Skip to main content
Erschienen in: European Journal of Nutrition 8/2018

11.10.2017 | Original Contribution

Sea buckthorn decreases and delays insulin response and improves glycaemic profile following a sucrose-containing berry meal: a randomised, controlled, crossover study of Danish sea buckthorn and strawberries in overweight and obese male subjects

verfasst von: Maria Wichmann Mortensen, Camilla Spagner, Cătălina Cuparencu, Arne Astrup, Anne Raben, Lars Ove Dragsted

Erschienen in: European Journal of Nutrition | Ausgabe 8/2018

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Berries and mixed berry products exert acute effects on postprandial glycaemia and insulinemia, but very few berries have been studied, and primarily in normal weight subjects. Sea buckthorn and strawberry are compositionally widely different berries and may likely produce different responses. The effects of strawberry and sea buckthorn on postprandial glycaemia and insulinemia were examined in overweight or obese male subjects. Subjective appetite sensations and ad libitum intake were also examined.

Methods

The study was conducted as a randomised, controlled, single-blinded, three-way crossover study. Eighteen subjects were studied in three 2-h meal tests followed by a subsequent ad libitum meal. Test meals contained added sucrose and either sea buckthorn, strawberry or no berries with added fructose (control). Blood samples were collected at t = 0, 30, 45, 60, 90 and 120 min. Subjective appetite sensations were recorded at t = 0, 15, 30, 45, 60, 90, 120, and 140 min and subsequent ad libitum intake was recorded. Statistical differences in all continuous measures were evaluated based on the existence of a meal or a time–meal interaction by repeated measures linear model analyses or by differences in AUC by linear mixed models.

Results

None of the berries affected postprandial glucose. However, sea buckthorn improved glycaemic profile (44.7%, p < 0.01) compared to control. Sea buckthorn also resulted in a decrease in plasma insulin concentration at 30 min (39.6%, p < 0.01) and at 45 min (16.5%, p < 0.05) compared to control and the maximal increase in plasma insulin was lower following sea buckthorn compared with control (23.6%, p < 0.01). Strawberry did not affect postprandial insulin concentrations compared to control. No differences between control and each of the two berries were observed for any of the appetite parameters, except for desire for something sweet, which was increased following the sea buckthorn meal compared to control.

