Texture and bio-functional characteristics of a Chinese steamed bread prepared from lotus root powder partially replacing wheat flour

Making low GI of the Chinese steamed bread (CSB) with acceptable eating quality is a challenge. A CSB prepared from wheat flour partially substituted by lotus root powder (LRP) showed good prospects. RVA profile and texture profile were determined to evaluate the texture, while animal test were used to confirm the bio-functional attributes. The addition of LRP effectively changed the RVA profile of lotus-wheat incorporated flour (LWIF). CSB prepared from 30% LWIF showed acceptable eating quality with higher springiness, cohesiveness, and recovery while lower hardness. After 12 weeks of 30% LWIF administrating, the fast blood glucose of diabetic rat decreased from 17.6 to 5.8 mmol/L together with the reduction of serum TC, TG and LDL-C. The hepatic histopathological examination and serum levels changes of SOD, CAT and FFA confirmed LWIF could effectively protect the liver of the diabetic rats from damage caused by oxidative stress.

Prevalence of diabetes and prediabetes in district Swat Pakistan

Objective: To determine the prevalence of pre-diabetes and diabetes and its associated risk factors in adult population. Methods: The cross-sectional population-based study was conducted from January to March 2018 in urban and rural areas of Swat, Pakistan, and comprised subjects aged 20-89 years. After a minimum 10-hour overnight fast, blood glucose was tested for pre-diabetes and diabetes according to the World Health Organization recommendations. Data was analysed using SPSS 21. Results: Of the 1447 subjects, 837 (58%) were females and 610 (42%) males. The largest age group was 20-29 years with 322 (22.3) subjects. Pre-diabetes was found in 309 (21.4%) subjects and diabetes in 138 (9.52%). Higher age, urbanisation, family history of diabetes, weight, exercise, hypertension, monthly income and education were found to be significant risk factors for pre-diabetes and diabetes (p<0.05). Conclusion: Every 10th resident of Swat was found to have diabetes, and every one in five had pre-diabetes. Key Words: Prevalence, Diabetes, Pre-diabetes, District Swat, Pakistan. Continuous...

Spray-Drying Microencapsulation of High Concentration of Bioactive Compounds Fragments from Euphorbia hirta L. Extract and Their Effect on Diabetes Mellitus

The present study was performed to spray-dry the high concentration of bioactive compounds from Euphorbia hirta L. extracts that have antidiabetic activity. The total phenolic content (TPC) and total flavonoid content (TFC) of four different extracts (crude extract, petroleum ether extract, chloroform extract and ethyl acetate extract) from the dried powder of Euphorbia hirta L. were determined using a spectrophotometer. After that, the fragment containing a high number of bioactive compounds underwent spray-dried microencapsulation to produce powder which had antidiabetic potential. The total phenolic content values of the crude extract, petroleum ether extract, chloroform extract and ethyl acetate extract were 194.55 ± 0.82, 51.85 ± 3.12, 81.56 ± 1.72 and 214.21 ± 2.53 mg/g extract, expressed as gallic acid equivalents. Crude extract, petroleum ether extract, chloroform extract and ethyl acetate extracts showed total flavonoids 40.56 ± 7.27, 29.49 ± 1.66, 64.99 ± 2.60 and 91.69 ± 1.67 mg/g extract, as rutin equivalents. Ethyl acetate extract was mixed with 20% maltodextrin in a ratio of 1:10 to spray-dry microencapsulation. The results revealed that the moisture content, bulk density, color characteristic, solubility and hygroscopicity of the samples were 4.9567 ± 0.00577%, 0.3715 ± 0.01286 g/mL, 3.7367 ± 0.1424 Hue, 95.83 ± 1.44% and 9.9890 ± 1.4538 g H2O/100 g, respectively. The spray powder was inhibited 51.19% α-amylase at 10 mg/mL and reduced 51% in fast blood glucose (FBG) after 4 h treatment. Furthermore, the administration of spray powder for 15 days significantly lowered the fast blood glucose level in streptozotocin-diabetic mice by 23.32%, whereas, acarbose—a standard antidiabetic drug—and distilled water reduced the fast blood glucose level by 30.87% and 16.89%. Our results show that obtained Euphorbia hirta L. powder has potential antidiabetic activity.

