7 resultados para Glycemic Response
em Repositório Institucional UNESP - Universidade Estadual Paulista "Julio de Mesquita Filho"
Resumo:
The effects of six extruded diets with different starch sources (cassava flour, brewer's rice, corn, sorghum, peas or lentils) on dog total tract apparent digestibility and glycemic and insulinemic response were investigated. The experiment was carried out on thirty-six dogs with six dogs per diet in a completely randomized design. The diets containing brewer's rice and cassava flour presented the greatest digestibility of dry matter, organic matter and gross energy (p < 0.05), followed by corn and sorghum; pea and lentil diets had the lowest. Starch digestibility was greater than 98% in all diets and was greater for brewer's rice and cassava flour than for lentils and peas diets (p < 0.05). Dogs' immediate post-prandial glucose and insulin responses (AUC <= 30 min) were greater for brewer's rice, corn, and cassava flour diets (p < 0.05), and later meal responses (AUC >= 30 min) were greater for sorghum, lentil and pea diets (p < 0.05). Variations in diet digestibility and post-prandial response can be explained by differences in chemical composition of each starch source including fibre content and starch granule structure. The nutritional particularities of each starch ingredient can be explored through diet formulations designed to modulate glycemic response. However, more studies are required to support these.
Resumo:
O mercado de alimentos para cães e gatos absorve importante quantidade de proteínas e carboidratos, apesar disso poucos estudos existem sobre digestibilidade e energia metabolizável destes ingredientes. Arroz e milho têm sido considerados as melhores fontes de amido, mas demonstra-se que o sorgo é igualmente bem digerido por cães. Na interpretação dos estudos, deve-se distinguir os que empregaram farinhas ou amidos purificados dos que empregaram ingredientes moídos, como utilizado na fabricação de alimentos para animais de companhia. Além de sua digestibilidade e valor energético, amidos interferem na glicemia de cães, o que torna interessante se empregar, para animais em condições específicas, fontes de carboidrato que levem à menores respostas de glicose e insulina. Devido a elevada necessidade de proteína, ingredientes protéicos são importantes nas formulações. Proteínas de origem animal apresentam maior variação em composição química, qualidade e digestibilidade que as de origem vegetal. Farinhas de origem animal podem apresentar excesso de matéria mineral, limitando sua inclusão na fórmula, enquanto derivados protéicos vegetais apresentam diversos fatores anti-nutricionais que devem ser inativados durante seu processamento. Demonstra-se que proteínas vegetais apresentam boa digestibilidade e energia metabolizável para cães e gatos, sendo sua inclusão interessante para reduzir a matéria mineral da dieta, controlar o excesso de bases do alimento e manter adequada a digestibilidade do produto, neste sentido soja micronizada e o farelo de glúten de milho 60% se destacam em digestibilidade e teor de energia metabolizável. A farinha de vísceras de frango, dentre as proteínas de origem animal secas demonstra-se como a de melhor digestibilidade e energia metabolizável.
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
Resumo:
Objective: To evaluate data from patients with normal oral glucose tolerance test (OGTT) results and a normal or impaired glycemic profile (GP) to determine whether lower cutoff values for the OGTT and GP (alone or combined) could identify pregnant women at risk for excessive fetal growth. Methods: We classified 701 pregnant women with positive screening for gestational diabetes mellitus (GDM) into 2 categories - (1) normal 100-g OGTT and normal GP and (2) normal 100-g OGTT and impaired GP - to evaluate the influence of lower cutoff points in a 100-g OGTT and GP (alone or in combination) for identification of pregnant women at excessive fetal growth risk. The OGTT is considered impaired if 2 or more values are above the normal range, and the GP is impaired if the fasting glucose level or at least 1 postprandial glucose value is above the normal range. To establish the criteria for the OGTT (for fasting and 1, 2, and 3 hours after an oral glucose load, respectively), we considered the mean (75 mg/dL, 120 mg/dL, 113 mg/dL, and 97 mg/dL), mean plus 1 SD (85 mg/dL, 151 mg/dL, 133 mg/dL, and 118 mg/dL), and mean plus 2 SD (95 mg/dL, 182 mg/dL, 153 mg/dL, and 139 mg/dL); and for the GP, we considered the mean and mean plus 1 SD (78 mg/dL and 92 mg/dL for fasting glucose levels and 90 mg/dL and 130 mg/dL for 1- or 2-hour postprandial glucose levels, respectively). Results: Subsequently, the women were reclassified according to the new cutoff points for both tests (OGTT and GP). Consideration of values, in isolation or combination, yielded 6 new diagnostic criteria. Excessive fetal growth was the response variable for analysis of the new cutoff points. Odds ratios and their respective confidence intervals were estimated, as were the sensitivity and specificity related to diagnosis of excessive fetal growth for each criterion. The new cutoff points for the tests, when used independently rather than collectively, did not help to predict excessive fetal growth in the presence of mild hyperglycemia. Conclusion: Decreasing the cutoff point for the 100-g OGTT (for fasting and 1, 2, and 3 hours) to the mean (75 mg/dL, 120 mg/dL, 113 mg/dL, and 97 mg/dL) in association with the GP (mean or mean plus 1 SD-78 mg/dL and 92 mg/dL for the fasting state and 90 mg/dL and 130 mg/dL for 1- or 2-hour postprandial values-increased the sensitivity and specificity, and both criteria had statistically significant predictive power for detection of excessive fetal growth. © 2008 AACE.
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)