Conclusions

There was no effect on postprandial glucose response to a sugar challenge given together with purees of strawberry or sea buckthorn. Sea buckthorn decreased and delayed the insulin response and improved glycaemic profile compared with control. Strawberry had no such effects. No important differences were seen for the appetite measures. Sea buckthorn might be useful as a culinary tool for lowering meal insulin response.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Ludwig DS (2002) The glycemic index: physiological mechanisms relating to obesity, diabetes, and cardiovascular disease. JAMA 287(18):2414–2423CrossRef Ludwig DS (2002) The glycemic index: physiological mechanisms relating to obesity, diabetes, and cardiovascular disease. JAMA 287(18):2414–2423CrossRef
2.
Zurück zum Zitat Raben A (2002) Should obese patients be counselled to follow a low-glycaemic index diet? No Obes Rev 3(4):245–256CrossRef Raben A (2002) Should obese patients be counselled to follow a low-glycaemic index diet? No Obes Rev 3(4):245–256CrossRef
3.
Zurück zum Zitat Blaak E, Antoine JM, Benton D et al (2012) Impact of postprandial glycaemia on health and prevention of disease. Obes Rev 13(10):923–984CrossRef Blaak E, Antoine JM, Benton D et al (2012) Impact of postprandial glycaemia on health and prevention of disease. Obes Rev 13(10):923–984CrossRef
4.
Zurück zum Zitat Wolever TM (2006) The glycaemic index: a physiological classification of dietary carbohydrate. Cabi, OxfordshireCrossRef Wolever TM (2006) The glycaemic index: a physiological classification of dietary carbohydrate. Cabi, OxfordshireCrossRef
5.
Zurück zum Zitat Atkinson FS, Foster-Powell K, Brand-Miller JC (2008) International tables of glycemic index and glycemic load values: 2008. Diabetes Care 31(12):2281–2283CrossRef Atkinson FS, Foster-Powell K, Brand-Miller JC (2008) International tables of glycemic index and glycemic load values: 2008. Diabetes Care 31(12):2281–2283CrossRef
6.
Zurück zum Zitat Szajdek A, Borowska EJ (2008) Bioactive compounds and health-promoting properties of berry fruits: a review. Plant Foods Hum Nutr 63(4):147–156CrossRef Szajdek A, Borowska EJ (2008) Bioactive compounds and health-promoting properties of berry fruits: a review. Plant Foods Hum Nutr 63(4):147–156CrossRef
7.
Zurück zum Zitat Hanhineva K, Törrönen R, Bondia-Pons I, Pekkinen J, Kolehmainen M, Mykkänen H, Poutanen K (2010) Impact of dietary polyphenols on carbohydrate metabolism. Int J Mol Sci 11(4):1365–1402CrossRef Hanhineva K, Törrönen R, Bondia-Pons I, Pekkinen J, Kolehmainen M, Mykkänen H, Poutanen K (2010) Impact of dietary polyphenols on carbohydrate metabolism. Int J Mol Sci 11(4):1365–1402CrossRef
8.
Zurück zum Zitat Mithril C, Dragsted LO, Meyer C, Blauert E, Holt MK, Astrup A (2012) Guidelines for the new nordic diet. Public Health Nutr 15(10):1941–1947CrossRef Mithril C, Dragsted LO, Meyer C, Blauert E, Holt MK, Astrup A (2012) Guidelines for the new nordic diet. Public Health Nutr 15(10):1941–1947CrossRef
9.
Zurück zum Zitat Poulsen SK, Due A, Jordy AB, Kiens B, Stark KD, Stender S, Holst C, Astrup A, Larsen TM (2014) Health effect of the new nordic diet in adults with increased waist circumference: a 6-mo randomized controlled trial. Am J Clin Nutr 99(1):35–45CrossRef Poulsen SK, Due A, Jordy AB, Kiens B, Stark KD, Stender S, Holst C, Astrup A, Larsen TM (2014) Health effect of the new nordic diet in adults with increased waist circumference: a 6-mo randomized controlled trial. Am J Clin Nutr 99(1):35–45CrossRef
10.
Zurück zum Zitat Mithril C, Dragsted LO, Meyer C, Tetens I, Biltoft-Jensen A, Astrup A (2013) Dietary composition and nutrient content of the new nordic diet. Public Health Nutr 16(5):777–785CrossRef Mithril C, Dragsted LO, Meyer C, Tetens I, Biltoft-Jensen A, Astrup A (2013) Dietary composition and nutrient content of the new nordic diet. Public Health Nutr 16(5):777–785CrossRef
12.
