Health properties of resistant starch

Nutrition Bulletin - Tập 30 Số 1 - Trang 27-54 - 2005
Anne P. Nugent1
1British Nutrition Foundation, London, UK

Tóm tắt

Summary  Resistant starch (RS) refers to the portion of starch and starch products that resist digestion as they pass through the gastrointestinal tract. RS is an extremely broad and diverse range of materials and a number of different types exist (RS1–4). At present, these are mostly defined according to physical and chemical characteristics. RS may be categorised as a type of dietary fibre, as defined by the American Association of Cereal Chemists and the Food Nutrition Board of the Institute of Medicine of the National Academies. RS is measured in part by the methodology recommended by the Association of Official Analytical Chemists for measuring dietary fibre. Dietary intakes of RS in westernised countries are likely to be low. However, accurate comparative assessments of dietary intakes between countries, and subsequent epidemiological analysis, are absent due to the lack of consensus over of an agreed, repeatable and simple in vitro method for analysing the RS content of foods. At present, the recognised method is that of McCleary & Monaghan (2002). RS appears to confer considerable benefits to human colonic health, but has a smaller impact on lipid and glucose metabolism. Comparisons between studies are hampered by differences in study design, poor experimental design and differences in the source, type and dose of RS in the ingredients or diets used. It is likely that RS mediates some or all of its effects through the action of short chain fatty acids but interest is increasing regarding its prebiotic potential. There is also increasing interest in using RS to lower the energy value and available carbohydrate content of foods. RS can also be used to enhance the fibre content of foods and is under investigation regarding its potential to accelerate the onset of satiation and to lower the glycaemic response. Due to the difficulties in agreeing on a universal definition and method of analysis for dietary fibre, RS may be included within the term ‘fibre’ on the nutrition labels in some countries but not in others. Pressure to agree a legal definition and universal method of analysis is likely to increase due to the potential of RS to enhance colonic health, and to act as a vehicle to increase the total dietary fibre content of foodstuffs, particularly those which are low in energy and/or in total carbohydrate content.

Từ khóa


Tài liệu tham khảo

10.1093/ajcn/66.5.1151

10.1093/ajcn/76.5.1023

10.2174/1381612033391973

Anon, 2000, AACC Board holds midyear meeting, Cereal Foods World, 45, 325

Asp NG, 1992, Resistant Starch‐Proceedings from the second plenary meeting of EURESTA: European FLAIR Concerted Action, 11 on physiological implications of the consumption of resistant starch in man, European Journal of Clinical Nutrition, 46, S1

Baghurst PA, 1996, Dietary fibre, non‐starch polysaccharides and resistant starch – a review, Supplement to Food Australia, 48, S3

Baghurst K, 2001, CRC Handbook of Dietary Fibre in Human Health, 583

10.1038/sj.ejcn.1601411

10.1093/ajcn/61.2.334

10.1093/ajcn/47.3.428

10.1093/ajcn/49.2.337

10.1079/BJN19960032

10.1016/0020-711X(82)90135-5

Bingham SA, 2003, Dietary fibre in food and protection against colorectal cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC): an observational study, Lancet, 362, 1000

Bird AR, 2000, Starches, resistant starches, the gut microflora and human health, Current Issues in Intestinal Microbiology, 1, 25

10.1093/jn/130.7.1780

10.1017/S0007114500001240

10.1093/ajcn/63.5.766

BNF, 1990, Complex Carbohydrates in Foods: the Report of The British Nutrition Foundation's Task Force

BNF, 1994, Briefing Paper: Starchy Foods in the Diet

BNF, 2002, Briefing Paper: Nutrition Labelling and Health Claims

10.1111/j.1753-4887.1996.tb03830.x

Brown IL, 2004, Applications and uses of resistant starch, Journal of the Association of Official Analytical Chemists International, 87, 727

Brown IL, 1995, Hi‐maize™: new directions in starch technology and nutrition, Food Australia, 47, 272

10.1079/BJN2003958

Brown IL, 1998, High amylose maize starch as a versatile prebiotic for use with probiotic bacteria, Food Australia, 47, 272

10.1093/jn/127.9.1822

Byrnes SE, 1995, Amylopectin starch promotes the development of insulin resistance in rats, Journal of Nutrition, 125, 1430

10.1080/01635589609514440

10.1080/01635589709514501

10.1038/bjc.1994.181

Champ MJ, 2004, Physiological aspects of resistant starch and in vivo measurements, Journal of the Association of Official Analytical Chemists International, 87, 749

