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Erschienen in: Diabetologia 11/2005

01.11.2005 | Article

Impact of cereal fibre on glucose-regulating factors

verfasst von: M. O. Weickert, M. Mohlig, C. Koebnick, J. J. Holst, P. Namsolleck, M. Ristow, M. Osterhoff, H. Rochlitz, N. Rudovich, J. Spranger, A. F. H. Pfeiffer

Erschienen in: Diabetologia | Ausgabe 11/2005

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Abstract

Aims/hypothesis

Insoluble dietary fibre intake is associated, by unknown mechanisms, with a reduced risk of type 2 diabetes. We investigated whether a short-term dietary intervention with purified insoluble fibres influences acute and delayed responses of glucose, insulin, glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide 1.

Methods

Fourteen healthy women with NGT were studied for 300 min on six to eight occasions. Subjects consumed three matched portions of control (C) or fibre-enriched bread (10.4–10.6 g/portion; wheat fibre [WF], oat fibre [OF], and, in a substudy [n=9], resistant starch [RS]) followed by control (C-C, C-WF, C-OF, C-RS) on subsequent days.

Results

Fibre enrichment accelerated the early insulin response (fibre×time interaction p=0.026 for WF, p<0.001 for OF, p=0.126 for RS; time of maximal concentration [T max], C 57.9±5.9, WF 49.3±2.5 [p=0.086], OF 46.1±2.9 [p=0.026], RS 46.7±5.8 min [p=0.029]). It was also associated with an earlier postprandial GIP response after OF (T max, C 83.6±7.2, WF 70.7±6.0 [p=0.054], OF 64.3±6.9 [p=0.022], RS 60.0±5.0 [p>0.15]). Increased fibre intake for 24 h was further associated with a reduced postprandial glucose response on the following day subsequent to ingestion of a control meal (AUCC-C 4,140±401, AUCC-WF 2,850±331 [p=0.007], AUCC-OF 2,830±277 [p=0.011]), with no difference in maximal concentration and T max of glucose responses. No differences in insulin responses were observed 24 h after the fibre-enriched diets compared with control (p>0.15). Colonic fermentation was increased only on study days C-OF (p=0.017) and C-RS (p=0.016).

