A Global Perspective on White Rice Consumption and Risk of Type 2 Diabetes

Dam, Rob M. van

doi:10.2337/dci20-0042

Cited by 19 publications

(13 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Prior to the consumption of the mixed meals and usage of rtCGM, most participants preferred consuming the WRM. The results of this study are supported by findings from other studies [ 34 ]. The participants’ preference for mixed meals changed significantly after observing a steadier and lower increase in postprandial glucose level after consuming PBRM compared to the WRM, as the basmati rice meal was observed to be healthier based on its effect on the participants’ glucose levels.…”

Section: Discussionsupporting

confidence: 92%

Use of a Continuous Glucose Monitor to Determine the Glycaemic Index of Rice-Based Mixed Meals, Their Effect on a 24 h Glucose Profile and Its Influence on Overweight and Obese Young Adults’ Meal Preferences

Chekima

Wong

Noor

et al. 2022

Foods

View full text Add to dashboard Cite

Postprandial hyperglycaemia is associated with an increased risk of type-2 diabetes. This study aims to determine the glycaemic index (GI) of three varieties of rice-based mixed meals and their effects on glycaemic variability (GV), 24 h mean glucose levels and target ranges, and rice variety preferences among overweight and obese young adults using real-time continuous glucose monitoring (rtCGM). In a randomised controlled crossover design, 14 participants (22.8 ± 4.6 years, 32.9 ± 5.8 kg/m2) were randomly assigned to receive 3 rice-based mixed meals containing 50 g of available carbohydrates (white rice meal = WRM; brown rice meal = BRM; and parboiled basmati rice meal = PBRM) and 50 g of a glucose reference drink on alternate days. GI, GV, 24 h mean glucose levels and target ranges were measured. Rice variety preferences were compared with those of baseline data and determined at the end of the study period. Results: The analysis found that PBRM was low in GI (45.35 ± 2.06), BRM medium in GI (56.44 ± 2.34), and WRM high in GI (83.03 ± 2.19). PBRM had a significantly (p < 0.05) lower 24 h mean glucose level, higher in-target 24 h glucose level percentage and non-significantly (p > 0.05) lower GV compared to WRM. Prior to observing their postprandial glucose levels generated by rtCGM, the participants preferred WRM (64.3%) over other meals, whereas this preference changed significantly (p < 0.05) at the endpoint (PBRM, 71.4%). PBRM reduced 24 h glucose level and GV of overweight and obese young adults. The rtCGM is proven to be reliable in measuring GI, while providing robust continuous glycaemic information. This may serve as an educational tool that motivates eating behaviour changes among overweight and obese young adults.

show abstract

Section: Discussionsupporting

confidence: 92%

Use of a Continuous Glucose Monitor to Determine the Glycaemic Index of Rice-Based Mixed Meals, Their Effect on a 24 h Glucose Profile and Its Influence on Overweight and Obese Young Adults’ Meal Preferences

Chekima

Wong

Noor

et al. 2022

Foods

View full text Add to dashboard Cite

show abstract

“…An intervention study to improve a healthy diet in Kerala reported that it was difficult to increase fruit and vegetable consumption due to high cost, whereas it was possible to reduce sugar, salt, and oil [ 39 ]. A higher percentage of income was required among those who lived in rural areas compared to urban in all these regions, for attaining the recommended levels of fruit and vegetable consumption indicating the disparity in accessibility and affordability worldwide [ 40 ]. Innovative healthy food financing initiatives and redefining the farm bill are critical for the long-term supply and management of fruits and vegetables.…”

Section: Discussionmentioning

confidence: 99%

The suitability, acceptability, and feasibility of a culturally contextualized low-calorie diet among women at high risk for diabetes mellitus in Kerala: a mixed-methods study

