Skip to main content

Lente Carbohydrate or Slowly Absorbed Starch

Physiological and Therapeutic Implications

  • Chapter
Dietary Fiber

Summary

Current dietary recommendations support the use of increased carbohydrate intakes from minimally processed or high-fiber starchy foods. A characteristic of such food is often that it is more slowly digested and absorbed than many refined and highly processed foods. The assumption that slow absorption of nutrients may have benefit is central to the fiber hypothesis and has been described as a new therapeutic principle. Other similar approaches include the use of specific digestive enzyme inhibitors and increased feeding frequency. Slow carbohydrate absorption may result in a number of sequelae, including flatter glucose and endocrine responses and lower blood lipids, reduced blood urea levels through increased NH3 trapping in the colon, increased laxation, and enhanced colonic retrieval of short-chain fatty acids with further potential beneficial effects.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Albrink, M. J., Newman, T., and Davidson, P. C., 1979, Effect of high- and low-fiber diets on plasma lipids and insulin, Am. J. Clin. Nutr 32:1486–1491.

    CAS  Google Scholar 

  • American Diabetes Association Policy Statement, 1987, Nutritional recommendations and principles for individuals with diabetes mellitus: 1986, Diabetes Care 10: 126–132.

    Google Scholar 

  • American Heart Association Committee Report, 1982, Rationale of the diet-heart statement of the American Heart Association, Circulation 65: 839A–854A.

    Article  Google Scholar 

  • Anderson, J. W., and Chen, W. L., 1979, Plant fiber: Carbohydrate and lipid metabolism, Am. J. Clin. Nutr 32: 346–363.

    CAS  Google Scholar 

  • Anderson, J. W., and Ward, K., 1979a, Long-term effects of high carbohydrate, high fiber diets on glucose and lipid metabolism: A preliminary report on patients with diabetes, Diabetes Care 1: 77–82.

    Article  Google Scholar 

  • Anderson, J. W., and Ward, K., 1979b, High carbohydrate, high fiber diets for insulin treated men with diabetes mellitus, Am. J. Clin. Nutr 32: 2312–2321.

    CAS  Google Scholar 

  • Anderson, J. W., Story, L., Sieling, B., Chen, W. L., Petro, M. S., and Story, J., 1984, Hypocholesterolemic effects of oat-bran or bean intake for hypercholesterolemic men, Am. J. Clin. Nutr 40: 1146–1155.

    CAS  Google Scholar 

  • Arends, J., Ahrens, K., Lubke, D., and Willms, B., 1987, Physical factors influencing the blood glucose response to different breads in type II diabetic patients, Klin. Wochenschr 65: 469–474.

    Article  CAS  Google Scholar 

  • Aro, A., Uusitupa, M., Vontilainen, E., Hersio, K., Korhonen, T., and Siitonen, O., 1981, Improved diabetic control and hypocholesterolemic effect induced by long-term dietary supplementation with guar gum in type 2 (insulin-independent) diabetes, Diabetologia 21: 29–33.

    CAS  Google Scholar 

  • Behall, K. M., Schofield, D. J., Yuheniak, I., and Canary, J., 1989, Diets containing amylose vs. amylopectin starch: Effects on metabolic variables in human subjects, Am. J. Clin. Nutr 49: 337–442.

    CAS  Google Scholar 

  • Blackburn, N. A., Redfern, J. S., Jaijis, H., Holgate, A. M., Hanning, I., Scarpello, J. H. B., Johnson, I. T., and Read, N. W., 1984, The mechanism of action of guar gum in improving glucose tolerance in man, Clin. Sci 66:329–336.

    CAS  Google Scholar 

  • Bosello, O., Cominacini, L., Zocca, I., Garbin, U., Ferrari, F., and Davoli, A., 1984, Effect of guar gum on plasma lipoproteins and apolipoproteins C-II and C-III in patients affected by familial combined hyperlipoproteinemia, Am. J. Clin. Nutr 40:1165–1174.

