amylopectin and Hyperinsulinism

The effects on apparent mineral retention after long-term consumption of a high amylose diet containing 30 g resistant starch (RS) were investigated in 10 control and 14 hyperinsulinemic men. Subjects consumed products (bread, muffins, cookies, corn flakes and cheese puffs) made with standard (70% amylopectin, 30% amylose; AP) or high amylose (70% amylose, 30% amylopectin; AM) cornstarch for two 14-wk periods in a crossover pattern. Starch products replaced usual starches in the habitual diet for 10 wk followed by 4 wk of consuming the controlled diets. During wk 12, all urine, feces and duplicate foods were collected for 7 d. Urinary chromium losses after a glucose tolerance test or 24-h collections of the hyperinsulinemic and control subjects did not differ and were not altered by diet. Except for zinc, the two subject types did not differ significantly in apparent mineral balance. Apparent retentions of calcium and magnesium were not significantly affected by diet (AM vs. AP) or type-by-diet interaction. Apparent iron retention tended to be greater after AM than AP consumption (P < 0.09). Apparent copper retention was greater after consuming AP than after AM (P < 0.02), whereas apparent zinc retention was greater after consuming AM than after AP (P < 0.018). Zinc also showed a significant type-by-diet interaction (P < 0.034) with control subjects retaining less zinc after consuming AP than after AM. In summary, a high amylose cornstarch diet containing 30 g RS could be consumed long term without markedly affecting, and possibly enhancing, retention of some minerals.

Topics: Adult; Amylopectin; Amylose; Chromium; Diet; Glucose Tolerance Test; Humans; Hyperinsulinism; Iron; Male; Middle Aged; Minerals; Reference Values; Starch; Time Factors; Zinc

Recommendations to increase dietary intakes of starch and fiber in the United States may result in increased intake of resistant starch. High-amylose starch appears to resist digestion in vitro. To investigate the in vivo effect of high-amylose starch, diets containing 70% amylose or amylopectin cornstarches were fed for 14 wk each in a crossover design to 24 men [10 control, 14 hyperinsulinemic (HI)]. Fasting breath samples and periodic postingestion samples were analyzed for hydrogen during weeks 12 (nibbling tolerance test) and 14 (acute tolerance test) of each phase. Overall breath hydrogen was significantly higher after the amylose tolerance tests (nibbling, P < 0.0005; and acute, P < 0.0006). Control subjects, regardless of body mass index (BMI; in kg/m2), appeared to adapt to the high-amylose starch diet. Fasting breath hydrogen was significantly higher at week 12 but not at week 14 in HI subjects with a low BMI (< 25) consuming amylose than in other subjects. Breath hydrogen of the HI subjects with a moderate (between 25 and 27.8) or high (> 27.8) BMI increased from week 12 to week 14. The HI subjects with a high BMI averaged lower breath-hydrogen expiration than other HI subjects. After 3 d of excess energy intake, breath hydrogen after amylose was still significantly greater than after amylopectin (P < 0.019); fasting breath hydrogen of the control subjects after amylose more closely resembled that of the HI subjects. HI subjects with a high BMI may be more efficient at digesting all starch, therefore decreasing the amount available for colonic digestion. This may be a factor contributing to their greater body weight.

Topics: Adult; Amylopectin; Amylose; Body Mass Index; Body Weight; Breath Tests; Cross-Over Studies; Dietary Carbohydrates; Humans; Hydrogen; Hyperinsulinism; Insulin; Male; Nutritional Requirements; United States

The effect of dietary starch type on components of 24-h energy expenditure (total, sleep, exercise) were examined in 13 hyperinsulinemic and nine control men, aged 28-58 y. Subjects consumed products containing 70% amylopectin or 70% amylose cornstarch for two 14-wk periods in a crossover design. A 10-wk period of starch replacement in the subjects' self-selected diets was followed by a 4-wk controlled feeding period at 100% maintenance energy intake; diets during the last 4 d of the controlled feeding period provided excess energy, i.e., 125% of maintenance energy. Data for insulin, glucose, 24-h energy expenditure and its components, respiratory quotient and nutrient oxidation were analyzed by ANOVA for mixed models. Although insulin and glucose responses to a starch tolerance test remained greater for hyperinsulinemic than for control subjects, both were reduced with high amylose consumption (P < 0.04). No component of energy expenditure was significantly affected by dietary starch or subject type. However, excess energy intake did increase metabolic energy expenditure (P < 0.0001). Protein oxidation increased with excess energy intake when subjects consumed the high amylopectin starch but did not increase in response to excess energy consumption when the high amylose diet was consumed, suggesting increased protein retention. The magnitude of the response in carbohydrate and fat oxidation was blunted in hyperinsulinemic subjects consuming excess levels of the amylose diet. This may be due to an improvement in overall insulin response or to a change in available substrates for oxidation resulting from microbial fermentation.

