Submitted:
06 December 2024
Posted:
09 December 2024
Read the latest preprint version here
Abstract
Keywords:
1. Introduction
2. Materials and Methods
2.1. Test Foods
2.2. Study Design
2.2.1. Subjects
2.2.2. Experimental Procedure
2.3. Glycemic Index Calculation
2.4. Glycemic Load Calculation
2.5. Kinetic and Thermodynamic Analysis
2.5.1. Time to Peak
2.5.2. Absorption and Clearance Rates (Rab and Rcl) and Kinetic Constants (kab and kcl)
2.5.3. Gibbs Free Energy
2.6. Statistical Analysis
3. Results
3.1. Study Design and Participant Characteristics
3.2. Glycemic Response and iAUC
3.3. Glycemic Index and Glycemic Load
3.4. Metabolic Parameters
4. Discussion
5. Conclusions
References
- Monteiro, C. A.; Moubarac, J.-C.; Cannon, G.; Ng, S. W.; Popkin, B. Ultra-Processed Products Are Becoming Dominant in the Global Food System. Obesity Reviews 2013, 14 (S2), 21–28. [CrossRef]
- Thakur, M.; Sharma, C.; Mehta, A.; Torrico, D. D. Health Claim Effects on Consumer Acceptability, Emotional Responses, and Purchase Intent of Protein Bars. J Agric Food Res 2022, 8, 100291. [CrossRef]
- Sturt, J. Higher Consumption of Sugar-Sweetened Beverages Is Associated with Increased Risk of Developing Type 2 Diabetes or Metabolic Syndrome. Evidence Based Nursing 2011, 14 (2), 35. [CrossRef]
- Mantantzis, K.; Schlaghecken, F.; Sünram-Lea, S. I.; Maylor, E. A. Sugar Rush or Sugar Crash? A Meta-Analysis of Carbohydrate Effects on Mood. Neurosci Biobehav Rev 2019, 101, 45–67. [CrossRef]
- Amigo, H.; Bustos, P.; Pizarro, M.; Pino, P.; Gutiérrez, L.; Aranda, W.; González, P.; Araneda, D.; Araya, H.; Mayas, N.; Urquidi, C.; Ulloa, L.; Erazo, M.; Pinheiro, A. C.; Cerda, R.; Valencia, A.; Gálvez, P.; Castillo, E.; Jelvez, I.; Godoy, J. P.; Quijada, S.; Martínez, C.; Carriquiry, A.; Cerecera Cabalín, F.; Ormazábal, F. Encuesta Nacional de Consumo Alimentario. Informe Final; Santiago of Chile, 2010.
- Jensen, M. L.; Corvalán, C.; Reyes, M.; Popkin, B. M.; Taillie, L. S. Snacking Patterns among Chilean Children and Adolescents: Is There Potential for Improvement? Public Health Nutr 2019, 22 (15), 2803–2812. [CrossRef]
- Margozzini, P.; Passi, Á. Encuesta Nacional de Salud, ENS 2016-2017: Un Aporte a La Planificación Sanitaria y Políticas Públicas En Chile. ARS MEDICA Revista de Ciencias Médicas 2018, 43 (1), 30–34. [CrossRef]
- Maresch, C. C.; Petry, S. F.; Theis, S.; Bosy-Westphal, A.; Linn, T. Low Glycemic Index Prototype Isomaltulose—Update of Clinical Trials. Nutrients 2017, 9 (4). [CrossRef]
- Kokubo, E.; Morita, S.; Nagashima, H.; Oshio, K.; Iwamoto, H.; Miyaji, K. Blood Glucose Response of a Low-Carbohydrate Oral Nutritional Supplement with Isomaltulose and Soluble Dietary Fiber in Individuals with Prediabetes: A Randomized, Single-Blind Crossover Trial. Nutrients 2022, 14 (12). [CrossRef]
- de Souza, W. F. C.; Almeida, F. L. C.; de Castro, R. J. S.; Sato, H. H. Isomaltulose: From Origin to Application and Its Beneficial Properties – A Bibliometric Approach. Food Research International 2022, 155, 111061. [CrossRef]
- ISO. Food Products — Determination of the Glycaemic Index (GI) and Recommendation for Food Classification; Geneva, Switzerland, Geneva, Switzerland, 2010.