Conclusions/interpretation

The consumption of highly purified insoluble dietary fibres accelerated the acute GIP and insulin response and was further associated with enhanced postprandial carbohydrate handling the following day upon ingestion of a control meal.
Literatur
1.
Zurück zum Zitat Salmeron J, Manson JE, Stampfer MJ et al (1997) Dietary fiber, glycemic load, and risk of non-insulin-dependent diabetes mellitus in women. JAMA 277:472–477CrossRefPubMed Salmeron J, Manson JE, Stampfer MJ et al (1997) Dietary fiber, glycemic load, and risk of non-insulin-dependent diabetes mellitus in women. JAMA 277:472–477CrossRefPubMed
2.
Zurück zum Zitat Stevens J, Ahn K, Juhaeri et al (2002) Dietary fiber intake and glycemic index and incidence of diabetes in African–American and white adults: the ARIC study. Diabetes Care 25:1715–1721PubMed Stevens J, Ahn K, Juhaeri et al (2002) Dietary fiber intake and glycemic index and incidence of diabetes in African–American and white adults: the ARIC study. Diabetes Care 25:1715–1721PubMed
3.
Zurück zum Zitat Jenkins DJ, Kendall CW, Axelsen M, Augustin LS, Vuksan V (2000) Viscous and nonviscous fibres, nonabsorbable and low glycaemic index carbohydrates, blood lipids and coronary heart disease. Curr Opin Lipidol 11:49–56CrossRefPubMed Jenkins DJ, Kendall CW, Axelsen M, Augustin LS, Vuksan V (2000) Viscous and nonviscous fibres, nonabsorbable and low glycaemic index carbohydrates, blood lipids and coronary heart disease. Curr Opin Lipidol 11:49–56CrossRefPubMed
4.
Zurück zum Zitat Meyer KA, Kushi LH, Jacobs DR Jr et al (2000) Carbohydrates, dietary fiber, and incident type 2 diabetes in older women. Am J Clin Nutr 71:921–930PubMed Meyer KA, Kushi LH, Jacobs DR Jr et al (2000) Carbohydrates, dietary fiber, and incident type 2 diabetes in older women. Am J Clin Nutr 71:921–930PubMed
5.
Zurück zum Zitat Liu S, Stampfer MJ, Hu FB et al (1999) Whole-grain consumption and risk of coronary heart disease: results from the Nurses’ Health Study. Am J Clin Nutr 70:412–419PubMed Liu S, Stampfer MJ, Hu FB et al (1999) Whole-grain consumption and risk of coronary heart disease: results from the Nurses’ Health Study. Am J Clin Nutr 70:412–419PubMed
6.
Zurück zum Zitat Wolk A, Manson JE, Stampfer MJ et al (1999) Long-term intake of dietary fiber and decreased risk of coronary heart disease among women. JAMA 281:1998–2004CrossRefPubMed Wolk A, Manson JE, Stampfer MJ et al (1999) Long-term intake of dietary fiber and decreased risk of coronary heart disease among women. JAMA 281:1998–2004CrossRefPubMed
7.
Zurück zum Zitat Schulze MB, Liu S, Rimm EB et al (2004) Glycemic index, glycemic load, and dietary fiber intake and incidence of type 2 diabetes in younger and middle-aged women. Am J Clin Nutr 80:348–356PubMed Schulze MB, Liu S, Rimm EB et al (2004) Glycemic index, glycemic load, and dietary fiber intake and incidence of type 2 diabetes in younger and middle-aged women. Am J Clin Nutr 80:348–356PubMed
8.
Zurück zum Zitat Hu FB, van Dam RM, Liu S (2001) Diet and risk of type II diabetes: the role of types of fat and carbohydrate. Diabetologia 44:805–817CrossRefPubMed Hu FB, van Dam RM, Liu S (2001) Diet and risk of type II diabetes: the role of types of fat and carbohydrate. Diabetologia 44:805–817CrossRefPubMed
9.
Zurück zum Zitat Jacobs DR, Pereira MA, Meyer KA, Kushi LH (2000) Fiber from whole grains, but not refined grains, is inversely associated with all-cause mortality in older women: the Iowa Women’s Health Study. J Am Coll Nutr 19:326S–330SPubMed Jacobs DR, Pereira MA, Meyer KA, Kushi LH (2000) Fiber from whole grains, but not refined grains, is inversely associated with all-cause mortality in older women: the Iowa Women’s Health Study. J Am Coll Nutr 19:326S–330SPubMed
10.
Zurück zum Zitat Trowell H (1974) Diabetes mellitus death-rates in England and Wales 1920–70 and food supplies. Lancet 2:998–1002CrossRefPubMed Trowell H (1974) Diabetes mellitus death-rates in England and Wales 1920–70 and food supplies. Lancet 2:998–1002CrossRefPubMed