    CAS  Google Scholar 

  • Brand, J. C., Nicholson, P. L., Thorburn, A. W., and Truswell, A. S., 1985, Food processing and the glycemic index, Am. J. Clin. Nutr 42: 1192–1196.

    CAS  Google Scholar 

  • Bray, G. A., 1972, Lipogenesis in human adipose tissue: Some effects of nibbling and gorging, J. Clin. Invest 51: 537–548.

    Article  CAS  Google Scholar 

  • British Diabetic Association, 1982, The Nutrition Sub-committee of the British Diabetic Association’s Medical Advisory Committee: Dietary recommendations for diabetics for the 1980’s-a policy statement by the British Diabetic Association, Hum. Nutr. Appl. Nutr 36A: 378–394.

    Google Scholar 

  • Burke, B. J., Hartog, M., Heaton, K. W., and Hooper, S., 1982, Assessment of the metabolic effects of dietary carbohydrate and fibre by measuring urinary excretion of C-peptide, Hum. Nutr. Clin. Nutr 36C: 373–380.

    Google Scholar 

  • Burkitt, D. P., and Trowell, H. C., 1975, Refined Carbohydrate Foods and Disease, Academic Press, London.

    Google Scholar 

  • Canadian Diabetes Association, 1981, Special Report Committee: Guidelines for the nutritional management of diabetes mellitus: A special report from the Canadian Diabetes Association, J. Can. Dietet. Assoc 42: 110–118.

    Google Scholar 

  • Chen, W. J. L., Anderson, J. W., and Jennings, D., 1984, Propionate may mediate the hypocholesterolemic effects of certain soluble plant fibers in cholesterol-fed rats, Proc. Soc. Exp. Biol. Med 175: 215–218.

    CAS  Google Scholar 

  • Clissold, S. P., and Edwards, C., 1988, Acarbose: A preliminary review of its pharmacodynamic and pharmacokinetic properties, and therapeutic efficacy, in: Drugs, ADIS Press, Auckland, New Zealand, pp. 214–243.

    Google Scholar 

  • Cohn, C., 1964, Feeding patterns and some aspects of cholesterol metabolism, Fed. Proc 23: 76–81.

    CAS  Google Scholar 

  • Collier, G. R., Giudici, S., Kalmusky, J., Wolever, T. M. S., Helman, G., Wesson, V., Ehrlich, R. M., and Jenkins, D. J. A., 1988, Low glycaemic index starchy foods improve glucose control and lower serum cholesterol in diabetic children, Diab. Nutr. Metab 1: 11–19.

    Google Scholar 

  • Crapo, P. A., Reaven, G., and Olefsky, J., 1977, Post-prandial plasma-glucose and -insulin responses to different complex carbohydrates, Diabetes 26: 1178–1183.

    Article  CAS  Google Scholar 

  • Creutzfeldt, W., and Fblsch, U. R. (eds.), 1983, Delaying Absorption as a Therapeutic Principle in Metabolic Diseases, Thieme-Stratton, New York.

    Google Scholar 

  • Cummings, J. H., 1981, Short chain fatty acids in the human colon, Gut 22: 763–779.

    Article  CAS  Google Scholar 

  • Cummings, J. H., and Branch, W. J., 1986, Fermentation and the production of short-chain fatty acids in the human large intestine, in: Dietary Fiber: Basic and Clinical Aspects (G. V. Vahouny and D. Kritchevsky, eds.), Plenum Press, New York, pp. 131–149.

    Google Scholar 

  • DeBrujn, K. M., Blendis, L. M., Zilm, D. H., Carlen, P. L., and Anderson, G. H., 1983, Effect of dietary protein manipulations in subclinical portal systemic encephalopathy, Gut 24: 53–60.

    Article  Google Scholar 

  • Fabry, P., and Tepperman, J., 1970, Meal frequency-a possible factor in human pathology, Am. J. Clin. Nutr 23: 1059–1068.

