Skip to main content
Top
Published in: European Journal of Nutrition 4/2017

01-06-2017 | Original Contribution

Cr-enriched yeast: beyond fibers for the management of postprandial glycemic response to bread

Published in: European Journal of Nutrition | Issue 4/2017

Login to get access

Abstract

Purpose

Efforts regarding the amelioration of postprandial glycemic response to bread are mainly focused in the addition of soluble dietary fibers. The current study presents another approach which is based on the supplementation of flour with Cr-enriched yeast. Cr is known for its beneficial effects on improvement of glucose tolerance and enhancement of insulin sensitivity.

Methods

Twelve normoglycemic subjects were provided with white bread (WB, reference food) or whole wheat bread with Cr-enriched yeast (WWCrB, rich in insoluble fibers) or white wheat bread with Cr-enriched yeast (WCrB, poor in fibers) or whole wheat-rye-barley bread enriched with oat beta glucans (BGB, rich in soluble fibers) with 1-week intervals in amounts that yielded 50 g of available carbohydrates. Postprandial glucose, insulin and ghrelin responses as well as glycemic index (GI) were evaluated.

Results

Ingestion of WWCrB, WCrB and BGB elicited lower incremental area under the curve (iAUC) for 120-min glycemic response compared to WB (1033.02 ± 282.32, 701.69 ± 330.86 and 748.95 ± 185.42 vs 2070.87 ± 518.44 mg/dL min, respectively, P < 0.05 for WCrB and BGB). The GI was calculated as 62.35 ± 11.78 for WWCrB, 34.22 ± 11.93 for WCrB and 37.90 ± 5.00 for BGB (P < 0.05 vs WB, GI = 100). iAUC for 120-min insulin response to BGB was significantly lower than WB (2780.04 ± 303.26 vs 3915.53 ± 490.57 μU/mL min, P < 0.05), while ghrelin remained suppressed for almost 120 min after the consumption of WWCrB and BGB.