- Salmerón, J.; Manson, J. E.; Stampfer, M. J.; Colditz, G. A.; Wing, A. L.; Willett, W. C. Dietary Fiber, Glycemic Load, and Risk of Non—Insulin-Dependent Diabetes Mellitus in Women. JAMA 1997, 277 (6), 472–477. [CrossRef]
- Esfahani, A.; Wong, J. M. W.; Mirrahimi, A.; Srichaikul, K.; Jenkins, D. J. A.; Kendall, C. W. C. The Glycemic Index: Physiological Significance. J Am Coll Nutr 2009, 28 (sup4), 439S-445S. [CrossRef]
- Vlachos, D.; Malisova, S.; Lindberg, F. A.; Karaniki, G. Glycemic Index (GI) or Glycemic Load (GL) and Dietary Interventions for Optimizing Postprandial Hyperglycemia in Patients with T2 Diabetes: A Review. Nutrients 2020, 12 (6), 1561. [CrossRef]
- de Aquino Souza Miskinis, R.; do Nascimento, L. Á.; Colussi, R. Bioactive Compounds from Acerola Pomace: A Review. Food Chem 2023, 404, 134613. [CrossRef]
- Miao, M.; Jiang, B.; Cui, S. W.; Zhang, T.; Jin, Z. Slowly Digestible Starch—A Review. Crit Rev Food Sci Nutr 2015, 55 (12), 1642–1657. [CrossRef]
- Angarita Dávila, L.; Bermúdez, V.; Aparicio, D.; Céspedes, V.; Escobar, Ma. C.; Durán-Agüero, S.; Cisternas, S.; de Assis Costa, J.; Rojas-Gómez, D.; Reyna, N.; López-Miranda, J. Effect of Oral Nutritional Supplements with Sucromalt and Isomaltulose versus Standard Formula on Glycaemic Index, Entero-Insular Axis Peptides and Subjective Appetite in Patients with Type 2 Diabetes: A Randomised Cross-Over Study. Nutrients 2019, 11 (7). [CrossRef]
- Aguiar, L. M.; Cazarin, C. B. B. In Vitro and in Vivo Methods to Predict Carbohydrate Bioaccessibility. Curr Opin Food Sci 2021, 42, 69–75. [CrossRef]
- Sawale, P. D.; Shendurse, A. M.; Mohan, M. S.; Patil, G. R. Isomaltulose (Palatinose) – An Emerging Carbohydrate. Food Biosci 2017, 18, 46–52. [CrossRef]
- Manoochehri, H.; Hosseini, N. F.; Saidijam, M.; Taheri, M.; Rezaee, H.; Nouri, F. A Review on Invertase: Its Potentials and Applications. Biocatal Agric Biotechnol 2020, 25, 101599. [CrossRef]
- Her, C.; Singh, J.; Krishnan, V. V. Effect of Sucralose on the Enzyme Kinetics of Invertase Using Real-Time NMR Spectroscopy and Progress Curve Analysis. Carbohydr Res 2018, 455, 5–9. [CrossRef]
- Sokołowska, E.; Sadowska, A.; Sawicka, D.; Kotulska-Bąblińska, I.; Car, H. A Head-to-Head Comparison Review of Biological and Toxicological Studies of Isomaltulose, d-Tagatose, and Trehalose on Glycemic Control. Crit Rev Food Sci Nutr 2022, 62 (21), 5679–5704. [CrossRef]
- Brand-Miller, J. Glycemic Index Research and GI News. https://glycemicindex.com/.
