Glycemic, insulinemic, and breath hydrogen responses to pullulan in healthy humans

The objective of this study was to evaluate the glycemic, insulinemic, and breath hydrogen responses of healthy adult humans to low–molecular weight pullulan (molecular weight = 6300). Subjects (n = 34) consumed 50 g of maltodextrin or low–molecular weight pullulan in a randomized, double-masked, crossover design. Plasma glucose and serum insulin responses were determined over 180 minutes, and breath hydrogen response was determined for 8 hours. Low–molecular weight pullulan did not improve glucose response, but a reduction (P < .05) in serum insulin at 30, 60, and 90 minutes was noted. Peak insulin and area under the curve were reduced (P < .05) by 23% and 20%, respectively. Breath hydrogen increased (P < .05) at 4, 5, 6, 7, and 8 hours. Although low–molecular weight pullulan does not impact glycemia per se, it may reduce insulin response, resulting in decreased insulin concentrations in healthy adult humans.     

Chocolate intake increases urinary excretion of polyphenol-derived phenolic acids in healthy human subjects

BACKGROUND: Proanthocyanidins, the most abundant polyphenols in chocolate, are not depolymerized in the stomach and reach the small intestine intact, where they are hardly absorbed because of their high molecular weight. In vitro and in vivo studies using pure compounds as substrates suggest that proanthocyanidins and the related catechin monomers may be degraded into more bioavailable low-molecular-weight phenolic acids by the microflora in the colon. OBJECTIVE: The aim of the study was to estimate the amounts of phenolic acids formed by the microflora and excreted in the urine of human subjects after consumption of polyphenol-rich chocolate. DESIGN: After consumption of a polyphenol-free diet for 2 d and a subsequent overnight fast, 11 healthy subjects (7 men and 4 women) consumed 80 g chocolate containing 439 mg proanthocyanidins and 147 mg catechin monomers. All urine was collected during the 24 h before chocolate consumption and at 3, 6, 9, 24, and 48 h after chocolate consumption. Aromatic acids were identified in urine by gas chromatography-mass spectrometry and were quantified by HPLC-electrospray ionization tandem mass spectrometry. RESULTS: Chocolate intake increased the urinary excretion of the 6 following phenolic acids: m-hydroxyphenylpropionic acid, ferulic acid, 3,4-dihydroxyphenylacetic acid, m-hydroxyphenylacetic acid, vanillic acid, and m-hydroxybenzoic acid. CONCLUSION: The antioxidant and biological effects of chocolate may be explained not solely by the established absorption of catechin monomers but also by the absorption of microbial phenolic acid metabolites.     

Bioavailability of cellobiose by tolerance test and breath hydrogen excretion in humans

OBJECTIVE: Prebiotic substances have the property of intestinal fermentation. Cellobiose has a beta-1,4 linkage, so it is resistant to hydrolysis by human small intestinal disaccharidase and, hence, reaches the colon undigested. Until this study, it was unclear whether cellobiose has fermentability or bioavailability. The objectives of this study were to clarify whether cellobiose is fermented in the large intestine and to estimate the available energy from cellobiose intake by using tolerance tests and breath hydrogen tests in healthy female subjects. METHODS: Ten healthy young women (20.5 +/- 2.1 y) who did not develop diarrhea after ingesting 30 g of cellobiose in a previous experiment were recruited. Tolerance tests and breath hydrogen tests for 25 g of cellobiose or glucose were carried out at least 2 wk apart. Blood samples were collected before and at 30-min intervals up to 3 h after ingestion. Breath gas samples were collected simultaneously before and at 30-min intervals up to 6 h after ingestion of cellobiose or glucose. Blood glucose and insulin levels and the concentration of breath hydrogen were analyzed. RESULTS: When 25 g of cellobiose was ingested, there was no increase in blood glucose or insulin secretion, but these markers increased remarkably with glucose ingestion. The excretion of breath hydrogen gas after cellobiose ingestion was significantly greater than that after glucose ingestion. CONCLUSIONS: Orally ingested cellobiose was well fermented in human large intestine, and its available energy was estimated to be about 2 kcal/g.     

