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(Journal of Nutrition. 1999;129:1434S-1435S.)
© 1999 The American Society for Nutritional Sciences


Supplement

Nondigestible Carbohydrates and Mineral Bioavailability1

J. L. Greger

Nutritional Sciences Department, University of Wisconsin-Madison, Madison, WI 53706


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 Pectin and gums
 "Resistant" starches
 Lactulose and related sugars
 Fructooligosaccharides and...
 REFERENCES
 
Generally, fiber and compounds associated with fiber in cereal products (e.g., phytates) have been found to reduce the apparent absorption of minerals (such as calcium, magnesium, zinc and manganese) in humans, livestock and animal models. The effects of "soluble" forms of fiber (specifically pectins, gums, resistant starches, lactulose, oligofructose and inulin) on mineral absorption are more difficult to characterize. The addition of these soluble forms of fiber has been found in various studies to add viscosity to the gut contents, promote fermentation and the production of volatile fatty acids in the cecum, have a trophic effect on the ceca of animals and increase serum enteroglucagon concentrations. Thus it is not surprising that the addition of soluble forms of fiber to diets often has been found to improve absorption of minerals. This may reflect absorption of electrolytes from the large intestine. Future work should address the mechanisms by which ingestion of nondigestible carbohydrates improves mineral absorption in humans.


KEY WORDS: • oligofructose • inulin • pectin • fiber • minerals


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 Pectin and gums
 "Resistant" starches
 Lactulose and related sugars
 Fructooligosaccharides and...
 REFERENCES
 
The addition of cereal fiber to human and animal diets has been found consistently to depress absorption and retention of calcium, magnesium and zinc, and usually to depress absorption of iron (Brune et al. 1992Citation , Ink 1988Citation , van der Aar et al. 1983Citation ). This depression of mineral absorption by cereal products was related more to the phytate than to the fiber content of the products (Brune et al. 1992Citation ). The size of the fiber particles (van der Aar et al. 1983Citation ) and the amount of calcium in the diet (Greger 1987Citation ) also modified the effect of cereal fiber on mineral absorption. The effect on mineral absorption of various soluble carbohydrates that are poorly digested in the small intestines of mammals was less consistent. These compounds include pectin, various gums, "resistant" starches and certain oligosaccharides.


    Pectin and gums
 TOP
 ABSTRACT
 INTRODUCTION
 Pectin and gums
 "Resistant" starches
 Lactulose and related sugars
 Fructooligosaccharides and...
 REFERENCES
 
Investigators have observed that the addition of pectin to diets generally did not alter the absorption of most minerals, except magnesium. (Baig et al. 1983Citation , Ink 1988Citation , van der Aar et al. 1983Citation ). Similarly various gel-forming gums (such as locust bean and karaya) have been found to have limited effects on the overall retention of minerals in human balance studies (Behall et al. 1987Citation ). However, Kim et al. (1996)Citation demonstrated that certain types of pectin (i.e., low-molecular-weight pectins with a high degree of esterification) increased iron absorption.

Ingestion of pectin and gums produces several changes in the cecum that may influence mineral absorption. Rats chronically ingesting pectin and gums (such as guar and arabic) generally had a reduced cecal pH, increased cecal wall size and produced increased amounts of volatile fatty acids in the cecum (Demigné et al. 1989Citation , Seal and Mathers 1989Citation , Tulung et al. 1987Citation ). Demigné et al. (1989)Citation reported that rats fed pectin had greater fluxes of potassium, magnesium and calcium from their ceca than rats fed fiber-free diets. Seal and Mathers (1989)Citation noted an increased transfer of zinc across the colonic, but not duodenal or ileal mucosa.

The trophic effect of guar gum on the lower gut may be mediated by enteroglucagon (Gee et al. 1996Citation ). The release of enteroglucagon was not due to delayed absorption in the guts of rats fed guar gum because the ingestion of hydroxypropyl methylcellulose, a viscous nonfermentable polysaccharide, had no effect on plasma enteroglucagon concentrations or on ileal crypt cell size (Gee et al. 1996Citation ).


    "Resistant" starches
 TOP
 ABSTRACT
 INTRODUCTION
 Pectin and gums
 "Resistant" starches
 Lactulose and related sugars
 Fructooligosaccharides and...
 REFERENCES
 
Another group of nondigestible carbohydrates that may affect mineral absorption are native resistant and retrograded resistant starches. Schulz et al. (1993)Citation found that although ingestion of both types of resistant starch lowered the cecal pH and increased the calcium concentrations in the liquid phase of the cecal contents, only ingestion of the native resistant starch lowered the ileal pH and increased the calcium and magnesium concentrations in the liquid phase of the ileal contents. Only rats fed the native resistant starch had improved calcium and magnesium absorption.


    Lactulose and related sugars
 TOP
 ABSTRACT
 INTRODUCTION
 Pectin and gums
 "Resistant" starches
 Lactulose and related sugars
 Fructooligosaccharides and...
 REFERENCES
 
Ingestion of lactulose (Brommage et al. 1993Citation ) and to a lesser extent lactose (Behling and Greger 1990Citation ) has been associated with improved absorption of calcium, magnesium and/or zinc. The effect of these disaccharides could not be related to the effects of their component sugars (Behling and Greger 1990Citation , Brommage et al. 1993Citation ).

