The glycaemic index values of foods containing fructose are affected by metabolic differences between subjects

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Background/Objectives:Glycaemic responses are influenced by carbohydrate absorption rate, type of monosaccharide absorbed and the presence of fat; the effect of some of these factors may be modulated by metabolic differences between subjects. We hypothesized that glycaemic index (GI) values are affected by the metabolic differences between subjects for foods containing fructose or fat, but not for starchy foods.Subjects/Methods:The GI values of white bread (WB), fruit leather (FL) and chocolate-chip cookies (CCC) (representing starch, fructose and fat, respectively) were determined in subjects (n=77) recruited to represent all 16 possible combinations of age (≤40, >40 years), sex (male, female), ethnicity (Caucasian, non-Caucasian) and body mass index (BMI) (≤25, >25 kg/m2) using glucose as the reference. At screening, fasting insulin, lipids, c-reactive protein (CRP), aspartate transaminase (AST) and waist circumference (WC) were measured.Results:There were no significant main effects of age, sex, BMI or ethnicity on GI, but there were several food × subject-factor interactions. Different factors affected each food's area under the curve (AUC) and GI. The AUC after oral glucose was related to ethnicity, age and triglycerides (r2=0.27); after WB to ethnicity, age, triglycerides, sex and CRP (r2=0.43); after CCC to age and weight (r2=0.18); and after FL to age and CRP (r2=0.12). GI of WB was related to ethnicity (r2=0.12) and of FL to AST, insulin and WC (r2=0.23); but there were no significant correlations for CCC.Conclusions:The GI values of foods containing fructose might be influenced by metabolic differences between -subjects, whereas the GI of starchy foods might be affected by ethnicity. However, the proportion of variation explained by subject factors is small.European Journal of Clinical Nutrition (2009) 63, 1106-1114; doi:10.1038/ejcn.2009.30; published online 27 May 2009

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