Resistant starch

A specially developed strain of barley, high in resistant starch

Resistant starch (RS) refers to starch and starch degradation products that escape from digestion in the small intestine of healthy individuals.[1][2] Resistant starch occurs naturally in foods but is also added to foods by the addition of isolated or manufactured types of resistant starch.[3]

Some types of resistant starch (RS1, RS2 and RS3) are fermented by the large intestinal microbiota, conferring benefits to human health through the production of short-chain fatty acids, increased bacterial mass, and promotion of butyrate-producing bacteria.[4]

Resistant starch in various ways has similar physiologic effect as dietary fiber,[5] which is why it functions as a mild laxative and why consuming it can lead to flatulence at high doses.[6]

Origin and history

The concept of resistant starch arose from research in the 1970s[7] and is currently considered to be one of three starch types: rapidly digested starch, slowly digested starch and resistant starch,[8][9] each of which may affect levels of blood glucose.[10]

The Commission of the European Communities has supported research eventually leading to a definition of resistant starch.[7][11]

Health effects

Internal fermentation of resistant starch can cause gas when high quantities are consumed.[6] One review estimated that the acceptable daily intake of resistant starch may be as high as 45 grams in adults,[12] an amount exceeding the total recommended intake for dietary fiber of 25-38 grams per day.[13] Resistant starch may contribute to colon health by increasing regularity, reducing pH,[14] and producing short-chain fatty acids, among which butyrate is a primary energy source for colonic cells.[15]

In its various forms, resistant starch is digested and/or fermented variably,[16] leading to preliminary research of resistant starch subtypes on disease risk.[17] For example, although effects on weight management have been implicated, there is no evidence that resistant starch has an effect on human weight or energy balance,[18][19] and it is not known if resistant starch has any part to play in helping treat obesity-related disease.[19]

When isolated resistant starch is used to substitute for flour in foods, the glycemic response of that food is reduced.[20] There is preliminary evidence that resistant starch, used as a substitute for refined carbohydrate, may increase insulin sensitivity[16] and may reduce the risk of type 2 diabetes.[21]

RS2 resistant starch from high amylose corn helps to treat diarrhea when delivered in oral rehydration solutions to people with cholera, rotavirus and other diarrheal diseases.[22]

Starch structure

Plants produce starch with different types of structure and shape characteristics which may affect digestion. For instance, smaller starch granules are more available to enzyme digestion because the larger percentage of surface area increases the enzyme binding rate.[23]

Starch consists of amylose and amylopectin[24] which affect the textural properties of manufactured foods. Starches with high amylose content generally have increased resistant starch.[25]

Definition and categorization

Resistant starch (RS) is any starch or starch digestion products that are not digested and absorbed in the stomach or small intestine and pass on to the large intestine. RS has been categorized into four types:[8]

Processing effects

Processing may affect the natural resistant starch content of foods. In general, processes that break down structural barriers to digestion reduce resistant starch content, with greater reductions resulting from processing.[26] Whole grain wheat may contain as high as 14% resistant starch, while milled wheat flour may contain only 2%.[27] Resistant starch content of cooked rice may decrease due to grinding or cooking.[20]

Other types of processing increase resistant starch content. If cooking includes excess water, the starch is gelatinized and becomes more digestible. However, if these starch gels are then cooled, they can form starch crystals resistant to digestive enzymes (Type RS3 or retrograded resistant starch),[8] such as those occurring in cooked and cooled cereals or potatoes (e.g., potato salad).[28][29] Cooling a boiled potato overnight increases the amount of resistant starch.[30]

Nutritional information

Resistant starch is considered both a dietary fiber and a functional fiber, depending on whether it is naturally in foods or added.[31][32][33] Although the U.S. Institute of Medicine has defined total fiber as equal to functional fiber plus dietary fiber,[34] U.S. food labeling does not distinguish between them.[35]

Examples of naturally occurring resistant starch[36]
Food Serving size Resistant starch
(grams)
Banana flour,[37] from green bananas 1/4 cup, uncooked 10.5-13.2
Banana, raw, slightly green 1 medium, peeled 4.7
High amylose RS2 corn resistant starch 1 tablespoon (9.5 g) 4.5
Oats, rolled 1/4 cup, uncooked 4.4
Green peas, frozen 1 cup, cooked 4.0
White beans 1/2 cup, cooked 3.7
Lentils 1/2 cup cooked 2.5
Cold pasta 1 cup 1.9
Pearl barley 1/2 cup cooked 1.6
Cold potato 1/2" diameter 0.6 - 0.8
Oatmeal 1 cup cooked 0.5

The Institute of Medicine Panel on the Definition of Dietary Fiber proposed two definitions: functional fiber as "isolated, nondigestible carbohydrates that have beneficial physiological effects in humans", and dietary fiber as "nondigestible carbohydrates and lignin that are intrinsic and intact in plants." They also proposed that the prior classifications of soluble versus insoluble be phased out and replaced with viscous versus fermentable for each specific fiber.[38]

Uses

Resistant starch in food

Starch has been consumed by people and animals for thousands of years. Thus, foods containing resistant starch are already commonly consumed.

It has been estimated that average resistant starch intake in developed countries ranges from 3-6 grams/day for Northern Europeans, Australians and Americans.,[7][28][39][40][41] 8.5 grams/day for Italians[42] and 10-15 grams/day in Indian and Chinese diets.[7][43] The higher consumption of starch-containing foods like pasta and rice likely accounts for higher intake of resistant starch in Italy, India and China.

Several studies have found that the traditional African diet is high in resistant starch.[44] Rural black South Africans consume an average of 38 grams of resistant starch per day by having cooked and cooled corn porridge and beans in their diets.[45]

Isolated resistant starch

Isolated and extracted resistant starch and foods rich in resistant starch have been used to fortify foods to increase their dietary fiber content.[28][39][46] Typically, food fortification utilizes RS2 resistant starch from high amylose corn, RS3 resistant starch from cassava and RS4 resistant starch from wheat and potato, as these sources can survive varying degrees of food processing without losing their resistant starch content.[8]

Resistant starch has a small particle size, white appearance, bland flavor and low water-holding capacity.[8] Resistant starch typically replaces flour in foods such as bread and other baked goods, pasta, cereal and batters because it can produce foods with similar color and texture of the original food.[47] It has also been used for its textural properties in imitation cheese.[48]

Some types of resistant starch are used as dietary supplements in the United States. RS2 from potato starch and green banana starch maintain their resistance as long as they are consumed raw and unheated. If they are heated or baked, these types of starch become rapidly digestible.[49] RS2 resistant starch from high amylose corn can be consumed raw or baked into foods.[50]

Physiological effects

By definition, resistant starch does not release glucose within the small intestine, but rather reaches the large intestine, where it is consumed or fermented by colonic bacteria (gut microbiota).[10]

On a daily basis, human intestinal microbiota encounters more carbohydrates than any other dietary component. This includes resistant starch, non-starch polysaccharide fibers, oligosaccharides and simple sugars which have significance to colon health.[10][44]

The fermentation of resistant starch produces short-chain fatty acids, including acetate, propionate and butyrate and increased bacterial cell mass. The short-chain fatty acids are produced in the large intestine where they are rapidly absorbed from the colon, then are metabolized in colonic epithelial cells, liver or other tissues.[51][52] The fermentation of resistant starch produces more butyrate than other types of dietary fibers.[53]

Modest amounts of gases such as carbon dioxide, methane, and hydrogen are also produced in intestinal fermentation, with one review estimating that daily intake of resistant starch can be as high as 45 grams/day in adults before gas production becomes problematic.[6]

References

  1. ↑ Asp NG. (1992). "Resistant starch. Proceedings from the second plenary meeting of EURESTA: European FLAIR Concerted Action No. 11 on physiological implications of the consumption of resistant starch in man. Crete, 29 May-2 June 1991". European Journal of Clinical Nutrition 46 (Suppl 2): S1–148. PMID 1425538.
  2. ↑ Topping, D. L.; Fukushima, M.; Bird, A. R. (2003). "Resistant starch as a prebiotic and synbiotic: state of the art". Proceedings of the Nutrition Society 62: 171–176. doi:10.1079/PNS2002224.
  3. ↑ National Academy of Sciences. Institute of Medicine. Food and Nutrition Board. (2005). Chapter 7 Dietary, Functional, and Total Fiber in Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein and Amino Acids (PDF). Washington DC, USA: National Academies Press. pp. 339–421. ISBN 0-309-08525-X.
  4. ↑ Brouns, Fred; Kettitz, Bernd; Arrigoni, Eva (2002). "Resistant starch and "the butyrate revolution"". Trends in Food Science & Technology 13 (8): 251–261. doi:10.1016/S0924-2244(02)00131-0.
  5. ↑ Elsevier, Dorland's Illustrated Medical Dictionary, Elsevier.
  6. 1 2 3 Grabitke, Hollie A.; Slavin, Joanne L. (2009). "Gastrointestinal Effects of Low-Digestible Carbohydrates". Critical Reviews in Food Science and Nutrition 49 (4): 327–360. doi:10.1080/10408390802067126. PMID 19234944.
  7. 1 2 3 4 Birkett, A. M.; Brown, I. L. (2007). Chapter 4: Resistant Starch and Health in Technology of Functional Cereal Products. Boca Raton, FL, USA: Woodhead Publishing Limited. pp. 63–85. ISBN 978-1-84569-177-6.
  8. 1 2 3 4 5 Sajilata, M. G.; Singhal, Rekha S.; Kulkarni, Pushpa R. (January 2006). "Resistant Starch - A Review". Comprehensive Reviews in Food Science and Food Safety 5 (1): 1–17. doi:10.1111/j.1541-4337.2006.tb00076.x.
  9. ↑ Englyst, H. N.; Kingman, S. M.; Cummings, J. H. (Oct 1992). "Classification and Measurement of Nutritionally Important Starch Fractions". European Journal of Clinical Nutrition 46 (Suppl 2): S33-50. PMID 1330528.
  10. 1 2 3 Sharma, Alka; Yadav, Baljeet Singh; Ritika (2008). "Resistant Starch: Physiological Roles and Food Applications". Food Reviews International 24 (2): 193–234. doi:10.1080/87559120801926237.
  11. ↑ Asp, N.-G.; van Amelsvoort, J. M. M.; Hautvast, J. G. A. J. (1996). "Nutritional Implications of Resistant Starch". Nutrition Research Reviews 9: 1–31. doi:10.1079/NRR19960004. PMID 19094263.
  12. ↑ Grabitske, HA; Slavin, JL (2009). "Gastrointestinal effects of low-digestible carbohydrates". Critical Reviews in Food Science and Nutrition 49 (4): 327–360. doi:10.1080/10408390802067126. PMID 19234944.
  13. ↑ "Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids". Institute of Medicine, US National Academy of Sciences. 2013. Retrieved 30 July 2015.
  14. ↑ Nugent, A.P. (2005). "Health Properties of Resistant Starch". Nutrition Bulletin 30 (1): 27–54. doi:10.1111/j.1467-3010.2005.00481.x.
  15. ↑ Andoh A, Tsujikawa T, Fujiyama Y (2003). "Role of dietary fiber and short-chain fatty acids in the colon". Curr. Pharm. Des. 9 (4): 347–58. doi:10.2174/1381612033391973. PMID 12570825.
  16. 1 2 Bindels, Laure; Walter, Jens; Ramer-Tait, Amanda (2015). "Resistant starches for the management of metabolic diseases". Curr Opin Clin Nutr Metab Care 18: 559–65. doi:10.1097/mco.0000000000000223. PMID 26406392.
  17. ↑ Birt DF, Boylston T, Hendrich S, Jane JL, Hollis J, Li L, McClelland J, Moore S, Phillips GJ, Rowling M, Schalinske K, Scott MP, Whitley EM (2013). "Resistant starch: promise for improving human health". Adv Nutr (Review) 4 (6): 587–601. doi:10.3945/an.113.004325. PMC 3823506. PMID 24228189.
  18. ↑ Higgins JA (2014). "Resistant starch and energy balance: impact on weight loss and maintenance". Crit Rev Food Sci Nutr (Review) 54 (9): 1158–66. doi:10.1080/10408398.2011.629352. PMC 4220782. PMID 24499148.
  19. 1 2 Zhang L, Li HT, Shen L, Fang QC, Qian LL, Jia WP (2015). "Effect of Dietary Resistant Starch on Prevention and Treatment of Obesity-related Diseases and Its Possible Mechanisms". Biomed. Environ. Sci. (Review) 28 (4): 291–7. doi:10.3967/bes2015.040. PMID 25966755. ... RS might be a promising food in dieteric treatment for obesity, T2DM and NAFLD. However, the effects of RS on the treatment of these diseases in humans are still unknown.
  20. 1 2 Ashwar, Bilal Ahmad; Gani, Adil; Shah, Asima; Wani, Idrees Ahmed; Masoodi, Farooq Ahmad (2015). "Preparation, health benefits and applications of resistant starch - a review". Starch - Stärke (Epub 4 June 2015). doi:10.1002/star.201500064.
  21. ↑ Maki KC, Phillips AK (2015). "Dietary substitutions for refined carbohydrate that show promise for reducing risk of type 2 diabetes in men and women". J. Nutr. (Review) 145 (1): 159S–163S. doi:10.3945/jn.114.195149. PMID 25527674.
  22. ↑ Binder HJ, Brown I, Ramakrishna BS, Young GP (2014). "Oral rehydration therapy in the second decade of the twenty-first century". Curr Gastroenterol Rep (Review) 16 (3): 376. doi:10.1007/s11894-014-0376-2. PMC 3950600. PMID 24562469.
  23. ↑ Zaman, Siti A.; Sarbini, Shahrui R. (2015). "The Potential of Resistant Starch as a Prebiotic". Critical Reviews in Biotechnology. Epub Jan 13: 1–7. doi:10.3109/07388551.2014.993590. PMID 25582732.
  24. ↑ AACC (1999). Starch Structure in "Starches". St. Paul, Minnesota, USA: Amerian Association of Cereal Chemists. ISBN 1-891127-01-2.
  25. ↑ Berry, C. S. (1986). "Resistant starch: Formation and measurement of starch that survives exhaustive digestion with amylolytic enzymes during the determination of dietary fibre". Journal of Cereal Science 4 (4): 301–314. doi:10.1016/S0733-5210(86)80034-0.
  26. ↑ Finocchiaro, E. Terry; Birkett, Anne; Okoniewska, Monika (2009). 10 - Resistant Starch in Fiber Ingredients: Food Applications and Health Benefits. CRC Press. pp. 205–248. ISBN 1420043854.
  27. ↑ Bednar, G. E.; Patil, A. R.; Murray, S. M.; Grieshoop, C. M.; Merchen, N. R.; Fahey, G. C. (2001). "Starch and Fiber Fractions in Selected Food and Feed Ingredients Affect Their Small Intestinal Digestibility and Fermentability and Their Large Bowel Fermentability In Vitro in a Canine Model". The Journal of Nutrition 131 (2): 276–286.
  28. 1 2 3 Fuentes-Zaragoza, E.; Riquelme-Navarrete, M. J.; Sánchez-Zapata, E.; Pérez-Álvarez, J. A. (2010). "Resistant starch as functional ingredient: A review". Food Research International 43 (4): 931–942. doi:10.1016/j.foodres.2010.02.004.
  29. ↑ Sáyago-Ayerdi, S. G.; Tovar, J.; Osorio-Díaz, P.; Paredes-López, O.; Bello-Pérez, L. A. (2005). "In Vitro Starch Digestibility and Predicted Glycemic Index of Corn Tortilla, Black Beans, and Tortilla−Bean Mixture:  Effect of Cold Storage". Journal of Agricultural and Food Chemistry 53 (4): 1281–1285. doi:10.1021/jf048652k.
  30. ↑ Muir, J. G.; O'Dea, K. (1992). "Measurement of resistant starch: factors affecting the amount of starch escaping digestion in vitro". The American Journal of Clinical Nutrition 56 (1): 123–7.
  31. ↑ Jo Ann Tatum Hattner; Susan Anderes (2009). Gut Insight: probiotics and prebiotics for digestive health and well-being. p. 45. ISBN 978-0-615-28524-5. Retrieved Mar 16, 2011.
  32. ↑ Lloyd W. Rooney; Lusas, Edmund W. (2001). Snack Foods Processing. Boca Raton: CRC. p. 134. ISBN 1-56676-932-9. Retrieved Mar 16, 2011.
  33. ↑ National Research Council (2005). Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids. National Academies Press. ISBN 0309085373.
  34. ↑ Jane Higdon (2007). An evidence-based approach to dietary phytochemicals. New York: Thieme Medical Publishers. p. 102. ISBN 3-13-141841-9. Retrieved Mar 16, 2011.
  35. ↑ Bier, Dennis M.; Alpers, David H.; Stenson, William F.; Taylor, Beth Weir (2008). Manual of nutritional therapeutics. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins. p. 419. ISBN 0-7817-6841-1. Retrieved Mar 16, 2011.
