Effect of soluble fiber on hypertriglyceridemia and immune profile in HIV-positive individuals undergoing highly active antiretroviral therapy

The advent of highly active antiretroviral therapy (HAART), since 1996, represented a profound impact on the natural history of HIV-infection by promoting important and sustainable viral replication suppression and increasing survival and quality of life among seropositive patients. Nonetheless, antiretroviral therapy has been observed to be accompanied by metabolic alterations such as dyslipidemia, especially hypertriglyceridemia, insulin resistance, hyperglycemia and lipodystrophy (body fat redistribution). Epidemiological studies have demonstrated a correlation between high triglyceride (TG) levels and higher incidence of coronary artery disease (CAD). Some investigators suggest dietary intervention as part of hyperlipidemia treatment, including an increase in soluble fiber intake (10-25g/day). Whereas some studies have demonstrated that both cholesterol and serum triglyceride levels decrease with the use of food fiber, others have shown just a serum triglyceride decrease, and others failed to observe any alteration in lipid metabolism. The purpose of this study was to assess the effect of soluble fiber (R) (partially hydrolyzed guar gum) supplementation on hypertriglyceridemia and immune profile in HIVpositive individuals on HAART. Nineteen HIV-positive individuals with hypertriglyceridemia (serum levels >= 150 to < 500mg/dl) were studied. of these individuals, 63.16% were males and 36.84% females, with mean age of 43.52 +/- 9.22 years. These individuals had been on the same HAART regimen for at least six months, had no change in therapy during the study and received 20g/day of soluble fiber for four months at pre-established times. Clinical-nutritional, biochemical (total proteins, albumin, globulin, total cholesterol, LDL-c, HDL-c, TG, TG/HDL-c and LDLc/HDL-c), hematimetric (hemoglobin, hematocrit and total lymphocytes), and immunologic (lymphocytes T CD4(+), T CD8(+); T CD4(+)/CD8(+) ratio, viral load, TNF-alpha and IL-6) parameters were assessed in all patients at three time points (M0: pretreatment, M1: 30 days, and M2: four months after intervention). Significance level was set at 5% for all data statistically analyzed. Serum TG and TG/HDL-c ratio reduction was observed at all time points, but statistical significance was found just at M0 and M2. The remaining biochemical, hematimetric and immunologic parameters (lymphocytes T CD4(+), T CD8(+); T CD4(+)/ CD8(+) ratio, and viral load) showed no significant difference at all times. Regarding serum cytokines, TNF-alpha and IL-6 significantly decreased between M0 and M2, and only IL-6 reduced between M1 and M2. The data collected show that dietary and anthropometric parameters remained unchanged excluding potential confounding factors related with the effect of fiber supplementation on serum TG, TNF-alpha and IL-6. Thus, soluble fiber (R) contributed to an important reduction in hypertriglyceridemia and in the serum levels of the proinflammatory cytokines TNF-alpha and IL-6 in HIV-seropositive individuals on HAART. In addition, soluble fiber (R) might have minimized the process of atherosclerosis in these individuals, given that elevated serum levels of TG, TNF-alpha and IL-6 have been associated with the development of these lesions.

A genetic variant of the CAPN10 gene in Mexican subjects with dyslipidemia is associated with increased HDL-cholesterol concentrations after the consumption of a soy protein and soluble fiber dietary portfolio

Dyslipidemia is a major public health problem, and therefore, it is important to develop dietary strategies to diminish the prevalence of this disorder. It was recently reported that diet may play an important role in triggering insulin resistance by interacting with genetic variants at the CAPN10 gene locus in patients with metabolic syndrome. Nonetheless, it remains unknown whether genetic variants of genes involved in the development of type 2 diabetes are associated with variations in high-density lipoprotein cholesterol (HDL-C). The study used a single-center, prospective, cohort design. Here, we assessed the effect of four variants of the CAPN10 gene on HDL-C levels in response to a soy protein and soluble fiber dietary portfolio in subjects with dyslipidemia. In 31 Mexican dyslipidemic individuals, we analyzed four CAPN10 gene variants (rs5030952, rs2975762, rs3792267, and rs2975760) associated with type 2 diabetes. Subjects with the GG genotype of the rs2975762 variant of the CAPN10 gene were better responders to dietary intervention, showing increased HDL-C concentrations from the first month of treatment. HDL-C concentrations in participants with the wild type genotype increased by 17.0%, whereas the HDL-C concentration in subjects with the variant genotypes increased by only 3.22% (p = 0.03); the low-density lipoprotein cholesterol levels of GG carriers tended to decrease (-12.6%). These results indicate that Mexican dyslipidemic carriers of the rs2975762-GG genotype are better responders to this dietary intervention.