Conclusions

Supplementation of flour with Cr-enriched yeast induces milder postprandial glycemic response to bread without the necessity of high fiber amounts, providing with another strategy for the management of glycemic control.
Literature
1.
go back to reference Fan J, Song Y, Wang Y, Hui R, Zhang W (2012) Dietary glycemic index, glycemic load, and risk of coronary heart disease, stroke, and stroke mortality: a systematic review with meta-analysis. PLoS One 7(12):e52182CrossRef Fan J, Song Y, Wang Y, Hui R, Zhang W (2012) Dietary glycemic index, glycemic load, and risk of coronary heart disease, stroke, and stroke mortality: a systematic review with meta-analysis. PLoS One 7(12):e52182CrossRef
2.
go back to reference Mirrahimi A, Chiavaroli L, Srichaikul K, Augustin LS, Sievenpiper JL, Kendall CW, Jenkins DJ (2014) The role of glycemic index and glycemic load in cardiovascular disease and its risk factors: a review of the recent literature. Curr Atheroscler Rep 16(1):381CrossRef Mirrahimi A, Chiavaroli L, Srichaikul K, Augustin LS, Sievenpiper JL, Kendall CW, Jenkins DJ (2014) The role of glycemic index and glycemic load in cardiovascular disease and its risk factors: a review of the recent literature. Curr Atheroscler Rep 16(1):381CrossRef
3.
go back to reference Thomas DE, Elliott EJ (2010) The use of low-glycaemic index diets in diabetes control. Br J Nutr 104(6):797–802CrossRef Thomas DE, Elliott EJ (2010) The use of low-glycaemic index diets in diabetes control. Br J Nutr 104(6):797–802CrossRef
4.
go back to reference Ajala O, English P, Pinkney J (2013) Systematic review and meta-analysis of different dietary approaches to the management of type 2 diabetes. Am J Clin Nutr 97(3):505–516CrossRef Ajala O, English P, Pinkney J (2013) Systematic review and meta-analysis of different dietary approaches to the management of type 2 diabetes. Am J Clin Nutr 97(3):505–516CrossRef
5.
go back to reference FAO (1998) Carbohydrates in human nutrition. In: Report of a joint FAO/WHO expert consultation (FAO Food and Nutrition Paper 66). Food and Agriculture Organization, Rome FAO (1998) Carbohydrates in human nutrition. In: Report of a joint FAO/WHO expert consultation (FAO Food and Nutrition Paper 66). Food and Agriculture Organization, Rome
6.
go back to reference Sadler M (2011) Influence of glycaemic response on health indicators. In: John H (ed) Food, glycaemic response and health. ILSI Europe Concise Monograph Series, ILSI Europe Publications, Belgium, pp 12–21 Sadler M (2011) Influence of glycaemic response on health indicators. In: John H (ed) Food, glycaemic response and health. ILSI Europe Concise Monograph Series, ILSI Europe Publications, Belgium, pp 12–21
7.
go back to reference Dyson PA, Kelly T, Deakin T, Duncan A, Frost G, Harrison Z, Khatri D, Kunka D, McArdle P, Mellor D, Oliver L, Worth J (2011) Diabetes UK nutrition working group diabetes UK evidence-based nutrition guidelines for the prevention and management of diabetes. Diabet Med 28(11):1282–1288CrossRef Dyson PA, Kelly T, Deakin T, Duncan A, Frost G, Harrison Z, Khatri D, Kunka D, McArdle P, Mellor D, Oliver L, Worth J (2011) Diabetes UK nutrition working group diabetes UK evidence-based nutrition guidelines for the prevention and management of diabetes. Diabet Med 28(11):1282–1288CrossRef
8.
go back to reference Evert AB, Boucher JL, Cypress M, Dunbar SA, Franz MJ, Mayer-Davis EJ, Neumiller JJ, Nwankwo R, Verdi CL, Urbanski P, Yancy WS Jr (2014) Nutrition therapy recommendations for the management of adults with diabetes. Diabetes Care 37(Suppl 1):S120–S143CrossRef Evert AB, Boucher JL, Cypress M, Dunbar SA, Franz MJ, Mayer-Davis EJ, Neumiller JJ, Nwankwo R, Verdi CL, Urbanski P, Yancy WS Jr (2014) Nutrition therapy recommendations for the management of adults with diabetes. Diabetes Care 37(Suppl 1):S120–S143CrossRef
9.
