Abstract
Background/objectives:
Several studies emphasise that arabinoxylan and β-glucan have more beneficial effects on glucose metabolism than low-dietary fibre (DF) meals. Less attention has been paid to the effects of concentrated DF compared with whole grain. We compared the effects of DF and whole grain on glucose, hormone responses and appetite in subjects with the metabolic syndrome (MetS).
Subjects/methods:
Fifteen subjects with MetS participated in this acute, randomised, cross-over intervention study. The test breads provided 50 g of digestible carbohydrate: wheat bread with concentrated arabinoxylan (AX) or β-glucan (BG), rye bread with kernels (RK) and wheat bread (WB) as control. Blood samples were drawn for 270 min to determine glucose, insulin, glucagon-like peptide-1, glucose-dependent insulinotropic peptide (GIP) and ghrelin. Appetite score was addressed every 30 min. Ad libitum energy intake (EI) was measured 270 min after test meals.
Results:
Compared with WB, BG and RK induced lower initial glycaemic responses (P<0.001), whereas AX only reduced the glucose peak value (P<0.001). RK reduced insulin (P<0.001) and GIP responses (P<0.001) compared with the other breads. BG lowered insulin responses more than AX (P<0.001). AX, BG and RK increased satiety feeling (P<0.001) more than WB, but did not differ significantly in terms of subsequent EI (P=0.089).
Conclusion:
BG and RK had beneficial impact on the glucose response, whereas AX had only effect on the postprandial glucose peak. The impact of the AX bread was influenced by higher protein content. Whether the metabolic effects of the breads are still present to mixed meals remains to be tested.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
Priebe MG, van Binsbergen JJ, de Vos R, Vonk RJ . Whole grain foods for the prevention of type 2 diabetes mellitus. Cochrane Database Syst Rev 2008; 23: CD006061.
Ye EQ, Chacko SA, Chou EL, Kugizaki M, Liu S . Greater whole-grain intake is associated with lower risk of type 2 diabetes, cardiovascular disease, and weight gain. J Nutr 2012; 142: 1304–1313.
Wirstrom T, Hilding A, Gu HF, Ostenson CG, Bjorklund A . Consumption of whole grain reduces risk of deteriorating glucose tolerance, including progression to prediabetes. Am J Clin Nutr 2013; 97: 179–187.
Wood PJ, Beer MU, Butler G . Evaluation of role of concentration and molecular weight of oat beta-glucan in determining effect of viscosity on plasma glucose and insulin following an oral glucose load. Br J Nutr 2000; 84: 19–23.
Benini L, Castellani G, Brighenti F, Heaton KW, Brentegani MT, Casiraghi MC et al. Gastric emptying of a solid meal is accelerated by the removal of dietary fibre naturally present in food. Gut 1995; 36: 825–830.
Nazare JA, Normand S, Oste Triantafyllou A, Brac de la Perriere A, Desage M, Laville M . Modulation of the postprandial phase by beta-glucan in overweight subjects: effects on glucose and insulin kinetics. Mol Nutr Food Res 2009; 53: 361–369.
Giacco R, Della Pepa G, Luongo D, Riccardi G . Whole grain intake in relation to body weight: from epidemiological evidence to clinical trials. Nutr Metab Cardiovasc Dis 2011; 21: 901–908.
Izydorczyk MS, Biliaderis CG . Cereal arabinoxylans: advances in structure and physicochemical properties. Carbohydr Polym 1995; 28: 33–48.
Wood PJ . REVIEW: Oat and Rye β-Glucan: Properties and Function. Cereal Chem J 2010; 87: 315–330.
Garcia AL, Otto B, Reich SC, Weickert MO, Steiniger J, Machowetz A et al. Arabinoxylan consumption decreases postprandial serum glucose, serum insulin and plasma total ghrelin response in subjects with impaired glucose tolerance. Eur J Clin Nutr 2007; 61: 334–341.
Lu ZX, Walker KZ, Muir JG, Mascara T, O'Dea K . Arabinoxylan fiber, a byproduct of wheat flour processing, reduces the postprandial glucose response in normoglycemic subjects. Am J Clin Nutr 2000; 71: 1123–1128.
Lu ZX, Walker KZ, Muir JG, O'Dea K . Arabinoxylan fibre improves metabolic control in people with Type II diabetes. Eur J Clin Nutr 2004; 58: 621–628.
Biorklund M, van Rees A, Mensink RP, Onning G . Changes in serum lipids and postprandial glucose and insulin concentrations after consumption of beverages with beta-glucans from oats or barley: a randomised dose-controlled trial. Eur J Clin Nutr 2005; 59: 1272–1281.
