Anahtar Kelimeler
glisemik indeks
glisemik kontrol
prebiyotik
Nasıl Atıf Yapılır
Özet
İnsan sağlığını geliştirici olarak çeşitli besin bileşenlerinin kullanılması ve besinlerin fonksiyonel hale getirilmesi üzerine çeşitli araştırmalar yapılmakta ve ürünler geliştirilmektedir. Sağlık bilincine sahip tüketicilerin de bu ürünleri talep ettiği bilinmektedir. Bu bağlamda ilgi gören dirençli nişasta ise diyet posası türlerinden olup diyetle ilişkili bulaşıcı olmayan hastalıkların riskini potansiyel olarak azalttığı ve glisemik olmadığı düşünülmektedir. Beş tür dirençli nişasta bulunmakla birlikte dirençli nişasta türlerinin bazısı besinlerde doğal olarak bulunurken bazısı da besinlere eklenebilmektedir. Dirençli nişasta tüketiminin glisemik kontrol üzerinde yararlı etkilerinin olduğuna dair güçlü kanıtlar bulunmaktadır. Dirençli nişastanın glisemik indeks, glisemik yanıt ve glisemik kontrol üzerindeki etkilerine yönelik ulusal ve uluslararası literatürde yer alan ve büyük çoğunluğu son yedi yıl kapsamında olmakla birlikte güncelliğini koruyan çalışmalar incelendiğinde; dirençli nişastanın glisemik ve insülinemik yanıtı azaltıcı etkiye sahip olduğu, glisemik kontrolü iyileştirmede ılımlı bir etkisinin olduğu, eklendiği besinlerin düşük glisemik indeksli hale gelmesinde ve posa miktarının artmasında rol aldığı, insülin direncini azaltmada etkili olduğuna yönelik çok çeşitli sonuçlar olduğu gibi, herhangi bir etkinin gözlenmediğine yönelik sonuçların da olduğu görülmektedir. Bu derleme yazıda, dirençli nişastanın glisemik indeks ve glisemik kontrol üzerindeki etkilerine dair görüş ve bilgilere yer vermek, sağlığı iyileştirici ve geliştirici bir unsur olarak dirençli nişastanın rolünü değerlendirmek amaçlanmaktadır.
Referanslar
Candal, C., & Erbas, M. (2019). The effects of different processes on enzyme resistant starch content and glycemic index value of wheat flour and using this flour in biscuit production. Journal of Food Science and Technology, 56(9), 4110–4120. https://doi.org/10.1007/s13197-019-03880-w.
Li, P. H., Wang, C. W., Lu, W. C., Chan, Y. J., & Wang, C. C. R. (2022). Effect of Resistant Starch Sources on the Physical Properties of Dough and on the Eating Quality and Glycemic Index of Salted Noodles. Foods, 11(6). https://doi.org/10.3390/foods11060814.
Roman, L., & Martinez, M. M. (2019). Structural Basis of Resistant Starch (RS) in Bread: Natural and Commercial Alternatives. Foods, 8(7). https://doi.org/10.3390/foods8070267.
Lejk, A., Myśliwiec, M., & Myśliwiec, A. (2019). Effect of eating resistant starch on the development of overweight, obesity, and disorders of carbohydrate metabolism in children. Pediatric Endocrinology, Diabetes and Metabolism, 25(2), 81–84. https://doi.org/10.5114/pedm.2019.85818.
Parween, S., Anonuevo, J. J., Butardo, V. M., Misra, G., Anacleto, R., Llorente, C., Kosik O., Romero M.V., Bandonil, E.H., Mendioro, M.S., Lovegrove, A., Fernie, A.R., Brotman, Y., Sreenivasulu, N. (2020). Balancing the double-edged sword effect of increased resistant starch content and its impact on rice texture: its genetics and molecular physiological mechanisms. Plant Biotechnology Journal, 18(8), 1763–1777. https://doi.org/10.1111/pbi.13339.
Garipoğlu, G. (2019). Enzime Dirençli Nişasta Kullanarak Fonksiyonel Galeta Geliştirilmesi. European Journal of Science and Technology, 375–380. https://doi.org/10.31590/ejosat.514165.
