Evidence map›Paper›PMID 33429977›Full record

Trial reportNutrients2021

Effect of the Natural Sweetener Xylitol on Gut Hormone Secretion and Gastric Emptying in Humans: A Pilot Dose-Ranging Study.

Anne Christin Meyer-Gerspach, Jürgen Drewe, Wout Verbeure, Carel W le Roux, Ludmilla Dellatorre-Teixeira, Jens F Rehfeld, Jens J Holst, Bolette Hartmann, Jan Tack, Ralph Peterli and 2 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
4.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 32 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 4 countries.

Anne Christin Meyer-GerspachSt. Clara Research Ltd. at St. Claraspital, 4002 Basel, Switzerland.ORCID 0000-0003-4104-8812
Jürgen DreweDepartment of Clinical Pharmacology and Toxicology, University Hospital of Basel, 4001 Basel, Switzerland.
Wout VerbeureTranslational Research Center for Gastrointestinal Disorders, Catholic University of Leuven, 3000 Leuven, Belgium.ORCID 0000-0001-9934-4636
Carel W le RouxDiabetes Complications Research Centre, Conway Institute University College Dublin, 3444 Dublin, Ireland.
Ludmilla Dellatorre-TeixeiraDiabetes Complications Research Centre, Conway Institute University College Dublin, 3444 Dublin, Ireland.
Jens F RehfeldDepartment of Clinical Biochemistry, Rigshospitalet, University of Copenhagen, 2100 Copenhagen, Denmark.
Jens J HolstDepartment of Biomedical Sciences and Novo Nordisk Foundation Center for Basic Metabolic Research, Faculty of Health and Medical Sciences, University of Copenhagen, 2200 Copenhagen, Denmark.ORCID 0000-0001-6853-3805
Bolette HartmannDepartment of Biomedical Sciences and Novo Nordisk Foundation Center for Basic Metabolic Research, Faculty of Health and Medical Sciences, University of Copenhagen, 2200 Copenhagen, Denmark.
Jan TackTranslational Research Center for Gastrointestinal Disorders, Catholic University of Leuven, 3000 Leuven, Belgium.
Ralph PeterliClarunis, Department of Surgery, St. Claraspital, 4002 Basel, Switzerland.
Christoph BeglingerSt. Clara Research Ltd. at St. Claraspital, 4002 Basel, Switzerland.
Bettina K WölnerhanssenSt. Clara Research Ltd. at St. Claraspital, 4002 Basel, Switzerland.
University of Basel · CHUniversity of Copenhagen · DKKU Leuven · BEUniversity College Dublin · IESt. Claraspital · CHUniversity Hospital of Basel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sugar consumption is associated with a whole range of negative health effects and should be reduced and the natural sweetener xylitol might be helpful in achieving this goal. The present study was conducted as a randomized, placebo-controlled, double-blind, cross-over trial. Twelve healthy, lean volunteers received intragastric solutions with 7, 17 or 35 g xylitol or tap water on four separate days. We examined effects on: gut hormones, glucose, insulin, glucagon, uric acid, lipid profile, as well as gastric emptying rates, appetite-related sensations and gastrointestinal symptoms. We found: (i) a dose-dependent stimulation of cholecystokinin (CCK), active glucagon-like peptide-1 (aGLP-1), peptide tyrosine tyrosine (PYY)-release, and decelerated gastric emptying rates, (ii) a dose-dependent increase in blood glucose and insulin, (iii) no effect on motilin, glucagon, or glucose-dependent insulinotropic peptide (GIP)-release, (iv) no effect on blood lipids, but a rise in uric acid, and (v) increased bowel sounds as only side effects. In conclusion, low doses of xylitol stimulate the secretion of gut hormones and induce a deceleration in gastric emptying rates. There is no effect on blood lipids and only little effect on plasma glucose and insulin. This combination of properties (low-glycemic sweetener which stimulates satiation hormone release) makes xylitol an attractive candidate for sugar replacement.

Indexed as

AdultBlood GlucoseCholecystokininCross-Over StudiesDipeptidesDouble-Blind MethodFemaleGastric EmptyingGastric Inhibitory PolypeptideGastrointestinal HormonesGlucagonGlucagon-Like Peptide 1HumansInsulinLipidsMaleBlood GlucoseCholecystokininDipeptidesGastric Inhibitory PolypeptideGastrointestinal HormonesGlucagonGlucagon-Like Peptide 1InsulinLipidsSweetening AgentstyrosyltyrosineUric AcidXylitolappetite-related sensationsblood lipidsgastric emptyinggastrointestinal symptomsgut hormonesnatural sweetenersuric acidxylitol

Identifiers

PMID33429977
PMCPMC7828005
OpenAlexW3118690189

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.