Neutral detergent fiber, hemicellulose and cellulose digestibility in human subjects

The fate of dietary fiber and its components was examined in seven women consuming low cellulose (LC) and high cellulose (HC) diets, each for about 1 month. The diets were of constant daily composition and differed only in that the HC diet contained an additional 16 g/day non-nutritive fiber (Solka Floc), which increased the neutral detergent fiber (NDF) of the diet from 9.5 to 23.5 g/day and Crampton and Maynard cellulose from 5.4 to 19.3 g/day. When apparent fiber digestibilities during 5-day periods were determined, both NDF and cellulose digestibilities varied greatly and inconsistently in each subject throughout both diet periods. Therefore, samples were pooled to form a single 20-30 day composite for each subject during each diet. Mean apparent NDF digestibility, after correcting for protein contamination in fecal NDF, was 70.4 +/- 7.3% during the LC diet and decreased to 23.0 +/- 15.0% during the HC diet. Cellulose digestibility was 69.7 +/- 10.7% without and 15.7 +2- 17.4% with the added cellulose. Hemicellulose was calculated as NDF minus cellulose. When the fecal NDF was corrected for protein contamination, hemicellulose digestibility averaged 71.7 +/- 5.4% during the LC diet and 51.0 +/- 7.9% during the HC diet. In a separate experiment, 16 g/day Solka Floc was ingested with a semi-purified liquid diet and only 8% of the cellulose was digested. These results suggest that more than half of the fiber in a LC diet containing fruits, vegetables and refined grains is degraded, while the apparent digestibility of refined cellulose is minimal.     

Fiber digestibility and breath-hydrogen excretion in subjects consuming rural and urban Mexican diets.

Apparent digestibility of dietary fiber and its effect on breath-hydrogen excretion and gastrointestinal symptoms were determined in 16 subjects consuming a plant-based rural Mexican diet (RMD) and a more refined urban Mexican diet (UMD). Neutral-detergent-fiber intake and digestibility were 40.2 and 22.7 g/d (56%) for the RMD and 12.1 and 8.9 g/d (70%), respectively, for the UMD. Apparent digestibilities of hemicellulose, cellulose, and lignin were 40%, 63%, and 53% from the RMD and 73%, 75%, and 58%, respectively, from the UMD. Total breath-hydrogen excretion during 10 postprandial h was similar after both diets, showing that the breath-hydrogen test is of limited value for comparing carbohydrate fermentation from mixed diets. Mouth-to-colon transit time was 5.7 and 6.5 h for the RMD and UMD, respectively (P less than 0.05). There were significantly more gastrointestinal symptoms with the RMD (P less than 0.01); however, neither diet caused symptoms indicative of serious gastrointestinal discomfort.     

Influence of ethanol on the salsolinol excretion in healthy subjects

This report describes the change of salsolinol (SAL) levels in the urine of healthy subjects after ethanol ingestion. A new rapid method for SAL extraction from urine sample and a GC-MS assay were used to study the urinary SAL excretion in a group of adult males (n = 14) and females (n = 13) with and without ingestion of ethanol. The results of this study show that the urinary SAL output of all subjects is significantly influenced by the intake of ethanol. A decrease in the SAL level was found in the urine of most of the volunteers (n = 17), whereas only eight subjects showed an increase in the SAL level after administration of ethanol.     

Effect of cinnamon and turmeric on urinary oxalate excretion, plasma lipids, and plasma glucose in healthy subjects

BACKGROUND: High oxalate intake resulting from consuming supplemental doses of cinnamon and turmeric may increase risk of hyperoxaluria, a significant risk factor for urolithiasis. OBJECTIVE: This study assessed urinary oxalate excretion from supplemental doses of cinnamon and turmeric as well as changes in fasting plasma glucose, cholesterol, and triacylglycerol concentrations. DESIGN: Eleven healthy subjects, aged 21-38 y, participated in an 8-wk, randomly assigned, crossover study that involved the ingestion of supplemental doses of cinnamon and turmeric for 4-wk periods that provided 55 mg oxalate/d. Oxalate load tests, which entailed the ingestion of a 63-mg dose of oxalate from the test spices, were performed after each 4-wk experimental period and at the study onset with water only (control treatment). Fasting plasma glucose and lipid concentrations were also assessed at these time points. RESULTS: Compared with the cinnamon and control treatments, turmeric ingestion led to a significantly higher urinary oxalate excretion during the oxalate load tests. There were no significant changes in fasting plasma glucose or lipids in conjunction with the 4-wk periods of either cinnamon or turmeric supplementation. CONCLUSIONS: The percentage of oxalate that was water soluble differed markedly between cinnamon (6%) and turmeric (91%), which appeared to be the primary cause of the greater urinary oxalate excretion/oxalate absorption from turmeric. The consumption of supplemental doses of turmeric, but not cinnamon, can significantly increase urinary oxalate levels, thereby increasing risk of kidney stone formation in susceptible individuals.     

