Inulin increases short-term markers for colonic fermentation similarly in healthy and hyperinsulinaemic humans

Background/Objectives: Colonic fermentation of dietary fibre produces short-chain fatty acids (SCFAs), acetate, propionate and butyrate, which may protect against type 2 diabetes by reducing serum free-fatty acids (FFAs). Since hyperinsulinaemia is associated with insulin resistance and increased di...

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Veröffentlicht in:European journal of clinical nutrition 2011-12, Vol.65 (12), p.1279-1286
Hauptverfasser: Fernandes, J, Vogt, J, Wolever, T M S
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container_title European journal of clinical nutrition
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creator Fernandes, J
Vogt, J
Wolever, T M S
description Background/Objectives: Colonic fermentation of dietary fibre produces short-chain fatty acids (SCFAs), acetate, propionate and butyrate, which may protect against type 2 diabetes by reducing serum free-fatty acids (FFAs). Since hyperinsulinaemia is associated with insulin resistance and increased diabetes risk, the main objective was to compare markers of colonic fermentation after acute inulin ingestion in subjects with normal (
doi_str_mv 10.1038/ejcn.2011.116
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Since hyperinsulinaemia is associated with insulin resistance and increased diabetes risk, the main objective was to compare markers of colonic fermentation after acute inulin ingestion in subjects with normal (&lt;40 pmol/l, NI) and high (⩾40 pmol/l, HI) plasma insulin. Subjects/Methods: Overnight fasted NI ( n =9) and HI ( n =9) subjects were studied for 4 h on two separate days after consuming 300 ml drinks containing 75 g glucose (Glucose) or 75 g glucose plus 24 g inulin (Inulin) using a randomized, single-blind, crossover design. Results: Inulin elicited a higher breath hydrogen and methane areas under the curve (AUC), but the increases in SCFA responses were not statistically significant. Mean serum-acetate concentration over the 4-h study period was higher in NI than in HI subjects (44.3±6.9 vs 22.5±3.7 μmol/l, P =0.001). The rate of rebound of FFA was reduced by Inulin, with FFA at 4 h being less after Inulin than Glucose, regardless of insulin status (0.310±0.028 vs 0.432±0.042 mEq/l, P =0.008). Conclusions: This suggests that inulin increases short-term markers for colonic fermentation, but a longer study period may be necessary to observe differences in SCFA production. The reason for the lower serum acetate in HI is unclear but may be due to reduced absorption, increased clearance or decreased endogenous production. This suggests the need to compare acetate kinetics in normal and hyperinsulinaemic subjects.</description><identifier>ISSN: 0954-3007</identifier><identifier>EISSN: 1476-5640</identifier><identifier>DOI: 10.1038/ejcn.2011.116</identifier><identifier>PMID: 21712835</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>631/443/319 ; 692/699/2743/137/773 ; 692/699/2743/393 ; Absorption ; Acetates - blood ; Acetic acid ; Adult ; Area Under Curve ; Biological and medical sciences ; Biomarkers - metabolism ; Breath Tests ; Clinical Nutrition ; Colon ; Colon - drug effects ; Colon - metabolism ; Cross-Over Studies ; Development and progression ; Diabetes ; Diabetes mellitus ; Diabetes mellitus (non-insulin dependent) ; Dietary Carbohydrates - pharmacology ; Dietary fiber ; Dietary Fiber - metabolism ; Diets ; Epidemiology ; Fatty acids ; Fatty Acids, Volatile - metabolism ; Feeding. 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Psychology ; Glucose ; Glucose - metabolism ; Health aspects ; Health risks ; Humans ; Hydrogen - metabolism ; Hyperinsulinism - metabolism ; Ingestion ; Insulin ; Insulin resistance ; Internal Medicine ; Inulin ; Inulin - pharmacology ; Kinetics ; Male ; Markers ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Metabolic Diseases ; Methane ; Methane - metabolism ; Nutrition research ; original-article ; Physiological aspects ; Propionic acid ; Public Health ; Single-Blind Method ; Statistical analysis ; Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><ispartof>European journal of clinical nutrition, 2011-12, Vol.65 (12), p.1279-1286</ispartof><rights>Macmillan Publishers Limited 2011</rights><rights>2015 INIST-CNRS</rights><rights>COPYRIGHT 2011 Nature Publishing Group</rights><rights>Macmillan Publishers Limited 2011.