Zurück zum Zitat Giampieri F, Tulipani S, Alvarez-Suarez JM, Quiles JL, Mezzetti B, Battino M (2012) The strawberry: composition, nutritional quality, and impact on human health. Nutrition 28(1):9–19CrossRef Giampieri F, Tulipani S, Alvarez-Suarez JM, Quiles JL, Mezzetti B, Battino M (2012) The strawberry: composition, nutritional quality, and impact on human health. Nutrition 28(1):9–19CrossRef
13.
Zurück zum Zitat Suryakumar G, Gupta A (2011) Medicinal and therapeutic potential of sea buckthorn (Hippophae rhamnoides L.). J Ethnopharmacol 138(2):268–278CrossRef Suryakumar G, Gupta A (2011) Medicinal and therapeutic potential of sea buckthorn (Hippophae rhamnoides L.). J Ethnopharmacol 138(2):268–278CrossRef
14.
Zurück zum Zitat Törrönen R, Sarkkinen E, Tapola N, Hautaniemi E, Kilpi K, Niskanen L (2010) Berries modify the postprandial plasma glucose response to sucrose in healthy subjects. Br J Nutr 103(8):1094–1097PubMed Törrönen R, Sarkkinen E, Tapola N, Hautaniemi E, Kilpi K, Niskanen L (2010) Berries modify the postprandial plasma glucose response to sucrose in healthy subjects. Br J Nutr 103(8):1094–1097PubMed
15.
Zurück zum Zitat Törrönen R, Sarkkinen E, Niskanen T, Tapola N, Kilpi K, Niskanen L (2012) Postprandial glucose, insulin and glucagon-like peptide 1 responses to sucrose ingested with berries in healthy subjects. Br J Nutr 107(10):1445–1451CrossRef Törrönen R, Sarkkinen E, Niskanen T, Tapola N, Kilpi K, Niskanen L (2012) Postprandial glucose, insulin and glucagon-like peptide 1 responses to sucrose ingested with berries in healthy subjects. Br J Nutr 107(10):1445–1451CrossRef
16.
Zurück zum Zitat Edirisinghe I, Banaszewski K, Cappozzo J, Sandhya K, Ellis CL, Tadapaneni R, Kappagoda CT, Burton-Freeman BM (2011) Strawberry anthocyanin and its association with postprandial inflammation and insulin. Br J Nutr 106(6):913–922CrossRef Edirisinghe I, Banaszewski K, Cappozzo J, Sandhya K, Ellis CL, Tadapaneni R, Kappagoda CT, Burton-Freeman BM (2011) Strawberry anthocyanin and its association with postprandial inflammation and insulin. Br J Nutr 106(6):913–922CrossRef
17.
Zurück zum Zitat Park E, Edirisinghe I, Wei H, Vijayakumar LP, Banaszewski K, Cappozzo JC, Burton-Freeman B (2016) A dose–response evaluation of freeze-dried strawberries independent of fiber content on metabolic indices in abdominally obese individuals with insulin resistance in a randomized, single-blinded, diet-controlled crossover trial. Mol Nutr Food Res 60(5):1099–1109CrossRef Park E, Edirisinghe I, Wei H, Vijayakumar LP, Banaszewski K, Cappozzo JC, Burton-Freeman B (2016) A dose–response evaluation of freeze-dried strawberries independent of fiber content on metabolic indices in abdominally obese individuals with insulin resistance in a randomized, single-blinded, diet-controlled crossover trial. Mol Nutr Food Res 60(5):1099–1109CrossRef
18.
Zurück zum Zitat Lehtonen H, Järvinen R, Linderborg K, Viitanen M, Venojärvi M, Alanko H, Kallio H (2010) Postprandial hyperglycemia and insulin response are affected by sea buckthorn (Hippophaë rhamnoides ssp. turkestanica) berry and its ethanol-soluble metabolites. Eur J Clin Nutr 64(12):1465–1471CrossRef Lehtonen H, Järvinen R, Linderborg K, Viitanen M, Venojärvi M, Alanko H, Kallio H (2010) Postprandial hyperglycemia and insulin response are affected by sea buckthorn (Hippophaë rhamnoides ssp. turkestanica) berry and its ethanol-soluble metabolites. Eur J Clin Nutr 64(12):1465–1471CrossRef
19.
Zurück zum Zitat Yang B, Karlsson RM, Oksman PH, Kallio HP (2001) Phytosterols in sea buckthorn (Hippophae rhamnoides L.) berries: Identification and effects of different origins and harvesting times. J Agric Food Chem 49(11):5620–5629CrossRef Yang B, Karlsson RM, Oksman PH, Kallio HP (2001) Phytosterols in sea buckthorn (Hippophae rhamnoides L.) berries: Identification and effects of different origins and harvesting times. J Agric Food Chem 49(11):5620–5629CrossRef
20.
