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 inJournal of Nutritional Science and Vitaminology Vol. 58; no. 6; pp. 423 - 430
Main Authors YAMAMOTO, Takushi, HASHIZUME, Chieko, KISHIMOTO, Yuka, KANAHORI, Sumiko, OKUMA, Kazuhiro, YAMAMOTO, Kunio
Format Journal Article
LanguageEnglish
Published Tokyo Center for Academic Publications Japan 2012
Subjects
Online AccessGet full text
ISSN0301-4800
1881-7742
1881-7742
DOI10.3177/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.
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
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  fullname: YAMAMOTO, Takushi
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  fullname: HASHIZUME, Chieko
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  fullname: KISHIMOTO, Yuka
  organization: Matsutani Chemical Industry Co., Ltd
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  fullname: KANAHORI, Sumiko
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  fullname: OKUMA, Kazuhiro
  organization: Matsutani Chemical Industry Co., Ltd
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  fullname: YAMAMOTO, Kunio
  organization: Department of Nutrition, Koshien University
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Issue 6
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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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).
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Snippet Resistant maltodextrin (RMD) is a soluble dietary fiber ingredient whose physiological functions are well recognized in Foods for Specified Health Use (FOSHU)...
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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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https://www.ncbi.nlm.nih.gov/pubmed/23419401
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