go back to reference Cust AE, Skilton MR, van Bakel MM, Halkjaer J, Olsen A, Agnoli C, Psaltopoulou T, Buurma E, Sonestedt E, Chirlaque MD, Rinaldi S, Tjønneland A, Jensen MK, Clavel-Chapelon F, Boutron-Ruault MC, Kaaks R, Nöthlings U, Chloptsios Y, Zylis D, Mattiello A, Caini S, Ocké MC, van der Schouw YT, Skeie G, Parr CL, Molina-Montes E, Manjer J, Johansson I, McTaggart A, Key TJ, Bingham S, Riboli E, Slimani N (2009) Total dietary carbohydrate, sugar, starch and fibre intakes in the European Prospective Investigation into Cancer and Nutrition. Eur J Clin Nutr 63(Suppl 4):S37–S60CrossRef Cust AE, Skilton MR, van Bakel MM, Halkjaer J, Olsen A, Agnoli C, Psaltopoulou T, Buurma E, Sonestedt E, Chirlaque MD, Rinaldi S, Tjønneland A, Jensen MK, Clavel-Chapelon F, Boutron-Ruault MC, Kaaks R, Nöthlings U, Chloptsios Y, Zylis D, Mattiello A, Caini S, Ocké MC, van der Schouw YT, Skeie G, Parr CL, Molina-Montes E, Manjer J, Johansson I, McTaggart A, Key TJ, Bingham S, Riboli E, Slimani N (2009) Total dietary carbohydrate, sugar, starch and fibre intakes in the European Prospective Investigation into Cancer and Nutrition. Eur J Clin Nutr 63(Suppl 4):S37–S60CrossRef
10.
go back to reference Juntunen KS, Niskanen LK, Liukkonen KH, Poutanen KS, Holst JJ, Mykkänen HM (2002) Postprandial glucose, insulin, and incretin responses to grain products in healthy subjects. Am J Clin Nutr 75(2):254–262 Juntunen KS, Niskanen LK, Liukkonen KH, Poutanen KS, Holst JJ, Mykkänen HM (2002) Postprandial glucose, insulin, and incretin responses to grain products in healthy subjects. Am J Clin Nutr 75(2):254–262
11.
go back to reference Fardet A, Leenhardt F, Lioger D, Scalbert A, Rémésy C (2006) Parameters controlling the glycaemic response to breads. Nutr Res Rev 19(1):18–25CrossRef Fardet A, Leenhardt F, Lioger D, Scalbert A, Rémésy C (2006) Parameters controlling the glycaemic response to breads. Nutr Res Rev 19(1):18–25CrossRef
12.
go back to reference Wolever TM, Tosh SM, Gibbs AL, Brand-Miller J, Duncan AM, Hart V, Lamarche B, Thomson BA, Duss R, Wood PJ (2010) Physicochemical properties of oat β-glucan influence its ability to reduce serum LDL cholesterol in humans: a randomized clinical trial. Am J Clin Nutr 92(4):723–732CrossRef Wolever TM, Tosh SM, Gibbs AL, Brand-Miller J, Duncan AM, Hart V, Lamarche B, Thomson BA, Duss R, Wood PJ (2010) Physicochemical properties of oat β-glucan influence its ability to reduce serum LDL cholesterol in humans: a randomized clinical trial. Am J Clin Nutr 92(4):723–732CrossRef
13.
go back to reference Scazzina F, Siebenhandl-Ehn S, Pellegrini N (2013) The effect of dietary fibre on reducing the glycaemic index of bread. Br J Nutr 109(7):1163–1174CrossRef Scazzina F, Siebenhandl-Ehn S, Pellegrini N (2013) The effect of dietary fibre on reducing the glycaemic index of bread. Br J Nutr 109(7):1163–1174CrossRef
14.
go back to reference Wang Q, Ellis PR (2014) Oat β-glucan: physico-chemical characteristics in relation to its blood-glucose and cholesterol-lowering properties. Br J Nutr 112(Suppl 2):S4–S13CrossRef Wang Q, Ellis PR (2014) Oat β-glucan: physico-chemical characteristics in relation to its blood-glucose and cholesterol-lowering properties. Br J Nutr 112(Suppl 2):S4–S13CrossRef
15.
go back to reference Andersson A, Tengblad S, Karlström B, Kamal-Eldin A, Landberg R, Basu S, Aman P, Vessby B (2007) Whole-grain foods do not affect insulin sensitivity or markers of lipid peroxidation and inflammation in healthy, moderately overweight subjects. J Nutr 137(6):1401–1407 Andersson A, Tengblad S, Karlström B, Kamal-Eldin A, Landberg R, Basu S, Aman P, Vessby B (2007) Whole-grain foods do not affect insulin sensitivity or markers of lipid peroxidation and inflammation in healthy, moderately overweight subjects. J Nutr 137(6):1401–1407
16.
