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Health benefits of low glycaemic index foods, such as pulses, in diabetic patients and healthy individuals

Published online by Cambridge University Press:  09 March 2007

S. W. Rizkalla
Affiliation:
Department of Diabetes, INSERM U341 and Assistance Publique, Hôtel-Dieu, 1, Place du Parvis Notre-Dame, 75004 Paris, France
F. Bellisle
Affiliation:
Department of Diabetes, INSERM U341 and Assistance Publique, Hôtel-Dieu, 1, Place du Parvis Notre-Dame, 75004 Paris, France
G. Slama*
Affiliation:
Department of Diabetes, INSERM U341 and Assistance Publique, Hôtel-Dieu, 1, Place du Parvis Notre-Dame, 75004 Paris, France
*
*Corresponding author: Professor Gerard Slama, tel +33 1 42 34 83 99, email gerard.slama@htd.ap-hop-paris.fr
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Abstract

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The present paper covers the health benefits of low glycaemic index foods, such as pulses. Nutritional factors potentially play a crucial role in health and disease. A low-fat, high-carbohydrate diet is often recommended as a part of a healthy life-style. Historical works have shown that carbohydrate foods differ in their ability to affect post-ingestive glycaemia. The glycaemic index concept allows a ranking of carbohydrate-rich foods in terms of their blood glucose raising potential. Pulses are foods with very low glycaemic index values. Numerous studies have documented the health benefits that can be obtained by selecting foods of low glycaemic index. These benefits are of crucial importance in the dietary treatment of diabetes mellitus: glycaemic control is improved as well as several metabolic parameters, such as blood lipids. The results of human studies have been confirmed by animal experiments in the field of diabetes. Diets with low glycaemic index value improve the prevention of coronary heart disease in diabetic and healthy subjects. In obese or overweight individuals, low-glycaemic index meals increase satiety and facilitate the control of food intake. Selecting low glycaemic index foods has also demonstrated benefits for healthy persons in terms of post-prandial glucose and lipid metabolism. Several public health organizations have recently integrated consideration of the glycaemic index in their nutritional recommendations for patients with metabolic diseases and for the general population.

Type
Research Article
Copyright
Copyright © The Nutrition Society 2002

References

Agus, MSD, Swain, JF, Larson, CL, Eckert, EA & Ludwig, DS (2000) Dietary composition and the physiologic adaptations to energy restriction. American Journal of Clinical Nutrition 71, 901907.CrossRefGoogle ScholarPubMed
American Diabetes Association (1997) Nutrition recommendations and principles for people with diabetes mellitus (Position Statement). Diabetes Care 20, 514517.Google Scholar
Behall, K & Howe, J (1995) Effect of long-term consumption of amylose vs amylopectin starch on metabolic variables in human subjects. American Journal of Clinical Nutrition 61, 334340.CrossRefGoogle ScholarPubMed
Bornet, FR, Billaux, MS & Messing, B (1997) Glycaemic index concept and metabolic diseases. International Journal of Biology Macromolecules 21, 207219.CrossRefGoogle ScholarPubMed
Bornet, FR, Cloarec, D, Barry, JL, Colonna, P, Gouilloud, S, Laval, JD & Galmiche, JP (1990) Pasta cooking time: influence on starch digestion and plasma glucose and insulin responses in healthy subjects. American Journal of Clinical Nutrition 51, 421427.CrossRefGoogle ScholarPubMed
Bornet, FR, Costagliola, D, Rizkalla, SW, Blayo, A, Fontvieille, AM, Haard, MJ, Letanoux, M, Tchobroutsky, G & Slama, G (1987) Insulinemic and glycemic indexes of six starch-rich foods taken alone and in a mixed meal by type 2 diabetics. American Journal of Clinical Nutrition 45, 588595.CrossRefGoogle Scholar
Bornet, FR, Fontvieille, AM, Rizkalla, S, Colonna, P, Blayo, A, Mercier, C & Slama, G (1989) Insulin and glycemic responses in healthy humans to native starches processed in different ways: correlation with in vitro alpha-amylase hydrolysis. American Journal of Clinical Nutrition 50, 315323.CrossRefGoogle ScholarPubMed