- Pasmans, K.; Meex, R. C. R.; van Loon, L. J. C.; Blaak, E. E. Nutritional Strategies to Attenuate Postprandial Glycemic Response. Obesity Reviews 2022, 23 (9), e13486. [CrossRef]
- McHill, A. W.; Butler, M. P. Eating Around the Clock: Circadian Rhythms of Eating and Metabolism. Annu Rev Nutr 2024, 44 (Volume 44, 2024), 25–50. [CrossRef]
- Aguiar, L. M., & Cazarin, C. B. B. (2021). In vitro and in vivo methods to predict carbohydrate bioaccessibility. Current Opinion in Food Science, 42, 69–75. [CrossRef]
- Amigo, H., Bustos, P., Pizarro, M., Pino, P., Gutiérrez, L., Aranda, W., González, P., Araneda, D., Araya, H., Mayas, N., Urquidi, C., Ulloa, L., Erazo, M., Pinheiro, A. C., Cerda, R., Valencia, A., Gálvez, P., Castillo, E., Jelvez, I., … Ormazábal, F. (2010). Encuesta Nacional de Consumo Alimentario. Informe Final.
- Angarita Dávila, L., Bermúdez, V., Aparicio, D., Céspedes, V., Escobar, Ma. C., Durán-Agüero, S., Cisternas, S., de Assis Costa, J., Rojas-Gómez, D., Reyna, N., & López-Miranda, J. (2019). Effect of Oral Nutritional Supplements with Sucromalt and Isomaltulose versus Standard Formula on Glycaemic Index, Entero-Insular Axis Peptides and Subjective Appetite in Patients with Type 2 Diabetes: A Randomised Cross-Over Study. Nutrients, 11(7). [CrossRef]
- Brand-Miller, J. (2024, November 20). Glycemic Index Research and GI News. Https://Glycemicindex.Com/.
- de Aquino Souza Miskinis, R., do Nascimento, L. Á., & Colussi, R. (2023). Bioactive compounds from acerola pomace: A review. Food Chemistry, 404, 134613. [CrossRef]
- de Souza, W. F. C., Almeida, F. L. C., de Castro, R. J. S., & Sato, H. H. (2022). Isomaltulose: From origin to application and its beneficial properties – A bibliometric approach. Food Research International, 155, 111061. [CrossRef]
- Esfahani, A., Wong, J. M. W., Mirrahimi, A., Srichaikul, K., Jenkins, D. J. A., & Kendall, C. W. C. (2009). The Glycemic Index: Physiological Significance. Journal of the American College of Nutrition, 28(sup4), 439S-445S. [CrossRef]
- Her, C., Singh, J., & Krishnan, V. V. (2018). Effect of sucralose on the enzyme kinetics of invertase using real-time NMR spectroscopy and progress curve analysis. Carbohydrate Research, 455, 5–9. [CrossRef]
- ISO. (2010). Food products — Determination of the glycaemic index (GI) and recommendation for food classification. In ISO 26642:2010.
- Jensen, M. L., Corvalán, C., Reyes, M., Popkin, B. M., & Taillie, L. S. (2019). Snacking patterns among Chilean children and adolescents: is there potential for improvement? Public Health Nutrition, 22(15), 2803–2812. [CrossRef]
- Kokubo, E., Morita, S., Nagashima, H., Oshio, K., Iwamoto, H., & Miyaji, K. (2022). Blood Glucose Response of a Low-Carbohydrate Oral Nutritional Supplement with Isomaltulose and Soluble Dietary Fiber in Individuals with Prediabetes: A Randomized, Single-Blind Crossover Trial. Nutrients, 14(12). [CrossRef]
- Manoochehri, H., Hosseini, N. F., Saidijam, M., Taheri, M., Rezaee, H., & Nouri, F. (2020). A review on invertase: Its potentials and applications. Biocatalysis and Agricultural Biotechnology, 25, 101599. [CrossRef]
- Mantantzis, K., Schlaghecken, F., Sünram-Lea, S. I., & Maylor, E. A. (2019). Sugar rush or sugar crash? A meta-analysis of carbohydrate effects on mood. Neuroscience & Biobehavioral Reviews, 101, 45–67. [CrossRef]