go back to reference Groff JL, Gropper SS (1999) Chromium. In: Laura G (ed) Advanced nutrition and human metabolism. Wadsworth/Thomson Learning, Belmont, USA, pp 446–451 Groff JL, Gropper SS (1999) Chromium. In: Laura G (ed) Advanced nutrition and human metabolism. Wadsworth/Thomson Learning, Belmont, USA, pp 446–451
17.
go back to reference Hua Y, Clark S, Ren J, Sreejayan N (2012) Molecular mechanisms of chromium in alleviating insulin resistance. J Nutr Biochem 23(4):313–319CrossRef Hua Y, Clark S, Ren J, Sreejayan N (2012) Molecular mechanisms of chromium in alleviating insulin resistance. J Nutr Biochem 23(4):313–319CrossRef
18.
go back to reference Scwartz K, Mertz W (1957) A glucose tolerance factor and its differentiation of factor 3. Arch Biochem Biophys 72:515–518CrossRef Scwartz K, Mertz W (1957) A glucose tolerance factor and its differentiation of factor 3. Arch Biochem Biophys 72:515–518CrossRef
19.
go back to reference Mertz W, Schwartz K (1959) Relation of glucose tolerance factor to impaired intravenous glucose tolerance of rats on stock diets. Am J Physiol 196:614–618 Mertz W, Schwartz K (1959) Relation of glucose tolerance factor to impaired intravenous glucose tolerance of rats on stock diets. Am J Physiol 196:614–618
20.
go back to reference Weksler-Zangen S, Mizrahi T, Raz I, Mirsky N (2012) Glucose tolerance factor extracted from yeast: oral insulin-mimetic and insulin-potentiating agent: in vivo and in vitro studies. Br J Nutr 108(5):875–882CrossRef Weksler-Zangen S, Mizrahi T, Raz I, Mirsky N (2012) Glucose tolerance factor extracted from yeast: oral insulin-mimetic and insulin-potentiating agent: in vivo and in vitro studies. Br J Nutr 108(5):875–882CrossRef
21.
go back to reference Frauchiger MT, Wenk C, Colombani PC (2004) Effects of acute chromium supplementation on postprandial metabolism in healthy young men. J Am Coll Nutr 23(4):351–357CrossRef Frauchiger MT, Wenk C, Colombani PC (2004) Effects of acute chromium supplementation on postprandial metabolism in healthy young men. J Am Coll Nutr 23(4):351–357CrossRef
22.
go back to reference Pei D, Hsieh CH, Hung YJ, Li JC, Lee CH, Kuo SW (2006) The influence of chromium chloride-containing milk to glycemic control of patients with type 2 diabetes mellitus: a randomized, double-blind, placebo-controlled trial. Metabolism 55(7):923–927CrossRef Pei D, Hsieh CH, Hung YJ, Li JC, Lee CH, Kuo SW (2006) The influence of chromium chloride-containing milk to glycemic control of patients with type 2 diabetes mellitus: a randomized, double-blind, placebo-controlled trial. Metabolism 55(7):923–927CrossRef
23.
go back to reference Chen YL, Lin JD, Hsia TL, Mao FC, Hsu CH, Pei D (2014) The effect of chromium on inflammatory markers, 1st and 2nd phase insulin secretion in type 2 diabetes. Eur J Nutr 53(1):127–133CrossRef Chen YL, Lin JD, Hsia TL, Mao FC, Hsu CH, Pei D (2014) The effect of chromium on inflammatory markers, 1st and 2nd phase insulin secretion in type 2 diabetes. Eur J Nutr 53(1):127–133CrossRef
24.
go back to reference Suksomboon N, Poolsup N, Yuwanakorn A (2014) Systematic review and meta-analysis of the efficacy and safety of chromium supplementation in diabetes. J Clin Pharm Ther 39(3):292–306CrossRef Suksomboon N, Poolsup N, Yuwanakorn A (2014) Systematic review and meta-analysis of the efficacy and safety of chromium supplementation in diabetes. J Clin Pharm Ther 39(3):292–306CrossRef
25.
go back to reference Brouns F, Bjorck I, Frayn KN, Gibbs AL, Lang V, Slama G, Wolever TM (2005) Glycaemic index methodology. Nutr Res Rev 18(1):145–171CrossRef Brouns F, Bjorck I, Frayn KN, Gibbs AL, Lang V, Slama G, Wolever TM (2005) Glycaemic index methodology. Nutr Res Rev 18(1):145–171CrossRef
26.
go back to reference Margetts B (2003) FAO/WHO launch expert report on diet, nutrition and prevention of chronic diseases. Public Health Nutr 6(4):323–325CrossRef Margetts B (2003) FAO/WHO launch expert report on diet, nutrition and prevention of chronic diseases. Public Health Nutr 6(4):323–325CrossRef
