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Ensayo controlado aleatorizado2003

Coffee acutely modifies gastrointestinal hormone secretion and glucose tolerance in humans: glycemic effects of chlorogenic acid and caffeine

Johnston KL, Clifford MN, Morgan LM

The American journal of clinical nutrition · 351 citas

Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación independiente
Gobierno
European Commission
Subvenciones
European Commission (QLK1-1999-00505)

Según 1 financiador declarado.

Publicación

Publicado
2003-10-01 · Am J Clin Nutr · vol. 78 · número 4 · págs. 728–733
Editorial
Elsevier BV
Citado
590 citas · más que el 98% de estudios similares · 9.0× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
38 trabajos
Acceso
Lectura gratuita
Áreas de investigación
Coffee research and impacts · Natural Antidiabetic Agents Studies · Metabolism, Diabetes, and Cancer
Palabras clave
coffee, chlorogenic acid, caffeine, glucose tolerance, gastrointestinal hormone secretion, glucose-dependent insulinotropic polypeptide, glucagon-like peptide-1, insulin secretion, intestinal glucose absorption, dietary polyphenols, glucose uptake
MeSH
humans, chlorogenic acid, phenols, flavonoids, caffeine, polymers, gastrointestinal hormones, glucagon, insulin, glucose, blood glucose, peptide fragments, protein precursors, diet, area under curve, cross-over studies, postprandial period, coffee, adult, female, male, glucagon-like peptide 1, polyphenols, insulin secretion

3 autores

  • Kelly L. Johnston🇬🇧University of Surrey
  • Michael Newton Clifford🇬🇧University of Surrey
  • Linda Morgan🇬🇧 · autor de correspondenciaUniversity of Surrey

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background

Accumulating evidence suggests that certain dietary polyphenols have biological effects in the small intestine that alter the pattern of glucose uptake. Their effects, however, on glucose tolerance in humans are unknown.

Objective

The objective was to investigate whether chlorogenic acids in coffee modulate glucose uptake and gastrointestinal hormone and insulin secretion in humans.

Design

In a 3-way, randomized, crossover study, 9 healthy fasted volunteers consumed 25 g glucose in either 400 mL water (control) or 400 mL caffeinated or decaffeinated coffee (equivalent to 2.5 mmol chlorogenic acid/L). Blood samples were taken frequently over the following 3 h.

Results

Glucose and insulin concentrations tended to be higher in the first 30 min after caffeinated coffee consumption than after consumption of decaffeinated coffee or the control (P < 0.05 for total and incremental area under the curve for glucose and insulin). Glucose-dependent insulinotropic polypeptide secretion decreased throughout the experimental period (P < 0.005), and glucagon-like peptide 1 secretion increased 0-120 min postprandially (P < 0.01) after decaffeinated coffee consumption compared with the control. Glucose and insulin profiles were consistent with the known metabolic effects of caffeine. However, the gastrointestinal hormone profiles were consistent with delayed intestinal glucose absorption.

Conclusions

Differences in plasma glucose, insulin, and gastrointestinal hormone profiles further confirm the potent biological action of caffeine and suggest that chlorogenic acid might have an antagonistic effect on glucose transport. Therefore, a novel function of some dietary phenols in humans may be to attenuate intestinal glucose absorption rates and shift the site of glucose absorption to more distal parts of the intestine.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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