期刊论文详细信息
Nutrition & Metabolism
Effects of regularly consuming dietary fibre rich soluble cocoa products on bowel habits in healthy subjects: a free-living, two-stage, randomized, crossover, single-blind intervention
Laura Bravo1  Raquel Mateos1  Luis Goya1  Miren Gómez-Juaristi1  Aránzazu Fernández-Espinosa1  Sara Martínez-López1  Beatriz Sarriá1 
[1] Department of Metabolism and Nutrition. Institute of Food Science, Technology and Nutrition (ICTAN), Spanish National Research Council (CSIC), José Antonio Nováis 10, 28040 Madrid, Spain
关键词: Gastrointestinal transit time;    Bowel function;    Cocoa;    Dietary fibre;   
Others  :  817438
DOI  :  10.1186/1743-7075-9-33
 received in 2011-11-23, accepted in 2012-04-18,  发布年份 2012
PDF
【 摘 要 】

Background

Dietary fibre is both preventive and therapeutic for bowel functional diseases. Soluble cocoa products are good sources of dietary fibre that may be supplemented with this dietary component. This study assessed the effects of regularly consuming two soluble cocoa products (A and B) with different non-starch polysaccharides levels (NSP, 15.1 and 22.0% w/w, respectively) on bowel habits using subjective intestinal function and symptom questionnaires, a daily diary and a faecal marker in healthy individuals.

Methods

A free-living, two-stage, randomized, crossover, single-blind intervention was carried out in 44 healthy men and women, between 18-55 y old, who had not taken dietary supplements,

laxatives, or antibiotics six months before the start of the study. In the four-week-long intervention stages, separated by a three-week-wash-out stage, two servings of A and B, that provided 2.26 vs. 6.60 g/day of NSP respectively, were taken. In each stage, volunteers' diet was recorded using a 72-h food intake report.

Results

Regularly consuming cocoa A and B increased fibre intake, although only cocoa B significantly increased fibre intake (p < 0.001) with respect to the non-cocoa stage. No changes in body weight were observed in either of the 4 week interventions. With cocoa product B, the number of daily bowel movements increased (p = 0.002), the frequency of having a bowel movement once a day increased (p = 0.009), the time to have a bowel movement was lower (p = 0.016) as well as the feeling of constipation (p = 0.046) without inducing adverse gastrointestinal symptoms, only flatulence increased (p = 0.019).

Conclusions

Regular consumption of the cocoa products increases dietary fibre intake to recommended levels and product B improves bowel habits. The use of both objective and subjective assessments to evaluate the effects of food on bowel habits is recommended.