Comparison of Different Anthropometric Indices to Predict Prediabetes in North China, Beijing: a 7-year Prospective Study

Background Obesity is an increasing problem worldwide and is one of the underlying risk factors for prediabetes. Although WHtR, BMI, WC and WHR were found to be associated with dysglycemia, in view of significant differences in basic characteristics, glycemic metabolism, and ethnicity, it is of practical value to investigate which indicators are the most useful measures to predict the incidence of prediabetes in Chinese population. The aim of this study was to compare the value of different anthropometric measures of obesity in the detection of prediabetes in a cohort study in China and to identify the best cut-off point of predicting prediabetes in this population. Methods The present study was a part of the ongoing Risk Evaluation of cAncers in Chinese diabetic Individuals: an IONgitudinal (REACTION) study. After 7 years of follow-up, a total of 2568 individuals in Beijing were analyzed. Waist-to-height ratio (WHtR), body mass index (BMI), waist circumference (WC) and waist-to-hip ratio (WHR) were measured at baseline and during follow-up. These four values were divided into tertiles. Fast blood glucose and postprandial blood glucose were tested. The association of these four anthropometric values with blood glucose were tested using multiple logistic analysis. Results A total of 2568 normoglycemic participants (810 males and 1758 females) were recruited, with an average age of 62.68 ± 6.97 years. After 7 years of follow-up, 52 subjects had developed newly diagnosed diabetes, and 423 individuals had developed prediabetes. Among those with prediabetes, 278 had IGT, 105 had IFG, and 40 had IGT + IFG. The incidences of prediabetes and diabetes were calculated to be 115.3 per 1000 person-years and 14.2 per 1000 person-years, respectively. Multivariable regression analysis revealed that there was no significant difference in the WHtR, BMI, WC, WHR among those with diabetes and nondiabets. In the general population and the group of females with prediabetes, we found that WHtR was the best value to predict prediabetes, and with an increase in the WHtR, the possibility of prediabetes increased by 90% or 102%, respectively. In the group of males, WHR was the most associated with prediabetes, and people in Tertile 2 was 2.62 times more likely to suffer from prediabetes than those in Tertile 1. For females, the optimal cut-off points of WHtR, BMI, WC and WHR were 0.48, 23.5 kg/m2, 75.6 cm and 0.84, respectively. For males, the optimal cut-off points of the WHtR, BMI, WC and WHR were 0.50, 25.5 kg/m2, 88.9 cm and 0.93, respectively. Conclusion In a Chinese study population, WHtR was the best predictor of the development of prediabetes in the general population and in females 7 years in advance, while WHR could predict the development of prediabetes in males. Early identification of prediabetes can better prevent diabetes.

The Effects of Fresh Watermelon Juice Consumption on Satiety, Postprandial Glucose, Insulin Response, and Topical Application on Skin Health in Healthy Adults

Objectives Multiple studies have examined the effects of fresh watermelon, watermelon juice, or watermelon powder on satiety and skin health; however, few studies have addressed the effects of blenderized (flesh, rind, and seeds) watermelon juice. The objective of this study was to determine the effects of blenderized watermelon juice consumption on satiety, postprandial glucose, insulin response, and topical application on skin health in healthy adults. Methods In a crossover design, subjects (N = 20, 16 females, 4 males, age 22.8 ± 2.5 y, BMI 22.6 ± 2.80 kg/m2) consumed 8 fl oz of either blenderized watermelon juice or isocaloric sugar water. After an overnight fast, blood glucose and insulin levels were measured at baseline, and at 30 and 60 minutes after drink consumption. Measurements for satiety using a visual analogue scale and skin health using a moisture content test were conducted at baseline, right after, 15, 30, 45, and 60 minutes after consumption and topical application of the juices. Results Both blenderized watermelon and sugar water significantly increased satiety (P &lt; 0.001) but there was no difference between the two trials. Postprandial glucose (P = 0.030) and insulin levels (P = 0.007) significantly increased after the consumption of sugar water compared to blenderized watermelon juice. Topical application of blenderized watermelon juice on the skin significantly increased skin moisture level (P = 0.012) compared to the sugar water application. Conclusions The consumption of blenderized watermelon promoted satiety, stabilized postprandial glucose and insulin levels, and improved skin health. These results suggest that blenderized watermelon juice may be beneficial for those who are overweight or obese and/or are at risk of developing diabetes. Further watermelon studies are warranted to examine long-term effects. Funding Sources National Watermelon Promotion Board (NWPB 19-20).

