Dietary polyphenols modulate starch digestion and glycaemic level: a review

Crit Rev Food Sci Nutr. 2020;60(4):541-555. doi: 10.1080/10408398.2018.1544883. Epub 2019 Feb 23.

Abstract

Polyphenols, as one group of secondary metabolite, are widely distributed in plants and have been reported to show various bioactivities in recent year. Starch digestion not only is related with food industrial applications such as brewing but also plays an important role in postprandial blood glucose level, and therefore insulin resistance. Many studies have shown that dietary phenolic extracts and pure polyphenols can retard starch digestion in vitro, and the retarding effect depends on the phenolic composition and molecular structure. Besides, dietary polyphenols have also been reported to alleviate elevation of blood glucose level after meal, indicating the inhibition of starch digestion in vivo. This review aims to analyze how dietary polyphenols affect starch digestion both in vitro and in vivo. We can conclude that the retarded starch digestion in vitro by polyphenols results from inhibition of key digestive enzymes, including α-amylase and α-glucosidase, as well as from interactions between polyphenols and starch. The alleviation of postprandial hyperglycemia by polyphenols might be caused by both the inhibited starch digestion in vivo and the influenced glucose transport. Therefore, phenolic extracts or pure polyphenols may be alternatives for preventing and treating type II diabetes disease.

Keywords: Binding interactions; Dietary polyphenols; Glycaemic control; Starch digestion; α-Amylase; α-Glucosidase.

Publication types

  • Review

MeSH terms

  • Blood Glucose / metabolism*
  • Diabetes Mellitus, Type 2 / diet therapy
  • Diabetes Mellitus, Type 2 / prevention & control
  • Digestion / drug effects*
  • Humans
  • Polyphenols / administration & dosage*
  • Polyphenols / pharmacology*
  • Starch / metabolism*
  • alpha-Amylases / antagonists & inhibitors
  • alpha-Amylases / metabolism
  • alpha-Glucosidases / metabolism

Substances

  • Blood Glucose
  • Polyphenols
  • Starch
  • alpha-Amylases
  • alpha-Glucosidases