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Atkinson 2008 PDF
Atkinson 2008 PDF
B R I E F R E P O R T
T
he relevance of dietary glycemic in- 1981 through December 2007 using the this analysis.
dex (GI) and glycemic load (GL) is terms “glyc(a)emic index” and “glyc(a)e-
debated. While the World Health mic load.” We restricted the search to hu-
RESULTS — Tables A1 and A2 (avail-
Organization (1), the American Diabetes man studies published in English using
able in an online appendix at http://
Association (2), Diabetes UK (3), and the standardized methodology. We per-
dx.doi.org/10.2337/dc08-1239) list
Canadian Diabetes Association (4) give formed a manual search of relevant cita-
2,487 separate entries, citing 205 separate
qualified support for the concept, many tions and contacted experts in the field.
studies. Table A1, representing reliable
health professionals still consider GI and Unpublished values from our laboratory
data derived from subjects with normal
GL complex and too variable for use in and elsewhere were included. Values
glucose tolerance, contains 1,879 indi-
clinical practice (5). The availability of re- listed in previous tables (6,7) were not
vidual entries (75% of the total). Table A2
liable tables of GI is critical for continuing automatically entered but reviewed first.
contains 608 entries, of which 491 values
research and resolution of the contro- Final data were divided into two lists. Val-
were determined in individuals with dia-
versy. New data have become available ues derived from groups of eight or more
betes or impaired glucose metabolism
since previous tables were published in healthy subjects were included in the first
(20% of the total). The correlation coeffi-
2002 (6). Our aim was to systematically list. Data derived from testing individuals
cient for 20 foods tested in both normal
tabulate published and unpublished with diabetes or impaired glucose metab-
and diabetic subjects was r ⫽ 0.94 (P ⬍
sources of reliable GI values, with deriva- olism, from studies using too few subjects
0.001; line of best fit y ⫽ 0.9x ⫹ 9.7
tion of the GL. (n ⱕ 5), or showing wide variability
where x is the value in normal subjects).
(SEM ⬎ 15) were included in the second
Table A2 also lists 60 values derived from
RESEARCH DESIGN AND list. Some foods were tested in only six or
groups of five or fewer subjects and 57
METHODS — We conducted a litera- seven normal subjects but otherwise ap-
values displaying wide variability (SEM
ture search of MEDLINE from January peared reliable and were included in the
⬎15). A summary table (Table 1) com-
● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● prising values for 62 common foods ap-
From the Institute of Obesity, Nutrition and Exercise, University of Sydney, New South Wales, Australia. pears below. More reliable values are
Corresponding author: J. Brand-Miller, j.brandmiller@usyd.edu.au. available for many foods, including car-
Received 8 July 2008 and accepted 13 September 2008. rots (GI ⫽ 39) and bananas (GI ⫽ 51).
Published ahead of print at http://care.diabetesjournals.org on 3 October 2008. DOI: 10.2337/dc08-1239.
J.B.M. is the director of a not-for-profit GI-based food endorsement program in Australia. F.S.A. is employed
to manage the University of Sydney GI testing service. CONCLUSIONS — The 2008 edi-
© 2008 by the American Diabetes Association. Readers may use this article as long as the work is properly tion of tables of GI and GL has doubled
cited, the use is educational and not for profit, and the work is not altered. See http://creativecommons.
org/licenses/by-nc-nd/3.0/ for details.
the amount of data available for research
The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby and other applications. Most varieties of le-
marked “advertisement” in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. gumes, pasta, fruits, and dairy products are
15 ⫾ 4
65 ⫾ 4
103 ⫾ 3
61 ⫾ 3
78 ⫾ 4
87 ⫾ 3
63 ⫾ 5
39 ⫾ 4
63 ⫾ 6
64 ⫾ 7
55 ⫾ 6
53 ⫾ 2
48 ⫾ 5
the glucose reference scale). Breads, break-
fast cereals, rice, and snack products, in-
cluding whole-grain versions, are available
in both high- (70 or greater) and low-GI
forms. Most varieties of potato and rice are
Plantain/green banana
high GI, but lower GI cultivars were identi-
Potato, instant mash
Vegetable soup
Carrots, boiled
Sugars
Potato, boiled
Fructose
Glucose
Sucrose
Honey
tion; the energy density and macronutrient
profile of foods should also be considered
(1). The high correlation coefficient (r ⫽
0.94) between values derived from testing
the same foods in normal and diabetic sub-
36 ⫾ 2
43 ⫾ 3
51 ⫾ 3
59 ⫾ 8
51 ⫾ 5
76 ⫾ 4
42 ⫾ 4
43 ⫾ 5
49 ⫾ 3
41 ⫾ 2
50 ⫾ 2
40 ⫾ 3
65 ⫾ 5
56 ⫾ 3
59 ⫾ 3
87 ⫾ 2
jects indicates that GI values in Table A1 are
relevant to dietary interventions in people
with diabetes.
Although data quality has been im-
proved, many foods have been tested only
Fruit and fruit products
Rice crackers/crisps
Peaches, canned†
Watermelon, raw
Soft drink/soda
Pineapple, raw
Mango, raw†
Orange juice
Potato crisps
Apple, raw†
Apple juice
Chocolate
Popcorn
28 ⫾ 9
24 ⫾ 4
32 ⫾ 5
16 ⫾ 1
Legumes
Kidney beans
Chickpeas
Lentils
39 ⫾ 3
37 ⫾ 4
51 ⫾ 3
41 ⫾ 2
34 ⫾ 4
86 ⫾ 7
alternatives
Milk, full fat
Corn tortilla
Yogurt, fruit
Couscous†
Milk, skim
Wheat roti
Ice cream
Rice milk
Soy milk
Chapatti
The values listed in Table A2 may be help- 2004 JC: International table of glycemic index
ful in the absence of other data. 3. Nutrition Subcommittee of the Diabetes and glycemic load values: 2002. Am J Clin
Care Advisory Committee of Diabetes UK: Nutr 76:5–56, 2002
The implementation of nutritional advice 7. Foster-Powell K, Miller J: International ta-
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Liu S, Riccardi G, Summerbell C, Uauy R, 4. Canadian Diabetes Association: Guide- 8. U.S. Department of Agriculture, Agricul-
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M: FAO/WHO Scientific Update on carbo- diabetes mellitus in the new millennium. Nutrient Database for Standard Reference
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Eur J Clin Nutr 61:S132–S137, 2007 abetes Association. Can J Diabetes Care 23: able at http://www.ars.gov/ba/bhnrc/ndl.
2. Sheard N, Clark N, Brand-Miller J, Franz M, 56 – 69, 2000 Accessed 20 May 2008
Pi-Sunyer FX, Mayer-Davis E, Kulkarni K, 5. Franz M: The glycemic index: not the 9. Bjorck I, Granfeldt Y, Liljeberg H, Tovar J,
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type) in the prevention and management tion. Diabetes Care 26:2466 –2468, 2003 gestion and absorption of carbohydrates.
of diabetes. Diabetes Care 27:2266 –2271, 6. Foster-Powell K, Holt SH, Brand-Miller Am J Clin Nutr 59:S699 –S705, 1994