Postprandial Effects of Blueberry (Vaccinium angustifolium) Consumption on Glucose Metabolism, Gastrointestinal Hormone Response, and Perceived Appetite in Healthy Adults: A Randomized, Placebo-Controlled Crossover Trial

Nutrients. 2019 Jan 19;11(1):202. doi: 10.3390/nu11010202.

Abstract

The consumption of blueberries, as well as the phenolic compounds they contain, may alter metabolic processes related to type 2 diabetes. The study investigated the effects of adding 140 g of blueberries to a higher-carbohydrate breakfast meal on postprandial glucose metabolism, gastrointestinal hormone response, and perceived appetite. As part of a randomized crossover design study, 17 healthy adults consumed a standardized higher-carbohydrate breakfast along with 2 treatments: (1) 140 g (1 cup) of whole blueberries and (2) a placebo gel (matched for calories, sugars, and fiber of the whole blueberries). Each subject participated in two 2-h meal tests on separate visits ≥8 days apart. Venous blood samples and perceived appetite ratings using visual analog scales were obtained prior to and at 30, 60, 90, and 120 min after consuming the breakfast meals. Results show that glucose metabolism, several gastrointestinal hormones, glucagon-like peptide-1 (GLP-1), glucose-dependent insulinotropic peptide (GIP), peptide YY (PYY) concentrations and perceived appetite did not change significantly with blueberry consumption. However, pancreatic polypeptide (PP) concentrations were statistically significantly higher (p = 0.0367), and the concentrations were higher during 30, 60, 90, and 120 min after consumption of the blueberry breakfast meal than the placebo breakfast meal. Additional research is needed to determine whether blueberries and other flavonoid-rich foods reduce type 2 diabetes risk by modifying gastrointestinal hormones and perceived appetite.

Keywords: anthocyanins; blueberries; gastrointestinal hormones; glucose metabolism; perceived appetite.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Appetite / drug effects*
  • Blood Glucose / metabolism*
  • Blueberry Plants / chemistry*
  • Breakfast
  • Cross-Over Studies
  • Diabetes Mellitus, Type 2 / diet therapy
  • Diabetes Mellitus, Type 2 / metabolism
  • Energy Intake
  • Female
  • Fruit / chemistry*
  • Gastric Inhibitory Polypeptide / blood
  • Gastrointestinal Hormones / blood*
  • Glucagon-Like Peptide 1 / blood
  • Humans
  • Male
  • Middle Aged
  • Pancreas / drug effects
  • Pancreatic Polypeptide / blood*
  • Peptide YY / blood
  • Polyphenols / pharmacology
  • Polyphenols / therapeutic use
  • Postprandial Period*
  • Reference Values
  • Young Adult

Substances

  • Blood Glucose
  • Gastrointestinal Hormones
  • Polyphenols
  • Peptide YY
  • Gastric Inhibitory Polypeptide
  • Pancreatic Polypeptide
  • Glucagon-Like Peptide 1