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<record>
<TEI>
<teiHeader>
<fileDesc>
<titleStmt>
<title xml:lang="en">Mastication Frequency and Postprandial Blood Sugar Levels in Normoglycaemic and Dysglycaemic Individuals: A Cross- Sectional Comparative Study</title>
<author>
<name sortKey="Madhu, Vinayak" sort="Madhu, Vinayak" uniqKey="Madhu V" first="Vinayak" last="Madhu">Vinayak Madhu</name>
<affiliation>
<nlm:aff id="aff1"> Junior 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>
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<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>
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<analytic>
<title xml:lang="en" level="a" type="main">Mastication Frequency and Postprandial Blood Sugar Levels in Normoglycaemic and Dysglycaemic Individuals: A Cross- Sectional Comparative Study</title>
<author>
<name sortKey="Madhu, Vinayak" sort="Madhu, Vinayak" uniqKey="Madhu V" first="Vinayak" last="Madhu">Vinayak Madhu</name>
<affiliation>
<nlm:aff id="aff1"> Junior 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>
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<textClass></textClass>
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</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>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Clin Diagn Res</journal-id>
<journal-id journal-id-type="iso-abbrev">J Clin Diagn Res</journal-id>
<journal-id journal-id-type="hwp">Journal of Clinical and Diagnostic Research</journal-id>
<journal-id journal-id-type="publisher-id">JCDR</journal-id>
<journal-title-group>
<journal-title>Journal of Clinical and Diagnostic Research : JCDR</journal-title>
</journal-title-group>
<issn pub-type="ppub">2249-782X</issn>
<issn pub-type="epub">0973-709X</issn>
<publisher>
<publisher-name>JCDR Research and Publications (P) Limited</publisher-name>
<publisher-loc>Delhi, India</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">27630879</article-id>
<article-id pub-id-type="pmc">5020307</article-id>
<article-id pub-id-type="doi">10.7860/JCDR/2016/18855.8082</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Internal Medicine Section</subject>
<subj-group subj-group-type="heading">
<subject>Original Article</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Mastication Frequency and Postprandial Blood Sugar Levels in Normoglycaemic and Dysglycaemic Individuals: A Cross- Sectional Comparative Study</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Madhu</surname>
<given-names>Vinayak</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Shirali</surname>
<given-names>Arun</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
<xref ref-type="corresp" rid="cor1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pawaskar</surname>
<given-names>Priyanka Niwas</given-names>
</name>
<xref ref-type="aff" rid="aff3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Madi</surname>
<given-names>Deepak</given-names>
</name>
<xref ref-type="aff" rid="aff4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chowta</surname>
<given-names>Nithyananda</given-names>
</name>
<xref ref-type="aff" rid="aff5">5</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ramapuram</surname>
<given-names>John Thomas</given-names>
</name>
<xref ref-type="aff" rid="aff6">6</xref>
</contrib>
</contrib-group>
<aff id="aff1">
<label>1</label>
Junior Resident, Department of Medicine,
<institution>Kasturba Medical College, Manipal University</institution>
,
<addr-line>Mangalore, India</addr-line>
.</aff>
<aff id="aff2">
<label>2</label>
Associate Professor, Department of Medicine,
<institution>Kasturba Medical College, Manipal University</institution>
,
<addr-line>Mangalore, India</addr-line>
.</aff>
<aff id="aff3">
<label>3</label>
Assistant Professor, Department of Physiology,
<institution>Kanachur Institute of Medical Sciences</institution>
,
<addr-line>Mangalore, India</addr-line>
.</aff>
<aff id="aff4">
<label>4</label>
Associate Professor, Department of Medicine,
<institution>Kasturba Medical College, Manipal University</institution>
,
<addr-line>Mangalore, India</addr-line>
.</aff>
<aff id="aff5">
<label>5</label>
Additional Professor, Department of Medicine,
<institution>Kasturba Medical College, Manipal University</institution>
,
<addr-line>Mangalore, India</addr-line>
.</aff>
<aff id="aff6">
<label>6</label>
Professor, Department of Medicine,
<institution>Kasturba Medical College, Mangalore, Manipal University</institution>
,
<addr-line>Mangalore, India</addr-line>
.</aff>
<author-notes>
<corresp id="cor1">NAME, ADDRESS, E-MAIL ID OF THE CORRESPONDING AUTHOR: Dr. Arun Shirali, Associate Professor, Department of Internal Medicine, KMC – Attavar, Manipal University, Mangalore, India. E-mail:
<email>drarunshirali@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>7</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>01</day>
<month>7</month>
<year>2016</year>
</pub-date>
<volume>10</volume>
<issue>7</issue>
<fpage>OC06</fpage>
<lpage>OC08</lpage>
<history>
<date date-type="received">
<day>13</day>
<month>1</month>
<year>2016</year>
</date>
<date date-type="rev-request">
<day>29</day>
<month>2</month>
<year>2016</year>
</date>
<date date-type="accepted">
<day>26</day>
<month>3</month>
<year>2016</year>
</date>
</history>
<permissions>
<copyright-statement>© 2016 Journal of Clinical and Diagnostic Research</copyright-statement>
<copyright-year>2016</copyright-year>
</permissions>
<abstract>
<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>
</abstract>
<kwd-group>
<kwd>Diabetics</kwd>
<kwd>Plasma glucose levels</kwd>
<kwd>Pre-diabetics</kwd>
<kwd>Rate of chewing</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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