Mastication Frequency and Postprandial Blood Sugar Levels in Normoglycaemic and Dysglycaemic Individuals: A Cross- Sectional Comparative Study
Identifieur interne : 000702 ( Main/Exploration ); précédent : 000701; suivant : 000703Mastication Frequency and Postprandial Blood Sugar Levels in Normoglycaemic and Dysglycaemic Individuals: A Cross- Sectional Comparative Study
Auteurs : Vinayak Madhu ; Arun Shirali ; Priyanka Niwas Pawaskar ; Deepak Madi ; Nithyananda Chowta ; John Thomas RamapuramSource :
- Journal of Clinical and Diagnostic Research : JCDR [ 2249-782X ] ; 2016.
Abstract
Mastication has potential to affect postprandial blood glucose levels by affecting cephalic phase of insulin release. However, limited number of studies done in this regard has yielded conflicting results.
To evaluate effects of mastication on postprandial blood glucose levels.
We compared routine and thorough mastication in 2 separate groups: dysglycaemic (prediabetics and diabetics) and normoglycaemic in prospective interventional study. Blood glucose levels were measured pre-prandial and postprandial (after 2 hours) on separate days after routine and thorough mastication in both groups.
In normoglycaemic group, thorough mastication significantly reduced postprandial blood glucose levels at 2 hours (128.25± 7.82 mg/dl on routine mastication vs 119.74±9.08 mg/dl on thorough mastication, p<0.05). Comparatively, in dysglycaemic group, thorough mastication had little effect on postprandial blood glucose levels at 2 hours (244.07±22.37 mg/dl vs. 243.55±22.87 mg/dl).
In normoglycaemic group, postprandial blood glucose concentration upon thorough mastication was significantly lower, due to early-phase insulin secretion. This simple lifestyle modification of thorough mastication can be a useful preventive measure against diabetes in people with a strong family history and other risk factors for diabetes who have not yet developed diabetes or prediabetes.
Url:
DOI: 10.7860/JCDR/2016/18855.8082
PubMed: 27630879
PubMed Central: 5020307
Affiliations:
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uniqKey="Pawaskar P" first="Priyanka Niwas" last="Pawaskar">Priyanka Niwas Pawaskar</name><affiliation><nlm:aff id="aff3"> Assistant Professor, Department of Physiology,<institution>Kanachur Institute of Medical Sciences</institution>,<addr-line>Mangalore, India</addr-line>.</nlm:aff></affiliation></author><author><name sortKey="Madi, Deepak" sort="Madi, Deepak" uniqKey="Madi D" first="Deepak" last="Madi">Deepak Madi</name><affiliation><nlm:aff id="aff4"> Associate Professor, Department of Medicine,<institution>Kasturba Medical College, Manipal University</institution>,<addr-line>Mangalore, India</addr-line>.</nlm:aff></affiliation></author><author><name sortKey="Chowta, Nithyananda" sort="Chowta, Nithyananda" uniqKey="Chowta N" first="Nithyananda" last="Chowta">Nithyananda Chowta</name><affiliation><nlm:aff id="aff5"> Additional Professor, Department of Medicine,<institution>Kasturba Medical College, Manipal University</institution>,<addr-line>Mangalore, India</addr-line>.</nlm:aff></affiliation></author><author><name sortKey="Ramapuram, John Thomas" sort="Ramapuram, John Thomas" uniqKey="Ramapuram J" first="John Thomas" last="Ramapuram">John Thomas Ramapuram</name><affiliation><nlm:aff id="aff6"> Professor, Department of Medicine,<institution>Kasturba Medical College, Mangalore, Manipal University</institution>,<addr-line>Mangalore, India</addr-line>.</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27630879</idno><idno type="pmc">5020307</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5020307</idno><idno type="RBID">PMC:5020307</idno><idno type="doi">10.7860/JCDR/2016/18855.8082</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">002392</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002392</idno><idno type="wicri:Area/Pmc/Curation">002392</idno><idno type="wicri:explorRef" 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Resident, Department of Medicine,<institution>Kasturba Medical College, Manipal University</institution>,<addr-line>Mangalore, India</addr-line>.</nlm:aff></affiliation></author><author><name sortKey="Shirali, Arun" sort="Shirali, Arun" uniqKey="Shirali A" first="Arun" last="Shirali">Arun Shirali</name><affiliation><nlm:aff id="aff2"> Associate Professor, Department of Medicine,<institution>Kasturba Medical College, Manipal University</institution>,<addr-line>Mangalore, India</addr-line>.</nlm:aff></affiliation></author><author><name sortKey="Pawaskar, Priyanka Niwas" sort="Pawaskar, Priyanka Niwas" uniqKey="Pawaskar P" first="Priyanka Niwas" last="Pawaskar">Priyanka Niwas Pawaskar</name><affiliation><nlm:aff id="aff3"> Assistant Professor, Department of Physiology,<institution>Kanachur Institute of Medical Sciences</institution>,<addr-line>Mangalore, India</addr-line>.</nlm:aff></affiliation></author><author><name sortKey="Madi, Deepak" sort="Madi, Deepak" uniqKey="Madi D" first="Deepak" last="Madi">Deepak Madi</name><affiliation><nlm:aff id="aff4"> Associate Professor, Department of Medicine,<institution>Kasturba Medical College, Manipal University</institution>,<addr-line>Mangalore, India</addr-line>.</nlm:aff></affiliation></author><author><name sortKey="Chowta, Nithyananda" sort="Chowta, Nithyananda" uniqKey="Chowta N" first="Nithyananda" last="Chowta">Nithyananda Chowta</name><affiliation><nlm:aff id="aff5"> Additional Professor, Department of Medicine,<institution>Kasturba Medical College, Manipal University</institution>,<addr-line>Mangalore, India</addr-line>.</nlm:aff></affiliation></author><author><name sortKey="Ramapuram, John Thomas" sort="Ramapuram, John Thomas" uniqKey="Ramapuram J" first="John Thomas" last="Ramapuram">John Thomas Ramapuram</name><affiliation><nlm:aff id="aff6"> Professor, Department of Medicine,<institution>Kasturba Medical College, Mangalore, Manipal University</institution>,<addr-line>Mangalore, India</addr-line>.</nlm:aff></affiliation></author></analytic><series><title level="j">Journal of Clinical and Diagnostic Research : JCDR</title><idno type="ISSN">2249-782X</idno><idno type="eISSN">0973-709X</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Introduction</title><p>Mastication has potential to affect postprandial blood glucose levels by affecting cephalic phase of insulin release. However, limited number of studies done in this regard has yielded conflicting results.</p></sec><sec><title>Aim</title><p>To evaluate effects of mastication on postprandial blood glucose levels.</p></sec><sec><title>Materials and Methods</title><p>We compared routine and thorough mastication in 2 separate groups: dysglycaemic (prediabetics and diabetics) and normoglycaemic in prospective interventional study. Blood glucose levels were measured pre-prandial and postprandial (after 2 hours) on separate days after routine and thorough mastication in both groups.</p></sec><sec><title>Results</title><p>In normoglycaemic group, thorough mastication significantly reduced postprandial blood glucose levels at 2 hours (128.25± 7.82 mg/dl on routine mastication vs 119.74±9.08 mg/dl on thorough mastication, p<0.05). Comparatively, in dysglycaemic group, thorough mastication had little effect on postprandial blood glucose levels at 2 hours (244.07±22.37 mg/dl vs. 243.55±22.87 mg/dl).</p></sec><sec><title>Conclusion</title><p>In normoglycaemic group, postprandial blood glucose concentration upon thorough mastication was significantly lower, due to early-phase insulin secretion. This simple lifestyle modification of thorough mastication can be a useful preventive measure against diabetes in people with a strong family history and other risk factors for diabetes who have not yet developed diabetes or prediabetes.</p></sec></div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Chowta, Nithyananda" sort="Chowta, Nithyananda" uniqKey="Chowta N" first="Nithyananda" last="Chowta">Nithyananda Chowta</name><name sortKey="Madhu, Vinayak" sort="Madhu, Vinayak" uniqKey="Madhu V" first="Vinayak" last="Madhu">Vinayak Madhu</name><name sortKey="Madi, Deepak" sort="Madi, Deepak" uniqKey="Madi D" first="Deepak" last="Madi">Deepak Madi</name><name sortKey="Pawaskar, Priyanka Niwas" sort="Pawaskar, Priyanka Niwas" uniqKey="Pawaskar P" first="Priyanka Niwas" last="Pawaskar">Priyanka Niwas Pawaskar</name><name sortKey="Ramapuram, John Thomas" sort="Ramapuram, John Thomas" uniqKey="Ramapuram J" first="John Thomas" last="Ramapuram">John Thomas Ramapuram</name><name sortKey="Shirali, Arun" sort="Shirali, Arun" uniqKey="Shirali A" first="Arun" last="Shirali">Arun Shirali</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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