scholarly journals South Indian Cuisine with Low Glycemic Index Ingredients Reduces Cardiovascular Risk Factors in Subjects with Type 2 Diabetes

Author(s):  
Nivedita Pavithran ◽  
Harish Kumar ◽  
Arun Somasekharan Menon ◽  
Gopala Krishna Pillai ◽  
Karimassery Ramaiyer Sundaram ◽  
...  

Background: Inflammation is considered as a predictor of cardiovascular diseases in type 2 diabetes mellitus. No previous studies have investigated the effect of low glycemic index (LGI) recipes of South Indian cuisine on the risk factors of cardiovascular disease in patients with diabetes. Aim: The aim of this randomized controlled trial was to evaluate the improvement in cardiovascular risk factors and blood glucose control, in patients with type 2 diabetes, after intervention with recipes of Kerala cuisine, from locally available whole grain cereals, low in glycemic index. Method: This was a prospective and randomized controlled study that was conducted over a period of 24 weeks. A total of 80 participants were recruited from the Department of Endocrinology and Diabetes Outpatient in Kerala, South India. All 80 patients had type 2 diabetes, and were aged between 35 and 65 years. Participants were randomly assigned and advised to follow either a LGI diet plan (n = 40) or their usual diet, which served as a control group (n = 40). The advice was reinforced throughout the study period. Anthropometric, biochemical parameters which included glycemic and cardio-metabolic parameters were measured according to standard procedures. T-tests were conducted to compare the differences between intervention and control groups, and the Pearson correlation coefficient was used to evaluate associations between the variables. Results: There were significant differences (p < 0.05) between the intervention and control groups with respect to weight, HbA1c, insulin, triglycerides, Homeostatic Model Assessment of Insulin Resistance (HOMA-IR), high sensitivity C-reactive protein (hs-CRP) and apolipoprotein B (ApoB). There was also a positive correlation between weight and blood glucose variables. ApoB was positively correlated with lipid profile and insulin levels. Conclusions: The long-term implementation of LGI diet of Kerala cuisine has been found to promote weight loss, enhance insulin sensitivity and reduce the cardiovascular risk.

2012 ◽  
Vol 36 (5) ◽  
pp. S19 ◽  
Author(s):  
Sandra Mitchell ◽  
Cyril C.W. Kendall ◽  
Livia S.A. Augustin ◽  
Sandhya Sahye-Pudaruth ◽  
Sonia Blanco Meija ◽  
...  

Nutrients ◽  
2019 ◽  
Vol 12 (1) ◽  
pp. 101 ◽  
Author(s):  
Marilena Vitale ◽  
Maria Masulli ◽  
Angela Albarosa Rivellese ◽  
Enzo Bonora ◽  
Anna Carla Babini ◽  
...  

Background: Pasta is a refined carbohydrate with a low glycemic index. Whether pasta shares the metabolic advantages of other low glycemic index foods has not really been investigated. The aim of this study is to document, in people with type-2 diabetes, the consumption of pasta, the connected dietary habits, and the association with glucose control, measures of adiposity, and major cardiovascular risk factors. Methods: We studied 2562 participants. The dietary habits were assessed with the European Prospective Investigation into Cancer and Nutrition (EPIC) questionnaire. Sex-specific quartiles of pasta consumption were created in order to explore the study aims. Results: A higher pasta consumption was associated with a lower intake of proteins, total and saturated fat, cholesterol, added sugar, and fiber. Glucose control, body mass index, prevalence of obesity, and visceral obesity were not significantly different across the quartiles of pasta intake. No relation was found with LDL cholesterol and triglycerides, but there was an inverse relation with HDL-cholesterol. Systolic blood pressure increased with pasta consumption; but this relation was not confirmed after correction for confounders. Conclusions: In people with type-2 diabetes, the consumption of pasta, within the limits recommended for total carbohydrates intake, is not associated with worsening of glucose control, measures of adiposity, and major cardiovascular risk factors.


2012 ◽  
Vol 172 (21) ◽  
pp. 1653 ◽  
Author(s):  
David J. A. Jenkins ◽  
Cyril W. C. Kendall ◽  
Livia S. A. Augustin ◽  
Sandra Mitchell ◽  
Sandhya Sahye-Pudaruth ◽  
...  

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Dallyla Jennifer Morais de Sousa ◽  
Larissa Layana Cardoso de Sousa ◽  
Joanne Ribeiro Rodrigues ◽  
Layla Rafaele Sampaio Learte ◽  
Gleyson Moura dos Santos