11.
Zurück zum Zitat Holt S, Heading RC, Carter DC, Prescott LF, Tothill P (1979) Effect of gel fibre on gastric emptying and absorption of glucose and paracetamol. Lancet 1:636–639CrossRefPubMed Holt S, Heading RC, Carter DC, Prescott LF, Tothill P (1979) Effect of gel fibre on gastric emptying and absorption of glucose and paracetamol. Lancet 1:636–639CrossRefPubMed
12.
Zurück zum Zitat Jenkins DJ, Wolever TM, Leeds AR et al (1978) Dietary fibres, fibre analogues, and glucose tolerance: importance of viscosity. Br Med J 1:1392–1394PubMed Jenkins DJ, Wolever TM, Leeds AR et al (1978) Dietary fibres, fibre analogues, and glucose tolerance: importance of viscosity. Br Med J 1:1392–1394PubMed
13.
Zurück zum Zitat Jenkins DJ, Wolever TM, Jenkins AL et al (1983) Glycemic response to wheat products: reduced response to pasta but no effect of fiber. Diabetes Care 6:155–159PubMed Jenkins DJ, Wolever TM, Jenkins AL et al (1983) Glycemic response to wheat products: reduced response to pasta but no effect of fiber. Diabetes Care 6:155–159PubMed
14.
Zurück zum Zitat Song YJ, Sawamura M, Ikeda K, Igawa S, Yamori Y (2000) Soluble dietary fibre improves insulin sensitivity by increasing muscle GLUT-4 content in stroke-prone spontaneously hypertensive rats. Clin Exp Pharmacol Physiol 27:41–45 Song YJ, Sawamura M, Ikeda K, Igawa S, Yamori Y (2000) Soluble dietary fibre improves insulin sensitivity by increasing muscle GLUT-4 content in stroke-prone spontaneously hypertensive rats. Clin Exp Pharmacol Physiol 27:41–45
15.
Zurück zum Zitat Montonen J, Knekt P, Jarvinen R, Aromaa A, Reunanen A (2003) Whole-grain and fiber intake and the incidence of type 2 diabetes. Am J Clin Nutr 77:622–629PubMed Montonen J, Knekt P, Jarvinen R, Aromaa A, Reunanen A (2003) Whole-grain and fiber intake and the incidence of type 2 diabetes. Am J Clin Nutr 77:622–629PubMed
16.
Zurück zum Zitat Vilsboll T, Holst JJ (2004) Incretins, insulin secretion and type 2 diabetes mellitus. Diabetologia 47:357–366CrossRefPubMed Vilsboll T, Holst JJ (2004) Incretins, insulin secretion and type 2 diabetes mellitus. Diabetologia 47:357–366CrossRefPubMed
17.
Zurück zum Zitat Hagander B, Schersten B, Asp NG et al (1984) Effect of dietary fibre on blood glucose, plasma immunoreactive insulin, C-peptide and GIP responses in non insulin dependent (type 2) diabetics and controls. Acta Med Scand 215:205–213PubMed Hagander B, Schersten B, Asp NG et al (1984) Effect of dietary fibre on blood glucose, plasma immunoreactive insulin, C-peptide and GIP responses in non insulin dependent (type 2) diabetics and controls. Acta Med Scand 215:205–213PubMed
18.
Zurück zum Zitat Gatenby SJ, Ellis PR, Morgan LM, Judd PA (1996) Effect of partially depolymerized guar gum on acute metabolic variables in patients with non-insulin-dependent diabetes. Diabet Med 13:358–364CrossRefPubMed Gatenby SJ, Ellis PR, Morgan LM, Judd PA (1996) Effect of partially depolymerized guar gum on acute metabolic variables in patients with non-insulin-dependent diabetes. Diabet Med 13:358–364CrossRefPubMed
19.
Zurück zum Zitat Morgan LM, Goulder TJ, Tsiolakis D, Marks V, Alberti KG (1979) The effect of unabsorbable carbohydrate on gut hormones. Modification of post-prandial GIP secretion by guar. Diabetologia 17:85–89CrossRefPubMed Morgan LM, Goulder TJ, Tsiolakis D, Marks V, Alberti KG (1979) The effect of unabsorbable carbohydrate on gut hormones. Modification of post-prandial GIP secretion by guar. Diabetologia 17:85–89CrossRefPubMed
20.
Zurück zum Zitat Kok NN, Morgan LM, Williams CM et al (1998) Insulin, glucagon-like peptide 1, glucose-dependent insulinotropic polypeptide and insulin-like growth factor I as putative mediators of the hypolipidemic effect of oligofructose in rats. J Nutr 128:1099–1103PubMed Kok NN, Morgan LM, Williams CM et al (1998) Insulin, glucagon-like peptide 1, glucose-dependent insulinotropic polypeptide and insulin-like growth factor I as putative mediators of the hypolipidemic effect of oligofructose in rats. J Nutr 128:1099–1103PubMed