27.
go back to reference Livesey G, Taylor R, Hulshof T, Howlett J (2008) Glycemic response and health—a systematic review and meta-analysis: the database, study characteristics, and macronutrient intakes. Am J Clin Nutr 87(1):223S–236S Livesey G, Taylor R, Hulshof T, Howlett J (2008) Glycemic response and health—a systematic review and meta-analysis: the database, study characteristics, and macronutrient intakes. Am J Clin Nutr 87(1):223S–236S
28.
go back to reference Bhupathiraju SN, Tobias DK, Malik VS, Pan A, Hruby A, Manson JE, Willett WC, Hu FB (2014) Glycemic index, glycemic load, and risk of type 2 diabetes: results from 3 large US cohorts and an updated meta-analysis. Am J Clin Nutr 100(1):218–232CrossRef Bhupathiraju SN, Tobias DK, Malik VS, Pan A, Hruby A, Manson JE, Willett WC, Hu FB (2014) Glycemic index, glycemic load, and risk of type 2 diabetes: results from 3 large US cohorts and an updated meta-analysis. Am J Clin Nutr 100(1):218–232CrossRef
29.
go back to reference Ostman EM, Nilsson M, Liljeberg Elmstahl HGM, Molin G, Björck IM (2002) On the effect of lactic acid on blood glucose and insulin responses to cereal products: mechanistic studies in healthy subjects and in vitro. J Cereal Sci 36:339–346CrossRef Ostman EM, Nilsson M, Liljeberg Elmstahl HGM, Molin G, Björck IM (2002) On the effect of lactic acid on blood glucose and insulin responses to cereal products: mechanistic studies in healthy subjects and in vitro. J Cereal Sci 36:339–346CrossRef
30.
go back to reference Anderson RA, Polansky MM, Bryden NA, Patterson KY, Veillon C, Glinsmann WH (1983) Effects of chromium supplementation on urinary Cr excretion of human subjects and correlation of Cr excretion with selected clinical parameters. J Nutr 113(2):276–281 Anderson RA, Polansky MM, Bryden NA, Patterson KY, Veillon C, Glinsmann WH (1983) Effects of chromium supplementation on urinary Cr excretion of human subjects and correlation of Cr excretion with selected clinical parameters. J Nutr 113(2):276–281
31.
go back to reference Davis CM, Vincent JB (1997) Chromium oligopeptide activates insulin receptor tyrosine kinase activity. Biochemistry 36(15):4382–4385CrossRef Davis CM, Vincent JB (1997) Chromium oligopeptide activates insulin receptor tyrosine kinase activity. Biochemistry 36(15):4382–4385CrossRef
32.
go back to reference Cefalu WT, Wang ZQ, Zhang XH, Baldor LC, Russell JC (2002) Oral chromium picolinate improves carbohydrate and lipid metabolism and enhances skeletal muscle Glut-4 translocation in obese, hyperinsulinemic (JCR-LA corpulent) rats. J Nutr 132(6):1107–1114 Cefalu WT, Wang ZQ, Zhang XH, Baldor LC, Russell JC (2002) Oral chromium picolinate improves carbohydrate and lipid metabolism and enhances skeletal muscle Glut-4 translocation in obese, hyperinsulinemic (JCR-LA corpulent) rats. J Nutr 132(6):1107–1114
33.
go back to reference Penumathsa SV, Thirunavukkarasu M, Samuel SM, Zhan L, Maulik G, Bagchi M, Bagchi D, Maulik N (2009) Niacin bound chromium treatment induces myocardial Glut-4 translocation and caveolar interaction via Akt, AMPK and eNOS phosphorylation in streptozotocin induced diabetic rats after ischemia-reperfusion injury. Biochim Biophys Acta 1792(1):39–48CrossRef Penumathsa SV, Thirunavukkarasu M, Samuel SM, Zhan L, Maulik G, Bagchi M, Bagchi D, Maulik N (2009) Niacin bound chromium treatment induces myocardial Glut-4 translocation and caveolar interaction via Akt, AMPK and eNOS phosphorylation in streptozotocin induced diabetic rats after ischemia-reperfusion injury. Biochim Biophys Acta 1792(1):39–48CrossRef
34.
