The impact of pistachio intake alone or in combination with high-carbohydrate foods on post-prandial glycemia
Abstract
Background/objectives Dietary strategies that reduce post-prandial glycemia are important in the prevention and treatment of diabetes and coronary heart disease (CHD). This may be achieved by addition of high-quality protein and fat contained in pistachio nuts, to carbohydrate-containing foods or meals. Subjects/methods A total of 10 healthy volunteers (3 males, 7 females); aged 48.3±6.4 years; Body mass index (BMI) 28.0±4.8 kg/m(2) participated in two studies. Study 1 assessed the dose-response effect of 28, 56 and 84 g pistachios consumed alone or co-ingested with white bread (50 g available carbohydrate); Study 2 assessed the effective dose (56 g) of pistachios on post-prandial glycemia consumed with different commonly consumed carbohydrate foods (50 g available carbohydrate). Relative glycemic responses (RGRs) of study meals compared with white bread, were assessed over the 2 h post-prandial period. Results The RGRs of pistachios consumed alone expressed as a percentage of white bread (100%) were: 28 g (5.7±1.8%); 56 g (3.8±1.8%); 84 g (9.3±3.2%), P<0.001. Adding pistachios to white bread resulted in a dose-dependent reduction in the RGR of the composite meal; 28 g (89.1±6.0, P=0.100); 56 g (67.3±9.8, P=0.009); 84 g (51.5±7.5, P<0.001). Addition of 56 g pistachios to carbohydrate foods significantly reduced the RGR: parboiled rice (72.5±6.0) versus rice and pistachios (58.7±5.1) (P=0.031); pasta (94.8±11.4) versus pasta and pistachios (56.4±5.0) (P=0.025); whereas for mashed potatoes (109.0±6.6) versus potatoes and pistachios, (87.4±8.0) (P=0.063) the results approached significance. Conclusions Pistachios consumed alone had a minimal effect on post-prandial glycemia and when taken with a carbohydrate meal attenuated the RGR. The beneficial effects of pistachios on post-prandial glycemia could, therefore, be part of the mechanism by which nuts reduce the risk of diabetes and CHD.
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- Authors
- Kendall, C. W. C., Josse, A. R., Esfahani, A., & Jenkins, D. J. A.
- Affiliations
- St. Michael's Hospital (CA)
- McMaster University (CA)
- Corresponding author
- Kendall, C W C
- Venue
- European Journal of Clinical Nutrition
- Published
- 2011-03-02
- Volume
- 65
- Issue
- 6
- Pages
- 696-702
- ISSN
- 0954-3007 (ISSN-L)
- 1476-5640
- OpenAlex
- W2071478461
- Cited by
- 69
- References
- 55
- Citations by year
- 2025: 2 · 2024: 5 · 2023: 3 · 2022: 7 · 2021: 5 · 2020: 5 · 2019: 3 · 2018: 2 · 2017: 7 · 2016: 4 · 2015: 7 · 2014: 12 · 2013: 4 · 2012: 3
- FWCI
- 5.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Nuts composition and effects
- Health Sciences › Nursing › Nutrition and Dietetics › Food composition and properties
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diet, Metabolism, and Disease
- Keywords
- pistachio nuts, postprandial blood glucose, high-carbohydrate meal, white bread, parboiled rice, pasta, mashed potatoes, dose-response relationship, diabetes prevention, coronary artery disease, healthy weight gain, healthy aging, healthy lifestyle, healthy weight loss, healthy weight maintenance, healthy sleep
- MeSH terms
- Adult, Blood Glucose, Bread, Coronary Disease, Diabetes Mellitus, Type 2, Dietary Carbohydrates, Dose-Response Relationship, Drug, Female, Humans, Hyperglycemia, Hypoglycemic Agents, Male, Phytotherapy, Middle Aged, Nuts, Body Mass Index, Postprandial Period, Pistacia, Plant Preparations, Glycemic Index, Overweight
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