21.
Zurück zum Zitat Simoes Nunes C, Malmlof K (1992) Glucose absorption, hormonal release and hepatic metabolism after guar gum ingestion. Reprod Nutr Dev 32:11–20PubMed Simoes Nunes C, Malmlof K (1992) Glucose absorption, hormonal release and hepatic metabolism after guar gum ingestion. Reprod Nutr Dev 32:11–20PubMed
22.
Zurück zum Zitat Schenk S, Davidson CJ, Zderic TW, Byerley LO, Coyle EF (2003) Different glycemic indexes of breakfast cereals are not due to glucose entry into blood but to glucose removal by tissue. Am J Clin Nutr 78:742–748PubMed Schenk S, Davidson CJ, Zderic TW, Byerley LO, Coyle EF (2003) Different glycemic indexes of breakfast cereals are not due to glucose entry into blood but to glucose removal by tissue. Am J Clin Nutr 78:742–748PubMed
23.
Zurück zum Zitat Thorburn A, Muir J, Proietto J (1993) Carbohydrate fermentation decreases hepatic glucose output in healthy subjects. Metabolism 42:780–785CrossRefPubMed Thorburn A, Muir J, Proietto J (1993) Carbohydrate fermentation decreases hepatic glucose output in healthy subjects. Metabolism 42:780–785CrossRefPubMed
24.
Zurück zum Zitat Venter CS, Vorster HH, Cummings JH (1990) Effects of dietary propionate on carbohydrate and lipid metabolism in healthy volunteers. Am J Gastroenterol 85:549–553PubMed Venter CS, Vorster HH, Cummings JH (1990) Effects of dietary propionate on carbohydrate and lipid metabolism in healthy volunteers. Am J Gastroenterol 85:549–553PubMed
25.
Zurück zum Zitat Chandalia M, Garg A, Lutjohann D et al (2000) Beneficial effects of high dietary fiber intake in patients with type 2 diabetes mellitus. N Engl J Med 342:1392–1398CrossRefPubMed Chandalia M, Garg A, Lutjohann D et al (2000) Beneficial effects of high dietary fiber intake in patients with type 2 diabetes mellitus. N Engl J Med 342:1392–1398CrossRefPubMed
26.
Zurück zum Zitat Fukagawa NK, Anderson JW, Hageman G, Young VR, Minaker KL (1990) High-carbohydrate, high-fiber diets increase peripheral insulin sensitivity in healthy young and old adults. Am J Clin Nutr 52:524–528PubMed Fukagawa NK, Anderson JW, Hageman G, Young VR, Minaker KL (1990) High-carbohydrate, high-fiber diets increase peripheral insulin sensitivity in healthy young and old adults. Am J Clin Nutr 52:524–528PubMed
27.
Zurück zum Zitat Pereira MA, Jacobs DR Jr, Pins JJ et al (2002) Effect of whole grains on insulin sensitivity in overweight hyperinsulinemic adults. Am J Clin Nutr 75:848–855PubMed Pereira MA, Jacobs DR Jr, Pins JJ et al (2002) Effect of whole grains on insulin sensitivity in overweight hyperinsulinemic adults. Am J Clin Nutr 75:848–855PubMed
28.
Zurück zum Zitat Brodribb AJ, Humphreys DM (1976) Diverticular disease: three studies. Part III. Metabolic effect of bran in patients with diverticular disease. Br Med J 1:428–430PubMed Brodribb AJ, Humphreys DM (1976) Diverticular disease: three studies. Part III. Metabolic effect of bran in patients with diverticular disease. Br Med J 1:428–430PubMed
29.
Zurück zum Zitat Bosello O, Ostuzzi R, Armellini F, Micciolo R, Scuro LA (1980) Glucose tolerance and blood lipids in bran-fed patients with impaired glucose tolerance. Diabetes Care 3:46–49PubMed Bosello O, Ostuzzi R, Armellini F, Micciolo R, Scuro LA (1980) Glucose tolerance and blood lipids in bran-fed patients with impaired glucose tolerance. Diabetes Care 3:46–49PubMed
30.
Zurück zum Zitat Jenkins DJ, Kendall CW, Augustin LS et al (2002) Effect of wheat bran on glycemic control and risk factors for cardiovascular disease in type 2 diabetes. Diabetes Care 25:1522–1528PubMed Jenkins DJ, Kendall CW, Augustin LS et al (2002) Effect of wheat bran on glycemic control and risk factors for cardiovascular disease in type 2 diabetes. Diabetes Care 25:1522–1528PubMed
31.
Zurück zum Zitat Kruse HP, Kleessen B, Blaut M (1999) Effects of inulin on faecal bifidobacteria in human subjects. Br J Nutr 82:375–382PubMed Kruse HP, Kleessen B, Blaut M (1999) Effects of inulin on faecal bifidobacteria in human subjects. Br J Nutr 82:375–382PubMed