Effect of type of fiber, site of fermentation, and method of analysis on digestibility of soluble and insoluble fiber in rabbits

The effect of type of fiber, site of fermetation, method for quantifying insoluble and soluble dietary fiber, and their correction for intestinal mucin on fiber digestibility were examined in rabbits. Three diets differing in soluble fiber were formulated (8.5% soluble fiber, on DM basis, in the low soluble fiber [LSF] diet; 10.2% in the medium soluble fiber [MSF] diet; and 14.5% in the high soluble fiber [HSF] diet). They were obtained by replacing half of the dehydrated alfalfa in the MSF diet with a mixture of beet and apple pulp (HSF diet) or with a mix of oat hulls and soybean protein (LSF diet). Thirty rabbits with ileal T-cannulas were used to determine ileal and fecal digestibility. Cecal digestibility was determined by difference between fecal and ileal digestibility. Insoluble fiber was measured as NDF, insoluble dietary fiber (IDF), and in vitro insoluble fiber, whereas soluble fiber was calculated as the difference between total dietary fiber (TDF) and NDF (TDF_NDF), IDF (TDF-IDF), and in vitro insoluble fiber (TDF-in vitro insoluble fiber). The intestinal mucin content was used to correct the TDF and soluble fiber digestibility. Ileal and fecal concentration of mucin increased from the LSF to the HSF diet group (P < 0.01). Once corrected for intestinal mucin, ileal and fecal digestibility of TDF and soluble fiber increased whereas cecal digestibility decreased (P < 0.01). Ileal digestibility of TDF increased from the LSF to the HSF diet group (12.0 vs. 28.1%; P < 0.01), with no difference in the cecum (26.4%), resulting in a higher fecal digestibility from the LSF to the HSF diet group (P < 0.01). Ileal digestibility of insoluble fiber increased from the LSF to the HSF diet group (11.3 vs. 21.0%; P < 0.01), with no difference in the cecum (13.9%) and no effect of fiber method, resulting in a higher fecal digestibility for rabbits fed the HSF diet compared with the MSF and LSF diets groups (P < 0.01).Fecal digestibility of NDF was higher compared with IDF or in vitro insoluble fiber (P < 0.01). Ileal soluble fiber digestibility was higher for the HSF than for the LSF diet group (43.6 vs. 14.5%; P < 0.01) and fiber method did not affect it. Cecal soluble fiber digestibility decreased from the LSF to the HSF diet group (72.1 vs. 49.2%; P < 0.05). The lowest cecal and fecal soluble fiber digestibility was measured using TDF-NDF (P < 0.01). In conclusion, a correction for intestinal mucin is necessary for ileal TDF and soluble fiber digestibility whereas the selection of the fiber method has a minor relevance. The inclusion of sugar beet and apple pulp increased the amount of TDF fermented in the small intestine.

Impact of dietary polydextrose fiber on the human gut metabolome

The aim of the present study was to elucidate the impact of polydextrose PDX an soluble fiber, on the human fecal metabolome by high-resolution nuclear magnetic resonance (NMR) spectroscopy-based metabolomics in a dietary intervention study (n = 12). Principal component analysis (PCA) revealed a strong effect of PDX consumption on the fecal metabolome, which could be mainly ascribed to the presence of undigested fiber and oligosaccharides formed from partial degradation of PDX. Our results demonstrate that NMR-based metabolomics is a useful technique for metabolite profiling of feces and for testing compliance to dietary fiber intake in such trials. In addition, novel associations between PDX and the levels of the fecal metabolites acetate and propionate could be identified. The establishment of a correlation between the fecal metabolome and levels of Bifidobacterium (R2 = 0.66) and Bacteroides (R2 = 0.46) demonstrates the potential of NMR-based metabolomics to elucidate metabolic activity of bacteria in the gut.