    CAS  Google Scholar 

  • Flourie, B., Vidon, N., Florent, C. H., and Bernier, J. J., 1984, Effect of pectin on jejunal glucose absorption and unstirred layer thickness in normal man, Gut 25: 936–941.

    Article  CAS  Google Scholar 

  • Fontvieille, A. M., Acosta, M., Rizkalla, S. W., Bornet, F., Davis, P., Letanoux, M., Tchobroutsky, G., and Slama, G., 1988, A moderate switch from high to low glycaemic-index foods for 3 weeks improves the metabolic control of type I (IDDM) diabetic subjects, Diab. Nutr. Metab 1: 139–143.

    Google Scholar 

  • Gannon, M. C., and Nuttall, F. Q., 1987, Factors affecting interpretation of postprandial glucose and insulin areas, Diabetes Care 10: 759–763.

    Article  CAS  Google Scholar 

  • Gwinup, G., Byron, R., Roush, W., Kruger, F. A., and Hamwi, G. J., 1963a, Effect of nibbling versus gorging on glucose tolerance, Lancet 2: 165–167.

    Article  CAS  Google Scholar 

  • Gwinup, G., Byron, R. C., Roush, R. W., Kruger, F. A., and Hamwi, G. J., 1963b, Effect of nibbling versus gorging on serum lipids in men, Am. J. Clin. Nutr 13: 209–213.

    CAS  Google Scholar 

  • Haber, B. G., Heaton, K. W., Murphy, D., and Burroughs, L. F., 1977, Depletion and disruption of dietary fibre: Effects on satiety, plasma-glucose, and insulin, Lancet 2: 679–682.

    Article  CAS  Google Scholar 

  • Heaton, K. M., Marcus, S. N., Emmett, P. M., and Bolton, C. H., 1989, Effect of particle size on the plasma glucose and insulin responses to test meals of wheat, maize, and oats and the rate of starch digestion in vitro, Am. J. Clin. Nutr (in press).

    Google Scholar 

  • Jagannathan, S. N., Connel, W. F., and Beveridge, J. M. R., 1964, Effect of gormandizing and semicontinuous eating of equicaloric amounts of formal type high fat diets on plasma cholesterol and triglyceride levels in human volunteer subjects, Am. J. Clin. Nutr 15: 90–93.

    CAS  Google Scholar 

  • Jenkins, D. J. A., and Wolever, T. M. S., 1981, Slow release carbohydrate and the treatment of diabetes, Proc. Nutr. Soc 40: 227–235.

    Article  CAS  Google Scholar 

  • Jenkins, D. J. A., Leeds, A. R., Gassull, M. A., Houston, H., Goff, D. V., and Hill, M. J., 1976, The cholesterol lowering properties of guar and pectin, Clin. Sci. Mol. Med 51: 8.

    Google Scholar 

  • Jenkins, D. J. A., Wolever, T. M. S., Hockaday, T. D. R., Leeds, A. R., Haworth, R., Bacon, S., Apling, E. C., and Dilawari, J., 1977, Treatment of diabetes with guar gum, Lancet 2: 779–780.

    Article  CAS  Google Scholar 

  • Jenkins, D. J. A., Wolever, T. M. S., Leeds, A. R., Gassull, M. A., Dilawari, J. B., Goff, D. V., Metz, G. L., and Alberti, K. G. M. M., 1978, Dietary fibres, fibre analogues and glucose tolerance: Importance of viscosity, Br. Med. J 1: 1392–1394.

    Article  CAS  Google Scholar 

  • Jenkins, D. J. A., Reynolds, D., Leeds, A. R., Waller, A. L., and Cummings, J. H., 1979, Hypocholesterolemic action of dietary fiber unrelated to fecal bulking effect, Am. J. Clin. Nutr 32: 2430–2435.

    CAS  Google Scholar 

  • Jenkins, D. J. A., Wolever, T. M. S., Taylor, R. H., Barker, H. M., Fielden, H., Baldwin, J. M., Bowling, A. C., Newman, H. C., Jenkins, A. L., and Goff, D. V., 1981, Glycemic index of foods: A physiological basis for carbohydrate exchange, Am. J. Clin. Nutr 34: 362–366.