Dose dependence of breath hydrogen and methane in healthy volunteers after ingestion of a commercial disaccharide mixture, Palatinit

Breath hydrogen and methane were determined by gas chromatography in eleven normal individuals given a low-fibre, mixed diet (control) and after ingestion of 20-50 g Palatinit/d, an equimolar mixture of D-glucosyl-alpha(1----1)-D-mannitol and D-glucosyl-alpha(1----6)-D-glucitol (Isomalt). A linear relation was found (r 0.85; P less than 0.001) between the amount of Palatinit ingested and breath H2 per 10 h in subjects who did not exhale methane. If methane was formed in addition to H2, the sum of both gases followed a linear dose-effect relation. The mouth-to-caecum time, indicated by the first increase in breath H2 after ingestion, was shortened by about half, yet no sign of diarrhoea was observed. Stool weight and stool frequency did not change significantly. The linear relation between a dose of 20-50 g Palatinit and exhalation of H2 (eventually plus methane) indicated that a relatively constant fraction of the dose given underwent cleavage and absorption in the small intestine, the remainder being transported into the large bowel. Microbial gas formation in the colon as well as the fractional transfer of these gases into the expiratory air occurred at fixed proportions, thus allowing an insight into colonic microbial contributions to carbohydrate utilization in the human large bowel.     

Reduced rate of breath hydrogen excretion with lactose tolerance tests in young children using whole milk

On 14 occasions, 1.75 g/kg of body weight of lactose was given in whole milk to preschool children who had significant malabsorption with aqueous lactose solution. The volume of hydrogen excreted in the breath was less after the milk meal. Moreover, the hydrogen response to the nonabsorbable disaccharide, lactulose, was greater with aqueous, solution than with a liquid meal but their difference disappeared when metoclopramide was given with the lactulose: meal. The slower hydrogen production is attributed to slower intestinal delivery of lactose in meals; this phenomenon may account for clinical lactose tolerance often seen in children with demonstrated lactose malabsorption.     

Oxyphytosterols are present in plasma of healthy human subjects

The oxidised derivatives of phytosterols (oxyphytosterols) were identified in plasma samples from thirteen healthy human volunteers, using MS. All the samples contained noticeable quantities of (24R)-5beta,6beta-epoxy-24-ethylcholestan-3beta-ol (beta-epoxysitostanol) and (24R)-ethylcholestan-3beta,5alpha,6beta-triol (sitostanetriol) and also trace levels of (24R)-5alpha,6alpha-epoxy-24-ethylcholestan-3beta-ol (alpha-epoxysitostanol), (24R)-methylcholestan-3beta,5alpha,6beta-triol (campestanetriol) and (24R)-ethylch olest-5-en-3beta-ol-7-one(7-ketositosterol). The amounts of these oxyphytosterols in plasma varied from 4.8 to 57.2 ng/ml. There are two possibilities concerning the origin of these compounds. First, they could come from the small amounts of oxyphytosterols in food. Second, they could originate from the in vivo oxidation of phytosterols in plasma. Very few data actually exist concerning these compounds. Their identification in human samples suggests that further research is necessary in this field.     

Hypoglycemic effect of gum acacia in healthy human subjects

Glucose tolerance test (GTT) was conducted in 12 healthy human subjects. The addition of 20 g gum acacia to 100 g load of glucose resulted in a significant reduction of plasma glucose (16.1%) and serum insulin (11.2%) at 90 minutes. Area under the plasma glucose (18.6%) and insulin (12.4%) curves were also altered significantly (p<0.05).     

