Improvement Effect of Resistant Maltodextrin in Humans with Metabolic Syndrome by Continuous Administration
Resistant maltodextrin (RMD) is a soluble dietary fiber ingredient whose physiological functions are well recognized in Foods for Specified Health Use (FOSHU) for maintaining healthy intestinal regularity, blood glucose levels, and serum lipids. However, its efficacy on combined health risks—metabol...
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Published in | Journal of Nutritional Science and Vitaminology Vol. 58; no. 6; pp. 423 - 430 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
Tokyo
Center for Academic Publications Japan
2012
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Subjects | |
Online Access | Get full text |
ISSN | 0301-4800 1881-7742 1881-7742 |
DOI | 10.3177/jnsv.58.423 |
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Abstract | Resistant maltodextrin (RMD) is a soluble dietary fiber ingredient whose physiological functions are well recognized in Foods for Specified Health Use (FOSHU) for maintaining healthy intestinal regularity, blood glucose levels, and serum lipids. However, its efficacy on combined health risks—metabolic syndrome—was not studied yet. In this study the efficacy of RMD on humans with metabolic syndrome was investigated. A randomized double-blind placebo-controlled parallel-group trial was conducted. Thirty subjects with metabolic syndrome were randomly allocated into 2 groups and took either tea containing 9 g of RMD (treatment group) or placebo tea at three mealtimes daily for 12 wk. Blood was collected and body fat was scanned periodically. In the RMD treatment group, waist circumference, visceral fat area, fasting blood glucose, HOMA-R and serum triacylglycerol (TG) were significantly decreased compared to baseline, and significant time-by-treatment interaction was observed for waist circumference, visceral fat area, HOMA-R and serum TG (p=0.044, p=0.012, p=0.032, and p=0.049, respectively). The change ratio of visceral fat area showed negative statistical correlation with the baseline value (p=0.033), suggesting that efficacy of RMD was emphasized in the subjects having a larger visceral fat area. After the 12-wk RMD treatment, the total number of metabolic syndrome risk factors decreased to 20 from 32 with 2 subjects having no risks, while that of the placebo group decreased to 25 from 32. These findings suggest that continuous ingestion of RMD may improve the risk factors of metabolic syndrome by reducing visceral fat and improving glucose and lipid metabolism. |
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AbstractList | Resistant maltodextrin (RMD) is a soluble dietary fiber ingredient whose physiological functions are well recognized in Foods for Specified Health Use (FOSHU) for maintaining healthy intestinal regularity, blood glucose levels, and serum lipids. However, its efficacy on combined health risks--metabolic syndrome--was not studied yet. In this study the efficacy of RMD on humans with metabolic syndrome was investigated. A randomized double-blind placebo-controlled parallel-group trial was conducted. Thirty subjects with metabolic syndrome were randomly allocated into 2 groups and took either tea containing 9 g of RMD (treatment group) or placebo tea at three mealtimes daily for 12 wk. Blood was collected and body fat was scanned periodically. In the RMD treatment group, waist circumference, visceral fat area, fasting blood glucose, HOMA-R and serum triacylglycerol (TG) were significantly decreased compared to baseline, and significant time-by-treatment interaction was observed for waist circumference, visceral fat area, HOMA-R and serum TG (p=0.044, p=0.012, p=0.032, and p=0.049, respectively). The change ratio of visceral fat area showed negative statistical correlation with the baseline value (p=0.033), suggesting that efficacy of RMD was emphasized in the subjects having a larger visceral fat area. After the 12-wk RMD treatment, the total number of metabolic syndrome risk factors decreased to 20 from 32 with 2 subjects having no risks, while that of the placebo group decreased to 25 from 32. These findings suggest that continuous ingestion of RMD may improve the risk factors of metabolic syndrome by reducing visceral fat and improving glucose and lipid metabolism. |