32.
Zurück zum Zitat Krarup T, Madsbad S, Moody AJ et al (1983) Diminished immunoreactive gastric inhibitory polypeptide response to a meal in newly diagnosed type I (insulin-dependent) diabetics. J Clin Endocrinol Metab 56:1306–1312PubMed Krarup T, Madsbad S, Moody AJ et al (1983) Diminished immunoreactive gastric inhibitory polypeptide response to a meal in newly diagnosed type I (insulin-dependent) diabetics. J Clin Endocrinol Metab 56:1306–1312PubMed
33.
Zurück zum Zitat Orskov C, Rabenhoj L, Wettergren A, Kofod H, Holst JJ (1994) Tissue and plasma concentrations of amidated and glycine-extended glucagon-like peptide I in humans. Diabetes 43:535–539PubMed Orskov C, Rabenhoj L, Wettergren A, Kofod H, Holst JJ (1994) Tissue and plasma concentrations of amidated and glycine-extended glucagon-like peptide I in humans. Diabetes 43:535–539PubMed
34.
Zurück zum Zitat Deacon CF, Pridal L, Klarskov L, Olesen M, Holst JJ (1996) Glucagon-like peptide 1 undergoes differential tissue-specific metabolism in the anesthetized pig. Am J Physiol 271:E458–E464PubMed Deacon CF, Pridal L, Klarskov L, Olesen M, Holst JJ (1996) Glucagon-like peptide 1 undergoes differential tissue-specific metabolism in the anesthetized pig. Am J Physiol 271:E458–E464PubMed
35.
Zurück zum Zitat Probert CJ, Emmett PM, Heaton KW (1993) Intestinal transit time in the population calculated from self made observations of defecation. J Epidemiol Community Health 47:331–333PubMed Probert CJ, Emmett PM, Heaton KW (1993) Intestinal transit time in the population calculated from self made observations of defecation. J Epidemiol Community Health 47:331–333PubMed
36.
Zurück zum Zitat Nuttall FQ, Mooradian AD, Gannon MC, Billington C, Krezowski P (1984) Effect of protein ingestion on the glucose and insulin response to a standardized oral glucose load. Diabetes Care 7:465–470PubMed Nuttall FQ, Mooradian AD, Gannon MC, Billington C, Krezowski P (1984) Effect of protein ingestion on the glucose and insulin response to a standardized oral glucose load. Diabetes Care 7:465–470PubMed
37.
Zurück zum Zitat Meier JJ, Hucking K, Holst JJ et al (2001) Reduced insulinotropic effect of gastric inhibitory polypeptide in first-degree relatives of patients with type 2 diabetes. Diabetes 50:2497–2504PubMed Meier JJ, Hucking K, Holst JJ et al (2001) Reduced insulinotropic effect of gastric inhibitory polypeptide in first-degree relatives of patients with type 2 diabetes. Diabetes 50:2497–2504PubMed
38.
Zurück zum Zitat Miyawaki K, Yamada Y, Yano H et al (1999) Glucose intolerance caused by a defect in the entero-insular axis: a study in gastric inhibitory polypeptide receptor knockout mice. Proc Natl Acad Sci U S A 96:14843–14847CrossRefPubMed Miyawaki K, Yamada Y, Yano H et al (1999) Glucose intolerance caused by a defect in the entero-insular axis: a study in gastric inhibitory polypeptide receptor knockout mice. Proc Natl Acad Sci U S A 96:14843–14847CrossRefPubMed
39.
Zurück zum Zitat Meier JJ, Nauck MA, Schmidt WE, Gallwitz B (2002) Gastric inhibitory polypeptide: the neglected incretin revisited. Regul Pept 107:1–13CrossRefPubMed Meier JJ, Nauck MA, Schmidt WE, Gallwitz B (2002) Gastric inhibitory polypeptide: the neglected incretin revisited. Regul Pept 107:1–13CrossRefPubMed
40.
Zurück zum Zitat Jorde R, Pettersen JE, Burhol PG (1984) Lack of effect of exogenous or endogenous gastric inhibitory polypeptide on the elimination rate of intralipid in man. Acta Med Scand 216:19–23PubMed Jorde R, Pettersen JE, Burhol PG (1984) Lack of effect of exogenous or endogenous gastric inhibitory polypeptide on the elimination rate of intralipid in man. Acta Med Scand 216:19–23PubMed
41.
Zurück zum Zitat Calles-Escandon J, Robbins DC (1987) Loss of early phase of insulin release in humans impairs glucose tolerance and blunts thermic effect of glucose. Diabetes 36:1167–1172PubMed Calles-Escandon J, Robbins DC (1987) Loss of early phase of insulin release in humans impairs glucose tolerance and blunts thermic effect of glucose. Diabetes 36:1167–1172PubMed