Digestive and functional properties of a partially hydrolyzed cassava solid waste with high insoluble fiber concentration

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Combining electrospun scaffolds with electrosprayed hydrogels leads to three-dimensional cellularization of hybrid constructs

A common problem in the design of tissue engineered scaffolds using electrospun scaffolds is the poor cellular infiltration into the structure. To tackle this issue, three approaches to scaffold design using electrospinning were investigated: selective leaching of a water-soluble fiber phase (poly ethylene oxide (PEO) or gelatin), the use of micron-sized fibers as the scaffold, and a combination of micron-sized fibers with codeposition of a hyaluronic acid-derivative hydrogel, Heprasil. These designs were achieved by modifying a conventional electrospinning system with two charged capillaries and a rotating mandrel collector. Three types of scaffolds were fabricated: medical grade poly(epsilon-caprolactone)/collagen (mPCL/Col) cospun with PEO or gelatin, mPCL/Col meshes with micron-sized fibers, and mPCL/Col microfibers cosprayed with Heprasil. All three scaffold types supported attachment and proliferation of human fetal osteoblasts. However, selective leaching only marginally improved cellular infiltration when compared to meshes obtained by conventional electrospinning. Better cell penetration was seen in mPCL/Col microfibers, and this effect was more pronounced when Heprasil regions were present in the structure. Thus, such techniques could be further exploited for the design of cell permeable fibrous meshes for tissue engineering applications.

Probiotics and prebiotics: prospects for public health and nutritional recommendations

Probiotics and prebiotics are useful interventions for improving human health through direct or indirect effects on the colonizing microbiota. However, translation of these research findings into nutritional recommendations and public health policy endorsements has not been achieved in a manner consistent with the strength of the evidence. More progress has been made with clinical recommendations. Conclusions include that beneficial cultures, including probiotics and live cultures in fermented foods, can contribute towards the health of the general population; prebiotics, in part due to their function as a special type of soluble fiber, can contribute to the health of the general population; and a number of challenges must be addressed in order to fully realize probiotic and prebiotic benefits, including the need for greater awareness of the accumulated evidence on probiotics and prebiotics among policy makers, strategies to cope with regulatory roadblocks to research, and high-quality human trials that address outstanding research questions in the field.

Desempenho e rendimento de carcaça de frangos de corte alimentados com pectina na ração

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Consumo e digestibilidade em bovinos em pastejo durante o período das águas sob suplementação com fontes de compostos nitrogenados e de carboidratos

Objetivou-se avaliar os efeitos de diferentes formas químicas de compostos nitrogenados (proteicos e não-proteicos) e de carboidratos (amiláceos e fibra solúvel) sobre o consumo, a digestibilidade e a síntese ruminal de proteína microbiana em bovinos sob suplementação durante o período das águas. Foram utilizados cinco novilhos mestiços Holandês × Zebu, com peso vivo (PV) médio inicial de 211 ± 35 kg, fistulados no rúmen e abomaso. Os tratamentos foram: controle (somente pasto); e suplementos formulados à base de milho + farelo de soja; milho + ureia; polpa cítrica + farelo de soja; e polpa cítrica + ureia. Os suplementos foram balanceados para apresentar 30% de proteína bruta (PB), com base na matéria seca (MS), e fornecidos na quantidade de 3 g/kg PV. O experimento foi conduzido segundo delineamento em quadrado latino 5 × 5, em esquema fatorial 2 × 2 + 1, composto de duas fontes de compostos nitrogenados, duas fontes de carboidratos e tratamento controle. O consumo de pasto reduziu com o fornecimento de suplementos, com coeficiente médio de substituição de 2,11 g de MS de pasto/g de MS de suplemento. A suplementação não alterou os coeficientes de digestibilidade total e ruminação da MS nem o teor dietético de nutrientes digestíveis totais (NDT). Os animais sob suplementação apresentaram maiores coeficientes de digestibilidade total e ruminal da proteína bruta. A eficiência de síntese de proteína microbiana (EFSM), média de 123,1 g PB microbiana/kg de NDT, não foi alterada pela suplementação. Contudo, os animais sob suplementação com milho apresentaram maior EFSM em comparação aos animais sob suplementação com polpa cítrica (137,6 e 106,1 g PB microbiana/kg de NDT, respectivamente). A suplementação proteico-energética para bovinos mantidos em pastos tropicais durante o período das águas não causa benefícios nutricionais, o que reflete o alto coeficiente de substituição da forragem pelo suplemento.

