Glycemic index, glycemic load and glycemic response: An International Scientific Consensus Summit from the International Carbohydrate Quality Consortium (ICQC)
Glycemic index, glycemic load and glycemic response: An International Scientific Consensus Summit from the International Carbohydrate Quality Consortium (ICQC)
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DOI：
10.1016/j.numecd.2015.05.005
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发表时间：
2015-09-01
影响因子：
3.9
通讯作者：
Poli, A.
中科院分区：
文献类型：
--
作者：
Augustin, L. S. A.;Kendall, C. W. C.;Poli, A.
背景和目标：膳食碳水化合物对健康的积极和消极影响是研究人员和消费者都感兴趣的。方法：国际碳水化合物研究专家于2013年6月在意大利斯特雷萨举行了一次科学峰会，讨论围绕血糖指数（GI）、血糖负荷（GL）和血糖反应（GR）效用的争议。结果是一个科学共识声明，承认餐后血糖在整体健康中的重要性，GI是一种有效且可重复的碳水化合物食物分类方法。人们一致认为，低GI和GL的饮食与糖尿病和冠心病的预防和管理有关，可能还有肥胖。在选定的癌症中观察到中度至弱相关性。该小组确认，低GI和GL的饮食应始终被视为健康饮食，补充表征碳水化合物食物的其他方式，如纤维和全谷物含量。低GI和GL的饮食被认为是特别重要的个人与insulin resistance.Conclusions：鉴于糖尿病和糖尿病前期的高患病率在世界范围内的科学证据的一致性审查，专家小组确认，迫切需要沟通的GI和GL的信息，一般公众和卫生专业人员，通过国家膳食指南，食品成分表和食品标签等渠道。(C)2015爱思唯尔B.V.保留所有权利。
Background and aims: The positive and negative health effects of dietary carbohydrates are of interest to both researchers and consumers.Methods: International experts on carbohydrate research held a scientific summit in Stresa, Italy, in June 2013 to discuss controversies surrounding the utility of the glycemic index (GI), glycemic load (GL) and glycemic response (GR).Results: The outcome was a scientific consensus statement which recognized the importance of postprandial glycemia in overall health, and the GI as a valid and reproducible method of classifying carbohydrate foods for this purpose. There was consensus that diets low in GI and GL were relevant to the prevention and management of diabetes and coronary heart disease, and probably obesity. Moderate to weak associations were observed for selected cancers. The group affirmed that diets low in GI and GL should always be considered in the context of diets otherwise understood as healthy, complementing additional ways of characterizing carbohydrate foods, such as fiber and whole grain content. Diets of low GI and GL were considered particularly important in individuals with insulin resistance.Conclusions: Given the high prevalence of diabetes and pre-diabetes worldwide and the consistency of the scientific evidence reviewed, the expert panel confirmed an urgent need to communicate information on GI and GL to the general public and health professionals, through channels such as national dietary guidelines, food composition tables and food labels. (C) 2015 Elsevier B.V. All rights reserved.