42.
Zurück zum Zitat Wolfrum C, Asilmaz E, Luca E, Friedman JM, Stoffel M (2004) Foxa2 regulates lipid metabolism and ketogenesis in the liver during fasting and in diabetes. Nature 432:1027–1032 Wolfrum C, Asilmaz E, Luca E, Friedman JM, Stoffel M (2004) Foxa2 regulates lipid metabolism and ketogenesis in the liver during fasting and in diabetes. Nature 432:1027–1032
43.
Zurück zum Zitat Browning JD, Horton JD (2004) Molecular mediators of hepatic steatosis and liver injury. J Clin Invest 114:147–152CrossRefPubMed Browning JD, Horton JD (2004) Molecular mediators of hepatic steatosis and liver injury. J Clin Invest 114:147–152CrossRefPubMed
44.
Zurück zum Zitat Kahn SE, Prigeon RL, McCulloch DK et al (1993) Quantification of the relationship between insulin sensitivity and beta-cell function in human subjects. Evidence for a hyperbolic function. Diabetes 42:1663–1672PubMed Kahn SE, Prigeon RL, McCulloch DK et al (1993) Quantification of the relationship between insulin sensitivity and beta-cell function in human subjects. Evidence for a hyperbolic function. Diabetes 42:1663–1672PubMed
45.
Zurück zum Zitat Robertson MD, Currie JM, Morgan LM, Jewell DP, Frayn KN (2003) Prior short-term consumption of resistant starch enhances postprandial insulin sensitivity in healthy subjects. Diabetologia 46:659–665PubMed Robertson MD, Currie JM, Morgan LM, Jewell DP, Frayn KN (2003) Prior short-term consumption of resistant starch enhances postprandial insulin sensitivity in healthy subjects. Diabetologia 46:659–665PubMed
46.
Zurück zum Zitat Rodriguez-Moran M, Guerrero-Romero F (2003) Oral magnesium supplementation improves insulin sensitivity and metabolic control in type 2 diabetic subjects: a randomized double-blind controlled trial. Diabetes Care 26:1147–1152PubMed Rodriguez-Moran M, Guerrero-Romero F (2003) Oral magnesium supplementation improves insulin sensitivity and metabolic control in type 2 diabetic subjects: a randomized double-blind controlled trial. Diabetes Care 26:1147–1152PubMed
47.
Zurück zum Zitat Song Y, Manson JE, Buring JE, Liu S (2004) Dietary magnesium intake in relation to plasma insulin levels and risk of type 2 diabetes in women. Diabetes Care 27:59–65PubMed Song Y, Manson JE, Buring JE, Liu S (2004) Dietary magnesium intake in relation to plasma insulin levels and risk of type 2 diabetes in women. Diabetes Care 27:59–65PubMed
48.
Zurück zum Zitat Meier JJ, Goetze O, Anstipp J et al (2004) Gastric inhibitory polypeptide does not inhibit gastric emptying in humans. Am J Physiol Endocrinol Metab 286:E621–E625CrossRefPubMed Meier JJ, Goetze O, Anstipp J et al (2004) Gastric inhibitory polypeptide does not inhibit gastric emptying in humans. Am J Physiol Endocrinol Metab 286:E621–E625CrossRefPubMed
49.
Zurück zum Zitat Miki T, Minami K, Shinozaki H et al (2005) Distinct effects of glucose-dependent insulinotropic polypeptide and glucagon-like peptide-1 on insulin secretion and gut motility. Diabetes 54:1056–1063PubMed Miki T, Minami K, Shinozaki H et al (2005) Distinct effects of glucose-dependent insulinotropic polypeptide and glucagon-like peptide-1 on insulin secretion and gut motility. Diabetes 54:1056–1063PubMed
50.
Zurück zum Zitat Marlett JA, McBurney MI, Slavin JL (2002) Position of the American Dietetic Association: health implications of dietary fiber. J Am Diet Assoc 102:993–1000CrossRefPubMed Marlett JA, McBurney MI, Slavin JL (2002) Position of the American Dietetic Association: health implications of dietary fiber. J Am Diet Assoc 102:993–1000CrossRefPubMed
Metadaten
Titel
Impact of cereal fibre on glucose-regulating factors
verfasst von
M. O. Weickert
M. Mohlig
C. Koebnick
J. J. Holst
P. Namsolleck
M. Ristow
M. Osterhoff
H. Rochlitz
N. Rudovich
J. Spranger
A. F. H. Pfeiffer
Publikationsdatum
01.11.2005
Erschienen in
Diabetologia / Ausgabe 11/2005
Print ISSN: 0012-186X
Elektronische ISSN: 1432-0428
DOI
https://doi.org/10.1007/s00125-005-1941-x

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