Alminger M, Eklund-Jonsson C . Whole-grain cereal products based on a high-fibre barley or oat genotype lower post-prandial glucose and insulin responses in healthy humans. Eur J Nutr 2008; 47: 294–300.
Hartvigsen ML, Jeppesen PB, Laerke HN, Njabe EN, Bach Knudsen KE, Hermansen K . Concentrated arabinoxylan in wheat bread has beneficial effects as rye breads on glucose and changes in gene expressions in insulin-sensitive tissues of zucker diabetic fatty (ZDF) rats. J Agric Food Chem 2013; 61: 5054–5063.
Mohlig M, Koebnick C, Weickert MO, Lueder W, Otto B, Steiniger J et al. Arabinoxylan-enriched meal increases serum ghrelin levels in healthy humans. Horm Metab Res 2005; 37: 303–308.
Peters HP, Boers HM, Haddeman E, Melnikov SM, Qvyjt F . No effect of added beta-glucan or of fructooligosaccharide on appetite or energy intake. Am J Clin Nutr 2009; 89: 58–63.
Granfeldt Y, Liljeberg H, Drews A, Newman R, Bjorck I . Glucose and insulin responses to barley products: influence of food structure and amylose-amylopectin ratio. Am J Clin Nutr 1994; 59: 1075–1082.
Juvonen KR, Purhonen AK, Salmenkallio-Marttila M, Lahteenmaki L, Laaksonen DE, Herzig KH et al. Viscosity of oat bran-enriched beverages influences gastrointestinal hormonal responses in healthy humans. J Nutr 2009; 139: 461–466.
Alberti KG, Zimmet P, Shaw J, IDF Epidemiology Task Force Consensus Group. The metabolic syndrome-a new worldwide definition. Lancet 2005; 366: 1059–1062.
Flint A, Raben A, Blundell JE, Astrup A . Reproducibility power and validity of visual analogue scales in assessment of appetite sensations in single test meal studies. Int J Obes Relat Metab Disord 2000; 24: 38–48.
Kasprzak MM, Laerke HN, Knudsen KE . Changes in molecular characteristics of cereal carbohydrates after processing and digestion. Int J Mol Sci 2012; 13: 16833–16852.
Hansen B . Determination of nitrogen as elementary-N, an alternative to Kjeldahl. Acta Agric Scand 1989; 39: 113–118.
Stoldt W . Vorschlag zur Vereinheitlichung der Fettbestimmung in Lebensmitteln. Fette und Seifen 1952; 54: 206–207.
Bach Knudsen KE . Carbohydrate and lignin contents of plant materials used in animal feeding. Anim Feed Sci Technol 1997; 67: 319–338.
Theander O, Aman P . Studies on Dietary-Fibers.1. Analysis and chemical characterization of water-soluble and water-insoluble dietary-fibers. Swed J Agric Res 1979; 9: 97–106.
Orskov C, Rabenhoj L, Wettergren A, Kofod H, Holst JJ . Tissue and plasma concentrations of amidated and glycine-extended glucagon-like peptide I in humans. Diabetes 1994; 43: 535–539.
Deacon CF, Nauck MA, Meier J, Hucking K, Holst JJ . Degradation of endogenous and exogenous gastric inhibitory polypeptide in healthy and in type 2 diabetic subjects as revealed using a new assay for the intact peptide. J Clin Endocrinol Metab 2000; 85: 3575–3581.
van Loon LJ, Kruijshoop M, Menheere PP, Wagenmakers AJ, Saris WH, Keizer HA . Amino acid ingestion strongly enhances insulin secretion in patients with long-term type 2 diabetes. Diabetes Care 2003; 26: 625–630.
Rasmussen O, Winther E, Hermansen K . Glycaemic responses to different types of bread in insulin-dependent diabetic subjects (IDDM): studies at constant insulinaemia. Eur J Clin Nutr 1991; 45: 97–103.
Jenkins DJ, Wesson V, Wolever TM, Jenkins AL, Kalmusky J, Guidici S et al. Wholemeal versus wholegrain breads: proportion of whole or cracked grain and the glycaemic response. BMJ 1988; 297: 958–960.
Rosen LA, Silva LO, Andersson UK, Holm C, Ostman EM, Bjorck IM . Endosperm and whole grain rye breads are characterized by low post-prandial insulin response and a beneficial blood glucose profile. Nutr J 2009; 8: 42–52.
Juntunen KS, Laaksonen DE, Autio K, Niskanen LK, Holst JJ, Savolainen KE et al. Structural differences between rye and wheat breads but not total fiber content may explain the lower postprandial insulin response to rye bread. Am J Clin Nutr 2003; 78: 957–964.
Juntunen KS, Niskanen LK, Liukkonen KH, Poutanen KS, Holst JJ, Mykkanen HM . Postprandial glucose, insulin, and incretin responses to grain products in healthy subjects. Am J Clin Nutr 2002; 75: 254–262.