Author | HASHIZUME, Chieko KANAHORI, Sumiko OKUMA, Kazuhiro YAMAMOTO, Takushi YAMAMOTO, Kunio KISHIMOTO, Yuka |
Author_xml | – sequence: 1 fullname: YAMAMOTO, Takushi organization: Department of Nutrition, Koshien University – sequence: 1 fullname: HASHIZUME, Chieko organization: Matsutani Chemical Industry Co., Ltd – sequence: 1 fullname: KISHIMOTO, Yuka organization: Matsutani Chemical Industry Co., Ltd – sequence: 1 fullname: KANAHORI, Sumiko organization: Matsutani Chemical Industry Co., Ltd – sequence: 1 fullname: OKUMA, Kazuhiro organization: Matsutani Chemical Industry Co., Ltd – sequence: 1 fullname: YAMAMOTO, Kunio organization: Department of Nutrition, Koshien University |
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Keywords | Endocrinopathy Visceral fat Human resistant maltodextrin Metabolic diseases Cardiovascular disease Lipids Glucose Metabolism Metabolic syndrome soluble dietary fiber Maltodextrin glucose and lipid metabolism Dietary fiber |
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Hypoadiponectinemia is associated with visceral fat accumulation and insulin resistance in Japanese men with type 2 diabetes mellitus. Metabolism 52: 1274-1278. 3) Kaplan NM. 1989. The deadly quartet. Upper-body obesity, glucose intolerance, hypertriglyceridemia, and hypertension. Arch Intern Med 149: 1514-1520. 14) Foster GD, Wyatt HR, Hill JO, McGuckin BG, Brill C, Mohammed BS, Szapary PO, Rader DJ, Edman JS, Klein S. 2003. A randomized trial of a low-carbohydrate diet for obesity. N Engl J Med 348: 2082-2090. 10) Ross R, Dagnone D, Jones PJ, Smith H, Paddags A, Hudson R, Janssen I. 2000. Reduction in obesity and related comorbid conditions after diet-induced weight loss or exercise-induced weight loss in men. A randomized, controlled trial. Ann Intern Med 133: 92-103. 33) Suzuki M, Wakabayashi H, Yoshida A, Deuchi K, Shioya N, Itakura H. 2010. Effect of carbonated beverage containing indigestible dextrin on postprandial serum triglyceride. 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Outline of the National Health and Nutrition Survey in Japan. Life-Style Related Diseases Control General Affairs Division, Health Service Bureau, Ministry of Health, Labour and Welfare. [Online]. Available: http://www.mhlw.go.jp/houdou/2009/11/dl/h1109-1b.pdf [accessed June 14, 2012] (in Japanese). 28) Tokunaga K, Matsuzawa Y, Ishikawa K, Tarui S. 1983. A novel technique for the determination of body fat by computed tomography. Int J Obes 7: 437-445. 15) Brown L, Rosner B, Willett WW, Sacks FM. 1999. Cholesterol-lowering effects of dietary fiber: a meta-analysis. Am J Clin Nutr 69: 30-42. 24) Kajimoto O, Hirata H, Takahashi T, Henmi M, Morimoto F, Ohki K. 2000. Beneficial effects of a new indigestible dextrin-containing beverage on lipid metabolism and obesity-related parameters. J Nutr Food 3(3): 47-58 (in Japanese). 13) Westerterp-Plantenga MS, Kempen KP, Saris WH. 1998. Determinants of weight maintenance in women after diet-induced weight reduction. Int J Obes Relat Metab Disord 22: 1-6. 6) Alberti KG, Zimmet PZ. 1998. Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus provisional report of a WHO consultation. Diabet Med 15: 539-553. 32) Cnop M, Landchild MJ, Vidal J, Havel PJ, Knowles NG, Carr DR, Wang F, Hull RL, Boyko EJ, Retzlaff BM, Walden CE, Knopp RH, Kahn SE. 2002. The concurrent accumulation of intra-abdominal and subcutaneous fat explains the association between insulin resistance and plasma leptin concentrations: distinct metabolic effects of two fat compartments. Diabetes 51: 1005-1015. 11) Ross R, Janssen I, Dawson J, Kungl AM, Kuk JL, Wong SL, Nguyen-Duy TB, Lee S, Kilpatrick K, Hudson R. 2004. Exercise-induced reduction in obesity and insulin resistance in women: a randomized controlled trial. Obes Res 12: 789-798. 23) Kishimoto Y, Oga H, Tagami H, Okuma K, Gordon DT. 2007. 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Interventions to lower the glycemic response to carbohydrate foods with a low-viscosity fiber (resistant maltodextrin): meta-analysis of randomized controlled trials. Am J Clin Nutr 89: 114-125. 7) The Examination Committee of Criteria for Metabolic Syndrome. 2005. The definition and diagnostic criteria of metabolic syndrome. J Jpn Soc Intern Med 94: 794-809 (in Japanese). 