Zurück zum Zitat Yang B, Kallio H (2002) Composition and physiological effects of sea buckthorn (Hippophaë) lipids. Trends Food Sci Technol 13:160–167CrossRef Yang B, Kallio H (2002) Composition and physiological effects of sea buckthorn (Hippophaë) lipids. Trends Food Sci Technol 13:160–167CrossRef
21.
Zurück zum Zitat Bastard JP, Maachi M, Lagathu C, Kim MJ, Caron M, Vidal H, Capeau J, Feve B (2006) Recent advances in the relationship between obesity, inflammation, and insulin resistance. Eur Cytokine Netw 17(1):4–12PubMed Bastard JP, Maachi M, Lagathu C, Kim MJ, Caron M, Vidal H, Capeau J, Feve B (2006) Recent advances in the relationship between obesity, inflammation, and insulin resistance. Eur Cytokine Netw 17(1):4–12PubMed
22.
Zurück zum Zitat Cuparencu CS, Andersen MBS, Gürdeniz G, Schou SS, Mortensen MW, Raben A, Dragsted LO (2016) Identification of urinary biomarkers after consumption of sea buckthorn and strawberry, by untargeted LC–MS metabolomics: a meal study in adult men. Metabolomics 12:31CrossRef Cuparencu CS, Andersen MBS, Gürdeniz G, Schou SS, Mortensen MW, Raben A, Dragsted LO (2016) Identification of urinary biomarkers after consumption of sea buckthorn and strawberry, by untargeted LC–MS metabolomics: a meal study in adult men. Metabolomics 12:31CrossRef
24.
Zurück zum Zitat Flint A, Raben A, Blundell JE, Astrup A (2000) Reproducibility, power and validity of visual analogue scales in assessment of appetite sensations in single test meal studies. Int J Obes Relat Metab Disord 24(1):38–48CrossRef Flint A, Raben A, Blundell JE, Astrup A (2000) Reproducibility, power and validity of visual analogue scales in assessment of appetite sensations in single test meal studies. Int J Obes Relat Metab Disord 24(1):38–48CrossRef
25.
Zurück zum Zitat Gilbert JA, Gasteyger C, Raben A, Meier DH, Astrup A, Sjödin A (2012) The effect of tesofensine on appetite sensations. Obesity 20(3):553–561CrossRef Gilbert JA, Gasteyger C, Raben A, Meier DH, Astrup A, Sjödin A (2012) The effect of tesofensine on appetite sensations. Obesity 20(3):553–561CrossRef
26.
Zurück zum Zitat Rosen L, Silva LO, Andersson UK, Holm C, Ostman EM, Björck IM (2009) Endosperm and whole grain rye breads are characterized by low post-prandial insulin response and a beneficial blood glucose profile. Nutr J 8:42CrossRef Rosen L, Silva LO, Andersson UK, Holm C, Ostman EM, Björck IM (2009) Endosperm and whole grain rye breads are characterized by low post-prandial insulin response and a beneficial blood glucose profile. Nutr J 8:42CrossRef
27.
Zurück zum Zitat Törrönen R, Kolehmainen M, Sarkkinen E, Poutanen K, Mykkanen H, Niskanen L (2013) Berries reduce postprandial insulin responses to wheat and rye breads in healthy women. J Nutr 143(4):430–436CrossRef Törrönen R, Kolehmainen M, Sarkkinen E, Poutanen K, Mykkanen H, Niskanen L (2013) Berries reduce postprandial insulin responses to wheat and rye breads in healthy women. J Nutr 143(4):430–436CrossRef
28.
Zurück zum Zitat Huang Y, Park E, Edirisinghe I, Burton-Freeman BM (2016) Maximizing the health effects of strawberry anthocyanins: understanding the influence of the consumption timing variable. Food Funct 7(12):4745–4752 7(CrossRef Huang Y, Park E, Edirisinghe I, Burton-Freeman BM (2016) Maximizing the health effects of strawberry anthocyanins: understanding the influence of the consumption timing variable. Food Funct 7(12):4745–4752 7(CrossRef
29.
Zurück zum Zitat Richter CK, Skulas-Ray AC, Gaugler TL, Lambert JD, Proctor DN, Kris-Etherton PM (2017) Incorporating freeze-dried strawberry powder into a high-fat meal does not alter postprandial vascular function or blood markers of cardiovascular disease risk: a randomized controlled trial. Am J Clin Nutr 105(2):313–322CrossRef Richter CK, Skulas-Ray AC, Gaugler TL, Lambert JD, Proctor DN, Kris-Etherton PM (2017) Incorporating freeze-dried strawberry powder into a high-fat meal does not alter postprandial vascular function or blood markers of cardiovascular disease risk: a randomized controlled trial. Am J Clin Nutr 105(2):313–322CrossRef
30.