Introdução: Dietas com alto índice glicêmico (IG) induzem hiperglicemia o que induz ao estresse oxidativo e aumenta as citocinas pró-inflamatórias, incluindo IL-6 e TNF-α em indivíduos saudáveis e com tolerância a glicose diminuída. Objetivo: Realizar levantamento de dados na literatura sobre a influência do IG dos alimentos nas concentrações de marcadores inflamatórios. Material e método: Para a seleção dos estudos foi realizada uma busca de publicações indexadas nas bases de dados Pubmed, Scielo, Cochrane e Lilacs utilizando-se a combinação dos termos cadastrados no site DeCS (Descritores em Ciências da Saúde): Glycemic Index and Inflammation. Os artigos selecionados foram publicados no período compreendido entre 2008 e 2017, obtendo-se um total de 781 artigos, dos quais foram selecionados 38, após a remoção de duplicatas a amostra se constituiu por 10 artigos que foram lidos na integra. Resultados: Dentre os estudos obtidos, observou-se que 6 retratam a relação de dietas com alto IG e o  processo inflamatório, 2 relacionam o baixo IG com diminuição da inflamação e 2 por sua vez verificam tanto a relação da dieta de baixo IG como alto IG com o processo inflamatório. Conclusão: Foi demonstrado que uma dieta com alto IG aumenta as concentrações de marcadores inflamatórios como PCR, NF-kB e IL-6 e a dieta de baixo IG tem papel benéfico na inflamação crônica de baixo grau.Descritores: Inflamação; Índice Glicêmico; Dieta de Alto Índice Glicêmico.ReferênciasMayer LF, Bona KS, Abdalla FH, Almeida FL, Pozzobon RCR, Charão MF et al. Perspectivas laboratoriais na avaliação da resposta inflamatória. Rev Bras Farm. 2010;91(4):149-61.Lima RPE, Caetano CL, Nader DA Avaliação dos níveis séricos de proteína C-reativa em indivíduos com periodontite: um estudo piloto. Braz J Periodontol. 2016;6(1):13-9.Teixeira BC, Lopes AL, Macedo RCO, Correa CS, Ramis TR, Ribeiro JL et al. Marcadores inflamatórios, função endotelial e riscos cardiovasculares. J vasc bras. 2014;13(2):108-15.Cunha LS. Análise dos efeitos de dietas baseadas no índice glicêmico em diabéticos tipo 2 [monografia]. Brasília: Faculdade de Ciências da Educação e Saúde; 2013.Kim Y, Chen J, Wirth MD, Shivappa N, Herbert JR. Lower dietary inflammatory index scores are associated with lower glycemic index scores among college students. Nutrients. 2018;10(2):182.Dickinson S, Hancock DP, Petocz P, Ceriello A, Brand-Miller J. High-glycemic index carbohydrate increases nuclear factor-kappaB activation in mononuclear cells of young, lean healthy subjects. Am J Clin Nutr. 2008;87(5):1188-93.Du H, Van Der ADL, Van Bakel MIM, Van Der Kallen CJ, Blaak EE, Van Greevenbroek MM et al. Glycemic index and glycemic load in relation to food and nutrient intake and metabolic risk factors in a Dutch population. Am J Clin Nutr. 2008;87(3):655-61.Levitan EB, Cook NR, Stampfer MJ, Ridker PM, Rexrode KM, Buring JE et al. Dietary glycemic index, dietary glycemic load, blood lipids, and C reactive protein. Metabolism. 2008;57(3):437-43.Buyken AE, Flood V, Empson M, Rochtchina E, Barclay AW, Brand-Miller J et al. Carbohydrate nutrition and inflammatory disease mortality in older adults. Am J Clin Nutr. 2010;92(3):634-43.Gogebakan O, Kohl A, Osterhoff MA, Van Baak MA, Jebb SA, Papadaki A et al. Effects of weight loss and long-term weight maintenance with diets varying in protein and glycemic index on cardiovascular risk factors. Circulation. 2011; 124(25):2829-38.Kelly KR, Haus JM, Solomon TP, Patrick-Melin AJ, Cook M, Rocco M et al. A low-glycemic index diet and exercise intervention reduces TNFa in isolated mononuclear cells of older, obese adults. J Nutr. 2011;141(6):1089-94.Bullo M, Casas R, Portillo MP, Basora J, Estruch R, Garcia-Arellano A et al. Dietary glycemic index/load and peripheral adipokines and inflammatory markers in elderly subjects at high cardiovascular risk. Nutr Metab Cardiovasc Dis. 2013;23(5):443-50.Goletzke J, Buyken AE, Joslowski G, Bolzenius K, Remer T, Carstensen M et al. Increased intake of carbohydrates from sources with a higher glycemic index and lower consumption of whole grains during puberty are prospectively associated with higher IL-6 concentrations in younger adulthood among healthy individuals. J Nutr. 2014;144(10):1586-93.Rouhani MH, Kelishadi R, Hashemipour M, Esmailzadeh A, Surkan PJ, Keshavarz A  et al. The impact of a low glycemic index diet on inflammatory markers and serum adiponectin concentration in adolescent overweight and obese girls: a randomized clinical trial. Horm Metab Res. 2016;48(4):251-56.Gomes JMG, Fabrini SP, Alfenas RCG. Low glycemic index diet reduces body fat and attenuates inflammatory and metabolic responses in patients with type 2 diabetes. Arch Endocrinol Metab. 2017;61(2):137-44.Mohanty P, Hamouda W, Garg R, Aljada A, Ghanim H, Dandona P. Glucose challenge stimulates reactive oxygen species (ROS) generation by leucocytes. J Clin Endocrinol Metab. 2000;85(8):2970-73.Evans JL, Goldfine ID, Maddux BA, Grodsky GM. Oxidative stress and stress-activated signaling pathways: a unifying hypothesis of type 2 diabetes. Endocr Rev. 2002;23(5):599-622.Ghanim H, Aljada A, Hofmeyer D, Syed T, Mohanty P, Dandona P. Circulating mononuclear cells in the obese are in a proinflammatory state. Circulation. 2004;110(12):1564-71.Hotamisligil GS. Inflammatory pathways and insulin action. Int J Obes Relat Metab Disord. 2003;27(Suppl 3):S53-5.Perseghin G, Petersen K, Shulman GI. Cellular mechanism of insulin resistance: potential links with inflammation. Int J Obes Relat Metab Disord. 2003;27(Suppl 3):S6-11.Bosma-den Boer MM, van Wetten ML, Pruimboom L. Chronic inflammatory diseases are stimulated by current lifestyle: how diet, stress levels and medication prevent our body from recovering. Nutr Metab (Lond). 2012;9(1):32.


Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 760-P ◽  
Author(s):  
ADHAM MOTTALIB ◽  
JOANNA MITRI ◽  
VERONICA SALSBERG ◽  
SAHAR ASHRAFZADEH ◽  
TAHA ELSEAIDY ◽  
...  

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