Evidence map›Paper›PMID 37940671›Full record

Trial reportEuropean journal of clinical nutrition2024

Beneficial glycaemic effects of high-amylose barley bread compared to wheat bread in type 2 diabetes.

Mette Bohl, Søren Gregersen, Yuyue Zhong, Kim Henrik Hebelstrup, Kjeld Hermansen

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of clinical nutrition, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04646746 (HIAMBA-1 - the Effects of Nude Barley and Gene-modified High-amylose Barley on Postprandial Glucose Metabolism in Subjects With Type 2 Diabetes), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.1field-weighted citation impact, top 14% 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.

NCT04646746 nacompletednot on this map

HIAMBA-1 - the Effects of Nude Barley and Gene-modified High-amylose Barley on Postprandial Glucose Metabolism in Subjects With Type 2 Diabetes

TypeinterventionalSponsorUniversity of AarhusRan2021 to 2021Enrolled20ConditionsType 2 DiabetesArms100% wheat, 50% nude barley and 50% wheat, 75% nude barley and 25% wheat, 50% gene-modified high-amylose barley and 50% wheat
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Article
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

5 authors at 3 institutions in 2 countries.

Mette BohlSteno Diabetes Centre Aarhus, Aarhus University Hospital, 8200, Aarhus N, Denmark. Mette.Bohl.Larsen@aarhus.rm.dk.ORCID 0009-0009-9913-1011
Søren GregersenSteno Diabetes Centre Aarhus, Aarhus University Hospital, 8200, Aarhus N, Denmark.
Yuyue ZhongDepartment of Plant and Environmental Sciences, University of Copenhagen, 1871, Frederiksberg C, Denmark.
Kim Henrik HebelstrupDepartment of Agroecology, Section for Crop Genetics and Biotechnology, Aarhus University, 4200, Slagelse, Denmark.
Kjeld HermansenDepartment of Clinical Medicine, Aarhus University, 8200, Aarhus N, Denmark.
Aarhus University · DKAarhus University Hospital · DKUniversity of Copenhagen · DK

Funding

Innovationsfonden (Innovation Fund Denmark) 9067-00004A
6 · The paper itself

Abstract

backgroundCereals foods with a high content of dietary fibres or amylose have potential to lower postprandial glucose levels. Optimisation of cereal foods may improve management of type 2 diabetes (T2D).

methodsWe investigated the impact on 4 h postprandial glucose responses given as incremental area under curve (iAUC) of bread made of either 50% RNAi-based (genetically modified) amylose-only barley flour (AmOn) (and 50% wheat flour), 50% hulless barley flour (and 50% wheat flour) or 75% hulless barley (and 25% wheat flour) in subjects with T2D compared with 100% wheat flour bread.

designTwenty adults with T2D were randomly allocated to one of four breads at four separate visits. We measured fasting and 4 h postprandial responses of glucose, insulin, glucagon, triacylglycerol (TG), free fatty acids (FFA), glucagon-like peptide-1 (GLP-1) and gastric inhibitory polypeptide (GIP). Mixed model ANOVA was used to examine the differences.

resultsBread made from 50% AmOn lowered the 4 h postprandial glucose by 34%, 27%, 23% (P < 0.05) compared with 100% wheat, 50% or 75% hulless barley, respectively. Bread made from 75% hulless barley reduced the postprandial glucose response (iAUC) by 11% (P < 0.05) compared to 100% wheat bread. Postprandial insulin responses (iAUC) were reduced for 50% AmOn compared with 100% wheat and 50% hulless barley and for 75% hulless compared to 50% hulless barley bread (P < 0.05). 4 h postprandial glucagon (tAUC) did not differ between the four bread types (P > 0.05). Lower postprandial GIP (iAUC) was observed after all barley breads compared to 100% wheat (P < 0.05), whereas no difference was seen in postprandial GLP-1. Postprandial TG and FFA (tAUC) were difficult to judge due to differences in fasting values.

conclusionsBread made by replacing wheat flour with either 50% high-amylose or 75% hulless barley flour lowered postprandial glucose responses compared to 100% wheat bread indicating a beneficial impact on glucose regulation in T2D subjects. This trial was registered at clinicaltrials.gov as NCT04646746.

Indexed as

Diabetes Mellitus, Type 2HordeumAdultAmyloseBlood GlucoseBreadEdible GrainFlourGastric Inhibitory PolypeptideGlucagonGlucagon-Like Peptide 1GlucoseHumansInsulinPostprandial PeriodTriticumAmyloseBlood GlucoseGastric Inhibitory PolypeptideGlucagonGlucagon-Like Peptide 1GlucoseInsulin

Identifiers

PMID37940671
PMCPMC10927555
OpenAlexW4388488581

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.