Impact of short term consumption of diets high in either non-starch polysaccharides or resistant starch in comparison with moderate weight loss on indices of insulin sensitivity in subjects with metabolic syndrome

Nutrients. 2013 Jun 10;5(6):2144-72. doi: 10.3390/nu5062144.

Abstract

This study investigated if additional non-starch polysaccharide (NSP) or resistant starch (RS), above that currently recommended, leads to better improvement in insulin sensitivity (IS) than observed with modest weight loss (WL). Obese male volunteers (n = 14) were given an energy-maintenance (M) diet containing 27 g NSP and 5 g RS daily for one week. They then received, in a cross-over design, energy-maintenance intakes of either an NSP-enriched diet (42 g NSP, 2.5 g RS) or an RS-enriched diet (16 g NSP, 25 g RS), each for three weeks. Finally, a high protein (30% calories) WL diet was provided at 8 MJ/day for three weeks. During each dietary intervention, endogenous glucose production (EGP) and IS were assessed. Fasting glycaemia was unaltered by diet, but plasma insulin and C-peptide both decreased with the WL diet (p < 0.001), as did EGP (-11%, p = 0.006). Homeostatis model assessment of insulin resistance improved following both WL (p < 0.001) and RS (p < 0.05) diets. Peripheral tissue IS improved only with WL (57%-83%, p < 0.005). Inclusion of additional RS or NSP above amounts currently recommended resulted in little or no improvement in glycaemic control, whereas moderate WL (approximately 3 kg fat) improved IS.

Publication types

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

MeSH terms

  • Blood Glucose / analysis
  • C-Peptide / blood
  • Carbohydrate Metabolism
  • Cross-Over Studies
  • Diet, Reducing / methods
  • Dietary Proteins / administration & dosage
  • Energy Intake
  • Energy Metabolism
  • Fasting
  • Homeostasis
  • Humans
  • Insulin / blood
  • Insulin Resistance*
  • Leucine / metabolism
  • Male
  • Metabolic Syndrome / diet therapy*
  • Models, Biological
  • Obesity / diet therapy
  • Polysaccharides / administration & dosage*
  • Starch / administration & dosage
  • Weight Loss*

Substances

  • Blood Glucose
  • C-Peptide
  • Dietary Proteins
  • Insulin
  • Polysaccharides
  • Starch
  • Leucine