Including indigestible carbohydrates in the evening meal of healthy subjects improves glucose tolerance, lowers inflammatory markers, and increases satiety after a subsequent standardized breakfast

J Nutr. 2008 Apr;138(4):732-9. doi: 10.1093/jn/138.4.732.

Abstract

Low-glycemic index (GI) foods and foods rich in whole grain are associated with reduced risk of type 2 diabetes and cardiovascular disease. We studied the effect of cereal-based bread evening meals (50 g available starch), varying in GI and content of indigestible carbohydrates, on glucose tolerance and related variables after a subsequent standardized breakfast in healthy subjects (n = 15). At breakfast, blood was sampled for 3 h for analysis of blood glucose, serum insulin, serum FFA, serum triacylglycerides, plasma glucagon, plasma gastric-inhibitory peptide, plasma glucagon-like peptide-1 (GLP-1), serum interleukin (IL)-6, serum IL-8, and plasma adiponectin. Satiety was subjectively rated after breakfast and the gastric emptying rate (GER) was determined using paracetamol as a marker. Breath hydrogen was measured as an indicator of colonic fermentation. Evening meals with barley kernel based bread (ordinary, high-amylose- or beta-glucan-rich genotypes) or an evening meal with white wheat flour bread (WWB) enriched with a mixture of barley fiber and resistant starch improved glucose tolerance at the subsequent breakfast compared with unsupplemented WWB (P < 0.05). At breakfast, the glucose response was inversely correlated with colonic fermentation (r = -0.25; P < 0.05) and GLP-1 (r = -0.26; P < 0.05) and positively correlated with FFA (r = 0.37; P < 0.001). IL-6 was lower (P < 0.01) and adiponectin was higher (P < 0.05) at breakfast following an evening meal with barley-kernel bread compared with WWB. Breath hydrogen correlated positively with satiety (r = 0.27; P < 0.01) and inversely with GER (r = -0.23; P < 0.05). In conclusion, the composition of indigestible carbohydrates of the evening meal may affect glycemic excursions and related metabolic risk variables at breakfast through a mechanism involving colonic fermentation. The results provide evidence for a link between gut microbial metabolism and key factors associated with insulin resistance.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adiponectin / blood
  • Adult
  • Biomarkers
  • Blood Glucose / drug effects
  • Carbohydrates / chemistry*
  • Carbohydrates / pharmacology*
  • Digestion
  • Fatty Acids, Nonesterified / blood
  • Female
  • Food Analysis*
  • Gastric Emptying / drug effects
  • Gastric Inhibitory Polypeptide / blood
  • Glucagon / blood
  • Glucagon-Like Peptide 1 / blood
  • Glucose Intolerance / drug therapy*
  • Humans
  • Hydrogel, Polyethylene Glycol Dimethacrylate / metabolism
  • Inflammation / blood
  • Inflammation / metabolism*
  • Insulin / blood
  • Interleukin-6 / blood
  • Interleukin-8 / blood
  • Male
  • Satiety Response / drug effects*
  • Triglycerides / blood

Substances

  • Adiponectin
  • Biomarkers
  • Blood Glucose
  • Carbohydrates
  • Fatty Acids, Nonesterified
  • Insulin
  • Interleukin-6
  • Interleukin-8
  • Triglycerides
  • Hydrogel, Polyethylene Glycol Dimethacrylate
  • Gastric Inhibitory Polypeptide
  • Glucagon-Like Peptide 1
  • Glucagon