</rights><rights>Copyright Nature Publishing Group Dec 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c624t-3211e0057e6e37ab9d295e9d1f2cc8ab94d8a7dd280f5b08fbdc7e00b5bd8473</citedby><cites>FETCH-LOGICAL-c624t-3211e0057e6e37ab9d295e9d1f2cc8ab94d8a7dd280f5b08fbdc7e00b5bd8473</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/ejcn.2011.116$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/ejcn.2011.116$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=25254570$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21712835$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fernandes, J</creatorcontrib><creatorcontrib>Vogt, J</creatorcontrib><creatorcontrib>Wolever, T M S</creatorcontrib><title>Inulin increases short-term markers for colonic fermentation similarly in healthy and hyperinsulinaemic humans</title><title>European journal of clinical nutrition</title><addtitle>Eur J Clin Nutr</addtitle><addtitle>Eur J Clin Nutr</addtitle><description>Background/Objectives: Colonic fermentation of dietary fibre produces short-chain fatty acids (SCFAs), acetate, propionate and butyrate, which may protect against type 2 diabetes by reducing serum free-fatty acids (FFAs). Since hyperinsulinaemia is associated with insulin resistance and increased diabetes risk, the main objective was to compare markers of colonic fermentation after acute inulin ingestion in subjects with normal (&lt;40 pmol/l, NI) and high (⩾40 pmol/l, HI) plasma insulin. Subjects/Methods: Overnight fasted NI ( n =9) and HI ( n =9) subjects were studied for 4 h on two separate days after consuming 300 ml drinks containing 75 g glucose (Glucose) or 75 g glucose plus 24 g inulin (Inulin) using a randomized, single-blind, crossover design. Results: Inulin elicited a higher breath hydrogen and methane areas under the curve (AUC), but the increases in SCFA responses were not statistically significant. Mean serum-acetate concentration over the 4-h study period was higher in NI than in HI subjects (44.3±6.9 vs 22.5±3.7 μmol/l, P =0.001). 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The rate of rebound of FFA was reduced by Inulin, with FFA at 4 h being less after Inulin than Glucose, regardless of insulin status (0.310±0.028 vs 0.432±0.042 mEq/l, P =0.008). Conclusions: This suggests that inulin increases short-term markers for colonic fermentation, but a longer study period may be necessary to observe differences in SCFA production. The reason for the lower serum acetate in HI is unclear but may be due to reduced absorption, increased clearance or decreased endogenous production. This suggests the need to compare acetate kinetics in normal and hyperinsulinaemic subjects.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>21712835</pmid><doi>10.1038/ejcn.2011.116</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects 631/443/319
692/699/2743/137/773
692/699/2743/393
Absorption
Acetates - blood
Acetic acid
Adult
Area Under Curve
Biological and medical sciences
Biomarkers - metabolism
Breath Tests
Clinical Nutrition
Colon
Colon - drug effects
Colon - metabolism
Cross-Over Studies
Development and progression
Diabetes
Diabetes mellitus
Diabetes mellitus (non-insulin dependent)
Dietary Carbohydrates - pharmacology
Dietary fiber
Dietary Fiber - metabolism
Diets
Epidemiology
Fatty acids
Fatty Acids, Volatile - metabolism
Feeding. Feeding behavior
Female
Fermentation
Fundamental and applied biological sciences. Psychology
Glucose
Glucose - metabolism
Health aspects
Health risks
Humans
Hydrogen - metabolism
Hyperinsulinism - metabolism
Ingestion
Insulin
Insulin resistance
Internal Medicine
Inulin
Inulin - pharmacology
Kinetics
Male
Markers
Medical sciences
Medicine
Medicine & Public Health
Metabolic Diseases
Methane
Methane - metabolism
Nutrition research
original-article
Physiological aspects
Propionic acid
Public Health
Single-Blind Method
Statistical analysis
Vertebrates: anatomy and physiology, studies on body, several organs or systems
title Inulin increases short-term markers for colonic fermentation similarly in healthy and hyperinsulinaemic humans
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