Influence of snoring on in incidence of metabolic syndrome: a community-based prospective cohort study in rural Northeast China

Background: There is increasing trend of metabolic syndrome (MetS) in rural areas of China in recent years. It is necessary to figure out the possible risk factors of MetS for better intervention. This community-based prospective cohort study was performed to assess the relationship between snoring status and incidence of MetS.Methods: We conducted a cohort study among residents aged ≥ 35 years without MetS in 2012-2013. Among 5,691 residents who met the inclusion criteria, 4,980 residents (2,586 men and 2394 women; follow-up proportion: 87.5%) remained available for follow-up examinations during 2015-2017. The main outcome was the incidence of MetS, defined by the unify criteria in 2009. We divided residents by snoring status and compared outcome between groups. Using a logistic regression model, we estimated the odds ratio (OR) for incidence for MetS, adjusting for confounders, ages, gender, exercise habit, sleep duration, alcohol and smoke consumption. Results: With a median follow up of 4.6 years, incidence of MetS was higher in snorers (men 26.2%, women 33.5%) than in non-snorers (men 19.7%, women 23.2%). Diastolic blood pressure increased in follow-up compared with baseline in male snorers but decreased in male non-snorers. Similarly, fast blood glucose level increased in female snorers at follow-up but decreased in female non-snorers. We found a significant association between snoring and incidence of MetS (adjusted OR=1.51, 95%CI=1.32-1.74). Besides, as the degrees of the snoring increased, the incidence of MetS increased simultaneously. And the OR for the very severe snoring was double compared with non-snorers (adjusted OR=2.10, 95%CI=1.38-3.20). Conclusion: Snoring is associated with higher incidence of MetS in rural Northeast Chinese. More emphasis should be paid to residents with snoring problem.

The Correlation of Irisin Levels and Some Trace Element as a Potential Mark Diagnosis of Gestational Diabetes Mellitus

Abstract- The objective of this project was investigating and comparing changes of serum irisin, and trace levels of the elements (Zn, Cu, Mg) in pregnant women with gestational diabetes mellitus GDM in addition to wholesome pregnant group, examining the correlation among (Zn, Cu, Mg) levels and irisin insulin impedance in GDM pregnant women. Sixty GDM pregnant women and thirty wholesome pregnant women were examined. The pair groups were matched for age, and maternal serum irisin. Insulin levels and gestational age were calculated by the assay for enzyme-linked immune sorbent kit at gestation at 24-28 weeks. The confederation between clinical and biochemical parameters and maternal serum irisin levels were predestined. Serum levels of glucose, body mass index, insulin, OGTT, HOMA IR, HOMAβ, HbA1c, Hb%, irisin, Zn, Cu and Mg were investigated and analyzed for the examined collection as well as control samples. Pregnant women with GDM disease had noteworthy rising fast blood glucose FBG (P=0.004), first-hour OGTT glucose (P=0.001), second-hour OGTT glucose (P=0.001), fasting insulin FI (P=0.001) levels, HOMA IR (P=0.001), HOMAβ (P=0.001), HbA1C (P=0.001), Hb% (P=0.017), as contrasted to healthy women. Levels of irisin serum were significantly minimizing (P=0.001) in women, and sequentially more advanced GDM (mean±SD=71.65±8.03) than healthy pregnant controls (mean±SD 136.54±22.56). Analyses among irisin levels of anthropometric and biochemical values in gestational diabetes patients disclosed that none of the scrupulousness values were remediated with serum irisin level. His present outcomes indicate that the levels of serum irisin might be presented as an incoming GDM marker with decreased irisin levels being GDM symptomatic.

Dietary patterns and glycemic indexes in type 2 diabetes patients

ABSTRACT Objective To identify the main dietary patterns in type 2 diabetes patients and study their association with glycemic indexes. Methods This is a cross-sectional study carried out in a diabetes treatment reference institution located in the city of Fortaleza (CE). Two R24h were applied, as well as 12h fast blood glucose tests and anthropometric assessments in 188 diabetic patients. The principal components factor analysis method was applied together with a Varimax orthogonal rotation method to identify dietary patterns. The Poisson Regression and the Spearman coefficient were used to test the association with glycemic indexes. Results A hundred eighty eight diabetic patients were evaluated, of which 51.1% patients had decompensated glucose values. Five main dietary patterns were identified: traditional Brazilian, energy-dense, infusion and wholegrain cereal, sandwich and dairy, and healthy diets, which explained 37.2% of the total variance in intake. A negative correlation with glucose was found for the traditional Brazilian diet (p=0.018; r=-0.173). Conclusion Out of the five identified dietary patterns consumed by the type 2 diabetes patients studied, a higher adherence to the traditional Brazilian dietary patterns resulted in lower blood glucose levels.