Investigating the Potential Beneficial Effects of Native Banana Starch on Glycemia and Insulin Resistance in Obese Non-Diabetic Women

J. Ble-Castillo, María A. Aparicio-Trápala, A. Gómez-Vázquez, A. Rodríguez-Hernández, J. Méndez, I. Juárez-Rojop, H. Aguilar-Mariscal, J. C. Díaz-Zagoya
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Abstract

Several studies have shown that life-style changes can help reduce the risk of diabetes. The purpose of this study was to assess the effects of native banana starch (NBS) on glycemic control and insulin resistance in comparison with metformin (MF) in non-diabetic obese women. Forty participants 20-45 years of age, HOMA- IR \(\ge\)2.5 were randomly assigned to two groups of 20 subjects each.  During an eight-week period, one group received NBS 30g/day and the other MF 850 mg/day. Fasting glycemia was reduced by either four weeks NBS or four weeks MF treat-ment (week 0 vs week 4, p<0.05). After NBS and MF treatments, fasting insulin and HOMA-IR values decreased gradually, reaching statistical significance after eight weeks (week 0 vs week 8, p<-0.05). The 30 and 60min insulin AUCs after eight weeks NBS supplementation tended to be lower in comparison to 30 and 60min insulin AUCs at baseline. There were no differences in HOMA-IR response between treatments after four or eight weeks. Data show that NBS supplementation has beneficial effects in reducing fasting glucose and insulin resistance in a group of obese women, and it may represent a low-cost and easily accessible alternative for preventing complications in the obese population.
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研究天然香蕉淀粉对肥胖非糖尿病女性血糖和胰岛素抵抗的潜在有益作用
几项研究表明,改变生活方式有助于降低患糖尿病的风险。本研究的目的是评估天然香蕉淀粉(NBS)对非糖尿病肥胖妇女血糖控制和胰岛素抵抗的影响,并与二甲双胍(MF)进行比较。40名年龄在20-45岁,HOMA- IR \(\ge\) 2.5的参与者被随机分为两组,每组20名受试者。在8周的时间里,一组服用NBS 30g/d,另一组服用MF 850 mg/d。4周NBS或4周MF治疗均可降低空腹血糖(第0周vs第4周,p<0.05)。NBS和MF治疗后,空腹胰岛素和HOMA-IR值逐渐下降,8周后达到统计学意义(第0周vs第8周,p<-0.05)。与基线时的30和60分钟胰岛素auc相比,补充8周NBS后的30和60分钟胰岛素auc往往更低。4周或8周后,两种治疗之间的HOMA-IR反应没有差异。数据显示,在一组肥胖妇女中,补充NBS对降低空腹血糖和胰岛素抵抗有有益的作用,它可能是一种低成本和容易获得的替代方法,可以预防肥胖人群的并发症。
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