Determination of the glycaemic index of foods: interlaboratory study.
OBJECTIVE
Practical use of the glycaemic index (GI), as recommended by the FAO/WHO, requires an evaluation of the recommended method. Our purpose was to determine the magnitude and sources of variation of the GI values obtained by experienced investigators in different international centres.


METHODS
GI values of four centrally provided foods (instant potato, rice, spaghetti and barley) and locally obtained white bread were determined in 8-12 subjects in each of seven centres using the method recommended by FAO/WHO. Data analysis was performed centrally.


METHODS
University departments of nutrition.


METHODS
Healthy subjects (28 male, 40 female) were studied.


RESULTS
The GI values of the five foods did not vary significantly in different centres nor was there a significant centrexfood interaction. Within-subject variation from two centres using venous blood was twice that from five centres using capillary blood. The s.d. of centre mean GI values was reduced from 10.6 (range 6.8-12.8) to 9.0 (range 4.8-12.6) by excluding venous blood data. GI values were not significantly related to differences in method of glucose measurement or subject characteristics (age, sex, BMI, ethnicity or absolute glycaemic response). GI values for locally obtained bread were no more variable than those for centrally provided foods.


CONCLUSIONS
The GI values of foods are more precisely determined using capillary than venous blood sampling, with mean between-laboratory s.d. of approximately 9.0. Finding ways to reduce within-subject variation of glycaemic responses may be the most effective strategy to improve the precision of measurement of GI values.
Wolever
T M S
TM
Department of Nutritional Sciences, University of Toronto, Toronto, Ontario, Canada. thomas.wolever@utoronto.ca
Vorster
H H
HH
Björck
I
I
Brand-Miller
J
J
Brighenti
F
F
Mann
J I
JI
Ramdath
D D
DD
Granfeldt
Y
Y
Holt
S
S
Perry
T L
TL
Venter
C
C
Xiaomei Wu
D000328:Adult; D019540:Area Under Curve; D001786:Blood Glucose / Q000032:analysis*; D001800:Blood Specimen Collection / Q000379:methods*; D002196:Capillaries; D004040:Dietary Carbohydrates / Q000378:metabolism*; D005260:Female; D005502:Food / Q000145:classification*; D005951:Glucose Tolerance Test; D038321:Glycemic Index; D006801:Humans; D008297:Male; D008875:Middle Aged; D014680:Veins
D001786:Blood Glucose; D004040:Dietary Carbohydrates