10.1079/NRR200254

10.1079/NRR200364

10.1093/jn/130.8.1991

10.1016/0016-5085(92)90765-Q

Conlon MA, 2003, Interactions of dietary fibre and resistant starch with oil on genetic damage in the rat colon, Asia Pacific Journal of Clinical Nutrition, 12, S54

Conway PL, 2001, Prebiotics and human health: the state‐of‐the‐art and future perspectives, Scandinavian Journal of Nutrition, 45, 13

10.1038/sj.ejcn.1600417

10.1046/j.1365-2672.2001.01240.x

Crosby GA, 2003, Resistant starch makes better carbs, Functional Foods and Nutraceuticals, 6, 34

10.1079/BJN19960177

10.1136/gut.28.10.1221

De Deckere EAM, 1993, Resistant starch decreases serum total cholesterol and triacylglycerol concentrations in rats, Journal of Nutrition, 123, 2142

10.1079/BJN19950030

10.1079/PNS2002234

De Vries JW, 2004, Dietary fibre: the influence of definition on analysis and regulation, Journal of the Association of Official Analytical Chemists International, 87, 682

10.1201/9780203904220.ch10

DH(1991)Report on Health and Social Subjects No 41. Dietary Reference Values for Food Energy and Nutrients for the United Kingdom.HMSO: London.

Dyssler P, 1994, Proceedings of the Concluding Plenary Meeting of EURESTA, 84

10.1093/jn/128.5.848

10.1093/ajcn/76.5.911

Englyst HN, 1992, Classification and measurement of nutritionally important starch fractions, European Journal of Clinical Nutrition, 46, S33

10.1079/BJN19960178

10.1039/an9820700307

10.1207/S15327914NC3602_13

10.1016/S0278-6915(03)00012-7

10.1007/s11745-001-0698-4

10.1093/jn/125.6.1401

10.1093/jnci/84.2.91

10.1093/ajcn/39.3.388

Goldring JM, 2004, Resistant starch: safe intakes and legal status, Journal of the Association of Official Analytical Chemists International, 87, 733

Granfeldt Y, 1995, Arepas made from high amylose corn flour produce favorably low glucose and insulin responses in healthy humans, Journal of Nutrition, 125, 459

10.1023/A:1010787931002

Haenszel W, 1980, A case‐control study of large bowel cancer in Japan, Journal of National Cancer Institute, 64, 98

Hampson DJ, 2000, Influences of diet and vaccination on colonization of pigs by the intestinal spirochaete, Brachyspira (Serpulina) Pilosicoli Veterinary Medicine, 73, 75

10.1007/s11745-003-1145-2

10.3177/jnsv.49.281

10.1093/ajcn/65.1.167

10.1093/ajcn/64.3.312

10.1093/ajcn/67.2.322

Heijnen ML, 1995, Interaction between physical structure and amylose: amylopectin ratio of foods on postprandial glucose and insulin responses in healthy subjects, European Journal of Clinical Nutrition, 49, 446

Henderson L, 2003, The National Diet and Nutrition Survey: Adults Aged 19–64 Years, Volume 2: Energy, Protein, Carbohydrate, Fat and Alcohol Intake

10.1079/BJN2003782

Higgins JA, 2004, Resistant starch: metabolic effects and potential health benefits, Journal of the Association of Official Analytical Chemists International, 87, 761

10.1093/jn/126.3.596

10.1038/sj.ejcn.1600718

10.1093/ajcn/55.2.420

10.1093/jn/126.9.2120

10.1093/ajcn/67.1.136

10.1002/star.19910431002

Institute of Medicine, 2002, Dietary Reference Intakes: Energy, Carbohydrates, Fiber, Fat, Fatty Acids, Cholesterol, Protein and Amino Acids

10.1007/s003840050212

10.1016/S0002-9343(01)00989-5

10.1080/07315724.1998.10718810

Jones, 2000, Update on defining dietary fibre, Cereal Foods World, 45, 219

10.1093/jn/128.1.35

10.1016/j.jchromb.2003.10.046

10.1016/S0955-2863(02)00281-4

10.1093/jn/131.10.2716

10.2527/1997.7592453x

10.2337/diacare.10.2.205

10.1038/sj.ejcn.1600969

10.1093/carcin/bgg098

10.1038/sj.ejcn.1600666

10.1079/BJN19960176

Liljeberg H, 1994, Bioavailability of starch in bread products. Postprandial glucose and insulin responses in healthy subjects and in vitro resistant starch content, European Journal of Clinical Nutrition, 48, 151