12) Kramer FM, Jeffery RW, Forster JL, Snell MK. 1989. Long-term follow-up of behavioral treatment for obesity: patterns of weight regain among men and women. Int J Obes 13: 123-136. 16) Wu H, Dwyer KM, Fan Z, Shircore A, Fan J, Dwyer JH. 2003. Dietary fiber and progression of atherosclerosis: the Los Angeles Atherosclerosis Study. Am J Clin Nutr 78: 1085-1091. 26) Kishimoto Y, Wakabayashi S, Tokunaga K. 2000. Effects of long-term administration of indigestible dextrin on visceral fat accumulation. J Jpn Assoc Dietary Fiber Res 4: 59-65 (in Japanese). 18) Chandalia M, Garg A, Lutjohann D, von Bergmann K, Grundy SM, Brinkley LJ. 2000. Beneficial effects of high dietary fiber intake in patients with type 2 diabetes mellitus. N Engl J Med 342: 1392-1398. 20) Fastinger ND, Karr-Lilienthal LK, Spears JK, Swanson KS, Zinn KE, Nava GM, Ohkuma K, Kanahori S, Gordon DT, Fahey GC Jr. 2008. A novel resistant maltodextrin alters gastrointestinal tolerance factors, fecal characteristics, and fecal microbiota in healthy adult humans. J Am Coll Nutr 27: 356-366. 5) National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). 2002. Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report. 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References_xml | – reference: 25) Tokunaga K, Matsuoka A. 1999. Effect of indigestible dextrin contained food, food for specified health use, on glucose and lipid metabolism. J Jpn Diabetes Soc 42: 61-65 (in Japanese). – reference: 33) Suzuki M, Wakabayashi H, Yoshida A, Deuchi K, Shioya N, Itakura H. 2010. Effect of carbonated beverage containing indigestible dextrin on postprandial serum triglyceride. Jpn Pharmacol Ther 38: 637-643 (in Japanese). – reference: 15) Brown L, Rosner B, Willett WW, Sacks FM. 1999. Cholesterol-lowering effects of dietary fiber: a meta-analysis. Am J Clin Nutr 69: 30-42. – reference: 21) Livesey G, Tagami H. 2009. Interventions to lower the glycemic response to carbohydrate foods with a low-viscosity fiber (resistant maltodextrin): meta-analysis of randomized controlled trials. Am J Clin Nutr 89: 114-125. – reference: 28) Tokunaga K, Matsuzawa Y, Ishikawa K, Tarui S. 1983. A novel technique for the determination of body fat by computed tomography. Int J Obes 7: 437-445. – reference: 19) Fernandez ML. 2001. Soluble fiber and nondigestible carbohydrate effects on plasma lipids and cardiovascular risk. Curr Opin Lipidol 12: 35-40. – reference: 26) Kishimoto Y, Wakabayashi S, Tokunaga K. 2000. Effects of long-term administration of indigestible dextrin on visceral fat accumulation. J Jpn Assoc Dietary Fiber Res 4: 59-65 (in Japanese). – reference: 22) Miyazato S, Nakagawa C, Kishimoto Y, Tagami H, Hara H. 2010. Promotive effects of resistant maltodextrin on apparent absorption of calcium, magnesium, iron and zinc in rats. Eur J Nutr 49: 165-171. – reference: 1) Alberti KG, Zimmet P, Shaw J, IDF Epidemiology Task Force Consensus Group. 2005. The metabolic syndrome—a new worldwide definition. Lancet 366: 1059-1062. – reference: 20) Fastinger ND, Karr-Lilienthal LK, Spears JK, Swanson KS, Zinn KE, Nava GM, Ohkuma K, Kanahori S, Gordon DT, Fahey GC Jr. 2008. A novel resistant maltodextrin alters gastrointestinal tolerance factors, fecal characteristics, and fecal microbiota in healthy adult humans. J Am Coll Nutr 27: 356-366. – reference: 4) Fujioka S, Matsuzawa Y, Tokunaga K, Tarui S. 1987. Contribution of intra-abdominal fat accumulation to the impairment of glucose and lipid metabolism in human obesity. Metabolism 36: 54-59. – reference: 18) Chandalia M, Garg A, Lutjohann D, von Bergmann K, Grundy SM, Brinkley LJ. 2000. Beneficial effects of high dietary fiber intake in patients with type 2 diabetes mellitus. N Engl J Med 342: 1392-1398. – reference: 17) Pereira MA, O'Reilly E, Augustsson K, Fraser GE, Goldbourt U, Heitmann BL, Hallmans G, Knekt P, Liu S, Pietinen P, Spiegelman D, Stevens J, Virtamo J, Willett WC, Ascherio A. 2004. Dietary fiber and risk of coronary heart disease: a pooled analysis of cohort studies. Arch Intern Med 164: 370-376. – reference: 31) Yatagai T, Nagasaka S, Taniguchi A, Fukushima M, Nakamura T, Kuroe A, Nakai Y, Ishibashi S. 2003. Hypoadiponectinemia is associated with visceral fat accumulation and insulin resistance in Japanese men with type 2 diabetes mellitus. Metabolism 52: 1274-1278. – reference: 7) The Examination Committee of Criteria for Metabolic Syndrome. 