Tam Buğday Ekmeğine Uygulanan Isıl İşlemin Ekmeğin Glisemik İndeksi Üzerine Etkisi

Amaç: Ekmek ülkemizde temel karbonhidrat ve enerji kaynaklarındandır. Obezite, diyabet ve kalp hastalıklarının önlenmesi ya da tedavisinde besin ögesi içeriği nedeni ile tam buğday unundan ekmek tüketimi önerilmektedir. Buna karşın literatürde ekmeğe uygulanan ısıtma işleminin glisemik indeks üzerine etkisinin gösterildiği çalışmalar sınırlı sayıdadır. Bu çalışmanın amacı tam buğday ekmeğine uygulanan ısıl işlemin glisemik indeks üzerine etkisini saptamaktır. Bireyler ve Yöntem: Çalışma 19-35 yaş arası (22.5±3.4 yıl, 6 erkek, 4 kadın) 10 sağlıklı birey ile yürütülmüştür. Bireylere birer hafta ara ile 8 saatlik açlık sonrası 50 g sindirilebilir karbonhidrat içeren referans besin olarak glukoz ve beyaz ekmek, test besini olarak tam buğday ekmeği ile 6 dakika boyunca 220 o C ısıl işlem uygulanmış tam buğday ekmeği verilmiş ve 0, 15, 30, 45, 60, 90. ve 120. dakikalarda parmak ucundan kapiller kan glukoz ölçümleri aynı cihazla yapılmıştır. Bulgular: Çalışma sonucunda glukoza göre tam buğday ekmeğinin glisemik indeksi 78.4 iken, ısıl işlem uygulanmış tam buğday ekmeğinin 107.7 bulunmuştur. Tam buğday ve kızarmış tam buğday ekmeğinin 0, 15, 30, 60. ve 90. dakikalarda kan glukoz düzeyini yükseltme miktarları arasında istatistiksel olarak önemli bir fark bulunmazken (p>0.05), 45. ve 120. dakikalarda anlamlı farklılık gözlenmektedir (p

Impact of Heat Treatment on the Glycemic Index of Whole Wheat Bread

Aim: In Turkey, bread is a major source of carbohydrates and energy. Whole wheat bread is recommended based on the evidence of its effects on prevention and treatment of obesity, diabetes and heart diseases. In our knowledge, there is not any study demonstrating the effect of heating methods on glycemic index of whole wheat bread. The aim of this study was to determine the effect of heating on the glycemic index of whole wheat bread. Subjects and Methods: All subjects consumed 50 g digestable carbohydrate from glucose, white bread (reference food), whole wheat bread, whole wheat bread toasted in oven for 6 minutes at 220 o C (test foods) after 8 hours of fasting in weekly intervals. Capillary blood glucose measurements of the subjects were made on 0, 15, 30, 45, 60, 90, and 120 th minutes. Result: Compared to glucose, glycemic index values were 78.4 for whole wheat bread; 107.7 for toasted whole wheat bread. While there was no significant difference between blood glucose levels in whole wheat bread and toasted whole wheat bread at 0., 15., 30., 60. and 90 th minutes (p>0.05), statistically significant differences in 45 th and 120 th minutes were determined (p

