329
Carbohydrates and human health - Resistant starch and bowel health. JOANNE SLAVIN (1) and Ian
Brown (2). (1) Professor, Department of Food Science and Nutrition, University of Minnesota, St. Paul,
and (2) Technical Director, Starch Australasia, Ltd., Lane Cove, NSW.
Since the early 1980's it has been recognized that starch can contribute
in many ways to an individual's health and well being. The consumption of low levels of dietary starch
seems to be associated with physiological conditions, such as colorectal cancer (1). One important reason
for the health benefits that appear to be derived from starch consumption stems from the ability of a portion
of the dietary starch to resist enzymatic digestion in the small intestine (2) and make a positive impact on
the health of the large bowel. The term "resistant starch" is used to describe this type of starch. There are at
least four sub - types of resistant starch (3) and the assessment of the physiological effects of these various
types of resistant starch is underway. The physiological effects of resistant starch occur in the small
intestine, through reducing the post-prandial glycaemic and insulinemic responses, which is advantageous
for people with impaired insulin sensitivity (4,5), and in the large bowel. In the large bowel, resistant starch
is predominantly fermented by the resident microflora to provide elevated levels of short chain fatty acids
(5,6,7), in particular butyrate, and other products, which are believed to contribute to bowel health. There is
also a marked reduction in the amount of cytotoxic compounds, such as secondary bile acids (6,7), which
are normally produced in the large bowel. It has also been demonstrated that the type of resistant starch
introduced into the large bowel (8) can significantly effect the rate of fermentation by the colonic
microflora. Research has been undertaken to prepare resistant starches, naturally, or through chemical,
physical or enzymatic derivatisation, to selectively encourage probiotic bacteria (9), both indigenous (10)
and introduced strains (11), in a variety of ways, including the rate of bacterial growth and the type and
quantity of fermentation products they produce. The availability of resistant starch ingredients, supported by
clinical assessment and innovative food engineering, has combined to provide consumers with foods with
greater nutritional quality while meeting their demands for organoleptic acceptability. Nutritional research
is continuing to identify new uses for resistant starch ingredients, alone or in combination with other dietary
components (12,13), to address public health concerns. References (1) Cassidy, A., et al Br. J. Cancer. 69 :
119-125 (1994) (2) EURESTA. EURESTA Newsletter. 11: 1 (1991) (3) Brown, I., et al Food Australia. 47
(6) : 272-275 (1995) (4) Byrnes, S., et al J. Nutr. 125: 1430-1437 (1995) (5) Noakes, M., et al Am. J. Clin.
Nutr. 64: 944-951 (1996) (6) Phillips, J., et al Am. J. Clin. Nutr. 62: 121-130 (1995) (7) Topping, D., et al
J. Nutr. 127: 615-622 (1997) (8) Bird, A. R., et al Private Communication. 1999. (9) Brown, I. L., et al
Food Australia 50 (12) : 603-610 (1998) (10) Wang, X., et al J. Appl. Environ. Micro. 65 (11) : 4848-4854
(1999) (11) Brown, I. L., et al J. Nutr. 127: 1822-1827 (1997) (12) Morita, T., Private Communication
(1999) (13) Higgins, J., et al Private Communication (1999)
|