【 授权许可】

   
2012 Sarriá et al; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20140711003414887.pdf 273KB PDF download
【 参考文献 】
  • [1]Vuksan V, Jenkins AL, Jenkins DJA, Rogovik AL, Sievenpiper JL, Jovanovski E: Using cereal to increase dietary fiber intake to the recommended level and the effect of fiber on bowel function in healthy persons consuming North American diets. Am J Clin Nutr 2008, 88:1256-1262.
  • [2]Frost GS, Brynes AE, Dhillo WS, Bloom SR, McBurney MI: The effects of fiber enrichment of pasta and fat content on gastric emptying, GLP-1, glucose and insulin responses to a meal. Eur J Clin Nutr 2003, 57:293-298.
  • [3]Caswell S, Anderson AS, Steele RJC: Bowel health to better health: a minimal contact lifestyle intervention for people at increased risk colorectal cancer. Br J Nutr 2009, 102:1541-1546.
  • [4]Hongisto S-M, Paajanen L, Saxelin M, Korpela R: A combination of fibre-rich rye bread and yoghurt containing Lactobacillus GG improves bowel function in women with self-reported constipation. Eur J Clin Nutr 2006, 60:319-324.
  • [5]Mann JI, Cummings JH: Possible implications for health of the different definitions of dietary fibre. Nutr Metab Cardiovasc Dis 2009, 19:226-229.
  • [6]Kassis AN, Santosa S, Jones PJH: Potential health claims on dietary fiber: How robust is the evidence? Int J N M 2009, 4:28-32.
  • [7]WHO/FAO: Codex Alimentarius Commission (CNFSDU) 30th Session. [http://www.codexalimentarius.net/web/archives.jsp?year=09] webcite 2008. ALINORM 09/32/26. Para 27-54 and page 46
  • [8]Lecumberri E, Goya L, Mateos R, Alias M, Ramos S, Izquierdo-Pulido M, Bravo L: A diet rich in dietary fiber from cocoa improves lipid profile and reduces malondialdehyde in hypercholesterolemic rats. Nutrition 2007, 23:332-341.
  • [9]Jenkins DJ, Kendall CW, Vulksan V, Vidgen E, Wong E, Augustin LS, Fulgoni V: Effect of cocoa bran on low-density lipoprotein oxidation and fecal bulking. Arch Intern Med 2000, 160:2374-2379.
  • [10]Cooper KA, Donovan JL, Waterhouse AL, Williamson G: Cocoa and health: a decade of research. Br J Nutr 2008, 99:1-11.
  • [11]Topping DL, Bird AR: Food, nutrients and digestive health. Aust J Nutr Dietet 1999, 56:S22-S34.
  • [12]Marlett JA, Kajs TM, Fischer MH: An unfermented gel component of psyllium seed husk promotes laxation as a lubricant in humans. Am J Clin Nutr 2000, 72:784-789.
  • [13]Read NE, Eastwood MA: Gastrointestinal physiology and function. In In Dietary fibre-A Component of Food. Edited by Schweiser TF, Edwards CA. Germany: Springer; 1992:103-117.
  • [14]Roberfroid M: Nondigestible oligosaccharides. Crit Rev Food Sci Nutr 2000, 40:461-480.
  • [15]Brinkworth GD, Noakes M, Clifton PM, Bird AR: Comparative effects of very low-carbohydrate, high-fat and high-carbohydrate, low-fat weight-loss diets on bowel habits and faecal short-chain fatty acids and bacterial populations. Br J Nutr 2009, 101:1493-1502.
  • [16]Dahl WJ, Whiting SJ, Healey A, Zello GA, Hildebrandt SL: Increased stool frequency occurs when finely processed pea hull fiber is added to usual foods consumed by elderly residents in long-term care. J Am Diet Assoc 2003, 103:1199-1202.
  • [17]Castillejo G, Bulló M, Anguera A, Escribano J, Salas-Salvadó J: A controlled, randomized, double-blind trial to evaluate the effect of a supplement of cocoa husk that is rich in dietary fiber on colonic transit in constipated pediatric patients. Pediatrics 2006, 118(3):641-648.
  • [18]Griffenberg L, Morris M, Atkinson N, Levenback C: The effect of dietary fiber on bowel function following radical hysterectomy: a randomized trial. Gynecol Oncol 1997, 66:417-424.
  • [19]Bellini M, Alduini P, Bassotti G, Bove A, Bocchini R, Sormani MP, Bruzzi P, Pucciani F: Self-perceived normality in defecation habits. Dig Liver Dis 2006, 38:103-108.
  • [20]Taylor C: Brilliant blue FCF a new dye for diagnostic gastrointestinal studies. Amer J Dig Dis 1934, 1(3):239.