Xiong, K., Wang, J., Kang, T., Xu, F., & Ma, A. (2021, June 14). Effects of resistant starch on glycaemic control: A systematic review and meta-analysis. British Journal of Nutrition. Cambridge University Press. https://doi.org/10.1017/S0007114520003700.
Hughes, R. L., Horn, W. H., Finnegan, P., Newman, J. W., Marco, M. L., Keim, N. L., & Kable, M. E. (2021). Resistant starch type 2 from wheat reduces postprandial glycemic response with concurrent alterations in gut microbiota composition. Nutrients, 13(2), 1–20. https://doi.org/10.3390/nu13020645.
Warman, D. J., Jia, H., & Kato, H. (2022). The Potential Roles of Probiotics, Resistant Starch, and Resistant Proteins in Ameliorating Inflammation during Aging (Inflammaging). Nutrients. MDPI. https://doi.org/10.3390/nu14040747.
Chen, M. H., Bett-Garber, K., Lea, J., McClung, A., & Bergman, C. (2022). High Resistant Starch Rice: Variation in Starch Related SNPs, and Functional, and Sensory Properties. Foods, 11(1). https://doi.org/10.3390/foods11010094.
Shen, L., Li, J., & Li, Y. (2022). Resistant starch formation in rice: Genetic regulation and beyond. Plant Communications. Cell Press. https://doi.org/10.1016/j.xplc.2022.100329.
Gropper, S. S., Smith, J. L., & Carr, T. P. (2020). Advanced Nutrition and Human Metabolism Eight Edition.
Mikulíková, D., & Kraic, J. (2006). Natural sources of health-promoting starch. Journal of Food and Nutrition Research, 45(2), 69–76.
Gourineni, V., Stewart, M. L., Wilcox, M. L., & Maki, K. C. (2020). Nutritional Bar with Potato-Based Resistant Starch Attenuated Post-Prandial Glucose and Insulin Response in Healthy Adults. Foods, 9(11). https://doi.org/10.3390/foods9111679.
Arias-Córdova, Y., Ble-Castillo, J. L., García-Vázquez, C., Olvera-Hernández, V., Ramos-García, M., Navarrete-Cortes, A., Jiménez-Domínguez, G., Juárez-Rojop, I.E., Tovilla-Zarate, C.A, Martinez-Lopez, M.C., & Méndez, J. D. (2021). Resistant starch consumption effects on glycemic control and glycemic variability in patients with type 2 diabetes: A randomized crossover study. Nutrients, 13(11). https://doi.org/10.3390/nu13114052.
Stewart, M. L., Wilcox, M. L., Bell, M., Buggia, M. A., & Maki, K. C. (2018). Type-4 resistant starch in substitution for available carbohydrate reduces postprandial glycemic response and hunger in acute, randomized, double-blind, controlled study. Nutrients, 10(2). https://doi.org/10.3390/nu10020129.
Kumar, A., Sahoo, U., Baisakha, B., Okpani, O. A., Ngangkham, U., Parameswaran, C. Basak, N., Kumar, G., & Sharma, S. G. (2018). Resistant starch could be decisive in determining the glycemic index of rice cultivars. Journal of Cereal Science, 79, 348–353. https://doi.org/10.1016/j.jcs.2017.11.013.
Steele, T. J., Steele, C. C., Maningat, C. C., Seib, P. A., Haub, M. D., & Rosenkranz, S. K. (2022). Glycemic and Insulinemic Responses of Healthy Humans to a Nutrition Bar with or without Added Fibersym® RW, a Cross-Linked Phosphorylated RS4-Type Resistant Wheat Starch. International Journal of Environmental Research and Public Health, 19(21). https://doi.org/10.3390/ijerph192113804.
Karabıyıklı, Ş., & Donat, İ. (2019). Prebiyotik Diyet Liflerinin Kolon Mikrobiyatası ve Sağlık Üzerine Etkileri. Journal of New Results in Engineering and Natural Sciences, (10), 1–15. Retrieved from https://dergipark.org.tr/tr/pub/jrens/issue/51458/652490.
