title: A low glycemic index diet does not affect postprandial energy metabolism but decreases postprandial insulinemia and increases fullness ratings in healthy women.
abstract: At present, it is difficult to determine whether glycemic index (GI) is an important tool in the prevention of lifestyle diseases, and long-term studies investigating GI with diets matched in macronutrient composition, fiber content, energy content, and energy density are still scarce. We investigated the effects of 2 high-carbohydrate (55%) diets with low GI (LGI; 79) or high GI (HGI; 103) on postprandial blood profile, subjective appetite sensations, energy expenditure (EE), substrate oxidation rates, and ad libitum energy intake (EI) from a corresponding test meal (LGI or HGI) after consuming the diets ad libitum for 10 wk. Two groups of a total of 29 healthy, overweight women (age: 30.5 ± 6.6 y; BMI: 27.6 ± 1.5 kg/m(2)) participated in the 10-wk intervention and a subsequent 4-h meal test. The breakfast test meals differed in GI but were equal in total energy, macronutrient composition, fiber content, and energy density. The LGI meal resulted in lower plasma glucose, serum insulin, and plasma glucagon-like peptide (GLP)-1 and higher plasma glucose-dependent insulinotropic polypeptide concentrations than the HGI meal (P ≤ 0.05). Ratings of fullness were slightly higher and the desire to eat something fatty was lower after the test meal in the LGI group (P < 0.05). Postprandial plasma GLP-2, plasma glucagon, serum leptin, plasma ghrelin, EE, substrate oxidation rates, and ad libitum EI at lunch did not differ between groups. In conclusion, postprandial glycemia, insulinemia, and subjective appetite ratings after a test meal were better after 10-wk ad libitum intake of a LGI compared to a HGI diet. EE and substrate oxidation rates were, however, not affected. These findings give some support to recommendations to consume a LGI diet.
authors.affiliation: Department of Human Nutrition, University of Copenhagen, Frederiksberg, Denmark.
authors.forename: Inger
authors.initials: I
authors.lastname: Krog-Mikkelsen
authors.forename: Birgitte
authors.initials: B
authors.lastname: Sloth
authors.forename: Dimiter
authors.initials: D
authors.lastname: Dimitrov
authors.forename: Inge
authors.initials: I
authors.lastname: Tetens
authors.forename: Inger
authors.initials: I
authors.lastname: Björck
authors.forename: Anne
authors.initials: A
authors.lastname: Flint
authors.forename: Jens J
authors.initials: JJ
authors.lastname: Holst
authors.forename: Arne
authors.initials: A
authors.lastname: Astrup
authors.forename: Helena
authors.initials: H
authors.lastname: Elmståhl
authors.forename: Anne
authors.initials: A
authors.lastname: Raben
mesh_terms: D000328:Adult; D001786:Blood Glucose; D004032:Diet; D004734:Energy Metabolism / Q000502:physiology*; D005260:Female; D005502:Food; D038321:Glycemic Index / Q000502:physiology*; D006801:Humans; D007328:Insulin / Q000097:blood*; D050177:Overweight; D019518:Postprandial Period / Q000502:physiology*; D012528:Satiety Response / Q000502:physiology*; D055815:Young Adult
chemical_list: D001786:Blood Glucose; D007328:Insulin