、对照、交叉试验。在第一次试验中,参与者(n = 29)连续14天每天食用25、35或45克PFE或耐药麦芽糊精(对照组)。分别结合调查和血液分析评估胃肠道(GI)症状的发生和严重程度、粪便参数和安全性结果。在第二项试验中(n = 20),研究人员测量了摄入20 g稀释在水中或掺入巧克力片中的PFE后的餐后血糖和胰岛素反应,并分别与葡萄糖和普通巧克力进行了比较。结果:在所有时间点(0,7和14天),在任何给定剂量组内,PFE与对照组之间的胃肠道症状评分无统计学差异。此外,对于每种测试产品(PFE或Control),从第0天和第14天在同一剂量组中没有观察到差异。大便一致性评分和经历稀便或水样便的参与者数量在不同产品之间相似。无严重不良事件报告,PFE和对照组均未显著改变血液或尿液安全参数。与葡萄糖相比,摄入PFE后的血糖和胰岛素反应分别为12%和8%。食用含PFE巧克力后的血糖和胰岛素反应是普通巧克力的20%。结论:健康志愿者对PFE的耐受性良好,剂量高达45克/天,无论是单独服用还是与食品混合使用,PFE都能引起相对较低的血糖和胰岛素反应。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Gastrointestinal Tolerability and Acute Glycemic Response of Oligosaccharides and Polysaccharides from Cellulose and Xylan in Healthy Adults: Two Double-Blinded, Randomized, Controlled, Cross-over Trials.

Objective: The aim of this study was to investigate the gastrointestinal tolerability, glycemic and insulinemic responses of Plant Fiber Extract (PFE), a mixture comprising of oligosaccharides and polysaccharides derived from cellulose and xylan.

Methods: Two double-blind, randomized, controlled, cross-over trials were conducted in healthy adults. In the first trial, participants (n = 29) consumed either 25, 35 or 45 g per day of PFE or resistant maltodextrin (Control) for 14 days. The occurrence and severity of gastrointestinal (GI) symptoms, stool parameters, and safety outcomes were evaluated with a combination of surveys and blood analysis respectively. In the second trial (n = 20), the post-prandial glycemic and insulinemic responses after the ingestion of 20 g of PFE diluted in water or incorporated into chocolate chips was measured and then compared to that of glucose and regular chocolate, respectively.

Results: For all timepoints (0, 7 and 14 days), within any given dose group, there was no statistically significant difference in the GI symptoms score between PFE and Control. Further, for each test product (PFE or Control), no difference was observed in the same dose group from days 0 and 14. Stool consistency score and number of participants experiencing loose or watery stools was similar between products. No serious adverse events were reported and neither PFE nor Control significantly altered blood or urine safety parameters. The glycemic and insulinemic responses after PFE ingestion in comparison to glucose were 12% and 8% respectively. The glycemic and insulinemic responses after consuming chocolate containing PFE were 20% of that of regular chocolate.

Conclusion: PFE was well-tolerated by healthy volunteers in doses up to 45 g/day and it elicited comparatively low glycemic and insulinemic responses when consumed alone or when incorporated into a food product.

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