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Digestion of Foods Consumed in Africa

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StatusCompleted
Sponsors
Purdue University
Collaborators
Baylor College of Medicine

Keywords

Abstract

As populations become urbanized in Africa, the change to a more Westernized diet has been associated with rise in obesity and related metabolic syndrome diseases. The current study shows that in the West African Sahel, these replacement starchy staple foods have fast gastric emptying compared to traditional sorghum and millet foods; and implies that the latter could be beneficial in lowering glycemic response, providing energy from a meal over a longer time, and providing a satiety effect. Knowledge of this attribute of sorghum and millet foods could be useful to improve their image in West African cities to increase their consumption and to improve markets for local smallholder farmers.

Description

As suggested by anecdotal evidence that traditional Malian sorghum and millet foods are filling and provide sustained energy, we hypothesized that gastric emptying rates of sorghum and millet foods are slow, particularly compared to non-traditional starchy foods (white rice, potato, wheat pasta) that are now commonly consumed in urban areas of the West African Sahel. A broader purpose for the study was to understand whether sorghum and millet foods have positive health attributes that can be promoted in urban areas to provide better markets for local farmers.

Two human trials of similar design were conducted approximately one year apart. The carbon 13 (13C)-labelled octanoic acid breath test method was used to measure gastric emptying rate, and subjective pre-test and satiety response questionnaires were used. In the first study, 14 healthy volunteers in Bamako, Mali participated in a crossover design to test eight starchy foods for gastric emptying rate and satiety feelings. The second study with six volunteers was done to correct for endogenous 13C differences in the starch component of the foods.

Dates

Last Verified: 11/30/2016
First Submitted: 10/31/2016
Estimated Enrollment Submitted: 12/28/2016
First Posted: 01/01/2017
Last Update Submitted: 12/28/2016
Last Update Posted: 01/01/2017
Actual Study Start Date: 02/29/2012
Estimated Primary Completion Date: 03/31/2013
Estimated Study Completion Date: 04/30/2013

Condition or disease

Obesity and Other Hyperalimentation

Intervention/treatment

Other: Rice

Other: Potato

Other: Pasta

Other: Sorghum thick porridge

Other: Millet thick porridge

Other: Millet couscous

Other: Millet thin porridge

Other: Millet thin monikuru porridge

Phase

-

Arm Groups

ArmIntervention/treatment
Experimental: Rice
Cooked white rice and tomato-based sauce
Other: Rice
Different modern and traditional starch-based foods found in Bamako, Mali were tested for differences in gastric emptying rate and appetitive response.
Experimental: Potato
Cooked white peeled potato and tomato-based sauce
Other: Potato
Different modern and traditional starch-based foods found in Bamako, Mali were tested for differences in gastric emptying rate and appetitive response .
Experimental: Pasta
Cooked macaroni product and tomato-based sauce
Other: Pasta
Different modern and traditional starch-based foods found in Bamako, Mali were tested for differences in gastric emptying rate and appetitive response.
Experimental: Sorghum thick porridge
Sorghum thick porridge and tomato-based sauce
Other: Sorghum thick porridge
Different modern and traditional starch-based foods found in Bamako, Mali were tested for differences in gastric emptying rate and appetitive response.
Experimental: Millet thick porridge
Millet thick porridge and tomato-based sauce
Other: Millet thick porridge
Different modern and traditional starch-based foods found in Bamako, Mali were tested for differences in gastric emptying rate and appetitive response.
Experimental: Millet couscous
Cooked millet couscous and tomato-based sauce
Other: Millet couscous
Different modern and traditional starch-based foods found in Bamako, Mali were tested for differences in gastric emptying rate and appetitive response.
Experimental: Millet thin porridge
Millet thin porridge
Other: Millet thin porridge
Different modern and traditional starch-based foods found in Bamako, Mali were tested for differences in gastric emptying rate and appetitive response.
Experimental: Millet thin monikuru porridge
Millet thin porridge containing cooked millet granules (monikuru)
Other: Millet thin monikuru porridge
Different modern and traditional starch-based foods found in Bamako, Mali were tested for differences in gastric emptying rate and appetitive response.

Eligibility Criteria

Ages Eligible for Study 20 Years To 20 Years
Sexes Eligible for StudyAll
Accepts Healthy VolunteersYes
Criteria

Inclusion Criteria:

- Normal body mass index (18 kg/m2 ≤ BMI ≤ 25 kg/m2)

Exclusion Criteria:

- Under any medication

- History of any gastrointestinal disease or surgery

- Diabetes

- Smoker

Outcome

Primary Outcome Measures

1. Gastric emptying [acute study, 4 hours after consumption of test food]

Breath test was performed using 13C-octanoic acid mixed into test meals

Secondary Outcome Measures

1. Appetitive response [acute study, 4 hours after consumption of test food]

Fullness and hunger questionnaire was given at various time points after consumption of test foods

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