PMID- 35096939 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230917 IS - 2296-861X (Print) IS - 2296-861X (Electronic) IS - 2296-861X (Linking) VI - 8 DP - 2021 TI - Effects of Resistant Starch Interventions on Metabolic Biomarkers in Pre-Diabetes and Diabetes Adults. PG - 793414 LID - 10.3389/fnut.2021.793414 [doi] LID - 793414 AB - Simple lifestyle changes can prevent or delay the onset of type 2 diabetes mellitus (T2DM). In addition to maintaining a physically active way of life, the diet has become one of the bases in managing TD2M. Due to many studies linking the ability of resistant starch (RS) to a substantial role in enhancing the nutritional quality of food and disease prevention, the challenge of incorporating RS into the diet and increasing its intake remains. Therefore, we conducted this review to assess the potential benefits of RS on metabolic biomarkers in pre-diabetes and diabetes adults based on available intervention studies over the last decade. Based on the conducted review, we observed that RS intake correlates directly to minimize possible effects through different mechanisms for better control of pre-diabetic and diabetic conditions. In most studies, significant changes were evident in the postprandial glucose and insulin incremental area under the curve (iAUC). Comparative evaluation of RS consumption and control groups also showed differences with inflammatory markers such as TNF-alpha, IL-1beta, MCP-1, and E-selectin. Only RS2 and RS3 were extensively investigated and widely reported among the five reported RS types. However, a proper comparison and conclusion are deemed inappropriate considering the variations observed with the study duration, sample size, subjects and their metabolic conditions, intervention doses, and the intervention base products. In conclusion, this result provides interesting insights into the potential use of RS as part of a sustainable diet in diabetes management and should be further explored in terms of the mechanism involved. CI - Copyright (c) 2022 Rashed, Saparuddin, Rathi, Nasir and Lokman. FAU - Rashed, Aswir Abd AU - Rashed AA AD - Nutrition Unit, Nutrition, Metabolism and Cardiovascular Research Centre (NMCRC), Institute for Medical Research, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, Malaysia. FAU - Saparuddin, Fatin AU - Saparuddin F AD - Endocrine and Metabolic Unit, Nutrition, Metabolism and Cardiovascular Research Centre (NMCRC), Institute for Medical Research, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, Malaysia. FAU - Rathi, Devi-Nair Gunasegavan AU - Rathi DG AD - Nutrition Unit, Nutrition, Metabolism and Cardiovascular Research Centre (NMCRC), Institute for Medical Research, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, Malaysia. FAU - Nasir, Nur Najihah Mohd AU - Nasir NNM AD - Nutrition Unit, Nutrition, Metabolism and Cardiovascular Research Centre (NMCRC), Institute for Medical Research, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, Malaysia. FAU - Lokman, Ezarul Faradianna AU - Lokman EF AD - Endocrine and Metabolic Unit, Nutrition, Metabolism and Cardiovascular Research Centre (NMCRC), Institute for Medical Research, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, Malaysia. LA - eng PT - Journal Article PT - Review DEP - 20220112 PL - Switzerland TA - Front Nutr JT - Frontiers in nutrition JID - 101642264 PMC - PMC8790517 OTO - NOTNLM OT - biomarkers OT - glucose OT - insulin OT - resistant starch OT - type 2 diabetes COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/02/01 06:00 MHDA- 2022/02/01 06:01 PMCR- 2021/01/01 CRDT- 2022/01/31 06:00 PHST- 2021/10/12 00:00 [received] PHST- 2021/12/15 00:00 [accepted] PHST- 2022/01/31 06:00 [entrez] PHST- 2022/02/01 06:00 [pubmed] PHST- 2022/02/01 06:01 [medline] PHST- 2021/01/01 00:00 [pmc-release] AID - 10.3389/fnut.2021.793414 [doi] PST - epublish SO - Front Nutr. 2022 Jan 12;8:793414. doi: 10.3389/fnut.2021.793414. eCollection 2021.