    CAS  Google Scholar 

  • Jenkins, D. J. A., Wolever, T. M. S., Thorne, M. J., Jenkins, A. L., Wong, G. S., Josse, R. G., and Csima, A., 1984, The relationship between glycemic response, digestibility, and factors influencing the dietary habits of diabetics, Am. J. Clin. Nutr 40: 1175–1191.

    CAS  Google Scholar 

  • Jenkins, D. J. A., Cuff, D., Wolever, T. M. S., Knowland, D., Thompson, L. U., Cohen, Z., and Prokipchuk, E., 1987a, Digestibility of carbohydrate foods in an ileosomate: Relationship to dietary fiber, in vitro digestibility, and glycemic response, Am. J. Gastroenterol 82: 709–717.

    CAS  Google Scholar 

  • Jenkins, D. J. A., Wolever, T. M. S., Collier, G. R., Ocana, A., Rao, A. V., Buckley, G., Lam, Y., Mayer, A., and Thompson, L. U., 1987b, The metabolic effects of a low glycemic index diet, Am. J. Clin. Nutr 46: 968–975.

    CAS  Google Scholar 

  • Jenkins, D. J. A., Wolever, T. M. S., Kalmusky, J., Giudici, S., Giordano, C., Patten, R., Wong, G. S., Bird, J. N., Hall, M., Buckley, G., Csima, A., and Little, J. A., 1987c, Low-glycemic index diet in hyperlipidemia: Use of traditional starchy foods, Am. J. Clin. Nutr 46: 66–71.

    CAS  Google Scholar 

  • Jenkins, D. J. A., Wolever, T. M. S., Buckley, G., Lam, K. Y., Giudici, S., Kalmusky, J., Jenkins, A. L., Patten, R. L., Bird, J., Wong, G. S., and Josse, R. G., 1988, Low glycemic-index starchy foods in the diabetic diet, Am. J. Clin. Nutr 48: 248–254.

    CAS  Google Scholar 

  • Kay, R. M., and Truswell, A. S., 1977, Effect of citrus pectin on blood lipids and fecal steroid excretion in men, Am. J. Clin. Nutr 30: 171–175.

    CAS  Google Scholar 

  • Kritchevsky, D., and Story, J. A., 1974, Binding of bile salts in vitro by nonnutritive fiber, J. Nutr 104: 458.

    CAS  Google Scholar 

  • Leeds, A. R., Ralphs, D. N. L., Ebied, F., Metz, G., and Dilawari, J. B., 1981, Pectin in the dumping syndrome: Reduction of symptoms and plasma volume changes, Lancet 1: 1075–1078.

    Article  CAS  Google Scholar 

  • Miettinen, T. A., and Tarpila, S., 1977, Effect of pectin on serum cholesterol, fecal bile acids and biliary lipids in normolipidemic and hyperlipidemic individuals, Clin. Chim. Acta 79: 471–477.

    Article  CAS  Google Scholar 

  • National Academy of Sciences, Committee on Diet, Nutrition and Cancer, 1982, Diet, Nutrition and Cancer, National Research Council, Washington.

    Google Scholar 

  • O’Dea, K., Snow, P., and Nestel, P., 1981, Rate of starch hydrolysis in vitro as a predictor of metabolic responses to complex carbohydrate in vivo, Am. J. Clin. Nutr 34: 1991–1993.

    Google Scholar 

  • Rampton, D. S., Cohen, S. L., Crammond V. de B., Gibbons, J., Lilburn, M. F., Rabet, J. Y., Vince, A. J., Wager, J. D., and Wrong, O. M., 1984, Treatment of chronic renal failure with dietary fiber, Clin. Nephrol 21: 159–163.