Zurück zum Zitat Clegg ME, Pratt M, Meade CM, Henry CJ (2011) The addition of raspberries and blueberries to a starch-based food does not alter the glycaemic response. Br J Nutr 106(3):335–338CrossRef Clegg ME, Pratt M, Meade CM, Henry CJ (2011) The addition of raspberries and blueberries to a starch-based food does not alter the glycaemic response. Br J Nutr 106(3):335–338CrossRef
31.
Zurück zum Zitat Granfeldt YE, Björck IM (2011) A bilberry drink with fermented oatmeal decreases postprandial insulin demand in young healthy adults. Nutr J 10:57CrossRef Granfeldt YE, Björck IM (2011) A bilberry drink with fermented oatmeal decreases postprandial insulin demand in young healthy adults. Nutr J 10:57CrossRef
32.
Zurück zum Zitat Linderborg KM, Jarvinen R, Lehtonen HM, Viitanen M, Kallio HP (2012) The fiber and/or polyphenols present in lingonberries null the glycemic effect of the sugars present in the berries when consumed together with added glucose in healthy human volunteers. Nutr Res 32(7):471–478CrossRef Linderborg KM, Jarvinen R, Lehtonen HM, Viitanen M, Kallio HP (2012) The fiber and/or polyphenols present in lingonberries null the glycemic effect of the sugars present in the berries when consumed together with added glucose in healthy human volunteers. Nutr Res 32(7):471–478CrossRef
33.
Zurück zum Zitat Törrönen R, Kolehmainen M, Sarkkinen E, Mykkänen H, Niskanen L (2012) Postprandial glucose, insulin, and free fatty acid responses to sucrose consumed with blackcurrants and lingonberries in healthy women. Am J Clin Nutr 96(3):527–533CrossRef Törrönen R, Kolehmainen M, Sarkkinen E, Mykkänen H, Niskanen L (2012) Postprandial glucose, insulin, and free fatty acid responses to sucrose consumed with blackcurrants and lingonberries in healthy women. Am J Clin Nutr 96(3):527–533CrossRef
34.
Zurück zum Zitat Matthews D, Hosker J, Rudenski A, Naylor B, Treacher D, Turner R (1985) Homeostasis model assessment: insulin resistance and β-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia 28(7):412–419CrossRef Matthews D, Hosker J, Rudenski A, Naylor B, Treacher D, Turner R (1985) Homeostasis model assessment: insulin resistance and β-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia 28(7):412–419CrossRef
35.
Zurück zum Zitat Linderborg KM, Lehtonen HM, Jarvinen R, Viitanen M, Kallio H (2012) The fibres and polyphenols in sea buckthorn (Hippophae rhamnoides) extraction residues delay postprandial lipemia. Int J Food Sci Nutr 63(4):483–490CrossRef Linderborg KM, Lehtonen HM, Jarvinen R, Viitanen M, Kallio H (2012) The fibres and polyphenols in sea buckthorn (Hippophae rhamnoides) extraction residues delay postprandial lipemia. Int J Food Sci Nutr 63(4):483–490CrossRef
36.
Zurück zum Zitat Granfeldt Y, Wu X, Björck I (2006) Determination of glycaemic index; some methodological aspects related to the analysis of carbohydrate load and characteristics of the previous evening meal. Eur J Clin Nutr 60(1):104–112CrossRef Granfeldt Y, Wu X, Björck I (2006) Determination of glycaemic index; some methodological aspects related to the analysis of carbohydrate load and characteristics of the previous evening meal. Eur J Clin Nutr 60(1):104–112CrossRef
37.
Zurück zum Zitat Zeb A, Mehmood S (2004) Carotenoids contents from various sources and their potential health applications. Pak J Nutr 3(3):199–204CrossRef Zeb A, Mehmood S (2004) Carotenoids contents from various sources and their potential health applications. Pak J Nutr 3(3):199–204CrossRef
38.
Zurück zum Zitat Häkkinen SH, Kärenlampi SO, Heinonen IM, Mykkänen HM, Törrönen AR (1999) Content of the flavonols quercetin, myricetin, and kaempferol in 25 edible berries. J Agric Food Chem 47(6):2274–2279CrossRef Häkkinen SH, Kärenlampi SO, Heinonen IM, Mykkänen HM, Törrönen AR (1999) Content of the flavonols quercetin, myricetin, and kaempferol in 25 edible berries. J Agric Food Chem 47(6):2274–2279CrossRef
39.
