Home Study Resistant starch consumption promotes lipid oxidation - Page 7
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Nutrition & Metabolism 2004, 1:8
http://www.nutritionandmetabolism.com/content/1/1/8
Page 7 of 11
(page number not for citation purposes)
the same conditions and it was assumed that there was no
difference in tracer recovery between tests. Also, these TCA
intermediate and bicarbonate pools were not pre-labeled
prior to the ingestion of the label in the meal which would
cause a total underestimation of total fat oxidation. There-
fore, the rate of fat oxidation calculated from
14
CO
2
recov-
ery in the breath was probably underestimated in all
subjects but remains valid to compare differences between
test meals.
There was a trend towards a decrease in gluteal fat storage
at the 5.4% RS dose relative to all other doses (Figure 4b).
Again, the dose-response curve for this parameter was not
linear, lending credence to the idea that the dose-response
curve for fat oxidation is actually U-shaped. Although the
decrease in fat storage at the 5.4% RS dose did not reach
statistical significance, it is intuitive that, given the magni-
tude of the increase in fat oxidation observed at this dose,
there would be a reciprocal decrease in fat storage. How-
ever, there was high variability associated with the meas-
ure of meal fat storage indicating that more subjects may
be needed to decrease the standard deviation and, hence,
detect any significant meal affect.
Conclusion
This study is the first to identify that addition of 5.4% RS
to a single meal can cause a significant increase in total
and meal fat oxidation in healthy individuals relative to a
0% RS diet over the postprandial/postabsorptive period
(24 h). This discovery was verified using two different
methods, indirect calorimetry and the oxidation of [
14
C]-
triolein to
14
CO
2
, to measure in vivo fat oxidation. This
increase in fat oxidation was accompanied by a concomi-
tant decrease in carbohydrate oxidation and fat storage,
although these parameters did not reach statistical signif-
icance. Further, the magnitude of the increase in fat oxida-
tion indicates that this effect is biologically relevant and
could be important for preventing fat accumulation in the
long term by effecting total fat balance under chronic
feeding conditions. Finally, this study revealed that there
may be a maximal effect of RS addition to the diet and
that the addition of RS over this threshold confers no met-
abolic benefit or change from a 0% RS meal.
Methods
Subjects
12 healthy adults, 7 male and 5 female, participated in the
present study. This study was approved by the Colorado
Multiple Institution Review Board, in compliance with
the Helsinki Declaration, and full written consent was
obtained from all subjects. To participate, subjects were
required to be between 28 and 45 years of age, have nor-
mal glucose tolerance (as judged via response to an oral
glucose tolerance test; fasting glucose concentration < 6
mM, postprandial glucose concentration not higher than
9 mM), moderate level of physical activity (no more than
4 one-hour bouts of planned physical activity per week),
and a BMI between 20 and 28. All female subjects were
taking oral contraceptive pills or progesterone injections
and were tested during the early follicular phase of the
menstrual cycle. All subjects underwent dual energy X-ray
absorptiometry (DEXA; Lunar Radiation Corp, Madison
WI) for analysis of body composition. As a group, subjects
were 33 ± 5 years of age, 1.7 ± 0.07 m tall, weighed 75 ±
11 kg, had a BMI of 24.7 ± 2.4, total fat mass of 18.3 ± 5.0
kg (mean ± SD), and a fasting RQ of 0.750 ± 0.023 (mean
± SEM).
Diet
Subjects received four meals differing only in resistant
starch (RS) content in random order, approximately four
weeks apart. Test meals contained either 0%, 2.7%, 5.4%,
or 10.7% RS as a percentage of total dietary carbohydrate.
All added RS was in the form of high-amylose maize
starch, or RS2. High-amylose maize starch was chosen as
it has the unique property of a very high gelatinisation
temperature which allows it to maintain its granular struc-
ture during and after the processing conditions used to
manufacture the foods being consumed in this study [38].
All meals were isocaloric, accounting for 30% of the sub-
ject's daily energy needs as measured by indirect calorim-
etry prior to study commencement (RMR × daily activity
factor of 1.49). The composition of the test diet was 55%
carbohydrate, 15% protein, and 30% fat as a percentage of
total energy (Table 1). All meals were matched for total
dietary fiber content and liquid volume (250 ml).
Three days prior to each test day, subjects received a stand-
ardized lead-in diet, equivalent to daily energy needs as
judged by indirect calorimetry and of the same macronu-
trient composition as the test diet with no added RS, to
ensure that they were in energy balance. All food for these
three days was provided by the General Clinical Research
Center (GCRC) on an outpatient basis. Subjects were
instructed to eat all of the food/drink provided and not to
consume any other foods. Non-caloric beverages could be
consumed during the three day lead-in diet.
Protocol
Following an overnight fast (12 h), subjects were admitted
to the GCRC and an intravenous catheter was placed for
the purposes of drawing blood. The test meal began at 0
min (0800 h) with all food/drink fully consumed within
15 min. Blood samples were taken at 0, 30, 60, 90, 120,
180, 240, 300, and 360 min following meal ingestion and
analyzed for glucose, insulin, triacylglycerol (TAG) and
free fatty acid (FFA) concentrations. Respiratory quotient
(RQ) was measured at hourly intervals after ingestion of
the meal via gas collection under a ventilated plexiglass


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