Brewer's spent grain, serum lipids and fecal sterol excretion in human subjects with ileostomies

A crossover design studying lipid and apoprotein levels in serum and excretion of sterol, nitrogen and fat in ileostomy effluent was performed in 10 subjects fed diets with or without supplementation with brewer's spent grain, which is the residue of barley after the brewing of beer. More cholesterol, nitrogen, fat and energy were excreted in the ileostomy effluents when the subjects consumed a brewer's spent grain supplemented, high fiber diet than when they consumed a low fiber diet. No significant change was found in the daily net sterol excretion. The six subjects with low daily excretion of bile acids (less than 1000 mg/24 h) had increased cholesterol and net cholesterol and decreased bile acid excretion per day, and lowered serum LDL-cholesterol and apoprotein B levels after supplementation with brewer's spent grain. We propose that subjects with low daily bile acid excretion are suitable models for studying the effect of dietary changes on sterol excretion and serum lipid levels. Increased fecal cholesterol excretion is suggested to be the primary mechanism for the serum LDL-cholesterol lowering effect of brewer's spent grain.     

Leucine, glucose, and energy metabolism after 3 days of fasting in healthy human subjects

Adaptations of leucine and glucose metabolism to 3 d of fasting were examined in six healthy young men by use of L-[1-13C]leucine and D[6,6-2H2]glucose as tracers. Leucine flux increased 31% and leucine oxidation increased 46% after 3 d of fasting compared with leucine flux and oxidation after an overnight fast. Glucose production rate declined 38% and resting metabolic rate decreased 8% during fasting. Plasma concentrations of testosterone, insulin, and triiodothyronine were reduced by fasting whereas plasma glucagon concentrations were increased. We conclude that there is increased proteolysis and oxidation of leucine on short-term fasting even though glucose production and energy expenditure decreased.     

Oral diet does not alter pulmonary pentane or ethane excretion in healthy subjects.

Ethane and pentane are alkanes that are excreted through the lungs to a small degree in healthy subjects. These gasses are produced from the peroxidation of unsaturated fats which are found both in body tissues and in foods. These gasses are excreted in larger amounts by patients with increased production of reactive oxygen metabolites, including those with inflammation or ischemia. Thus, detection of these gasses in excessive quantities is considered evidence for lipid peroxidation. However, the effects of dietary factors on these measurements have not been defined. To define the effects of eating on the pulmonary excretion of these alkanes, 29 healthy subjects were fed a standardized liquid diet (1060 kcal, 12.9 g linoleic acid and 385 mg linolenic acid) after an overnight fast. Breath alkanes were measured at 0, 1, 3, and 6 hours. All subjects had normal vitamin E (1.11 + 0.26 mg/dl), retinol (64 +/? 14 micrograms/dl), beta carotene (27 +/? 21 micrograms/dl), lycopene (23 +/? 12 micrograms/dl) and zinc (81.9 +/? 13.5 micrograms/dl) levels. No statistically significant changes in either alkane were noted relative to the fasting level. We conclude that oral diet does not alter pulmonary ethane or pentane excretion in healthy subjects.     

Oral diet does not alter pulmonary pentane or ethane excretion in healthy subjects.

Ethane and pentane are alkanes that are excreted through the lungs to a small degree in healthy subjects. These gasses are produced from the peroxidation of unsaturated fats which are found both in body tissues and in foods. These gasses are excreted in larger amounts by patients with increased production of reactive oxygen metabolites, including those with inflammation or ischemia. Thus, detection of these gasses in excessive quantities is considered evidence for lipid peroxidation. However, the effects of dietary factors on these measurements have not been defined. To define the effects of eating on the pulmonary excretion of these alkanes, 29 healthy subjects were fed a standardized liquid diet (1060 kcal, 12.9 g linoleic acid and 385 mg linolenic acid) after an overnight fast. Breath alkanes were measured at 0, 1, 3, and 6 hours. All subjects had normal vitamin E (1.11 + 0.26 mg/dl), retinol (64 +/- 14 micrograms/dl), beta carotene (27 +/- 21 micrograms/dl), lycopene (23 +/- 12 micrograms/dl) and zinc (81.9 +/- 13.5 micrograms/dl) levels. No statistically significant changes in either alkane were noted relative to the fasting level. We conclude that oral diet does not alter pulmonary ethane or pentane excretion in healthy subjects.