Abstract

The demonstration of a physiological benefit has recently become an indispensible element of the definition of dietary fibers. In the here-reported pilot study, the effect of alpha-cyclodextrin (alpha-CD) on the postprandial glycemic and insulinemic effect of starch was examined. Twelve fasted, healthy male volunteers received, on three subsequent days, a test breakfast consisting of (A) 100 g fresh white bread (providing 50 g starch) and 250 mL drinking water, (B) the same bread with a supplement of 10 g alpha-CD dissolved in the drinking water, and (C) 25 g alpha-CD dissolved in drinking water. Capillary and venous blood was sampled before the breakfast and in regular intervals for a three-hour period thereafter. Glucose was determined in capillary blood and insulin in the plasma of venous blood samples. Breakfast (A) led to a rapid rise in blood glucose and insulin. In breakfast (B), alpha-CD reduced the areas under the curve of blood glucose and insulin significantly by 59% and 57%, respectively, demonstrating that alpha-CD inhibits and thereby delays starch digestion. Treatment (C) was not associated with a rise of blood glucose. Hence, alpha-CD complies with the current definition of dietary fiber in every respect.

Highlights

  • IntroductionAccording to a “Guidance for Industry” that the US Food and Drug Administration (FDA)

  • According to a “Guidance for Industry” that the US Food and Drug Administration (FDA)published in June 2018, isolated or synthetic non-digestible carbohydrates that are added to formulated foods may be declared in nutritional labelling as dietary fiber only if their use has a demonstrated beneficial physiological effect [1]

  • Measurement of plasma glucose in regular intervals over a two-hour postprandial period showed that the area under the curve (AUC) was negatively related to the alpha-CD dose and that the difference to the untreated controls was significant (p < 0.05) for the midand high-dose alpha-cyclodextrin treatment [3]

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Summary

Introduction

According to a “Guidance for Industry” that the US Food and Drug Administration (FDA). Published in June 2018, isolated or synthetic non-digestible carbohydrates that are added to formulated foods may be declared in nutritional labelling as dietary fiber only if their use has a demonstrated beneficial physiological effect [1]. Only studies in which an isolated or synthetic non-digestible carbohydrate is added to a food (rather than substitutes for a food component) provide evidence of an independent, i.e., active glycemia-lowering effect [2]. Foods 2020, 9, 62 tested that alpha-cyclodextrin lowers the glycemic and insulinemic response to starch ingested with white bread that has a similar high glycemic index to boiled white rice [4] and that is suitable for detecting glycemia and the insulinemia modulating effects of dietary fibers [5,6]

Recruitment and Ethics
Bread Preparation
Test Product
Study Design
Blood Sampling and Analytical Methods
Statistical Analyses
Participants and Compliance
Postprandial
15.6 At all other time with an only small increase of
Side-Effects
Discussion
Conclusions
Full Text
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