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The purpose of this study is to compare the glycemic index of a beverage made of natural concentrated mango puree with natural concentrated pear juice with other five different products based on natural mango and pear ingredients in the form of fruit or juice against a control of 50-gram glucose load.
The participants will be recruited with an open invitation to participate, those who voluntarily accept, sign an informed consent, and meet the all inclusion criteria and none of the exclusion criteria will participate.
Each participant will receive a different product (of the seven products available) each day of the test (8 days in total), making sure everyone receives each one of the products. All products will be distributed in a randomized fashion for each of the participants. The 50-gram glucose load (gold standard) will be the reference or control, and will be taken twice by each subject in the test.
Each one of the products given will contain 50 grams of carbohydrate. The time given to consume the products will be 10 minutes total.
There will be a "wash out" period of three days in between each product.
The participants will eat the product and capillary glucose will be taken with a glucometer (Accu-Chek Performa System © 2009 Roche Diagnostics. Roche Products, México) at times: 0, 15, 30, 45, 60, 75, 90, 150 and 120 minutes. The glucometer will be calibrated with a standard glucose solution every day previous to the test. The results will be used to calculate the glycemic index. At the end of the 120 minutes, the participants will receive a questionnaire of digestive symptoms presented during the test.
The glycemic index will be calculated by the area under the curve for each product divided by the area under the curve for the 50-gram glucose load, multiplied by 100. The area under the curve used to calculate the glycemic index is the area that surpasses the basal line, excluding the area under the basal line according to the Food and Agriculture Organization (FAO) in 1998 (Brouns et al 2005).
All information collected will be emptied into a pre-designed database.
The differences between the different products ingested will be analyzed with the statistical test of analysis of variance (ANOVA) with a pre-test of homogeneity of variance Brown-Foryhte. In case of failure to find homogeneity in the variances the nonparametric ANOVA, the Kruskal-Wallis test, will be used. The results will be expressed as mean ± standard deviation for each with a significance level of 0.05 for all the statistical tests.
After ANOVA, Tuckey Multiple Comparisons test will be used to evaluate the pairwise relationship for each product.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mango puree and pear juice beverage | Other | Participants will drink 450 milliliters of the juice at time 0. |
|
| Commercial mango juice | Other | Participants will drink 450 milliliters of the juice at time 0. |
|
| Fresh natural mango | Other | Participants will eat 400 to 500 grams of frozen mango pulp, along with 250 milliliters of water at time 0. |
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| Frozen natural mango | Other | Participants will eat 400 to 500 grams of frozen mango pulp, along with 250 milliliters of water at time 0. |
|
| Processed natural mango pulp | Other | Participants will eat 400 to 500 grams of frozen mango pulp, along with 250 milliliters of water at time 0. |
|
| Mix of natural mango and pear |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mango puree and pear juice beverage | Other | Capillary glucose will be taken every 15 minutes for two hours (starting at time 0) to calculate the area under the curve which is the glycemic index, for each of the products. |
| Measure | Description | Time Frame |
|---|---|---|
| Glycemic index of mango puree with natural pear juice beverage | Glycemic index will be calculated for 450 milliliters of this juice. The results will be expressed as mean ± standard deviation for each with a significance level of 0.05 for all the statistical tests. | 8 days |
| Measure | Description | Time Frame |
|---|---|---|
| Glycemic index of a commercial mango juice | Glycemic index will be calculated for 450 milliliters of this juice. The results will be expressed as mean ± standard deviation for each with a significance level of 0.05 for all the statistical tests. | 8 days |
| Glycemic index of natural fresh mango |
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Inclusion Criteria:
The night before the study:
Exclusion Criteria:
Suspension:
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| Name | Affiliation | Role |
|---|---|---|
| Leticia Elizondo-Montemayor, MD | Clinical Nutrition and Obesity Research Center. TEC Salud, School of Medicine and Health Sciences. Instituto Tecnologico y de Estudios Superiores de Monterrey | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinical Nutrition and Obesity Research Center. School of Medicine and Health Sciences, TEC Salud, Tecnológico de Monterrey | Monterrey | Nuevo León | 64710 | Mexico |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Brand JC, Holt S, Saveny and Hanksy J. Plasma glucose correlates inversely with satiety and CCK. Proc Nutr Soc Aust 1990; 15: 209 (abstr). | ||
| 17003313 | Background | Brock DW, Davis CK, Irving BA, Rodriguez J, Barrett EJ, Weltman A, Taylor AG, Gaesser GA. A high-carbohydrate, high-fiber meal improves endothelial function in adults with the metabolic syndrome. Diabetes Care. 2006 Oct;29(10):2313-5. doi: 10.2337/dc06-0917. No abstract available. | |
| 19079901 |
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Participants will eat 400 to 500 grams of a mixture of fresh natural fruit containing mango (73%) and pear (27%), along with 250 milliliters of water at time 0. |
|
| 50 grams glucose load | Other | Participants will drink 250 milliliters of the standard glucose load at time 0. |
|
|
| Commercial mango juice | Other | Capillary glucose will be taken every 15 minutes for two hours (starting at time 0) to calculate the area under the curve which is the glycemic index, for each of the products. |
|
|
| Fresh natural mango | Other | Capillary glucose will be taken every 15 minutes for two hours (starting at time 0) to calculate the area under the curve which is the glycemic index, for each of the products. |
|
|
| Frozen natural mango | Other | Capillary glucose will be taken every 15 minutes for two hours (starting at time 0) to calculate the area under the curve which is the glycemic index, for each of the products. |
|
|
| Processed natural mango pulp | Other | Capillary glucose will be taken every 15 minutes for two hours (starting at time 0) to calculate the area under the curve which is the glycemic index, for each of the products. |
|
|
| Mix of natural mango and pear | Other | Capillary glucose will be taken every 15 minutes for two hours (starting at time 0) to calculate the area under the curve which is the glycemic index, for each of the products. |
|
|
| 50 grams glucose load | Other | Capillary glucose will be taken every 15 minutes for two hours (starting at time 0) to calculate the area under the curve which is the glycemic index, for each of the products. |
|
|
Glycemic index will be calculated for 400 to 500 grams of mango along with 250 milliliters of water. The results will be expressed as mean ± standard deviation for each with a significance level of 0.05 for all the statistical tests. |
| 8 days |
| Glycemic index of natural frozen mango pulp | Glycemic index will be calculated for 400 to 500 grams of mango along with 250 milliliters of water. The results will be expressed as mean ± standard deviation for each with a significance level of 0.05 for all the statistical tests. | 8 days |
| Glycemic index of processed natural mango pulp | Glycemic index will be calculated for 400 to 500 grams of mango along with 250 milliliters of water. The results will be expressed as mean ± standard deviation for each with a significance level of 0.05 for all the statistical tests. | 8 days |
| glycemic index of a mixture of fresh mango 73 percent and fresh pear 27 percent | Glycemic index will be calculated for 400 to 500 grams of mango along with 250 milliliters of water. The results will be expressed as mean ± standard deviation for each with a significance level of 0.05 for all the statistical tests. | 8 days |
| glycemic index of a 50 gram glucose load | Glycemic index will be calculated for a standard 50-gram glucose load. This will be done twice by every participant. The results will be expressed as mean ± standard deviation for each with a significance level of 0.05 for all the statistical tests. | 8 days |
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| ID | Term |
|---|---|
| D018149 | Glucose Intolerance |
| ID | Term |
|---|---|
| D006943 | Hyperglycemia |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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