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Effects of whole grain intake on glucagon-like peptide 1 and glucose-dependent insulinotropic peptide: a systematic review and meta-analysis

Hassanzadeh-Rostami Z, Ghobadi S, Faghih S

Nutrition reviews · 3 citas

Etiquetas de revisión

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Cómo se estudió

Diseño
Metaanálisis (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento
Consumo medido con
No se indica

Quién lo pagó

Financiación
Financiación no declarada

Publicación

Publicado
2022-08-12 · Nutr Rev · vol. 81 · número 4 · págs. 384–396
Editorial
Oxford University Press
Citado
6 citas · más que el 36% de estudios similares · 0.3× el promedio de su campo
Referencias
44 trabajos
Acceso
Acceso abierto (copia en repositorio) · CC-BY
Áreas de investigación
Food composition and properties · Celiac Disease Research and Management · Consumer Attitudes and Food Labeling
Palabras clave
Postprandial, Medicine, Internal medicine, Glucagon-like peptide-1, Meta-analysis, Area under the curve, Context (archaeology), Endocrinology, Diabetes mellitus, Type 2 diabetes, Insulin, Biology
MeSH
humans, gastric inhibitory polypeptide, insulin, blood glucose, glucagon-like peptide 1, incretins, whole grains

3 autores

  • Zahra Hassanzadeh-Rostami🇮🇷Shiraz University of Medical Sciences
  • Saeed Ghobadi🇮🇷Jahrom University of Medical Sciences; Alborz University of Medical Sciences
  • Shiva Faghih🇮🇷 · autor de correspondenciaShiraz University of Medical Sciences

Resumen

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

Context

Whole grain intake may control help glycemia and reduce food intake by affecting the secretion of glucagon-like peptide 1 (GLP-1) and glucose-dependent insulinotropic peptide (GIP).

Objective

This systematic review and meta-analysis aimed to assess the postprandial and long-term effects of whole grains on GLP-1 and GIP levels.

Data sources

PubMed, Web of Science, and Scopus online databases were searched systematically to identify relevant randomized clinical trials (RCTs) published up to April 2021.

Study selection

RCTs that evaluated the effects of whole grains, compared with refined grains, on the postprandial area under the curve (AUC) value, the postprandial serum concentration of incretins from 0 to 180 minutes, or the fasting level of incretins after at least 14 days of intervention were included.

Results

Nineteen studies were included in the meta-analysis. The results showed that acute intake of whole grains could not significantly change the AUC value of GLP-1 or GIP. However, the AUC value of GIP was reduced more significantly in (1) unhealthy participants (standard mean difference [SMD] -1.08; 95%CI, -2.07 to -0.10; I2 = 75.9%) compared with healthy participants, and (2) those with a baseline fasting blood glucose of ≥99 mg/dL (SMD -0.71; 95%CI, -1.30 to -0.11; I2 = 74.4%) compared with those with a baseline value of < 99 mg/dL. On the other hand, the results of time-response evaluation during 0 to 180 minutes after the intake of test meals showed that serum concentrations of GIP decreased significantly from 0 to 30 minutes (coefficient = -44.72; P = 0.005), but increased from 60 to 180 minutes (coefficient = 27.03; P = 0.005). However, long-term studies found no significant effects of whole grains on fasting concentrations of GLP-1 or GIP.

Conclusion

Whole grain intake did not affect postprandial levels of GLP-1 but enhanced postprandial levels of GIP from 60 to 180 minutes. Further high-quality trials are required to assess the long-term effects of whole grain intake on serum levels of incretins.

Systematic review registration

PROSPERO registration no. CRD42021256695.

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

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