    CAS  Google Scholar 

  • Ray, T. K., Mansell, K. M., Knight, L. C., Malmud, L. S., Owen, O. E., and Boden, G., 1983, Long-term effects of dietary fiber on glucose tolerance and gastric emptying in noninsulin-dependent diabetic patients, Am. J. Clin. Nutr 37: 376–381.

    CAS  Google Scholar 

  • Rodwell, V. W., Nordstrom, J. L., and Mitschelen, J. J., 1976, Regulation of HMG-CoA reductase, Adv. Lipid Res 14: 1–76.

    CAS  Google Scholar 

  • Schwartz, S. E., Levine, R. A., Singh, A., Scheidecker, J. R., and Track, N. S., 1982, Sustained pectin ingestion delays gastric emptying, Gastroenterology 83: 12–17.

    Google Scholar 

  • Thacker, P. A., Salomons, M. O., Aherne, F. X., Milligan, L. P., and Bowland, J. P., 1981, Influence of propionic acid on cholesterol metabolism of pigs fed hypercholesterolemic diets, Can. J. Anim. Sci 61: 969–975.

    Article  CAS  Google Scholar 

  • Thompson, L. U., Yoon, J. H., Jenkins, D. J. A., Wolever, T. M. S., and Jenkins, A. L., 1984, Relationship between polyphenol intake and blood glucose response of normal and diabetic individuals, Am. J. Clin. Nutr 39: 745–751.

    CAS  Google Scholar 

  • Thorburn, A. W., Brand, J. C., and Truswell, A. S., 1987, Slowly digested and absorbed carbohydrate in traditional bushfoods: A protective factor against diabetes? Am. J. Clin. Nutr 45: 98–106.

    CAS  Google Scholar 

  • Torsdottir, I., Alpsten, M., Andersson, D., Brummer, R. J. M., and Andersson, H., 1984, Effect of different starchy foods in composite meals on gastric emptying rate and glucose metabolism. I. Comparison between potatoes, rice and white beans, Hum. Nutr. Clin. Nutr 38C: 329–338.

    Google Scholar 

  • Truswell, A. S., and Brand, J. C., 1988, Low glycemic index diet in type II diabetes, Proc. Nutr. Soc. Abstr 13: 150 A.

    Google Scholar 

  • Vahouny, G. V., Tombes, R., Cassidy, M. M., Kritchevsky, D., and Gallo, L. L., 1980, Dietary fibers. V. Binding of bile salts, phospholipids and cholesterol from mixed micelles by bile sequestrants and dietary fibers, Lipids 15: 1012.

    Article  CAS  Google Scholar 

  • Walker, A. R. P., and Walker, B. R., 1984, Glycaemic index of South African foods determined in rural blacks-a population at low risk to diabetes, Hum. Nutr. Clin. Nutr 36C: 215–222.

    Google Scholar 

  • Wolever, T. M. S., and Jenkins, D. J. A., 1986, The use of the glycemic index in predicting the blood glucose response to mixed meals, Am. J. Clin. Nutr 43: 167–172.

    CAS  Google Scholar 

  • Wolever, T. M. S., Jenkins, D. J. A., Kalmusky, J., Jenkins, A. L., Giordano, C., Giudici, S., Josse, R. G., and Wong, G. S., 1986, Comparison of regular and parboiled rices: Explanation of discrepancies between reported glycemic responses to rice, Nutr. Res 6: 349–357.

    Article  Google Scholar 

  • Yoon, J. H., Thompson, L. U., and Jenkins, D. J. A., 1983, The effect of phytic acid on in vitro rate of starch digestibility and blood glucose response, Am. J. Clin. Nutr 38: 835–842.

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1990 Plenum Press, New York

About this chapter

Cite this chapter

Jenkins, D.J.A. et al. (1990). Lente Carbohydrate or Slowly Absorbed Starch. In: Kritchevsky, D., Bonfield, C., Anderson, J.W. (eds) Dietary Fiber. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-0519-4_18

Download citation

  • DOI: https://doi.org/10.1007/978-1-4613-0519-4_18

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-7846-7

  • Online ISBN: 978-1-4613-0519-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics