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Cited by 130Nutritional Studies and DietFood composition and propertiesDiabetes, Cardiovascular Risks, and Lipoproteins

The relation of low glycaemic index fruit consumption to glycaemic control and risk factors for coronary heart disease in type 2 diabetes

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Jenkins, D. J. A., Srichaikul, K., Kendall, C. W. C., Sievenpiper, J. L., Abdulnour, S., Mirrahimi, A., Meneses, C., Nishi, S. +9 more·2011·Diabetologia
DOI 10.1007/s00125-010-1927-1PMC PMC3017317

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Abstract

AIMS/HYPOTHESIS: Sugar has been suggested to promote obesity, diabetes and coronary heart disease (CHD), yet fruit, despite containing sugars, may also have a low glycaemic index (GI) and all fruits are generally recommended for good health. We therefore assessed the effect of fruit with special emphasis on low GI fruit intake in type 2 diabetes. METHODS: This secondary analysis involved 152 type 2 diabetic participants treated with glucose-lowering agents who completed either 6 months of high fibre or low GI dietary advice, including fruit advice, in a parallel design. RESULTS: Change in low GI fruit intake ranged from -3.1 to 2.7 servings/day. The increase in low GI fruit intake significantly predicted reductions in HbA(1c) (r = -0.206, p =0.011), systolic blood pressure (r = -0.183, p = 0.024) and CHD risk (r = -0.213, p = 0.008). Change in total fruit intake ranged from -3.7 to 3.2 servings/day and was not related to study outcomes. In a regression analysis including the eight major carbohydrate foods or classes of foods emphasised in the low GI diet, only low GI fruit and bread contributed independently and significantly to predicting change in HbA(1c). Furthermore, comparing the highest with the lowest quartile of low GI fruit intake, the percentage change in HbA(1c) was reduced by -0.5% HbA(1c) units (95% CI 0.2-0.8 HbA(1c) units, p < 0.001). CONCLUSIONS/INTERPRETATION: Low GI fruit consumption as part of a low GI diet was associated with lower HbA(1c), blood pressure and CHD risk and supports a role for low GI fruit consumption in the management of type 2 diabetes. TRIAL REGISTRATION: ClinicalTrials.gov NCT00438698.

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Authors
Jenkins, D. J. A., Srichaikul, K., Kendall, C. W. C., Sievenpiper, J. L., Abdulnour, S., Mirrahimi, A., Meneses, C., Nishi, S., He, X., Lee, S., So, Y. T., Esfahani, A., Mitchell, S., Parker, T. L., Vidgen, E., Josse, R. G., & Leiter, L. A.
Affiliations
  • St. Michael's Hospital (CA)
  • Hospital de Santo Espirito de Angra do Heroísmo (PT)
Corresponding author
Jenkins, D. J. A.
ORCID
Venue
Diabetologia
Publisher
Springer Science and Business Media LLC
Published
2010-10-27
Volume
54
Issue
2
Pages
271-279
ISSN
  • 0012-186X (ISSN-L)
  • 1432-0428
DOI
10.1007/s00125-010-1927-1
PMC
PMC3017317
OpenAlex
W2155700420
Cited by
130
References
54
Citations by year
2026: 2 · 2025: 2 · 2024: 7 · 2023: 3 · 2022: 8 · 2021: 5 · 2020: 16 · 2019: 5 · 2018: 7 · 2017: 10 · 2016: 10 · 2015: 8 · 2014: 14 · 2013: 18 · 2012: 11
FWCI
9.82
Type
journal article
Language
en
Open access
Licence
cc-by-nc
Locations
  • Diabetologia (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • Figshare (submittedVersion, cc-by)
Funders
  • Coca-Cola Foundation
  • California Strawberry Commission
  • Almond Board of California
  • Archer Daniels Midland
  • Loblaw Companies Limited
  • Australian Government
  • Government of Canada
  • Canadian Institutes of Health Research
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
  • Health Sciences › Nursing › Nutrition and Dietetics › Food composition and properties
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Keywords
type 2 diabetes, glycemic control, HbA1c, coronary heart disease risk, systolic blood pressure, dietary recommendations, fruit consumption, glucose-lowering agents, dietary fiber
MeSH terms
Aged, Coronary Disease, Diabetes Mellitus, Type 2, Dietary Carbohydrates, Dietary Fiber, Female, Fruit, Humans, Male, Middle Aged, Risk Factors, Glycemic Index

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