1. Perspective on the health value of carbohydrate-rich foods: glycemic index and load; fiber and whole grains.
- Author
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Jenkins DJ and Willett WC
- Subjects
- Humans, Diet, Nutritive Value, Dietary Fiber, Glycemic Index, Whole Grains chemistry, Glycemic Load, Dietary Carbohydrates
- Abstract
Background: For over 45 y increasingly comprehensive food tables of glycemic index (GI) and glycemic load (GL) have been published in the American Journal of Clinical Nutrition to determine the GI and GL values of diets. Recently the WHO based on a 2019 series of meta-analyses concluded that increases in dietary fiber and whole grains but not reduction in GI or GL warranted recommendations for chronic disease reduction., Methods and Results: We therefore provide a perspective on the current evidence that indicates that GI and GL are also determinants of risk of chronic disease outcomes. We are also concerned with the term dietary fiber used in the singular when there are many dietary fibers that may differ in their physiological effects. Furthermore, the term "whole grains" that refers to "whole grain flour" limits the exploration of "intact" grains that are low GI and have useful physiological effects., Conclusion: We conclude that all these determinants of the health values of carbohydrate-rich foods should be used in combination to assess the health value of carbohydrate-rich foods., Competing Interests: Conflict of interest DJAJ’s wife has previously been a director of INQUIS, which is responsible for clinical studies and GI testing. WCW declares that he has no conflict of interest to declare for this article., (Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.)
- Published
- 2024
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