Weickert, M. O., & Pfeiffer, A. F. H. (2018). Impact of dietary fiber consumption on insulin resistance and the prevention of type 2 diabetes. Journal of Nutrition, 148(1), 7–12. https://doi.org/10.1093/jn/nxx008.
Merenkova, S. P., Zinina, O. V., Stuart, M., Okuskhanova, E. K., & Androsova, N. V. (2020). Effects of dietary fiber on human health: A review. Human Sport Medicine, 20(3), 106–113. https://doi.org/10.14529/HSM200113.
Makki, K., Deehan, E. C., Walter, J., & Bäckhed, F. (2018). The Impact of Dietary Fiber on Gut Microbiota in Host Health and Disease. Cell Host and Microbe. Cell Press. https://doi.org/10.1016/j.chom.2018.05.012.
Alfa, M. J., Strang, D., Tappia, P. S., Olson, N., DeGagne, P., Bray, D., Murray B., & Hiebert, B. (2017). A randomized placebo controlled clinical trial to determine the impact of digestion resistant starch MSPrebiotic® on glucose, insulin, and insulin resistance in elderly and mid-age adults. Frontiers in Medicine, 4(JAN). https://doi.org/10.3389/fmed.2017.00260.
International Diabetes Federation. IDF Diabetes Atlas. Brussels: International Diabetes Federation. 2019.
Avogaro, A., & Fadini, G. P. (2019, September 15). Microvascular complications in diabetes: A growing concern for cardiologists. International Journal of Cardiology. Elsevier Ireland Ltd. https://doi.org/10.1016/j.ijcard.2019.02.030.
Peterson, C. M., Beyl, R. A., Marlatt, K. L., Martin, C. K., Aryana, K. J., Marco, M. L., Roy, M., Michael J, K., & Ravussin, E. (2018). Effect of 12 wk of resistant starch supplementation on cardiometabolic risk factors in adults with prediabetes: A randomized controlled trial. American Journal of Clinical Nutrition, 108(3), 492–501. https://doi.org/10.1093/ajcn/nqy121.
Karabudak, E., & Demirel, M. D. (2019). Diyetin Mikrobiyotaya Etkisi ve Obeziteye Yansımaları. Acibadem Universitesi Saglik Bilimleri Dergisi, 10(1), 1–7. https://doi.org/10.31067/0.2019.101.
Tekin, T., & Fisunoğlu, M. (2020). Effect of Resistant Starch on Inflammatory Bowel Diseases and Microbiota. Journal of Traditional Medical Complementary Therapies, 3(1), 99–106. https://doi.org/10.5336/jtracom.2019-72218.
Tuaño, A. P. P., Barcellano, E. C. G., & Rodriguez, M. S. (2021). Resistant starch levels and in vitro starch digestibility of selected cooked Philippine brown and milled rices varying in apparent amylose content and glycemic index. Food Chemistry: Molecular Sciences, 2. https://doi.org/10.1016/j.fochms.2021.100010.
Patterson, M. A., Maiya, M., & Stewart, M. L. (2020). Resistant Starch Content in Foods Commonly Consumed in the United States: A Narrative Review. Journal of the Academy of Nutrition and Dietetics, 120(2), 230–244. https://doi.org/10.1016/j.jand.2019.10.019.
Zafar, T. A., Martin, B., & Weaver, C. M. (2010). Resistant Starches (RS2 and RS3) have Variable Effects on Bone Mineral Status in Rats. The Open Nutrition Journal, 3(1), 17–22. https://doi.org/10.2174/1874288200903010017.
Noor, N., Gani, A., Jhan, F., Jenno, J. L. H., & Arif Dar, M. (2021). Resistant starch type 2 from lotus stem: Ultrasonic effect on physical and nutraceutical properties. Ultrasonics Sonochemistry, 76. https://doi.org/10.1016/j.ultsonch.2021.105655.
Wang, Y., Chen, J., Song, Y. H., Zhao, R., Xia, L., Chen, Y., Cui, Y., Rao, Z., Zhou, Y., Zhuang W., & Wu, X. T. (2019). Effects of the resistant starch on glucose, insulin, insulin resistance, and lipid parameters in overweight or obese adults: a systematic review and meta-analysis. Nutrition and Diabetes. Nature Publishing Group. https://doi.org/10.1038/s41387-019-0086-9.