___

  • Venn BJ, Green TJ. Glycemic index and glycemic load: measurement issues and their effect on diet-disease relationships. Eur J Clin Nutr 2007;61 (Suppl 1):S122-131.
  • World Health Organization, Carbohydrates in Human Nutrition. Report of a Joint FAO/WHO Expert Consultation. (Chapter 4); 1997 Apr 14-18; Italy, Rome.
  • Jenkins DJ, Wolever TM, Taylor RH, Barker H, Fielden H, Baldwin JM, et al. Glycemic index of foods: a physiological basis for carbohydrate exchange. Am J Clin Nutr 1981;34(3):362-366.
  • Sacks FM, Carey VJ, Anderson CA, Miller ER 3rd, Copeland T, Charleston J, et al. Effects of high vs low glycemic index of dietary carbohydrate on cardiovascular disease risk factors and insulin sensitivity: the OmniCarb randomized clinical trial. JAMA 2014;312(23):2531-2541.
  • Wang ML, Gellar L, Nathanson BH, Pbert L, Ma Y, Ockene I, et al. Decrease in glycemic index associated with improved glycemic control among Latinos with type 2 diabetes. J Acad Nutr Diet 2015;115(6):898–906.
  • Ha V, Viguiliouk E, Kendall CWC, Balachandran B, Jenkins DJA, Kavsak PA, et al. Effect of a low glycemic index diet versus a high-cereal fiber diet on markers of subclinical cardiac injury in healthy individuals with type 2 diabetes mellitus: An exploratory analysis of a randomized dietary trial. Clin Biochem 2017;50(18):1104-1109.
  • Gutschall MD, Miller CK, Mitchell DC, Lawrence FR. A randomized behavioural trial targeting glycaemic index improves dietary, weight and metabolic outcomes in patients with type 2 diabetes. Public Health Nutr 2009;12(10):1846-1854.
  • Esposito K, Maiorino MI, Di Palo C, Giugliano D; Campanian Post-Prandial Hyperglycemia Study Group. Dietary glycemic index and glycemic load are associated with metabolic control in type 2 diabetes: The CAPRI experience. Metab Syndr Relat Disord 2010;8(3):255-261.
  • Türk Gıda Kodeksi. Ekmek ve Ekmek Çeşitleri Tebliği; (Tebliğ No: 2012/2).
  • TBSA. “Türkiye Beslenme ve Sağlık Araştırması 2010: Beslenme Durumu ve Alışkanlıklarının Değerlendirilmesi Sonuç Raporu.” Sağlık Bakanlığı Sağlık Araştırmaları Genel Müdürlüğü, Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Beslenme ve Diyetetik Bölümü, Ankara Numune Eğitim ve Araştırma Hastanesi. Ankara: Sağlık Bakanlığı Yayın No: 931. 2014.
  • Visek J, Lacigova S, Cechurova D, Rusavy Z. Comparison of a low-glycemic index vs standard diabetic diet. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2014;158(1):112-116.
  • Liu S, Manson JE, Stampfer MJ, Holmes MD, Hu FB, Hankinson SE, et al. Dietary glycemic load assessed by food-frequency questionnaire in relation to plasma high-density-lipoprotein cholesterol and fasting plasma triacylglycerols in postmenopausal women. Am J Clin Nutr 2001;73(3):560-566.
  • Ahmed M, Gannon MC, Nuttall FQ. Postprandial plasma glucose, insulin, glucagon and triglyceride responses to a standard diet in normal subjects. Diabetologia 1976;12(1):61-67.
  • Bhupathiraju SN, Tobias DK, Malik VS, Pan A, Hruby A, Manson JE, et al. Glycemic index, glycemic load, and risk of type 2 diabetes: results from 3 large US cohorts and an updated meta-analysis. Am J Clin Nutr 2014;100(1):218- 232.
  • Hu FB, Manson JE, Stampfer MJ, Colditz G, Liu S, Solomon CG, et al. Diet, lifestyle, and the risk of type 2 diabetes mellitus in women. N Engl J Med 2001;345(11):790-797.
  • Salmeron J, Ascherio A, Rimm EB, Colditz GA, Spiegelman D, Jenkins DJ, et al. Dietary fiber, glycemic load, and risk of NIDDM in men. Diabetes Care 1997;20(4):545-550.
  • Meyer KA, Kushi LH, Jacobs DR Jr, Slavin J, Sellers TA, Folsom AR. Carbohydrates, dietary fiber, and incident type 2 diabetes in older women. Am J Clin Nutr 2000;71(4):921-930.
  • Øverby NC., Sonestedt E., Laaksonen D E., Birgisdottir BE. (2013). Dietary fiber and the glycemic index: a background paper for the Nordic Nutrition Recommendations 2012. Food Nutr Res, 57(1), 20709.
  • Burton P, Lightowler HJ. The impact of freezing and toasting on the glycemic response of white bread. Eur J Clin Nutr 2008;62(5):594-599.
  • Brown A. Understanding Food: Principles Preparation. 5th ed. Cengage; 2014. 374 p. and
  • Wolever TM, Jenkins DJ, Jenkins AL, Josse RG. The glycemic index: methodology and clinical implications. Am J Clin Nutr 1991;54(5):846-854.
  • TC Sağlık Bakanlığı ve Sağlık Hizmetleri Genel Müdürlüğü. "Türkiye Sağlıklı Beslenme ve Hareketli Hayat Programı (2010-2014)." Kuban Matbaacılık Yayıncılık, Ankara, 2010.
  • Rizkalla SW, Laromiguiere M, Champ M, Bruzzo F, Boillot J, Slama G. Effect of baking process on postprandial metabolic consequences: Randomized trials in normal and type 2 diabetes subjects. Eur J Clin Nutr 2007;61(2):175-183.
  • Ludwig DS. Dietary glycemic index and obesity. J Nutr 2000;130(2S Suppl):280S-283S.
  • Najjar AM, Parsons PM, Duncan AM, Robinson LE, Yada RY, Graham TE. The acute impact of ingestion of breads of varying composition on blood glucose, insülin and incretins following first and second meals. Br J Nutr 2009;101(3):391-398.
  • Liljeberg HG, Lönner CH, Björck IM. Sourdough fermentation or addition of organic acids or corresponding salts to bread improves nutritional properties of starch in healthy humans. J Nutr 1995;125(6):1503-1511.
  • Wolever TM, Jenkins DJ, Vuksan V, Josse RG, Wong GS, Jenkins AL. Glycemic index of foods in individual subjects. Diabetes Care 1990;13(2):126-132.
  • Brand-Miller J, Hayne S, Petocz P, Colagiuri S. Low- glycemic index diets in the management of diabetes: a meta-analysis of randomized controlled trials. Diabetes Care 2003;26(8):2261-2267.