Effect of inclusion of citrus pulp in the diet of finishing swines

No primeiro ensaio foram utilizados 16 suínos machos castrados da linhagem Topigs, com peso inicial de 80,5±4,7 kg, para a avaliação biológica da polpa cítrica. Por apresentar 18,85% de fibra em detergente neutro e 41,18% de fibra solúvel em detergente neutro, a polpa cítrica mostrou-se como um ingrediente viável a ser utilizado em programas de restrição alimentar qualitativa. No segundo ensaio foram utilizados 36 suínos machos castrados, com peso inicial de 83,7±5,1 kg, recebendo rações com níveis de 0, 10, 20 e 30% de polpa cítrica. Os animais foram abatidos com peso próximo de 130 kg, sendo avaliados quanto ao desempenho e parâmetros séricos. Houve resposta quadrática (P<0,05) para ganho diário de peso e número de dias para atingir o peso de 130 kg, em função dos níveis de polpa cítrica na dieta, sendo observados melhores resultados com níveis de inclusão de 10,79 e 10,97%, respectivamente. Para os parâmetros séricos avaliados, não foi observado efeito (P>0,05) dos níveis de polpa cítrica sobre a uréia e triacilgliceróis, porém houve resposta quadrática (P<0,05) para o colesterol em função dos níveis de polpa cítrica.

Carcass characteristics and meat quality of heavy swine fed different citrus pulp levels

Foi realizado um ensaio utilizando 36 suínos machos castrados, com peso inicial de 83,7±5,1kg, para avaliar o efeito da inclusão de polpa cítrica, 0, 10, 20 e 30%, em um programa de restrição alimentar qualitativa para suínos abatidos aos 130kg de peso, sobre o peso dos órgãos do sistema digestório e sobre características da carcaça e da qualidade da carne. A inclusão de polpa cítrica proporcionou aumento linear (P<0,05) nos pesos do estômago, cólon e fígado, e efeito quadrático (P<0,05) no peso do ceco. Foi observada redução linear (P<0,05) no peso, no rendimento da carcaça e no peso do pernil, porém não houve efeito (P>0,05) sobre o rendimento do pernil. Maior inclusão de polpa cítrica não foi suficiente para reduzir a espessura do toucinho e aumentar a quantidade de carne magra na carcaça, mostrando que a restrição alimentar qualitativa não foi eficiente. Foi observado aumento linear (P<0,05) do pH da carcaça resfriada e linear negativo (P<0,05) sobre as variáveis indicativas de cor da carne em função da inclusão da polpa cítrica nas dietas. A adição de polpa cítrica em programas de restrição alimentar qualitativa não foi eficiente. Por não promover nenhum efeito deletério sobre as características da carne, a polpa cítrica pode ser utilizada como ingrediente alternativo para suínos em terminação.