Topics: Adult; Amylopectin; Amylose; Blood Glucose; Calorimetry; Cross-Over Studies; Dietary Carbohydrates; Double-Blind Method; Energy Intake; Energy Metabolism; Glucose; Humans; Hyperinsulinism; Insulin; Male; Middle Aged; Oxidation-Reduction; Starch

Long-term consumption of high-amylose starch on insulin and glucose response was investigated in 24 men: 10 control and 14 hyperinsulinemic (HI) subjects. Subjects consumed products made with standard (70% amylopectin, 30% amylose) or high-amylose (70% amylose, 30% amylopectin) cornstarch for two 14-wk periods in a crossover pattern. Starch products replaced usual starches in the self-selected diet for 10 wk followed by 4 wk of a controlled diet. After a starch-tolerance test with bread made from the starch consumed during that period, the insulin response curve area was significantly lower in all subjects after amylose consumption (P < 0.002). Glucose responses in HI and control subjects were similar and did not vary with the type of starch. Fasting triglyceride concentrations were significantly lower in subjects who consumed the high-amylose compared with the standard-starch diet throughout the study. Chronic consumption of high-amylose foods normalized the insulin response of hyperinsulinemic subjects and showed a potential benefit for diabetic subjects.

Topics: Adult; Amylopectin; Amylose; Blood Glucose; Dietary Carbohydrates; Fasting; Humans; Hyperinsulinism; Insulin; Male; Middle Aged; Triglycerides

The effect of long-term consumption of diets of different carbohydrate composition was investigated be feeding rats for up to 52 wk on diets in which the carbohydrate was either glucose, amylose or amylopectin. A glucose-based diet was included to examine the relationship between the rate of carbohydrate absorption from the diet and the development of insulin resistance. Insulin sensitivity was assessed by subjecting animals to an intravenous glucose tolerance test (IVGTT). Amylopectin-fed animals became progressively insulin resistant from 12 to 26 wk of feeding. The area under the plasma insulin curves in response to a glucose load (IVGTT) for these animals rose progressively from 15.1 +/- 2.5 nmol/L.30 min at 8 wk to 45.8 +/- 3.5 nmol/L.30 min (P < 0.001) at 26 wk of feeding. Amylose-fed animals did not exhibit insulin resistance until 26 wk of feeding when insulin secretion in response to a glucose load was 28.3 +/- 0.9 vs. 14.6 +/- 3.2 nmol/L.30 min at 16 wk of feeding (P < 0.005). Glucose-fed animals displayed insulin resistance after only 8 wk of feeding. At this time, the area under their plasma insulin curves was almost double that for amylose- or amylopectin-fed animals (P < 0.001). We conclude that long-term consumption of a diet in which available carbohydrate is rapidly absorbed causes insulin resistance in rats. The more rapidly glucose is absorbed from the diet, the faster the insulin resistance develops.

Topics: Absorption; Amylopectin; Amylose; Animals; Blood Glucose; Dietary Carbohydrates; Glucose; Glucose Tolerance Test; Hyperinsulinism; Infusions, Intravenous; Insulin; Insulin Resistance; Male; Rats; Rats, Wistar; Time Factors; Weight Gain

This study was designed to compare the metabolizable energy of two starch sources, standard cornstarch and high amylose cornstarch.. Diets containing 70% amylose (AM) or 70% amylopectin (AP) cornstarches were fed to 10 control and 14 hyperinsulinemic men for 14 weeks. During the last 4 weeks of each period, subjects were fed a controlled diet containing 34% of total energy from fat, 15% from protein and 51% from carbohydrate (55% of carbohydrate provided AM or AP). Duplicate food and all urine and feces were collected during the second week of the controlled diets for energy, nitrogen, fiber and starch determinations. Metabolizable energy (ME) was calculated as [energy intake minus (fecal plus urinary energy excretion)].. Total fiber uncorrected for resistant starch was 35.2 g and 48.8 g in the AP and AM diets, respectively. The AM diet contained an average of 29.7 g resistant starch (16% of total starch) while the AP diet averaged 0.8 g (less than 0.01%). ME was not significantly different between the AM and AP diets nor between the control and hyperinsulinemic subjects. Fecal energy and nitrogen was significantly higher after the AM compared to AP diet. Based on energy intake and fecal excretion from all subjects, the partial digestible energy value for the resistant starch averaged 11.7 kJ/g resistant starch which was 67.3% of the energy of standard cornstarch. Control and hyperinsulinemic subjects differed in their ability to digest resistant starch, averaging 81.8% and 53.2, respectively. The hyperinsulinemic, but not control, subjects had significantly higher breath hydrogen expirations (LS means, p > 0.05) in the fasting, 1-5 hours and 7 hour collections after consuming the AM when compared to the AP tolerance meal.. The type of starch consumed in the diet did not statistically affect metabolizable energy. Based on ME and breath hydrogen expiration, amylose and the resistant starch from amylose appears to be utilized as an energy source. Resistant starch averaged 2.8 kcal/g for all 24 subjects but only 2.2 kcal/g in the hyperinsulinemic subjects.

Topics: Adult; Amylopectin; Amylose; Breath Tests; Data Collection; Dietary Fiber; Energy Intake; Energy Metabolism; Fasting; Feces; Food, Formulated; Humans; Hyperinsulinism; Male; Respiration; Starch; Time Factors