Fortification with dietary fiber as a strategy to increase satiety: controlled double blind randomized trial
DOI:
https://doi.org/10.14306/renhyd.24.4.1020Keywords:
Nutritional Physiological Phenomena, Appetite Regulation, Appetite, Satiation, Satiety Response, Visual Analog Scale, Dietary Fiber, Breakfast, AdultAbstract
Introduction: It has been described that dietary fibers (DF) could have favorable effects in the control of subjective feelings related to appetite / satiety, property that in the current epidemiological context could be beneficial. Objective: To evaluate the acute effect of 3 types of DF on the subjective perception of feelings related to appetite / satiety.Material and methods: Randomized, double-blinded, controlled, crossover study. 21 healthy subjects with body mass index between 18.5-24.9 Kg / m2 were randozomized to consume 4 separate breakfasts for at least 2 days. The breakfasts were fortified with 3 g of: oat β-glucan (BETA), apple pectins (PECT), microcrystalline cellulose (CELL) and maltodextrin as control (MALT). The subjective feelings of appetite / satiety were determined with a Visual Analog Scale (VAS) before breakfast and at 15, 30, 60, 90 and 120 min.
Results: In analysis of variances (ANOVA) showed a significant difference at 15 minutes (p <0.05) in the perception of satiety of breakfast fortified with apple pectin versus oat β-glucan. Oat β-glucan produced the least effect on subjective satiety (p <0.05). An ANOVA of repeated measures did not show effects of the types of fibers added to breakfast on the subjective feeling of appetite.
Conclusions: Apple pectins appear to be more effective than other types of DF to increase the subjective perception of satiety and decrease appetite, especially in the early postprandial period.
References
(1) Organización Mundial de la Salud, Obesidad y sobrepeso, 16 de febrero de 2018, disponible en: https://www.who.int/es/news-room/fact-sheets/detail/obesity-and-overweight
(2) Gobierno de Chile, Ministerio de Salud, Encuesta Nacional de Salud 2016-2017, disponible en: https://www.minsal.cl/wp-content/uploads/2017/11/ENS-2016-17_PRIMEROS-RESULTADOS.pdf
(3) Organisation for Economic Co-operation and Development (OCDE) (2019), The Heavy Burden of Obesity: The Economics of Prevention, OECD Health Policy Studies, OECD Publishing, Paris, disponible en: https://doi.org/10.1787/67450d67-en.
(4) Estudio Movimiento es Felicidad, GFK-ADIMARK, disponible en: www.adimark.cl/es/noticias/index.asp?id=118
(5) Gobierno de Chile, Ministerio de Salud, Encuesta Nacional de Consumo Alimentario 2014, disponible en: https://www.minsal.cl/enca/
(6) Ciprián Daniel, Navarrete-Muñoz Eva M.ª, Garcia de la Hera Manuela, Giménez-Monzo Daniel, González-Palacios Sandra, Quiles Joan y Vioque Jesús. Patrón de dieta mediterráneo y occidental en población adulta de un área mediterránea; un análisis clúster. Nutr Hosp. 2013;28:1741-49
(7) Urquiaga, Inés, Guasch, Viviana, Marshall, Guillermo, San Martín, Alejandra, Castillo, Óscar, Rozowski, Jaime, & Leighton, Federico. Effect of Mediterranean and Occidental Diets, and Red Wine, on Plasma Fatty Acids in Humans: An Intervention Study. Biological Research, 2004;37(2):253-61.
(8) King DE, Mainous AG 3rd, Lambourne CA. Trends in dietary fiber intake in the United States, 1999-2008. J Acad Nutr Diet. 2012;112(5):642-8.
(9) Bates, B., Lennox, A., Prentice, A., Bates, C. J., Page, P., Nicholson, S., & Swan, G. (Eds.). (2014). National Diet and Nutrition Survey: Results from Years 1-4 (combined) of the Rolling Programme (2008/2009-2011/12). Executive Summary. Public Health England.
(10) U.S. Food and Drug Administration (FDA), Dietary Fiber, disponible en: https://www.accessdata.fda.gov/scripts/InteractiveNutritionFactsLabel/factsheets/Dietary_Fiber.pdf
(11) Delzenne Nathalie M., Olivares Marta, Neyrinck Audrey M., Beaumont Martin, Kjølbæk Louise, Meinert Larsen Thomas, Benítez-Páez Alfonso, Romaní-Pérez Marina, Garcia-Campayo Vicenta, Bosscher Douwina, Sanz Yolanda, van der Kamp Jan-Willem, Nutritional interest of dietary fiber and prebiotics in obesity: Lessons from the MyNewGut consortium, Clinical Nutrition, 2019, In Press, Corrected Proof.
(12) Ho H, Sievenpiper J, Zurbau A, Blanco-Mejia S, Jovanovski E, Au-Yeung F, Jenkins Alexandra, Vuksan Vladimir. The effect of oat β-glucan on LDL-cholesterol, non-HDL-cholesterol and apoB for CVD risk reduction: a systematic review and meta-analysis of randomised-controlled trials. British Journal of Nutrition. 2016;116:1369-82.
(13) Aleixandre A, Miguel M. Dietary fiber and blood pressure control. Food Funct. 2016;7(4):1864-71.