Uso de psyllium para controle de constipação em cães

psyllium (Plantago psyllium) é um vegetal comumente utilizado como adjuvante no tratamento de afecções que resultam em constipação. Com o objetivo de melhor compreender os efeitos dessa fibra em cães, foram realizados dois experimentos. O primeiro avaliou, em cães sadios, inclusões de 0%, 2% e 4% de semente integral moída de psyllium à dieta (com base na matéria natural). Para tanto, foram empregados oito cães da raça Beagles adultos, os quais receberam as dietas experimentais por oito dias. Verificou-se aumento linear da umidade das fezes com a adição de teores crescentes de psyllium (R²=0,54 e P=0,0012), sem alteração do escore fecal e número de defecações por dia. O segundo experimento incluiu avaliação da opinião de 24 proprietários cujos cães receberam suplementação de 2% de psyllium como parte do tratamento de afecções que causaram constipação. Dos proprietários incluídos, 19 (79,2%) relataram melhora da defecação de seus cães durante a administração da fibra. Quinze (62,5%) observaram que as fezes dos animais, antes ressecadas ou endurecidas, tornaram-se normais ou pastosas. Os resultados comprovaram para cães os efeitos laxativos do psyllium já descritos na medicina humana, indicando seu uso no tratamento de suporte de enfermidades que levam à constipação.

Fibra solúvel e amido como fontes de carboidratos para terminação de novilhos em confinamento

Avaliou-se o efeito da utilização de duas fontes de carboidratos solúveis, amido ou fibra solúvel em detergente neutro, associadas a dois níveis de FDN, sobre o desempenho de novilhos de corte em confinamento na fase de terminação. Foram confinados 24 novilhos ½ Angus x ½ Nelore, com idade inicial de 18 meses e peso de 329 ± 24 kg. As quatro dietas foram calculadas para fornecer nível de PB suficiente para ganho diário de 1,4 kg. As dietas foram constituídas de 40% de silagem de milho e 60% de concentrado (grão de milho, polpa cítrica e casca de soja), além de minerais e uréia, arranjados de forma a promover nível alto de amido associado a dois níveis de FDN (48 e 39%) ou nível alto de fibra solúvel associado aos dois níveis de FDN. Observou-se que os animais alimentados com a dieta com maior nível de polpa cítrica (45%), com baixos teores de fibra solúvel e FDN, apresentaram consumo reduzido e, conseqüentemente, baixo ganho de peso e pior conversão alimentar. Entre as dietas com maior nível de FDN, verificou-se que os animais alimentados com fibra solúvel apresentaram o melhor ganho de peso (1,435 vs 1,262 kg/dia) e a melhor conversão alimentar (7,494 vs 8,651), mas não diferiram daqueles do tratamento com amido e baixo teor de FDN. Os resultados demonstraram que é possível alterar o desempenho animal manipulando a fonte e a concentração dos carboidratos solúveis.

Desempenho e características de carcaça de cordeiros alimentados com fontes de carboidratos associadas ao óleo de girassol

This work was carried out with the objective to evaluate the effect of different carbohydrate sources associated with sunflower oil on performance, carcass characteristics and cuts yields of feedlot sheep. Twenty four lambs were assigned to a completely randomized design with a 2 × 2 factorial arrangement with two sources of neutral detergent soluble carbohydrate, starch or neutral detergent soluble fiber, with and without the inclusion of 4.2% sunflower oil. The treatments consisted of diets containing high content of soluble fiber (17.14% DM) without adding oil, high in soluble fiber (16.35% DM) with inclusion of 4.2% sunflower oil, high starch (30.14% DM) without adding oil and high starch (28.21% DM) with addition of 4.2% of sunflower oil. The animals were feedlot with average initial of 17.7 kg and when reached 35 kg body weight were slaughtered. The different sources of carbohydrate and oil inclusion in the diet not influence the days on feedlot in the dry matter intake and average daily weight gain, but higher feed conversion was observed for the diet with a high percentage of neutral detergent soluble fiber compared to diet high in starch. The carcass weights and yields as well as the commercial cuts were not affected by diets. The performance and quantitative characteristics and carcass cuts of lamb are not affected by different carbohydrate sources and their association with 4.2% sunflower oil.

Effect of pectin extracted from citrus pulp on digesta characteristics and nutrient digestibility in broilers chickens

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)