  36. ↑ Murphy M, Douglass JS, Birkett A. Resistant starch intake in the United States, Journal of the American Dietetic Association 2008; 108:67-78.
  37. ↑ Moogngarm; et al. (2014). "RESISTANT STARCH AND BIOACTIVE CONTENTS OF UNRIPE BANANA FLOUR AS INFLUENCED BY HARVESTING PERIODS AND ITS APPLICATION". American Journal of Agricultural and Biological Sciences 9 (3): 457–465.
  38. ↑ "Federal Register | Food Labeling: Revision of Reference Values and Mandatory Nutrients". 11/2/2007. Retrieved Mar 18, 2011. Check date values in: |date= (help)
  39. 1 2 Baghurst, P. A.; Baghurst, K. I.; Record, S. J. (1996). "Dietary Fibre, Non-starch Polysaccharides and Resistant Starch - A Review". Food Australia 48 (3): Supplement S1-S35.
  40. ↑ Murphy, M. M.; Douglass, J. S.; Birkett, A. (2008). "Resistant starch intakes in the United States". J Am Diet Assoc 108 (1): 67–78. doi:10.1016/j.jada.2007.10.012. PMID 18155991.
  41. ↑ Baghurst, Katrine I.; Baghurst, Peter A.; Record, Sally J. (2000). Chapter 7.3 Dietary Fiber, Nonstarch Polysaccharide, and Resistant Starch Intakes in Australia in CRC Handbook of Dietary Fiber in Human Nutrition (3 ed.). Boca Raton, FL: CRC Press LLC. pp. 583–591. ISBN 0-8493-2387-8.
  42. ↑ Brighenti, Furio; Casiraghi, M. Cristina; Baggio, Cristina (1998). "Resistant Starch in the Italian Diet". British Journal of Nutrition 80 (4): 333–341. doi:10.1017/S0007114598001391.
  43. ↑ Chen, Liyong; Liu, Ruiping; Qin, Chengyong; Meng, Yan; Zhang, Jie; Wang, Yun; Xu, Guifa (2010). "Sources and Intake of Resistant Starch in the Chinese Diet". Asia Pac J Clin Nutr 19 (2): 274–282.
  44. 1 2 Bird, A.; Conlon, M.; Christophersen, C.; Topping, D. (2010). "Resistant starch, large bowel fermentation and a broader perspective of prebiotics and probiotics". Beneficial Microbes 1 (4): 423–431. doi:10.3920/BM2010.0041.
  45. ↑ O'Keefe, Stephen J. D.; Li, Jia V.; et al. (2015). "Fat, fibre and cancer risk in African Americans and rural Africans". Nature Communications 6 (Article number 6342): 6342. doi:10.1038/ncomms7342. PMID 25919227.
  46. ↑ Sayago-Ayerdi, S. G.; Torvar, J.; Blancas-Benitez, F. J.; Bello-Perez, L. A. (2011). "Resistant starch in common starchy foods as an alternative to increase dietary fibre intake". Journal of Food and Nutrition Research 50 (1): 1–12.
  47. ↑ Raigond, P.; Ezekiel, R.; Raigond, B. (2014). "Resistant Starch in Food: A Review". Journal of the Science of Food and Agriculture. Epub 21 Oct 2014: 1968–1978. doi:10.1002/jsfa.6966.
  48. ↑ Homayouni, Aziz; Amini, Amir; Keshtiban, Ata Khodavirdivand; Mortazavian, Amir Mohammad; Esazadeh, Karim; Pourmoradian, Samira (2014). "Resistant starch in food industry: A changing outlook for consumer and producer". Starch - Stärke 66 (1-2): 102–114. doi:10.1002/star.201300110.
  49. ↑ Evans, I. D.; Haisman, D. R. (1982). "The Effect of Solutes on the Gelatinization Temperature Range of Potato Starch". Starch -Stärke 34 (7): 224–231. doi:10.1002/star.19820340704.
  50. ↑ Birt, Diane F.; Boylston, Terri; et al. (2013). "Resistant Starch: Promise for Improving Human Health" (PDF). Advances in Nutrition: An International Review Journal 4 (6): 587–601. doi:10.3945/an.113.004325. PMC 3823506. PMID 24228189.
  51. ↑ Pryde, Susan E.; Duncan, Sylvia H.; Hold, Georgina L.; Stewart, Colin S.; Flint, Harry J. (2002). "The microbiology of butyrate formation in the human colon" (PDF). FEMS Microbiology Letters 217 (2): 133–139. doi:10.1111/j.1574-6968.2002.tb11467.x.
  52. ↑ Andoh, Akira; Tsujikawa, Tomoyuki; Fujiyama, Yoshihide (2003). "Role of Dietary Fiber and Short-Chain Fatty Acids in the Colon". Current Pharmaceutical Design 9 (4): 347–358. doi:10.2174/1381612033391973#sthash.qj0Z0Y5o.dpuf.
  53. ↑ Cummings, John H.; Macfarlane, George T.; Englyst, Hans N. (2001). "Prebiotic digestion and fermentation". Am J Clin Nutr 73 (suppl): 415S-20S. PMID 11157351.
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