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Starch blockers--their effect on calorie absorption from a high-starch meal
The New England Journal of Medicine
|December 2, 1982
Summary
Starch blocker tablets, marketed for weight control, were tested for their effectiveness in inhibiting starch digestion. Studies show these popular supplements do not reduce calorie absorption from starch in humans.
Area of Science:
- Biochemistry
- Human Physiology
- Nutritional Science
Background:
- Certain plant foods contain antiamylase substances that inhibit salivary and pancreatic amylase.
- These antiamylase compounds are purified and sold as "starch blockers" for weight management.
- The efficacy of starch blockers in reducing caloric absorption from starch remains unproven.
Purpose of the Study:
- To determine if starch-blocker tablets effectively reduce the absorption of calories from starch in humans.
- To investigate the impact of starch blockers on starch digestion and subsequent calorie absorption.
Main Methods:
- A one-day calorie-balance technique was employed.
- Normal subjects consumed a high-starch meal (100 g) including spaghetti, tomato sauce, and bread.
- Fecal calorie excretion was measured after subjects ingested either starch-blocker tablets or a placebo.
Main Results:
- Fecal calorie excretion was comparable between the days subjects took starch blockers and placebo tablets.
- The mean fecal calorie excretion was 80 +/- 4 kcal for starch blockers versus 78 +/- 2 kcal for placebo.
- There was no significant increase in fecal calorie excretion, indicating no prevention of starch digestion.
Conclusions:
- Starch-blocker tablets do not inhibit the digestion of starch in human beings.
- The absorption of calories from starch is not reduced by the use of starch-blocker tablets.
- The popular weight-control approach using starch blockers lacks scientific evidence of efficacy in reducing starch calorie absorption.