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Resistant Starch as a Functional Nutrient to Control Cardiometabolic Risk Factors in Humans: An Integrative Review
Isabela Ribeiro Grangeira Tavares1, Eduardo Éric Almeida do Carmo1, Thiago da Silveira Alvares2,3
1Food Analysis and Nutritional Biochemistry Laboratory, Food and Nutrition Institute, Multidisciplinary Center UFRJ-Macaé, Macaé, RJ, Brazil.
Resistant starch (RS) intake, especially RS2 and RS3, improves glycemic control and lipid profiles. Further research is needed to confirm its cardiometabolic benefits and mechanisms.
Area of Science:
- Nutritional Science
- Metabolic Health
- Cardiovascular Research
Background:
- Resistant starch (RS) is recognized for potential metabolic benefits.
- Existing clinical evidence on RS efficacy is inconsistent regarding type and dosage.
- Adults and older adults are the focus for metabolic and cardiovascular health improvements.
Purpose of the Study:
- To review and synthesize evidence on RS consumption effects in dietary interventions.
- To evaluate impacts on metabolic and cardiovascular parameters in adults and older adults.
- To address inconsistencies in current clinical findings on RS.
Main Methods:
- Integrative review of dietary intervention studies.
- Analysis of effects on insulin sensitivity, lipid profile, and inflammatory markers.
- Examination of RS types (RS2, RS3) and dosages.
Main Results:
- RS intake significantly reduced postprandial glucose, insulin, and HOMA-IR.
- Improvements observed in total cholesterol, LDL-C, and triglycerides.
- Modest decreases in blood pressure and central adiposity linked to SCFA, GLP-1, and PYY.
Conclusions:
- Resistant starch shows potential for cardiometabolic modulation, especially glycemic and lipid control.
- Methodological heterogeneity and short trial durations limit current conclusions.
- Longer, standardized trials are necessary to confirm efficacy and elucidate mechanisms.
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