Bouché, C, Rizkalla, SW, Luo, J, Veronese, A & Slama, G (2000) Regulation of lipid metabolism and fat mass distribution by chronic low glycemic index diet in non diabetic subjects. Diabetes 49, A40 (Abstract 165-OR).Google Scholar
Brand, JC, Colagiuri, S, Crossman, S, Allen, A, Roberts, DC & Truswell, AS (1991) Low-glycemic index foods improve long-term glycemic control in NIDDM. Diabetes Care 14, 95101.CrossRefGoogle ScholarPubMed
Brand-Miller, JC (1994) Importance of glycemic index in diabetes. American Journal of Clinical Nutrition 59, 747S752S.CrossRefGoogle Scholar
Buyken, AE, Toeller, M, Heitkamp, G, Karamanos, B, Rottiers, R, Muggeo, M & Fuller, JH (2001) Glycemic index in the diet of European outpatient with type 1 diabetes: relationship of hemoglobin and serum lipids. American Journal of Clinical Nutrition 73, 574581.CrossRefGoogle Scholar
Byrnes, S, Brand-Miller, J & Denyer, G (1995) Amylopectin starch promotes the development of insulin resistance in rats. Journal of Nutrition 125, 14301437.Google ScholarPubMed
Calle-Pascual, A, Gomez, VEL & Bordiu, E (1988) Foods with a low glycemic index do not improve glycemic control of both type 1 and type 2 diabetic patients after one month of therapy. Diabète et Metabolisme 14, 629633.Google Scholar
Ceriello, A, Bortolotti, N, Motz, E, Crescentini, A, Lizzio, S, Russo, A, Tonutti, L & Taboga, C (1998) Meal-generated oxidative stress in type 2 diabetic patients. Diabetes Care 21, 1529–1533.CrossRefGoogle ScholarPubMed
Ceriello, A, Giugliano, D, Quatraro, A, Dello, Russo P, Marchi, E & Torella, R (1989) Hyperglycemia may determine fibrinopeptide A plasma level increase in humans. Metabolism 38, 11621163.CrossRefGoogle ScholarPubMed
Crapo, P, Reaven, G & Olefsky, J (1977) Postprandial plasma glucose and insulin responses to different complex carbohydrates. Diabetes 26, 11781183.CrossRefGoogle ScholarPubMed
Diabetes and Nutrition Study Group of the European Association for the Study of Diabetes (1995) Recommendations for the nutritional management of patients with diabetes mellitus. Diabetes Nutrition and Metabolism 8, 14.Google Scholar
Feskens, E & Kromhout, D (1989) Cardiovascular risk factors and the 25-year incidence of diabetes mellitus in middle-aged men: the Zutphen Study. American Journal of Epidemiology 130, 11011108.CrossRefGoogle ScholarPubMed
Fontvieille, A, Acosta, M, Rizkalla, S, Bornet, F, David, P, Letanoux, M, Tchobroutsky, G & Slama, G (1988) A moderate switch from high to low glycemic index foods for 3 weeks improves the metabolic control of type 1 (IDDM) diabetic subjects. Diabetes Nutrition and Metabolism 1, 139143.Google Scholar
Fontvieille, A, Rizkalla, S, Penfornis, A, Acosta, M, Bornet, F & Slama, G (1992) The use of low glycemic index foods improves metabolic control of diabetic patients over five weeks. Diabetic Medicine 9, 17.CrossRefGoogle ScholarPubMed
Food and Agriculture Organization/World Health Organization (1998) Carbohydrates in human nutrition. Report of a joint FAO/World Health Organization Expert Consultation. FAO Food and Nutrition Paper 66, 1140.Google Scholar
Foster-Powell, K & Brand-Miller, JB (1995) International tables of glycemic index. American Journal of Clinical Nutrition 62, 871S890S.CrossRefGoogle ScholarPubMed
Foster-Powell, K, Holt, SH & Brand-Miller, JB (2002) International tables of glycemic index and glycemic load values: 2002. American Journal of Clinical Nutrition 76, 556.CrossRefGoogle ScholarPubMed
Frost, G, Keogh, B, Smith, D, Akisanya, K & Leeds, A (1996) The effect of low-glycemic carbohydrate on insulin and glucose response in vivo and in vitro in patients with coronary heart disease. Metabolism 45, 669672.CrossRefGoogle ScholarPubMed
Frost, G, Keogh, B, Smith, D, Leeds, AR & Dornhorst, A (1998 b) Reduced adipocyte insulin sensitivity in Caucasian and Asian subjects with coronary heart disease. Diabetes Medicine 15, 10031009.3.0.CO;2-2>CrossRefGoogle ScholarPubMed
Frost, G, Leeds, AA, Dore, CJ, Madeiros, S, Brading, S & Dornhorst, A (1999) Glycaemic index as a determinant of serum HDL– cholesterol concentration. Lancet 353, 10451048.CrossRefGoogle ScholarPubMed