  • [21]Martínez-González MA, López-Fontana C, Varo JJ, Sánchez-Villegas A, Martinez JA: Validation of the Spanish version of the physical activity questionnaire used in the Nurses' Health Study and the Health Professionals' Follow-up Study. Public Health Nutr 2005, 8:920-927.
  • [22]Saura-Calixto F, García-Alonso A, Goñi I, Bravo L: In vitro determination of the indigestible fraction in foods: an alternative to dietary fiber analysis. J Agric Food Chem 2000, 48:3342-3347.
  • [23]Scott RW: Colorimetric determination of hexuronic acids in plant materials. Anal Chem 1979, 51:936-941.
  • [24]Southgate DAT (Ed): Determination of food carbohydrates. London: Applied Science Publishers; 1976.
  • [25]Saura-Calixto FD, Goñi I: The intake of dietary indigestible fraction in the Spanish diet shows the limitations of dietary fibre data for nutritional studies. Eur J Clin Nutr 2004, 58:1078-1082.
  • [26]Tabernero M, Serrano J, Saura-Calixto F: Dietary fiber intake in two European diets with high (Copenhagen, Denmark) and low (Murcia, Spain) colorectal cancer incidente. J Agri Food Chem 2007, 55:9443-9449.
  • [27]Hudson TS, Forman MR, Cantwell MM, Schatzkin A, Albert PS, Lanza E: Dietary fiber intake: Assessing the degree of agreement between food frequency questionnaires and 4-day food records. J Am Coll Nutr 2006, 25:370-381.
  • [28]Bennett WG, Cerda JJ: Benefits of dietary fiber. Myth or medicine? Dig Dis 1996, 14:43-58.
  • [29]Salyers AA: Fermentation of polysaccharides by human colonic anaerobes. In Dietary Fibre, Mechanisms of Action in Human Physiology and Metabolism. Edited by Cherbut C, Barry JL, Lairon D et al. Paris: John Libbey Eurotext; 1995:29-35.
  • [30]Loening-Baucke V, Miele E, Staiano A: Fiber (glucomannan) is beneficial in the treatment of childhood constipation. Pediatrics 2004, 113:259-264.
  • [31]Ulusoy U, Whitley JE: Profiles of faecal output of rare earth elements and stable isotopic tracers of iron and zinc after oral administration. Br J Nutr 2000, 84:605-617.
  • [32]Wrick KL, Robertson JB, Van Soest PJ, Lewis BA, Rivers JM, Roe DA, Hackler LR: The influence of dietary fiber on human intestinal transit and stool output. J Nutr 1983, 113:1464-1479.
  • [33]Slavin JL, Sempos CT, Brauer PM, Marlett JA: Limits of predicting gastrointestinal transit time from other measures of bowel function. Am J Clin Nutr 1981, 34:2111-2116.
  • [34]Chen HL, Haack VS, Janecky CW, Vollendorf NW, Marlett JA: Mechanisms by which wheat bran and oat bran increase stool weight in humans. Am J Clin Nutr 1998, 68:711-719.
  • [35]Oettle GJ: Effect of moderate exercise on bowel habit. Gut 1991, 32:941-944.
  • [36]Cordain L, Latin RW, Behnke JJ: The effects of an aerobic running program on bowel transit time. J Sports Med Phys Fitness 1986, 26:101-104.
  • [37]Koffler KH, Menkes A, Redmond RA, Whitehead WE, Pratley RE, Hurley BF: Strength training accelerates gastrointestinal transit in middle-aged and older men. Med Sci Sports Exer 1992, 24:415-419.
  • [38]Tuteja AK, Talley NJ, Joos SK, Woehl JV, Hickam DH: Is constipation associated with decreased physical activity in normally active subjects? Am J Gastroenterol 2005, 100:124-129.
  • [39]Nakaji S, Tokunaga S, Sakamoto J, Todate M, Shimoyama T, Umeda T, Sugawara K: Relationship between lifestyle factors and defecation in a Japanese population. Eur J Nutr 2002, 41:244-248.
  • [40]Buijsse B, Feskens EJM, Kok FJ, Kromhout D: Cocoa intake, blood pressure, and cardiovascular mortality: the Zutphen Elderly Study. Arch Intern Med 2006, 166:411-417.
  • [41]Nagao T, Komine Y, Soga S, Meguro S, Hase T, Tanaka Y, Tokimitsu I: Ingestion of a tea rich in catechins leads to a reduction in body fat and malondialdehyde-modified LDL in men. Am J Clin Nutr 2005, 81:122-129.
  • [42]Matsui N, Itoa R, Nishimura E, Yoshikawaa M, Masatoshi K, Masanori K, Haruki S, Ichiro M, Keiko A, Shuichi H: Ingested cocoa can prevent high-fat diet-induced obesity by regulating the expression of genes for fatty acid metabolism. Nutrition 2005, 21:594-601.
  文献评价指标  
  下载次数:3次 浏览次数:10次