(14) Simpson HL, Campbell BJ. Review article: dietary fibre-microbiota interactions. Aliment Pharmacol Ther. 2015;42(2):158-79.
(15) Shen XL, Zhao T, Zhou Y, Shi X, Zou Y, Zhao G. Effect of Oat β-Glucan Intake on Glycaemic Control and Insulin Sensitivity of Diabetic Patients: A Meta-Analysis of Randomized Controlled Trials. Nutrients. 2016;8(1):39.
(16) Wanders A, C van den Borne J, C De Graaf , Hulshof T, Jonathan M, Kristensen M, Mars M, Schols HA, Feskens EJM. Effects of dietary fibre on subjective appetite, energy intake and body weight: a systematic review of randomized controlled trials. obesity reviews. 2011;12(9): 724–39.
(17) Wendy J. Dahl, Maria L. Stewart, Position of the Academy of Nutrition and Dietetics: Health Implications of Dietary Fiber, Journal of the Academy of Nutrition and Dietetics, 2015;115(11):1861-1870
(18) Aoe S, Ikenaga T, Noguchi H, Kohashi C, Kakumoto K, Kohda N. Effect of cooked white rice with high β-glucan barley on appetite and energy intake in healthy Japanese subjects: a randomized controlled trial. Plant Foods Hum Nutr. 2014;69(4):325-30.
(19) Hume MP, Nicolucci AC, Reimer RA. Prebiotic supplementation improves appetite control in children with overweight and obesity: a randomized controlled trial. Am J Clin Nutr. 2017;105(4):790-9.
(20) Pasman WJ, Hendriks HFJ, Minekus MM, de Ligt RAF, Scholtes-Timmerman MJ, Clabbers NDS, Leonards NM, Johnson J, Bellmann S. Subjective feelings of appetite of wholegrain breakfasts evaluated under controlled, laboratory and 'at home' conditions. Physiol Behav. 2018;194:285-91.
(21) WHO STEPS Guide to Physical Measurements, Training & Practical Guides, disponible en: https://www.who.int/ncds/surveillance/steps/Section%204%20Step%202%20Physical%20Measurements.pdf
(22) Ibarra A, Astbury NM, Olli K, Alhoniemi E, Tiihonen K. Effect of Polydextrose on Subjective Feelings of Appetite during the Satiation and Satiety Periods: A Systematic Review and Meta-Analysis. Nutrients. 2016;8(1):45.
(23) Gibbons, C., Finlayson, G., Dalton, M., Caudwell, P., Blundell, J. Metabolic Phenotyping Guidelines: Studying eating behaviour in humans. Journal of Endocrinology 2014;222(2):G1-G12
(24) Wanders AJ, Feskens EJ, Jonathan MC, Schols HA, de Graaf C, Mars M. Pectin is not pectin: a randomized trial on the effect of different physicochemical properties of dietary fiber on appetite and energy intake. Physiol Behav. 2014;128:212–219.
(25) Adam CL, Gratz SW, Peinado DI, Thomson LM, Garden KE, Williams PA, Richardson AJ, Ross AW. Effects of Dietary Fibre (Pectin) and/or Increased Protein (Casein or Pea) on Satiety, Body Weight, Adiposity and Caecal Fermentation in High Fat Diet-Induced Obese Rats. PLoS One. 2016;11(5):e0155871.
(26) Hopkins Mark, Beaulieu Kristine, Myers Anna, Gibbons Catherine, Blundell John E. Mechanisms responsible for homeostatic appetite control: theoretical advances and practical implications. Expert Review of Endocrinology & Metabolism. 2017;12(6);401-15.
(27) Aoe S, Ikenaga T, Noguchi H, Kohashi C, Kakumoto K, Kohda N. Effect of cooked white rice with high β-glucan barley on appetite and energy intake in healthy Japanese subjects: a randomized controlled trial. Plant Foods Hum Nutr. 2014;69(4):325–30.
(28) Pentikäinen, S., Karhunen, L., Flander, L., Katina, K., Meynier, A., Aymard, P., Poutanen, K. (2014). Enrichment of biscuits and juice with oat β-glucan enhances postprandial satiety. Appetite, 2014;75:150-6.
(29) Barone Lumaga R, Azzali D, Fogliano V, Scalfi L, Vitaglione P. Sugar and dietary fibre composition influence, by different hormonal response, the satiating capacity of a fruit-based and a β-glucan-enriched beverage. Food Funct. 2012;3(1):67–75.
(30) Hume MP, Nicolucci AC, Reimer RA. Prebiotic supplementation improves appetite control in children with overweight and obesity: a randomized controlled trial. Am J Clin Nutr. 2017;105(4):790–9.
(31) Ho IH, Matia-Merino L, Huffman LM. Use of viscous fibres in beverages for appetite control: a review of studies. Int J Food Sci Nutr. 2015;66(5):479–90.
(32) Namazi N, Larijani B, Azadbakht L. Are Isolated and Complex Fiber Supplements Good Choices for Weight Management? A Systematic Review. Arch Iran Med. 2017;20(11):704-13.
(33) Silva FM, Kramer CK, de Almeida JC, Steemburgo T, Gross JL, Azevedo MJ. Fiber intake and glycemic control in patients with type 2 diabetes mellitus: a systematic review with meta-analysis of randomized controlled trials. Nutr Rev. 2013;71(12):790–801.