Granfeldt Y, Nyberg L, Bjorck I . Muesli with 4 g oat beta-glucans lowers glucose and insulin responses after a bread meal in healthy subjects. Eur J Clin Nutr 2008; 62: 600–607.
Makelainen H, Anttila H, Sihvonen J, Hietanen RM, Tahvonen R, Salminen E et al. The effect of beta-glucan on the glycemic and insulin index. Eur J Clin Nutr 2007; 61: 779–785.
Beck EJ, Tosh SM, Batterham MJ, Tapsell LC, Huang XF . Oat beta-glucan increases postprandial cholecystokinin levels, decreases insulin response and extends subjective satiety in overweight subjects. Mol Nutr Food Res 2009; 53: 1343–1351.
Lejeune MP, Westerterp KR, Adam TC, Luscombe-Marsh ND, Westerterp-Plantenga MS . Ghrelin and glucagon-like peptide 1 concentrations, 24-h satiety, and energy and substrate metabolism during a high-protein diet and measured in a respiration chamber. Am J Clin Nutr 2006; 83: 89–94.
Erdmann J, Topsch R, Lippl F, Gussmann P, Schusdziarra V . Postprandial response of plasma ghrelin levels to various test meals in relation to food intake, plasma insulin, and glucose. J Clin Endocrinol Metab 2004; 89: 3048–3054.
Blom WA, Stafleu A, de Graaf C, Kok FJ, Schaafsma G, Hendriks HF . Ghrelin response to carbohydrate-enriched breakfast is related to insulin. Am J Clin Nutr 2005; 81: 367–375.
Vitaglione P, Lumaga RB, Stanzione A, Scalfi L, Fogliano V . Beta-glucan-enriched bread reduces energy intake and modifies plasma ghrelin and peptide YY concentrations in the short term. Appetite 2009; 53: 338–344.
Rosen LA, Ostman EM, Bjorck IM . Effects of cereal breakfasts on postprandial glucose, appetite regulation and voluntary energy intake at a subsequent standardized lunch; focusing on rye products. Nutr J 2011; 10: 7–17.
Rolls BJ, Castellanos VH, Halford JC, Kilara A, Panyam D, Pelkman CL et al. Volume of food consumed affects satiety in men. Am J Clin Nutr 1998; 67: 1170–1177.
Wanders AJ, van den Borne JJ, de Graaf C, Hulshof T, Jonathan MC, Kristensen M et al. Effects of dietary fibre on subjective appetite, energy intake and body weight: a systematic review of randomized controlled trials. Obes Rev 2011; 12: 724–739.
Gregersen NT, Flint A, Bitz C, Blundell JE, Raben A, Astrup A . Reproducibility and power of ad libitum energy intake assessed by repeated single meals. Am J Clin Nutr 2008; 87: 1277–1281.
Acknowledgements
The study was supported by The Danish Council for Strategic Research (DSF 2101-08-0068), the Nordic Centre of Excellence Programme on Food, Nutrition and Health, NordForsk (SYSDIET; 070014) and NNF Center for Basic Metabolic Research, Department of Biomedical Sciences, University of Copenhagen. We thank BioVelop AB, Manildra Group Ltd and Lantmännen Food R&D for delivery of fibre ingredients and the breads. Furthermore, we thank Tove Skrumsager and Lene Trudsø for excellent technical assistance and Kia Valum Rasmussen for dietetic assistance.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no conflict of interest.
Rights and permissions
About this article
Cite this article
Hartvigsen, M., Gregersen, S., Lærke, H. et al. Effects of concentrated arabinoxylan and β-glucan compared with refined wheat and whole grain rye on glucose and appetite in subjects with the metabolic syndrome: a randomized study. Eur J Clin Nutr 68, 84–90 (2014). https://doi.org/10.1038/ejcn.2013.236
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/ejcn.2013.236
Keywords
This article is cited by
-
Beneficial glycaemic effects of high-amylose barley bread compared to wheat bread in type 2 diabetes
European Journal of Clinical Nutrition (2023)
-
The importance of molecular weight in determining the minimum dose of oat β-glucan required to reduce the glycaemic response in healthy subjects without diabetes: a systematic review and meta-regression analysis
European Journal of Clinical Nutrition (2023)
-
Elucidating the role of the gut microbiota in the physiological effects of dietary fiber
Microbiome (2022)
-
The effect of oat β-glucan on postprandial blood glucose and insulin responses: a systematic review and meta-analysis
European Journal of Clinical Nutrition (2021)
-
Enrichment of bread with beta-glucans or resistant starch induces similar glucose, insulin and appetite hormone responses in healthy adults
European Journal of Nutrition (2021)