go back to reference Weickert MO, Spranger J, Holst JJ, Otto B, Koebnick C, Möhlig M, Pfeiffer AF (2006) Wheat-fibre-induced changes of postprandial peptide YY and ghrelin responses are not associated with acute alterations of satiety. Br J Nutr 96(5):795–798CrossRef Weickert MO, Spranger J, Holst JJ, Otto B, Koebnick C, Möhlig M, Pfeiffer AF (2006) Wheat-fibre-induced changes of postprandial peptide YY and ghrelin responses are not associated with acute alterations of satiety. Br J Nutr 96(5):795–798CrossRef
35.
go back to reference Vitaglione P, Lumaga RB, Stanzione A, Scalfi L, Fogliano V (2009) Beta-Glucan-enriched bread reduces energy intake and modifies plasma ghrelin and peptide YY concentrations in the short term. Appetite 53(3):338–344CrossRef Vitaglione P, Lumaga RB, Stanzione A, Scalfi L, Fogliano V (2009) Beta-Glucan-enriched bread reduces energy intake and modifies plasma ghrelin and peptide YY concentrations in the short term. Appetite 53(3):338–344CrossRef
36.
go back to reference Flanagan DE, Evans ML, Monsod TP, Rife F, Heptulla RA, Tamborlane WV, Sherwin RS (2003) The influence of insulin on circulating ghrelin. Am J Physiol Endocrinol Metab 284(2):E313–E316CrossRef Flanagan DE, Evans ML, Monsod TP, Rife F, Heptulla RA, Tamborlane WV, Sherwin RS (2003) The influence of insulin on circulating ghrelin. Am J Physiol Endocrinol Metab 284(2):E313–E316CrossRef
37.
go back to reference Lucidi P, Murdolo G, Di Loreto C, De Cicco A, Parlanti N, Fanelli C, Santeusanio F, Bolli GB, De Feo P (2002) Ghrelin is not necessary for adequate hormonal counterregulation of insulin-induced hypoglycemia. Diabetes 51(10):2911–2914CrossRef Lucidi P, Murdolo G, Di Loreto C, De Cicco A, Parlanti N, Fanelli C, Santeusanio F, Bolli GB, De Feo P (2002) Ghrelin is not necessary for adequate hormonal counterregulation of insulin-induced hypoglycemia. Diabetes 51(10):2911–2914CrossRef
38.
go back to reference Saad MF, Bernaba B, Hwu CM, Jinagouda S, Fahmi S, Kogosov E, Boyadjian R (2002) Insulin regulates plasma ghrelin concentration. J Clin Endocrinol Metab 87(8):3997–4000CrossRef Saad MF, Bernaba B, Hwu CM, Jinagouda S, Fahmi S, Kogosov E, Boyadjian R (2002) Insulin regulates plasma ghrelin concentration. J Clin Endocrinol Metab 87(8):3997–4000CrossRef
39.
go back to reference Onakpoya I, Posadzki P, Ernst E (2013) Chromium supplementation in overweight and obesity: a systematic review and meta-analysis of randomized clinical trials. Obes Rev 14(6):496–507CrossRef Onakpoya I, Posadzki P, Ernst E (2013) Chromium supplementation in overweight and obesity: a systematic review and meta-analysis of randomized clinical trials. Obes Rev 14(6):496–507CrossRef
40.
go back to reference Tian H, Guo X, Wang X, He Z, Sun R, Ge S, Zhang Z (2013) Chromium picolinate supplementation for overweight or obese adults. Cochrane Database Syst Rev 11:CD010063 Tian H, Guo X, Wang X, He Z, Sun R, Ge S, Zhang Z (2013) Chromium picolinate supplementation for overweight or obese adults. Cochrane Database Syst Rev 11:CD010063
41.
go back to reference EFSA Panel on Food Additives and Nutrient Sources added to Food (2010) Scientific opinion on the safety of trivalent chromium as a nutrient added for nutritional purposes to foodstuffs for particular nutritional uses and foods intended for general population (including food supplements). EFSA J 8(12):1882CrossRef EFSA Panel on Food Additives and Nutrient Sources added to Food (2010) Scientific opinion on the safety of trivalent chromium as a nutrient added for nutritional purposes to foodstuffs for particular nutritional uses and foods intended for general population (including food supplements). EFSA J 8(12):1882CrossRef
Metadata
Title
Cr-enriched yeast: beyond fibers for the management of postprandial glycemic response to bread
Publication date
01-06-2017
Published in
European Journal of Nutrition / Issue 4/2017
Print ISSN: 1436-6207
Electronic ISSN: 1436-6215
DOI
https://doi.org/10.1007/s00394-016-1190-4

Other articles of this Issue 4/2017

European Journal of Nutrition 4/2017 Go to the issue