- Maresch, C. C., Petry, S. F., Theis, S., Bosy-Westphal, A., & Linn, T. (2017). Low Glycemic Index Prototype Isomaltulose—Update of Clinical Trials. Nutrients, 9(4). [CrossRef]
- Margozzini, P., & Passi, Á. (2018). Encuesta Nacional de Salud, ENS 2016-2017: un aporte a la planificación sanitaria y políticas públicas en Chile. ARS MEDICA Revista de Ciencias Médicas, 43(1), 30–34. [CrossRef]
- McHill, A. W., & Butler, M. P. (2024). Eating Around the Clock: Circadian Rhythms of Eating and Metabolism. Annual Review of Nutrition, 44(Volume 44, 2024), 25–50. [CrossRef]
- Miao, M., Jiang, B., Cui, S. W., Zhang, T., & Jin, Z. (2015). Slowly Digestible Starch—A Review. Critical Reviews in Food Science and Nutrition, 55(12), 1642–1657. [CrossRef]
- Monteiro, C. A., Moubarac, J.-C., Cannon, G., Ng, S. W., & Popkin, B. (2013). Ultra-processed products are becoming dominant in the global food system. Obesity Reviews, 14(S2), 21–28. [CrossRef]
- Pasmans, K., Meex, R. C. R., van Loon, L. J. C., & Blaak, E. E. (2022). Nutritional strategies to attenuate postprandial glycemic response. Obesity Reviews, 23(9), e13486. [CrossRef]
- Salmerón, J., Manson, J. E., Stampfer, M. J., Colditz, G. A., Wing, A. L., & Willett, W. C. (1997). Dietary Fiber, Glycemic Load, and Risk of Non—insulin-dependent Diabetes Mellitus in Women. JAMA, 277(6), 472–477. [CrossRef]
- Sawale, P. D., Shendurse, A. M., Mohan, M. S., & Patil, G. R. (2017). Isomaltulose (Palatinose) – An emerging carbohydrate. Food Bioscience, 18, 46–52. [CrossRef]
- Soares, B., Gouveia, C., Albuquerque, D., & Pinho, P. (2024). Impact and Classification of Body Stature and Physiological Variability in the Acquisition of Vital Signs Using Continuous Wave Radar. Applied Sciences, 14(2). [CrossRef]
- Sokołowska, E., Sadowska, A., Sawicka, D., Kotulska-Bąblińska, I., & Car, H. (2022). A head-to-head comparison review of biological and toxicological studies of isomaltulose, d-tagatose, and trehalose on glycemic control. Critical Reviews in Food Science and Nutrition, 62(21), 5679–5704. [CrossRef]
- Sturt, J. (2011). Higher consumption of sugar-sweetened beverages is associated with increased risk of developing type 2 diabetes or metabolic syndrome. Evidence Based Nursing, 14(2), 35. [CrossRef]
- Thakur, M., Sharma, C., Mehta, A., & Torrico, D. D. (2022). Health claim effects on consumer acceptability, emotional responses, and purchase intent of protein bars. Journal of Agriculture and Food Research, 8, 100291. [CrossRef]
- Vlachos, D., Malisova, S., Lindberg, F. A., & Karaniki, G. (2020). Glycemic Index (GI) or Glycemic Load (GL) and Dietary Interventions for Optimizing Postprandial Hyperglycemia in Patients with T2 Diabetes: A Review. Nutrients, 12(6), 1561. [CrossRef]


| Constituent (100 g) | Snack Bar 1 | Snack Bar 2 | NotProtein bar |
|---|---|---|---|
| Energy (kcal) | 385 | 373 | 303 |
| Protein (g) | 5.2 | 33.4 | 35 |
| Total fat (g) | 9.3 | 9.3 | 7.7 |
| Available carbohydrates (g) | 71.5 | 38.9 | 23.0 |
| Total sugar (g) | 40.1 | 13.9 | 5.4 |
| Fiber (g) | 3.4 | - | 17.0 |
| Parameter | Snack Bar 1 | Snack Bar 2 | NotProtein bar |
|---|---|---|---|
| Glycemic index | 83.7 ± 27.1a | 39.9 ±12.6b | 42.9 ± 13.6 b |
| Available carbohydrates/serving (g) | 12.87 | 17.51 | 10.35 |
| Glycemic load | 10.8 | 7.0 | 4.4 |
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