Frost, G, Leeds, A, Trew, G, Margara, R & Dornhorst, A (1998 a) Insulin sensitivity in women at risk of coronary heart disease and the effect of a low glycaemic index diet. Metabolism 47, 12451251.CrossRefGoogle Scholar
Holt, S, Brand, J, Soveny, C & Hansky, J (1992) Relationship of satiety to postprandial glycaemic, insulin, and cholecystokinin responses. Appetite 18, 129141.CrossRefGoogle ScholarPubMed
International Diabetes Institute (1994) Diabetes, Eating For Health. Melbourne: International Diabetes Institute.Google Scholar
Jarvi, AE, Karlstrom, BE, Granfeldt, YE, Björck, IME, Asp, NG & Vessby, BO (1999) Improved glycemic control and lipid profile and normalized fibrinolytic activity on a low-glycemic index diet in type 2 diabetic patients. Diabetes Care 22, 1018.CrossRefGoogle ScholarPubMed
Jenkins, DJ, Leeds, AE, Gassull, MA, Cochet, B & Alberti, GM (1977) Decrease in postprandial insulin and glucose concentrations by guar and pectin. Annals of Internal Medicine 86, 2023.CrossRefGoogle ScholarPubMed
Jenkins, DJ, Wolever, TM, Buckley, G, Lam, K, Giudici, S, Kalmusky, J, Jenkins, A, Patten, R, Bird, J, Wong, G & Josse, R (1988) Low glycemic-index starchy foods in the diabetic diet. American Journal of Clinical Nutrition 48, 248254.CrossRefGoogle ScholarPubMed
Jenkins, DJ, Wolever, TM, Jenkins, AL, Thorne, MJ, Lee, R, Kalmusky, J, Reichert, R & Wong, GS (1983) The glycemic index of food tested in diabetic patients. A new basis for carbo-hydrate exchange favouring the use of legumes. Diabetologia 24, 257264.CrossRefGoogle Scholar
Jenkins, D, Wolever, T, Kalmusky, J, Giudici, S, Giordano, C, Patten, R, Wong, G, Bird, J, Hall, M, Buckley, G & Csima, A (1985) Low glycemic index carbohydrate foods in the management of hyper-lipidemia. American Journal of Clinical Nutrition 42, 604617.CrossRefGoogle Scholar
Jenkins, D, Wolever, T, Kalmusky, J, Giudici, S, Giordano, C, Patten, R, Wong, G, Bird, J, Hall, M, Buckley, G & Csima, A (1987) Low glycemic index diet in hyperlipidemia: use of traditional starchy foods. American Journal of Clinical Nutrition 46, 6671.CrossRefGoogle ScholarPubMed
Jenkins, D, Wolever, T, Taylor, H, Barker, H, Fielden, H, Baldwin, JM, Bowling, AC, Newman, HC, Jenkins, AL & Goff, DV (1981 a) Glycemic index of foods. A physiological basis for carbohydrate exchange. American Journal of Clinical Nutrition 34, 362366.CrossRefGoogle Scholar
Jenkins, DJ, Wolever, TM, Taylor, RH, Barker, HM, Fielden, H & Jenkins, AL (1981 b) Effect of guar crispbread with cereal products and leguminous seeds on blood glucose concentrations of diabetics. British Medical Journal 281, 12481250.CrossRefGoogle Scholar
Kabir, M, Rizkalla, S, Champ, M, Luo, J, Boillot, J, Bruzzo, F & Slama, G (1998 a) Dietary amylose-amylopectin starch content affects glucose and lipid metabolism in adipocytes of normal and diabetic rats. Journal of Nutrition 128, 3543.CrossRefGoogle ScholarPubMed
Kabir, M, Rizkalla, S, Guerre-Millo, M, Laromigiere, M & Slama, G (2002) Negative regulation of leptin by chronic high glycemic index starch diet. Metabolism 49, 764769.CrossRefGoogle Scholar
Kabir, M, Rizkalla, S, Quignard-Boulangé, A, Guerre-Millo, M, Boillot, J, Ardoin, B, Luo, J & Slama, G (1998 b) A high glycemic index starch diet affects lipid storage-related enzymes in normal and to a lesser extent in diabetic rats. Journal of Nutrition 128, 18781883.CrossRefGoogle ScholarPubMed
Kiens, B & Richter, E (1996) Types of carbohydrate in an ordinary diet affect insulin action and muscle substrates in humans. American Journal of Clinical Nutrition 63, 4753.CrossRefGoogle Scholar
Lafrance, L, Rabasa-Lhoret, R, Poisson, D, Ducros, F & Chiasson, J (1998) Effects of different glycaemic index foods and dietary fibre intake on glycaemic control in type 1 diabetic patients on intensive insulin therapy. Diabetic Medicine 15, 972978.3.0.CO;2-2>CrossRefGoogle ScholarPubMed