Kodapally

Vilane

Nsamba

et al. 2022

Int J Diabetes Dev Ctries

View full text Add to dashboard Cite

Background Nutritional therapy has been conventionally recommended for people with prediabetes as a method to delay or halt progression to type 2 diabetes mellitus (T2DM). The extensive diversity in food culture and habits in India pose a challenge in devising a uniform low-calorie diet plan. Though there are a number of studies related to different diet therapies, there exists limited evidence on culturally contextualized low-calorie diet plans and their process in India. The objective of the study is to test the suitability, acceptability, and feasibility of a culturally contextualized low-calorie diet among women with high risk for T2DM in Kerala. Method We employed a four-stage equal-status sequential design for this study. Firstly, in-depth interviews ( n = 10) were conducted to understand the modifiable and non-modifiable components of the usual diet for diabetes prevention. Secondly, we developed a low-calorie diet plan (1500 kcal per day) based on the local preferences and availability. Thirdly, we piloted the diet plan among 18 individuals in the community to know its acceptability. Fourthly, in-depth interviews were done ( n = 4) among pilot participants to understand the feasibility of pursuing it through facilitators and barriers to implementing the diet plan. Results Low-calorie diet plan was suitable for this setting as the burden of diabetes is very high and the diet plan had dietary components similar to the usual diet. Though participants had an intrinsic motivation to follow a healthy lifestyle, several systemic challenges such as the high cost of healthy foods options (fruits and vegetables), rice addiction, and food preferences driven by peer pressure act as hurdles. Conclusion Apart from culturally contextualizing the low-calorie diet, it is important that complementary strategic measures such as reorientation of the public distribution system and subsidizing fruit and vegetable production and cost are required for the suitability, acceptability, and feasibility of implementation. Supplementary Information The online version contains supplementary material available at 10.1007/s13410-022-01134-8.

show abstract

“…East Asian diets are typically white rice-based with less consumption of whole grains and fat. Excess consumption of white rice has been associated with higher risk of type 2 diabetes due to its 75 high glycemic index and load, leading to postprandial blood glucose excursions and hyperinsulinemia. 76 Zhao et al recently analyzed gender difference in dietary energy of Chinese adults and found that the intake of carbohydrates was 282.4g/day in males and 242 g/day in females, respectively.…”

Section: Challenges Affecting Lcd Adherence In Patients With Diabetesmentioning

confidence: 99%

Adherence to Low-Carbohydrate Diets in Patients with Diabetes: A Narrative Review

Kumar¹,

Merrill²,

Carlson³

et al. 2022

DMSO

View full text Add to dashboard Cite

Evidence suggests that low carbohydrate (<130 g/day of carbohydrate) (LCD) and very low carbohydrate, ketogenic diets (typically <50 g/day of carbohydrate) (VLCKD) can be effective tools for managing diabetes given their beneficial effects on weight loss and glycemic control. VLCKD also result in favorable lipid profile changes. However, these beneficial effects can be limited by poor dietary adherence. Cultural, religious, and economic barriers pose unique challenges to achieving nutritional compliance with LCD and VLCKD. We review the various methods for assessing adherence in clinical studies and obstacles posed, as well as potential solutions to these challenges.

show abstract

A Global Perspective on White Rice Consumption and Risk of Type 2 Diabetes

Cited by 19 publications

References 23 publications

Use of a Continuous Glucose Monitor to Determine the Glycaemic Index of Rice-Based Mixed Meals, Their Effect on a 24 h Glucose Profile and Its Influence on Overweight and Obese Young Adults’ Meal Preferences

Use of a Continuous Glucose Monitor to Determine the Glycaemic Index of Rice-Based Mixed Meals, Their Effect on a 24 h Glucose Profile and Its Influence on Overweight and Obese Young Adults’ Meal Preferences

The suitability, acceptability, and feasibility of a culturally contextualized low-calorie diet among women at high risk for diabetes mellitus in Kerala: a mixed-methods study

Adherence to Low-Carbohydrate Diets in Patients with Diabetes: A Narrative Review

Contact Info

Product

Resources

About