2005. The definition and diagnostic criteria of metabolic syndrome. J Jpn Soc Intern Med 94: 794-809 (in Japanese). – reference: 10) Ross R, Dagnone D, Jones PJ, Smith H, Paddags A, Hudson R, Janssen I. 2000. Reduction in obesity and related comorbid conditions after diet-induced weight loss or exercise-induced weight loss in men. A randomized, controlled trial. Ann Intern Med 133: 92-103. – reference: 8) Ministry of Health, Labour and Welfare, Japan. 2008. Outline of the National Health and Nutrition Survey in Japan. Life-Style Related Diseases Control General Affairs Division, Health Service Bureau, Ministry of Health, Labour and Welfare. [Online]. Available: http://www.mhlw.go.jp/houdou/2009/11/dl/h1109-1b.pdf [accessed June 14, 2012] (in Japanese). – reference: 5) National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). 2002. Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report. Circulation 106: 3143-3421. – reference: 16) Wu H, Dwyer KM, Fan Z, Shircore A, Fan J, Dwyer JH. 2003. Dietary fiber and progression of atherosclerosis: the Los Angeles Atherosclerosis Study. Am J Clin Nutr 78: 1085-1091. – reference: 29) Cnop M, Havel PJ, Utzschneider KM, Carr DB, Shinha MK, Boyko EJ, Retzlaff BM, Knopp RH, Brunzell JD, Kahn SE. 2003. Relationship of adiponectin to body fat distribution, insulin sensitivity and plasma lipoproteins: evidence for independent roles of age and sex. Diabetologia 46: 459-469. – reference: 24) Kajimoto O, Hirata H, Takahashi T, Henmi M, Morimoto F, Ohki K. 2000. Beneficial effects of a new indigestible dextrin-containing beverage on lipid metabolism and obesity-related parameters. J Nutr Food 3(3): 47-58 (in Japanese). – reference: 30) Staiger H, Tschritter O, Machann J, Thamer C, Fritsche A, Maerker E, Schick F, Häring HU, Stumvoll M. 2003. Relationship of serum adiponectin and leptin concentrations with body fat distribution in humans. Obes Res 11: 368-372. – reference: 13) Westerterp-Plantenga MS, Kempen KP, Saris WH. 1998. Determinants of weight maintenance in women after diet-induced weight reduction. Int J Obes Relat Metab Disord 22: 1-6. – reference: 12) Kramer FM, Jeffery RW, Forster JL, Snell MK. 1989. Long-term follow-up of behavioral treatment for obesity: patterns of weight regain among men and women. Int J Obes 13: 123-136. – reference: 14) Foster GD, Wyatt HR, Hill JO, McGuckin BG, Brill C, Mohammed BS, Szapary PO, Rader DJ, Edman JS, Klein S. 2003. A randomized trial of a low-carbohydrate diet for obesity. N Engl J Med 348: 2082-2090. – reference: 23) Kishimoto Y, Oga H, Tagami H, Okuma K, Gordon DT. 2007. Suppressive effect of resistant maltodextrin on postprandial blood triacylglycerol elevation. Eur J Nutr 46: 133-138. – reference: 3) Kaplan NM. 1989. The deadly quartet. Upper-body obesity, glucose intolerance, hypertriglyceridemia, and hypertension. Arch Intern Med 149: 1514-1520. – reference: 6) Alberti KG, Zimmet PZ. 1998. Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus provisional report of a WHO consultation. 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SubjectTerms | Aged Asian Continental Ancestry Group Biological and medical sciences Blood Glucose - analysis Blood Glucose - drug effects Body Composition - drug effects Cholesterol - blood Double-Blind Method Feeding. Feeding behavior Female Fundamental and applied biological sciences. Psychology glucose and lipid metabolism Humans Image Processing, Computer-Assisted Insulin - blood Intra-Abdominal Fat - drug effects Intra-Abdominal Fat - metabolism Leptin - blood Male Medical sciences Metabolic diseases metabolic syndrome Metabolic Syndrome - drug therapy Middle Aged Miscellaneous Obesity - drug therapy Other metabolic disorders Polysaccharides - administration & dosage resistant maltodextrin Risk Factors soluble dietary fiber Triglycerides - blood Vertebrates: anatomy and physiology, studies on body, several organs or systems visceral fat |
Title | Improvement Effect of Resistant Maltodextrin in Humans with Metabolic Syndrome by Continuous Administration |
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