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Background: Personalized intervention is crucial for effective nutritional advice to prevent diabetes. However, specific characters of the responders to low glycemic index (low GI) diet was unclear. This study was aimed to identify glycemic index and factors affecting response to the low glycemic complete nutrition formula.Method: A randomized cross-over controlled trial was conducted in 18 healthy volunteers (fasting plasma glucose < 100 mg/dL). All participants consumed complete nutrition drink with retrograded starch, glucose solution and white bread (35 g carbohydrate each) in a random sequence with 14-day wash-out intervals. The GI value of complete nutrition drink was determined from area under the curve (AUCi) of postprandial glucose, using glucose solution and white bread as references. Baseline characters of responders (with low GI of complete nutrition drink) and non-responders were compared and correlated to identify factors affecting their responses to the low GI complete nutrition drink. Results: The adjusted GIs for complete nutrition drink with retrograded starch were 48.2 ± 10.4 and 46.7 ± 12.7 when using glucose solution and white bread as the reference food, respectively. Baseline insulin level was the only parameter showing difference between responders and non-responders. The response correlated with baseline insulin (r = 0.4997, p = 0.0347), but was independent of fasting plasma glucose (r = 0.0456, p = 0.8574) and others. Conclusions: In healthy volunteers with normal blood glucose levels, adequate baseline insulin level was the only factor correlated with the response to low glycemic complete nutrition drink. Screening for fasting insulin level may be encouraged for personalized nutrition of low GI diet.Trial registration: TCTR, TCTR20210305001. Registered 4 March 2021 - Retrospectively registered, http://www.thaiclinicaltrials.org/ TCTR20210305001

Contact between upper and lower posterior teeth is crucial for chewing. However, the influence of posterior occluding teeth loss on protein intake and muscle mass was unclear. This cross-sectional study compared consumption frequency of protein food, amount of protein and relevant micronutrient intakes and muscle mass indices among older adults with different Eichner indices (EI) of posterior occluding teeth loss. Ninety Thai healthy adults were divided into three groups (N=30 each) according EI with statistically comparable characters. Food frequency questionnaire, 4-days diet record, and bioelectrical impedance analysis were used for outcome measurement. Our findings suggested that loss of posterior occluding teeth on both sides was associated with less frequent consumption of meat, nut, egg, fish and dairy products, inadequate intakes of protein (< 0.8 g/kg body weight), iron and vitamin B12, and reduced muscle mass indices in older adults. Future large-scale cohort studies are warranted to confirm these findings.

The application of lycopene, a potent antioxidant, is limited because of its hydrophobic nature and low chemical stability. To overcome this, different delivery systems, i.e. oil-in-water emulsions and alginate beads, have been synthesized in this study using modified rice starch for improving the stability of lycopene. Lycopene solution (in oil) was used as a control. Modified rice starch was used as it is cheap, GRAS, has better adsorption at the oil-water interface and provides higher resistance to the encapsulated lycopene against the harsh environment of the gastrointestinal tract. During storage at different temperatures (4–70 °C) for 15 days, the lycopene degradation rate was found to increase with increasing storage temperature for all delivery systems and with the type of delivery systems in the following order: solution > emulsion > alginate beads. Further, the delivery systems were passed through a simulated gastrointestinal tract (GIT) model to study the extent of lipid digestion and lycopene bioaccessibility. A positive correlation was observed between the rate and extent of lipid digestion and lycopene bioaccessibility. A significantly higher bioaccessibility of lycopene was observed for the emulsions (20.2%) over the beads (15.6%), whereas the chemical stability of lycopene was found to be significantly higher in the alginate beads (35.6%) than in the emulsions (29.5%). Overall, the results obtained suggest that the modified rice starch can be used as an innovative food-grade material for the design of different delivery systems to improve the chemical stability of lycopene and its controlled release in the gastrointestinal tract.