Evidence map›Paper›PMID 34669959›Full record

Trial reportThe Journal of nutrition2022

Pasta Structure Affects Mastication, Bolus Properties, and Postprandial Glucose and Insulin Metabolism in Healthy Adults.

Saara Vanhatalo, Margherita Dall'Asta, Marta Cossu, Laura Chiavaroli, Veronica Francinelli, Giuseppe Di Pede, Rossella Dodi, Johanna Närväinen, Monica Antonini, Matteo Goldoni and 6 more

2 registry-linked trialsOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.6field-weighted citation impact, top 10% 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.

NCT03098017 nacompletednot on this map

Pasta and Couscous Prepared With Durum Wheat Semolina: Effect on Post-prandial Glucose and Insulin Metabolism

TypeinterventionalSponsorUniversity of ParmaRan2017 to 2018Enrolled30ConditionsDietary ModificationArmsShort pasta (dry), Long pasta (dry), Couscous, Glucose
NCT03104686 nacompletednot on this map

Pasta and Bread Prepared With Durum Wheat Semolina: Effect on Post-prandial Glucose and Insulin Metabolism

TypeinterventionalSponsorUniversity of ParmaRan2017 to 2018Enrolled30ConditionsDietary ModificationArmsShort pasta (dry), Long pasta (dry), Bread, Glucose
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 27 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 4 institutions in 3 countries.

Saara VanhataloVTT Technical Research Centre of Finland Ltd, Espoo, Finland.
Margherita Dall'AstaDepartment of Food and Drug, University of Parma, Parma, Italy.
Marta CossuDepartment of Food and Drug, University of Parma, Parma, Italy.
Laura ChiavaroliDepartment of Nutritional Sciences, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Veronica FrancinelliDepartment of Food and Drug, University of Parma, Parma, Italy.
Giuseppe Di PedeDepartment of Food and Drug, University of Parma, Parma, Italy.
Rossella DodiDepartment of Food and Drug, University of Parma, Parma, Italy.
Johanna NärväinenVTT Technical Research Centre of Finland Ltd, Espoo, Finland.
Monica AntoniniDepartment of Medicine and Surgery, University of Parma, Parma, Italy.
Matteo GoldoniDepartment of Medicine and Surgery, University of Parma, Parma, Italy.
Ulla Holopainen-MantilaVTT Technical Research Centre of Finland Ltd, Espoo, Finland.
Alessandra Dei CasDepartment of Medicine and Surgery, University of Parma, Parma, Italy.ORCID 0000-0002-8666-4849
Riccardo BonadonnaDepartment of Medicine and Surgery, University of Parma, Parma, Italy.ORCID 0000-0002-9809-1005
Furio BrighentiDepartment of Food and Drug, University of Parma, Parma, Italy.
Kaisa PoutanenVTT Technical Research Centre of Finland Ltd, Espoo, Finland.ORCID 0000-0001-8441-4611
Francesca ScazzinaDepartment of Food and Drug, University of Parma, Parma, Italy.
University of Parma · ITVTT Technical Research Centre of Finland · FISt. Michael's Hospital · CAUniversità Cattolica del Sacro Cuore · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStructure and protein-starch interactions in pasta products can be responsible for lower postprandial glycemic responses compared with other cereal foods.

objectivesWe tested the effect on postprandial glucose metabolism induced by 2 pasta products, couscous, and bread, through their structural changes during mastication and simulated gastric digestion.

methodsTwo randomized controlled trials (n = 30/trial) in healthy, normal-weight adults (mean BMI of 23.9 kg/m2 (study 1) and 23.0 kg/m2 (study 2)) evaluated postprandial glucose metabolism modulation to portions of durum wheat semolina spaghetti, penne, couscous, and bread each containing 50 g available carbohydrate. A mastication trial involving 26 normal-weight adults was conducted to investigate mastication processes and changes in particle size distribution and microstructure (light microscopy) of boluses after mastication and in vitro gastric digestion.

resultsBoth pasta products resulted in lower areas under the 2-h curve for blood glucose (-40% for spaghetti and -22% for penne compared with couscous; -41% for spaghetti and -30% for penne compared with bread), compared with the other grain products (P < 0.05). Pasta products required more chews (spaghetti: 34 ± 18; penne: 38 ± 20; bread: 27 ± 13; couscous: 24 ± 17) and longer oral processing (spaghetti: 21 ± 13 s; penne: 23 ± 14 s; bread: 18 ± 9 s; couscous: 14 ± 10 s) compared with bread or couscous (P < 0.01). Pastas contained more large particles (46-67% of total particle area) compared with bread (0-30%) and couscous (1%) after mastication and in vitro gastric digestion. After in vitro gastric digestion, pasta samples still contained large areas of nonhydrolyzed starch embedded within the protein network; the protein in bread and couscous was almost entirely digested, and the starch was hydrolyzed.

conclusionsPreservation of the pasta structure during mastication and gastric digestion explains slower starch hydrolysis and, consequently, lower postprandial glycemia compared with bread or couscous prepared from the same durum wheat semolina flour in healthy adults.The postprandial in vivo trials were registered at clinicaltrials.gov as NCT03098017 and NCT03104686.

Indexed as

GlucoseInsulinsAdultBlood GlucoseBreadHumansInsulinMasticationStarchTriticumBlood GlucoseGlucoseInsulinInsulinsStarchC-peptide responseglycemic responseinsulin responsemasticationstructure

Identifiers

PMID34669959
PMCPMC8971003
OpenAlexW3206771624

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.