Lintas C, 1995, Effect of ripening on resistant starch and total sugars in Musa paradisiacal sapientum: glycaemic and insulinaemic responses in normal subjects and NIDDM patients, European Journal of Clinical Nutrition, 49, S303

Lintas C, 1995, Dietary fibre, resistant starch and in vitro starch digestibility of cereal meals. Glycaemic and insulinaemic responses in NIDDM patients, European Journal of Clinical Nutrition, 49, S264

Liversey G, 1994, Proceedings of the Concluding Plenary Meeting of EURESTA, 56

10.1093/jn/131.4.1283

10.1093/ajcn/76.1.264S

McCleary BV, 2002, Measurement of resistant starch, Journal of the Association of Official Analytical Chemists International, 85, 665

McCleary BV, 2004, Measurement of novel dietary fibres, Journal of the Association of Official Analytical Chemists International, 87, 707

10.1079/PNS2002207

10.1111/j.1467-3010.2004.00418.x

10.1002/ijc.2910380207

Mahon LK, 1992, Krause's Food, Nutrition and Diet Therapy

10.1017/S0007114500002038

10.3164/jcbn.14.17

10.1079/PNS2002236

10.1080/01635589809514699

10.1038/sj.ejcn.1600863

10.1016/S0026-0495(03)00318-4

10.1079/BJN2003867

10.1093/ajcn/68.2.372

10.1093/ajcn/79.6.1020

10.1093/ajcn/79.3.390

10.1080/0963748031000042038

10.1093/ajcn/64.6.944

10.1093/ajcn/62.1.121

Pierre F, 1997, Short‐chain fructo‐oligosaccharides reduce the occurrence of colon tumors and develop gut‐associated lymphoid tissue in Min mice, Cancer Research, 57, 225

10.1007/BF01091233

Prosky L, 1985, Determination of total dietary fiber in foods and food products: collaborative study, Journal of the Association of Official Analytical Chemists International, 68, 677

10.1053/gast.2001.27178

10.1093/ajcn/66.2.304

10.1093/ajcn/60.4.544

10.1136/gut.27.11.1320

10.1056/NEJM200002033420502

10.1093/ajcn/59.4.879

10.1093/ajcn/50.5.1008

10.1007/s00125-003-1081-0

De Roos N, 1995, Resistant starch has little effect on appetite, food intake and insulin secretion of healthy young men, European Journal of Clinical Nutrition, 49, 532

10.1051/rnd:19830511

10.1053/gast.1996.v110.pm8536846

10.1079/PNS2002211

10.1046/j.1365-2672.2002.01679.x

10.1136/gut.47.3.397

10.1093/ajcn/62.2.403

10.1046/j.1365-2672.1999.00696.x

10.1021/jf000779w

Sotnikova EV, 2002, Resistant starches and immune system, Voprosy Pitaniia, 71, 34

10.1093/ajcn/61.5.1070

Tapsell LC, 2004, Diet and metabolic syndrome: where does resistant starch fit in?, Journal of the Association of Analytical Chemists International, 87, 756

Thorup I, 1995, Effect of potato starch, cornstarch and sucrose on aberrant crypt foci in rats exposed to azoxymethane, Anticancer Research, 15, 2101

Toden S, 2003, Resistant starch attenuates colonic DNA damage induced by a high protein diet in rats, Asia Pacific Journal of Clinical Nutrition, 12, S13

10.1079/BJN19900058

10.1152/physrev.2001.81.3.1031

10.1079/PNS2002224

10.1093/ajcn/63.4.574

10.1093/ajcn/55.3.712

10.1207/S15327914NC431_3

10.1007/BF02087431

10.1079/BJN19950008

10.1093/ajcn/72.2.432

Wacker M, 2002, Effect of enzyme‐resistant starch on formation of 1,N2‐propanodeoxyguanosine adducts of trans‐4‐Hydroxy‐2‐nonenal and cell proliferation in the colonic mucosa of healthy volunteers, Cancer Epidemiology, Biomarkers and Prevention, 11, 915

10.1046/j.1365-2672.1999.00836.x

10.1093/ajcn/58.2.180

10.1093/carcin/20.5.805

10.1093/jn/126.2.410

10.1046/j.1365-2672.2002.01704.x

10.1007/BF02533961

Young GP, 2004, Resistant starch and colorectal neoplasia, Journal of the Association of Official Analytical Chemists International, 87, 775

10.1053/gast.1996.v110.pm8566598

Yue P, 1998, Resistant starch in food applications, Cereal Foods World, 43, 690