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| Name | Class |
|---|---|
| Glycemic Index Laboratories, Inc | INDUSTRY |
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This study evaluates the effect of different methods of preparation (cooked and consumed hot vs cooked, cooled overnight and consumed cold) and variation in the activity of salivary amylase on the glycemic index and carbohydrate digestibility in healthy human subjects. The effect of genetic variation in small intestinal starch digesting enzymes on glycemic index and starch digestibility will also be assessed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Low Salivary Amylase Activity | Other | Glucose Glucose plus lactulose Hot Rice Cold Rice |
|
| High Salivary Amylase Activity | Other | Glucose Glucose plus lactulose Hot Rice Cold Rice |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Glucose | Other | 50g glucose dissolved in 250ml water |
|
| Measure | Description | Time Frame |
|---|---|---|
| Glycemic Index (GI) | For each subject, the incremental area under the glucose response curve over 2 hours (iAUC) after each rice test meal is expressed as a percentage of the mean iAUC elicited by the 2 glucose test meals. | 0-2 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Carbohydrate malabsorbed | For each test meal the sum of breath hydrogen concentrations from the lowest value over 0-3 hours to 6 hours (termed "H"). For each subject the amount of hydrogen per gram malabsorbed carbohydrate (H/g) is calculated as (GL-G)/10 where GL is H after the glucose plus lactose meal and G is H after the glucose meal. The amount of carbohydrate malabsorbed after the hot and cold rice meals, respectively, are HR/Hg and CR/Hg, where HR and Cr are H after the hot and cold rice meals. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Thomas MS Wolever, MD, PhD | President, Medical Director | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Glycemic Index Laboratories | Toronto | Ontario | M5C 2X3 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34293081 | Derived | Wolever TMS, El-Sohemy A, Ezatagha A, Zurbau A, Jenkins AL. Neither low salivary amylase activity, cooling cooked white rice, nor single nucleotide polymorphisms in starch-digesting enzymes reduce glycemic index or starch digestibility: a randomized, crossover trial in healthy adults. Am J Clin Nutr. 2021 Nov 8;114(5):1633-1645. doi: 10.1093/ajcn/nqab228. |
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| ID | Term |
|---|---|
| C562602 | Glucose-Galactose Malabsorption |
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| ID | Term |
|---|---|
| D005947 | Glucose |
| D007792 | Lactulose |
| ID | Term |
|---|---|
| D006601 | Hexoses |
| D009005 | Monosaccharides |
| D000073893 | Sugars |
| D002241 | Carbohydrates |
| D004187 |
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| Glucose plus lactulose | Other | 50g glucose plus 10g lactulose dissolved in 250ml water |
|
| Hot Rice | Other | Freshly cooked polished rice containing 50g available carbohydrate (approximately 2/3 cup cooked rice) and consumed hot. |
|
| Cold Rice | Other | Cooked polished rice containing 50g available carbohydrate (approximately 2/3 cup cooked rice) cooled overnight in a refrigerator and consumed cold. |
|
| 0-6 hours. |
| Glycemic response | The incremental area under the blood glucose response curve | 0-2 hours |
| Breath hydrogen response | Sum of breath hydrogen concentrations from the lowest in the first 3 hours to 6 hours. | 0-6 hours |
| Disaccharides |
| D009844 | Oligosaccharides |
| D011134 | Polysaccharides |