Zurück zum Zitat Tadera K, Minami Y, Takamatsu K, Matsuoka T (2006) Inhibition of ALPHA-glucosidase and ALPHA-amylase by flavonoids. J Nutr Sci Vitaminol 52(2):149–153CrossRef Tadera K, Minami Y, Takamatsu K, Matsuoka T (2006) Inhibition of ALPHA-glucosidase and ALPHA-amylase by flavonoids. J Nutr Sci Vitaminol 52(2):149–153CrossRef
40.
Zurück zum Zitat Fang XK, Gao J, Zhu DN (2008) Kaempferol and quercetin isolated from Euonymus alatus improve glucose uptake of 3T3-L1 cells without adipogenesis activity. Life Sci 82(11):615–622CrossRef Fang XK, Gao J, Zhu DN (2008) Kaempferol and quercetin isolated from Euonymus alatus improve glucose uptake of 3T3-L1 cells without adipogenesis activity. Life Sci 82(11):615–622CrossRef
41.
Zurück zum Zitat Voutilainen S, Nurmi T, Mursu J, Rissanen TH (2006) Carotenoids and cardiovascular health. Am J Clin Nutr 83(6):1265–1271CrossRef Voutilainen S, Nurmi T, Mursu J, Rissanen TH (2006) Carotenoids and cardiovascular health. Am J Clin Nutr 83(6):1265–1271CrossRef
42.
Zurück zum Zitat Cooper DA (2004) Carotenoids in health and disease: recent scientific evaluations, research recommendations and the consumer. J Nutr 134(1):221S-4SCrossRef Cooper DA (2004) Carotenoids in health and disease: recent scientific evaluations, research recommendations and the consumer. J Nutr 134(1):221S-4SCrossRef
43.
Zurück zum Zitat Ulmius M, Johansson A, Önning G (2009) The influence of dietary fibre source and gender on the postprandial glucose and lipid response in healthy subjects. Eur J Nutr 48(7):395–402CrossRef Ulmius M, Johansson A, Önning G (2009) The influence of dietary fibre source and gender on the postprandial glucose and lipid response in healthy subjects. Eur J Nutr 48(7):395–402CrossRef
44.
Zurück zum Zitat Farajian P, Katsagani M, Zampelas A (2010) Short-term effects of a snack including dried prunes on energy intake and satiety in normal-weight individuals. Eat Behav 11(3):201–203CrossRef Farajian P, Katsagani M, Zampelas A (2010) Short-term effects of a snack including dried prunes on energy intake and satiety in normal-weight individuals. Eat Behav 11(3):201–203CrossRef
45.
Zurück zum Zitat Flood-Obbagy JE, Rolls BJ (2009) The effect of fruit in different forms on energy intake and satiety at a meal. Appetite 52(2):416–422CrossRef Flood-Obbagy JE, Rolls BJ (2009) The effect of fruit in different forms on energy intake and satiety at a meal. Appetite 52(2):416–422CrossRef
46.
Zurück zum Zitat Gregersen NT, Flint A, Bitz C, Blundell JE, Raben A, Astrup A (2008) Reproducibility and power of ad libitum energy intake assessed by repeated single meals. Am J Clin Nutr 87(5):1277–1281CrossRef Gregersen NT, Flint A, Bitz C, Blundell JE, Raben A, Astrup A (2008) Reproducibility and power of ad libitum energy intake assessed by repeated single meals. Am J Clin Nutr 87(5):1277–1281CrossRef
47.
Zurück zum Zitat Gregersen NT, Møller BK, Raben A, Kristensen ST, Holm L, Flint A, Astrup A (2011) Determinants of appetite ratings: the role of age, gender, BMI, physical activity, smoking habits, and diet/weight concern. Food Nutr Res 55CrossRef Gregersen NT, Møller BK, Raben A, Kristensen ST, Holm L, Flint A, Astrup A (2011) Determinants of appetite ratings: the role of age, gender, BMI, physical activity, smoking habits, and diet/weight concern. Food Nutr Res 55CrossRef
Metadaten
Titel
Sea buckthorn decreases and delays insulin response and improves glycaemic profile following a sucrose-containing berry meal: a randomised, controlled, crossover study of Danish sea buckthorn and strawberries in overweight and obese male subjects
verfasst von
Maria Wichmann Mortensen
Camilla Spagner
Cătălina Cuparencu
Arne Astrup
Anne Raben
Lars Ove Dragsted
Publikationsdatum
11.10.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
European Journal of Nutrition / Ausgabe 8/2018
Print ISSN: 1436-6207
Elektronische ISSN: 1436-6215
DOI
https://doi.org/10.1007/s00394-017-1550-8

Weitere Artikel der Ausgabe 8/2018

European Journal of Nutrition 8/2018 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.