Lang, V, Bornet, FR, Vaugelade, P, van Ypersele de Strihou, M, Luo, J, Pacher, N, Rossi, F, La Droitte, P, Duée, PH & Slama, G (1999) Euglycemic hyperinsulinemic clamp to assess posthe-patic glucose appearance after carbohydrate loading. 2. Evaluation of corn and mung bean starches in healthy men. American Journal of Clinical Nutrition 69, 11831188.CrossRefGoogle ScholarPubMed
Lerer-Metzger, M, Rizkalla, S, Luo, J, Champ, M, Kabir, M, Bruzzo, F, Bornet, F & Slama, G (1996) Effect of long-term low-glycemic index starchy food on plasma glucose and lipid concentrations and adipose tissue cellularity in normal and diabetic rats. British Journal of Nutrition 75, 723732.CrossRefGoogle Scholar
Liu, S, Manson, JE, Stampfer, MJ, Holmes, MD, Hu, FB, Hankin-son, SE & Willett, WC (2001) Dietary glycemic load assessed by food-frequency questionnaire in relation to plasma high-density-lipoprotein cholesterol and fasting plasma triglycerides in postmenopausal women. American Journal of Clinical Nutrition 73, 560566.CrossRefGoogle ScholarPubMed
Liu, S, Willett, WC, Stampfer, MJ, Hu, F, Franz, M, Sampson, L, Hennekens, CH & Manson, JE (2000) A prospective study of dietary glycemic load, carbohydrate intake and risk of coronary heart disease in US women. American Journal of Clinical Nutrition 71, 14551461.CrossRefGoogle ScholarPubMed
Ludwig, DA (2000) Dietary glycemic index and obesity. Journal of Nutrition 130, 280S283S.CrossRefGoogle ScholarPubMed
Ludwig, DA, Majzoub, JA, Al-Zahrani, A, Dallai, G, Blanco, I & Roberts, SB (1999) High glycemic index foods, overeating, and obesity. Pediatrics 103, e261–e266.CrossRefGoogle ScholarPubMed
Miller, JC (1994) Importance of glycemic index in diabetes. American Journal of Clinical Nutrition 59, Suppl., 747S752S.CrossRefGoogle ScholarPubMed
Pawlak, DB, Bryson, JM, Denyer, GS & Brand-Miller, JC (2001) High glycemic index starch promotes hypersecretion of insulin and higher body fat in rats without affecting insulin sensitivity. Journal of Nutrition 131, 99104.CrossRefGoogle ScholarPubMed
Salmeron, J, Ascherio, A, Rimm, E, Colditz, G, Spiegelman, D, Jenkins, D, Stampfen, M, Wing, A & Willett, W (1997) Dietary fiber, glycemic load, and risk of NIDDM in men. Diabetes Care 20, 545550.CrossRefGoogle ScholarPubMed
Slabber, M, Barnard, HC, Kuyl, JM, Dannhauser, A & Schall, R (1994) Effects of a low-insulin-response, energy-restricted diet on weight loss and plasma insulin concentrations in hyper-insulinemic obese females. American Journal of Clinical Nutrition 60, 4853.CrossRefGoogle Scholar
Slama, G (2000) Clinical significance of post-prandial blood glucose excursions in type 1 and type 2 diabetes mellitus. International Journal of Clinical Practice 112, Suppl., 912.Google Scholar
Spaethe, R, Brinck, UC, Sabin, J, Wubbens, K & Otto, H (1972) Exchange of carbohydrates, following the principle of biological equivalents, in the diabetic diet. Journées Annuelles de Diabétologie de l'hôtel-Dieu 13, 253259.Google ScholarPubMed
Thorne, MJ, Thompson, LU & Jenkins, DJA (1983) Factors affecting starch digestibility and the glycemic response with special reference to legumes. American Journal of Clinical Nutrition 38, 481488.CrossRefGoogle ScholarPubMed
Toeller, M, Klischan, A, Heitkamp, G, Schumacher, W, Milne, R, Buyken, A, Karamanos, B & Gries, FA (1996) Nutritional intake of 2868 IDDM patients from 30 centres in Europe. Diabetologia 39, 929939.CrossRefGoogle ScholarPubMed
van Dam, RM, Visscher, AW, Feskens, EJ, Verhoef, P & Kromhout, d (2000) Dietary glycemic index in relation to metabolic risk factors and incidence of coronary heart disease: the Zutphen Elderly study. European Journal of Clinical Nutrition 54, 726731.CrossRefGoogle ScholarPubMed
Wolever, TMS, Jenkins, DJA, Jenkins, AL & Josse, RG (1991) The glycemic index: methodology and clinical implications. American Journal of Clinical Nutrition 54, 846854.CrossRefGoogle ScholarPubMed
Wolever, T, Jenkins, D, Vuksan, V, Jenkins, A, Buckley, G, Wong, G & Josse, R (1992 a) Beneficial effect of low glycemic index diet in type 2 diabetes. Diabetic Medicine 9, 451458.CrossRefGoogle ScholarPubMed
Wolever, T, Jenkins, D, Vuskan, V, Jenkins, A, Wong, G & Josse, R (1992 b) Beneficial effect of low-glycemic index diet in over-weight NIDDM subjects. Diabetes Care 15, 562564.CrossRefGoogle ScholarPubMed