Ingestion of these resistant sugars resulted in cecal hypertrophy, reduced pH of cecal contents and increased concentrations of volatile fatty acids in the ceca (Demigné et al. 1989Citation ). However, Brommage et al. (1993)Citation demonstrated that ingestion of lactulose, other resistant sugars and oligofructose stimulated calcium absorption as much in rats with a cecectomy as in controls. They hypothesized that, by distending the walls of the small intestine, these osmotically active sugars increased the permeability of the intracellular junctions to passive absorption of minerals.


    Fructooligosaccharides and inulin
 TOP
 ABSTRACT
 INTRODUCTION
 Pectin and gums
 "Resistant" starches
 Lactulose and related sugars
 Fructooligosaccharides and...
 REFERENCES
 
Several investigators have demonstrated that rats fed oligofructose and/or inulin absorbed more calcium and magnesium than control rats despite an increase in total fecal mass (Delzenne et al. 1995Citation , Ohta et al. 1994Citation ). Chronic ingestion of inulin or oligofructose decreased or prevented the loss of bone mass, calcium and phosphorus from the bones of gastrectomized rats (Ohta et al. 1998Citation ) and the loss of bone mineral density by ovarectomized rats (Taguchi et al. 1994Citation ).

The improved absorption of minerals in rats fed inulin and oligofructose was associated with decreased pH of ileal, cecal and colonic contents, hypertrophy of cecal walls, and increased concentrations of volatile fatty acids, bile acids, calcium, phosphate, and to a lesser extent magnesium in the cecal contents (Levrat et al. 1991Citation , Ohta et al. 1994Citation ). Ohta et al. (1994)Citation reported that although ingestion of oligofructose improved calcium and magnesium absorption in normal rats, only magnesium absorption was increased in cecectomized rats. This suggested that the effect of fermentation in the cecum was particularly important for calcium absorption.

Cecal fermentation and absorption may be more important in rats than humans. Van den Heuvel et al. (1998)Citation observed no effect of ingestion of oligofructose and inulin on calcium and iron absorption in human adults, but did observe an increased absorption of calcium in adolescents upon oligofructose ingestion (Van den Heuvel et al. 1999Citation ). Coudray et al. (1997)Citation noted that inulin improved the absorption of calcium, but not the absorption of magnesium, iron and zinc in humans.

Future work should address the mechanisms by which ingestion of nondigestible carbohydrates improves mineral absorption. The relative importance of the mechanisms may vary with the type and amount of nondigestible carbohydrate and of the mineral in the diet.


    FOOTNOTES
 
1 Presented at the conference Nutritional and Health Benefits of Inulin and Oligofructose held May 18–19, 1998 in Bethesda, MD. This symposium was supported in part by educational grants from the National Institutes of Health Office of Dietary Supplements, the U.S. Department of Agriculture and Orafti Technical Service. Published as a supplement to The Journal of Nutrition. Guest editors for the symposium publication were John A. Milner, The Pennsylvania State University, and Marcel Roberfroid, Louvain University, Brussels, Belgium. Back


    REFERENCES
 TOP
 ABSTRACT
 INTRODUCTION
 Pectin and gums
 "Resistant" starches
 Lactulose and related sugars
 Fructooligosaccharides and...
 REFERENCES
 

1. Baig M. M., Burgin C. W., Cerda J. J. Effect of dietary pectin on iron absorption and turnover in the rat. J. Nutr. 1983;113:2385-2389

2. Behall K. M., Scholfield D. J., Lee K., Powell A. S., Moser P. B. Mineral balance in adult men: effect of four refined fibers. Am. J. Clin. Nutr. 1987;46:307-314[Abstract/Free Full Text]

3. Behling A. R., Greger J. L. Importance for lactose in yogurt for mineral utilization. J. Agric. Food Chem. 1990;38:200-204

4. Brommage R., Binacua C., Antille S., Carrié A. L. Intestinal calcium absorption in rats is stimulated by dietary lactulose and other resistant sugars. J. Nutr. 1993;123:2186-2194

5. Brune M., Rossander-Hulté L., Hallberg L., Gleerup A., Sandburg A. S. Iron absorption from bread in humans: inhibiting effects of cereal fiber, phytate and inositol phosphates with different numbers of phosphate groups. J. Nutr. 1992;122:442-449

6. Coudray C., Bellanger J., Castiglia-Delavaud C., Rémésy C., Vermorel M., Rayssignuier Y. Effect of soluble or partly soluble dietary fibres supplementation on absorption and balance of calcium, magnesium, iron and zinc in healthy young men. Eur. J. Clin. Nutr. 1997;51:375-380[Medline]

7. Delzenne N., Aertssens J., Verplaetse H., Roccaro M., Roberfroid M. Effect of fermentable fructo-oligosaccharides on mineral, nitrogen and energy digestive balance in the rat. Life Sci 1995;57:1579-1587[Medline]

8. Demigné C., Levrat M. A., