Bal ve Glisemik İndeks

Bal; bal arılarının (Apis mellifera L.) çiçek nektarlarını ve bitkilerin veya bitkiler üzerinde yaşayan bazı canlıların salgılarını topladıktan sonra, kendine özgü maddelerle karıştırarak değişikliğe uğratıp, su içeriğini düşürdüğü ve bal peteklerine depolayıp olgunlaştırdığı doğal bir üründür. Bal karbonhidrattan zengin olmakla birlikte sağlık amacıyla kullanılan işlevsel bir gıdadır. Günümüzde, farklı karbonhidrat kaynaklarının kan glikoz düzeyine etkisini açıklamak için araştırmacılar tarafından Glisemik İndeks (Gİ) kavramı oluşturulmuş ve karbonhidrat içerikli gıdalar kan şeker seviyesini ne hızda ve miktarda yükselttiğine göre sınıflandırılmıştır. Diyetin yeterli ve dengeli besin içermesi gerekir ve pek çok sağlık uzmanına göre, sağlığın korunması ve bazı kronik hastalıkların tedavisi sırasında en uygun karbonhidrat içerikli gıdanın seçimi için glisemik indeks kavramından faydalanılmalıdır. Balın glisemik indeksinin belirlenmesine yönelik çalışmalar mevcuttur. Bununla birlikte, farklı botanik ve coğrafik orijine sahip balların glisemik indeks değerlerinin belirlenmesine ihtiyaç vardır. Bu konuda araştırmaların yapılması ve sonuçların duyurulması toplumda farkındalık oluşturulmasına katkıda bulunacaktır.

Honey and Glycemic Index

Honey is a natural substance produced by honeybees (Apis mellifera L.) from the nectar of blossoms or from secretions of living parts of plants or excretions of plant sucking insects on the living parts of plants, which honeybees collect, transform and combine with specific substances of their own, store and leave in the honey comb to ripen and mature. Besides being of carbohydrate-rich food, honey has been used as a functional food for its potential health benefits. To explain how different kinds of carbohydrate-rich foods directly affect blood sugar, the researchers developed the concept of the “glycemic index” (GI) that ranks carbohydrates on a scale based on how quickly and how much they raise blood sugar levels after eating. The diet should include adequate and healthy balance of nutrients, and according to many health professionals the concept of GI provides a useful means of selecting the most appropriate carbohydrate containing foods for the maintenance of health and the treatment of several disease states. There have been some studies on determining the GI of honey. Further more, we need to determine the GI of various honey types with different botanical and geografical origin. Researches on the issue will serve to bring awareness in the public consciousness.

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  • Abdulrhman M, El-Hefnawy M, Hussein R, El-Goud AA. 2011. The glycemic and peak incremental indices of honey, sucrose and glucose in patients with type 1 diabetes mellitus: effects on C-peptide level-a pilot study. Acta Diabetologica, 48: 89-94.
  • Abdulrhman M, El Hefnawy M, Ali R, Abdel Hamid I, Abou El-Goud A, Refai D. 2013. Effects of honey, sucrose and glucose on blood glucose and C-peptide in patients with type 1 diabetes mellitus. Complement Ther Clin Pract, 19: 15-19.
  • Agrawal OP, Pachauri A, Yadav H, Urmila J, Goswamy HM, Chapperwal A, Bisen PS. 2007. Subjects with impaired glucose tolerance exhibit a high degree of tolerance to honey. J Med Food, 10: 473-478
  • Akal YE. 2008. Glisemik İndeks. 2-6 Nisan VI. Uluslararası Beslenme ve Diyet Kongresi, Kongre Kitabı, s. 153. Ankara, Hacettepe Üniversitesi.
  • Aksoy M. 2011. Karbonhidratlar. Beslenme Biyokimyası. Hazırlayan: Aksoy, M. Ankara: Hatipoğlu Yayınevi. Al-Waili N. 2003. Intrapulmonary administration of natural honey solution, hyperosmolar dextrose or hypoosmolar distill water to normal individuals and to patients with type- 2 diabetes mellitus or hypertension: Their effects on blood glucose level, plasma insulin and C-peptide, blood pressure and peaked expiratory flow rate. Eur J Med Res, 8: 295– 303.
  • Al-Waili NS. 2004. Natural honey lowers plasma glucose, Creactive protein, homocysteine, and blood lipids in healthy, diabetic, and hyperlipidemic subjects: comparison with dextrose and sucrose. J Med Food, 7: 100-107.
  • Anderson GH, Woodend D. 2003. Effect of glycemic carbohydrates on short-term satiety and food intake. Am J Clin Nutr, 78: 843-849.
  • Anklam E. 1998. A review of the analytical methods to determine the geographical and botanical origin of honey. Food Chem, 63: 549-562.
  • Anonim. 2004. Türkiye’ye Özgü Beslenme Rehberi, Ankara. Arcot J, Brand-Miller J. 2005. A preliminary assessment of the glycemic index of honey”. Australian Government Rural Industries Research and Development Corporation. https://rirdc.infoservices.com.au/downloads/05. Son erişim tarihi: 19 Şubat 2014.
  • Ası T. 1999. Tablolarla biyokimya Cilt II. Ankara http://veterinary.ankara.edu.tr/~fidanci
  • Baysal A, Aksoy M, Besler T, Bozkurt N, Keçecioğlu S, Mercanlıgil S, Merdol T, Pekcan G, Yıldız E. 2011. Diabetes mellitus ve Beslenme Tedavisi. Diyet El Kitabı, Ankara: Hatiboğlu Yayınları.
  • Beretta G, Gelmini F, Lodi V. 2010. Profile of nitric oxide (NO) metabolites (nitrate, nitrite and N-nitroso groups) in honeys of different botanical origin: nitrate accumulation as index of origin, quality and of therapeutic opportunities. J Pharm Biomed Anal, 53: 343-349
  • Bogdanov S. 2004. Honey composition. Bee Hexagone. http://www.bee-hexagon.net/en/honey.htm Son erişim tarihi: 19 Şubat 2014.
  • Bogdanov S, Jurendic T, Sieber R, Gallmann P. 2008. Honey for Nutrition and Health: A Review. J Am Coll Nutr, 27: 677-689.
  • Bjorkman O, Crump M, Phillips RW. 1984. Intestinal metabolism of orally administered glucose and fructose in Yucatan miniature swine. J Nutr, 114: 1413–1420.
  • Bode C, Durr HK, Bode JC. 1981. Effect of fructose feeding on the activity of enzymes of glycolysis, gluconeogenesis, and the pentose phosphate shunt in the liver and jejunal mucosa of rats. Horm Metab Res, 13: 379-83.
  • Brand-Miller J, Nantel G, Slama G. 2001. Glycaemic index and Health: Quality of the evidence. France: John Libbey Eurotext, 7-26.
  • Brand-Miller J, Hayne S, Petocz P, Colagiuri S. 2003. Lowglycemic index diets in the management of diabetes: a metaanalysis of randomized controlled trials. Diabetes Care, 26: 2261-2267.
  • Burtis CA, Ashwood ER, (Çeviri: Aslan, D). 2005. s: 427-62. Klinik Kimyada Temel Etkiler. Ankara: Palme Yayıncılık. Chepulis L, Francis E. 2013. The glycaemic index of Manuka honey, e-SPEN Journal; 8: e21-e24.
  • Cortez-Pinto H, Chatham J, Chacko VP, Arnold C, Rashid A, Diehl AM. 1999. Alterations in liver ATP homeostasis in human nonalcoholic steatohepatitis: a pilot study. JAMA, 282: 1659-64.
  • Crane E. 1976. Honey, A comprehensive survey, International Bee Research Association. London: Heinemann. D’Arcy B, Caffin N, Bhandari B, Squires N, Fedorow P, Mackay D. 2014. Australian liquid honey in commerical bakery products. Australian Government Rural Industries Research and Development Corporation. https://rirdc.infoservices.com.au/.../99-145Son erişim tarihi: 19 Şubat 2014.
  • Deibert P, Konig D, Kloock B, Groenefeld M, Berg A. 2010. Glycaemic and insulinaemic properties of some German honey varieties. Eur J Clin Nutr, 10: 762–764.
  • Dursun A, Özaydın E, Coşkun T. 2000. Enerji homeostazı. Katkı Pediatri Dergisi; 21: 482-91.
  • English R, Lewis J. 1991. Nutritional Values of Australian Foods. Canberra, Australian Government Publishing Service.
  • Erejuwa OO, Sulaiman SA, Wahab M. 2012. Fructose Might Contribute to the Hypoglycemic Effect of Honey. Molecules, 17: 900-1915.
  • FAO (Food and Agriculture Organization). 1998. Carbohydrates in human nutrition. (FAO Food and Nutrition Paper - 66) Chapter 4 - The role of the glycemic index in food choice Rome, 14-18 April 1997 www.fao.org/docrep/w8079e /w8079e0a.htm FAO (Food and Agriculture Organization/WHO (World Health Organization). 2014. Carbohydrates in human nutrition.http://www.fao.org/docrep/w8079E/w8079e00.htm Son erişim tarihi: 19 Şubat 2014. Foster-Powell FK, Holt S, Brand-Miller JC. 2002. International table of glycemic index and glycemic load values. Am J Clin Nutr, 76: 5–56. Forshee R, Storey M, Allison DA. 2007. Critical examination of the evidence relating high fructose corn syrup and weight gain. Food Sci Nutr, 47: 561-582. Frost G, Leeds AA, Dore CJ, Madeiros S, Brading S, Dornhost DM. 1999. Glycaemic index as a determinant of serum HDL-cholesterol concentration. The Lancet, 353: 1045- 1048. Frost GS, Brynes AE, Taylor CB, Dornhorst A. 2004. A prospective randomised trial to determine the efficacy of a low glycemic index diet given in addition to healthy eating and a weight loss advice in patients with coronary heart disease. Eur J Clin Nutr, 58: 121-127. Fukuda M, Kobayashi K, Hirono Y. 2011. Jungle honey enhances immune function and antitumor activity. e-CAM, 2011: 1-8.
  • Gheldof N, Engeseth NJ. 2002. Antioxidant capacity of honeys from various floral sources based on the determination of oxygen radical absorbance capacity and inhibition of in vitro lipoprotein oxidation in human serum samples. J Agric Food Chem, 50: 3050–3055.
  • Gözükara EM. 2001. Biyokimya ( 4. Baskı). İstanbul: Nobel Tıp Kitabevleri.
  • Gregersen S, Rasmussen O, Larsen S, Hermansen K. 1992. Glycaemic and insulinaemic responses to orange and apple compared with white bread in non-insulin- dependent diabetic subjects.Eur J Clin Nutr, 46: 301-303.
  • Gregory PC, McFadyen M, Rayner DV. 1989. Relation between gastric emptying and short-term regulation of food intake in the pig. Physiol Behav, 45: 677-683.
  • Gurr M. 1997. Nutritional and Health Aspects of Sugars, Evaluation of New Findings. Brussels: International Life Sciences Inst. Press.
  • Gürcan T, Pala M, Korugan Ü, Hacıbekiroğlu H, Yardımcı T. 1994. Çeşitli meyvelerin akut glisemik etkilerinin belirlenmesi. Ulusal Endokrinoloji Dergisi; 4: 129-137.
  • Havel JP. 2005. Dietary Fructose: Implications for Dysregulation of Energy Homeostasis and Lipit/Carbohydrate Metabolism. Nutr Rev, 63: 133-157.
  • Heitkamp K. 1984. Pro und kontra Honig-Sind Aussagen zur Wirkung des Honigs wissenschaftlich hinreichend gesichert. Schriften zur Oecotrophologie; 1–60.
  • Ido Y, Vindigni A, Chang K. 1997. Prevention of vascular and neural dysfunction in diabetic rats by C-peptide. Science, 277: 563-566. Ionesscu-Tirgovişte C, Popa E, Sintu E, Mihalache N, Cheta D, Mincu I. 1983. Blood glucose and plasma insulin responses to various carbohydrates in type 2 (non-insuline dependent) diabetes. Diabetologia, 24: 80-84.
  • Ischayek JI, Kern M. 2006. US honeys varying in glucose and fructose content elicit similar glycemic indexes. J Am Diet Assoc, 106: 1260-1262.
  • Jenkins DJA, Wolever T, Taylor RH, Barker H, Fielden H. 1981. Glycemic index of foods: a physiological basis for carbohydrate exchange. Am J Clin Nutr, 34: 362-366.
  • Jenkins DJ, Wolever TM, Jenkins AL, Thorne MJ, Lee R, Kalmusky J, Reichert R, Wong GS. 1983. Glycemic index of foods taested in diabetic patients: a new basis for carbohydrate exchange favouring the use of leumes. Diabetologia, 24: 257-264.
  • Kashimura J, Nagai Y. 2007. Inhibitory effect of palatinose on glucose absorption in everted rat gut. J Vitam Nutr Res (Tokyo), 53: 87-89.
  • Kellett GL, Brot-Laroche E, Mace OJ. 2008. Sugar absorption in the intestine: the role of GLUT 2. Ann Rev Nutr, 28: 35-54.
  • Khalil MDI, Shahjahan M, Absar N. 2006. Glycemic response and glycemic index of Bangladeshi honey in type 2 diabetic patients. Malays J Pharm Sci, 4: 13-19.
  • Köksal G. 2008. Glisemik İndeks ve Glisemik Yükün Kardiovasküler Hastalıkların Tıbbi Beslenme Tedavisindeki Yeri ve Etkinliği. Türk Kardiyoloji Seminerleri; 8: 194-205.
  • Kwon S, Kim YJ, Kim MK. 2008. Effect of fructose or sucrose feeding with different levels on oral glucose tolerance test in normal and type 2 diabetic rats. Nutr Res Pract, 2: 252–258.
  • Lina BA, Jonker D, Kozianowski G. 2002. Isomaltulose (Palatinose): a review of biological and toxicological studies. Food Chem Toxicol, 40: 1375-1381.
  • Lodos A. 1991. Normal gönüllülerde bal ve ekmeğin glisemik indeksi. Y. Lisans Tezi, İstanbul Üniversitesi, Sağlık Bilimleri Enstitüsü, Besleme Bilim Dalı, İstanbul Louveaux J, Maurizio A, Vorwohl G. 1978. Methods of melissopalynology. Bee World, 59: 139–157.
  • Ludwig DS, Eckel RH. 2002. The glycemic index at 20 y. Am J Clin Nutr, 76 (suppl): 264-265.
  • Madero M, Arriaga JC, Jalal D, Rivard C, McFann K, PérezMéndez O, Vázquez A, Ruiz A, Lanaspa MA, Jiménez CR. 2011. The effect of two energy-restricted diets, a lowfructose diet versus a moderate natural fructose diet, on weight loss and metabolic syndrome parameters: A randomized controlled trial. Metabolism, 60: 1551–1559.
  • Meirelles CJ, Oliveira LA, Jordão AA, Navarro AM. 2011. Metabolic effects of the ingestion of different fructose sources in rats. Exp Clin Endocr Diab, 11: 218–220.
  • Memiş E, Şanlıer E. 2009. Glisemik indeks ve sağlık ilişkisi. Gazi Üniversitesi Endüstriyel Sanatlar Eğitim Fakültesi Dergisi 24: 17-27.
  • Molan P. 1998. The limitations of the methods of identifying the floral source of honeys. Bee World, 97: 59-68.
  • Moran TH, McHugh PR. 1981. Distinctions among three sugars in their effects on gastric emptying and satiety. Am J Physiol, 241: R25-R30.
  • Nseir W, Nassar F, Assy N. 2010. Soft drinks consumption and nonalcoholic fatty liver disease. World J Gastroent, 7, 16: 2579-2588.
  • Pawlak DB, Ebbeling CB, Ludwig DS. 2002. Should obese patients be counselled to follow a low-glycaemic index diet? Yes. Obes Rev, 3: 235-243.
  • Perry T, Richardson S, Peddie M. 2011. Report on the glycemic index of two honey products, glycemic index, Otago; December, 2011.
  • Robert SD, Ismail AA. 2009. Two varieties of honey that are available in Malaysia gave intermediate glycemic index values when tested among healthy individuals. Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia, 153: 145–148.
  • Salmeron J, Manson JE, Stampfer MJ, Colditz GA, Wing AL, Willett WC. 1997. Dietary fiber, glycemic load, and risk of non-insulin-dependent diabetes mellitus in women. JAMA, 277: 472-477.
  • Samanta A, Burden AC, Jones GR, 1985. Plasma glucose responses to glucose, sucrose, and honey in patients with diabetes mellitus: an analysis of glycaemic and peak incremental indices. Diab Med, 2: 371-373.
  • Samuel VT. 2011. Fructose induced lipogenesis: from sugar to fat to insulin resistance. Trends Endoc Metab., 22: 60-65
  • Senyuva H, Gilbert J, Silici S, Charlton A, Dal C, Gürel N, Cimen D. 2009. Profiling Turkish honeys to determine authenticity using physical and chemical characteritics. J Agric Food Chem, 57: 3911-3919.
  • Sayaslan A. 2005. Sağlıklı beslenme açısından gıdaların glisemik indeksi. Gıda; 10: 84-91.
  • Shambaugh P, Worthington V, Herbert JH. 1990. Differential effects of honey, sucrose, and fructose on blood sugar levels. J Manipulative Physiol Ther, 13: 322-325.
  • Silici, Atayoglu, T., İnanç, N. 2014. Botanik ve coğrafik orijini farklı Türk ballarının glisemik indeks değerlerinin belirlenmesi. Tubitak 112S549 Proje Sonuç Raporu.
  • Tappy L, Lê KA. 2010. Metabolic effects of fructose and the worldwide increase in obesity. Physiol Rev, 90: 23-46.
  • TBSA. 2014. T.C. Sağlık Bakanlığı. Türkiye beslenme ve sağlık araştırması (TBSA) 2010. Beslenme durumu ve alışkanlıkların değerlendirilmesi Sonuç raporu. T.C. Sağlık Bakanlığı Yayın no: 931. 637 sayfa.
  • Terrab A, Díez MJ, Heredia F. 2003. Palynological, physicochemical and colour characterization of Moroccan honeys: III. Other unifloral honey types. Int J Food Sci Technol, 38: 395–402.
  • Thorisdottir I, Birgisdottir BE. 2005. Glycemic index. Nordic Nutr Res. Recom, 589.
  • Topping DL, Mayes PA. 1972. The immediate effects of insulin and fructose on the metabolism of the perfused liver. Changes in lipoprotein secretion, fatty acid oxidation and esterification, lipogenesis and carbohydrate metabolism. Biochem J, 126: 295-311.
  • Vaisman N, Niv E, Izkhakov Y. 2006. Catalytic amounts of fructose may improve glucose tolerance in subjects with uncontrolled non-insulin-dependent diabetes. Clin Nutr, 25: 617–621.
  • Van den Berghe G. 1978. Metabolic effects of fructose in the liver. Curr Top Cell Reg, 13: 97-135.
  • Waddell M, Fallon HJ. 1973. The effect of high-carbohydrate diets on liver triglyceride formation in the rat. J Clin Invest, 52: 2725-2731.
  • Watford M. 2002. Small amounts of dietary fructose dramatically increase hepatic glucose uptake. Nutr Rev, 60: 253-257.
  • White JW, Doner LW. 1980. Honey composition and properties: Beekeeping in the United States. Agric Handbook 335: 82–91.
  • Wolever T. 1989. How important is prediction of glycemic responses? Diabetes Care; 12: 591-592.
  • Wolever T, Jenkins DJA, Jenkins AL, Josse RG. 1991. The glycemic index: methodology and clinical implications. American Journal of Clinical Nutrition; 54: 846-854.
  • Yazgünoğlu Y. 2005. Glisemik İndeks. Bilkent Üniversitesi Sağlık Merkezi. htpp://www.bilkent.edu.tr/bilheal/aykonu/ ay2004/mart2004/gliseindx.html (Son erişim tarihi: 18.03.2005).
Türk Tarım - Gıda Bilim ve Teknoloji dergisi-Cover
  • ISSN: 2148-127X
  • Yayın Aralığı: Aylık
  • Başlangıç: 2013
  • Yayıncı: Turkish Science and Technology Publishing (TURSTEP)