Stewart, M. L., & Zimmer, J. P. (2018). Postprandial glucose and insulin response to a high-fiber muffin top containing resistant starch type 4 in healthy adults: a double-blind, randomized, controlled trial. Nutrition, 53, 59–63. https://doi.org/10.1016/j.nut.2018.01.002.
Mah, E., Garcia-Campayo, V., & Liska, D. A. (2018). Substitution of corn starch with resistant starch type 4 in a breakfast bar decreases postprandial glucose and insulin responses: A randomized, controlled, crossover study. Current Developments in Nutrition, 2(10), 1–6. https://doi.org/10.1093/cdn/nzy066.
Steele, T. J., Maningat, C. C., Seib, P. A., Haub, M. D., & Rosenkranz, S. K. (2021). Metabolic Responses to Native Wheat Starch (MidsolTM50) versus Resistant Wheat Starch Type 4 (Fibersym®RW): Standard versus Marketplace Testing Protocols. Current Developments in Nutrition, 5(3). https://doi.org/10.1093/cdn/nzab011.
García-Vázquez, C., Ble-Castillo, J. L., Arias-Córdova, Y., Ramos-García, M., Olvera-Hernández, V., Guzmán-Priego, C. G., Martínez-López, MC., Jiménez-Domínguez, G., & Hernández-Becerra, J. A. (2023). Effects of resistant starch on glycemic response, postprandial lipemia and appetite in subjects with type 2 diabetes. European Journal of Nutrition, 62(5), 2269–2278. https://doi.org/10.1007/s00394-023-03154-4.
Wolever, T. M. S., Maningat, C. C., Seib, P. A., Campbell, J. E., & Jenkins, A. L. (2023). Cross-linked phosphorylated RS4 wheat starch reduces glucose and insulin responses after 3 days of pre-feeding in healthy adults: an acute, double-blind, randomized controlled clinical trial. International Journal of Food Sciences and Nutrition, 74(5), 621–629. https://doi.org/10.1080/09637486.2023.2236809.
Tongyu, M., & Chong-Do, L. (2021). Effect of High Dose Resistant Starch on Human Glycemic Response. Journal of Nutritional Medicine and Diet Care, 7(1). https://doi.org/10.23937/2572-3278/1510048.
Arıbaş, Merve (2020). Tip 4 Enzime Dirençli Nişasta İlavesiyle Üretilen Ekmek ve Makarna Örneklerinde Tahmini Glisemik İndeks Değerlerinin ve Bazı Fonksiyonel Özelliklerinin İncelenmesi. (Tez No. 640147) [Doktora Tezi, Hacettepe Üniversitesi] YÖK Tez Merkezi.
Mohebbi, Z., Azizi-Lalabadi, M., Hosseini, S. J., Abdi Nowrouzani, S., Alizadeh, M., & Homayouni, A. (2019). The effects of prebiotic bread containing oat ß-glucan and resistant starch on the glycemic index and glycemic load in healthy individuals. Nutrition and Food Science, 49(6), 1029–1038. https://doi.org/10.1108/NFS-10-2018-0292.
Halajzadeh, J., Milajerdi, A., Reiner, Ž., Amirani, E., Kolahdooz, F., Barekat, M., Mirzaei, H., Mirhashemi S.M., & Asemi, Z. (2020). Effects of resistant starch on glycemic control, serum lipoproteins and systemic inflammation in patients with metabolic syndrome and related disorders: A systematic review and meta-analysis of randomized controlled clinical trials. Critical Reviews in Food Science and Nutrition. Bellwether Publishing, Ltd. https://doi.org/10.1080/10408398.2019.1680950.
Pugh, J. E., Cai, M., Altieri, N., & Frost, G. (2023). A comparison of the effects of resistant starch types on glycemic response in individuals with type 2 diabetes or prediabetes: A systematic review and meta-analysis. Frontiers in Nutrition. Frontiers Media S.A. https://doi.org/10.3389/fnut.2023.1118229.
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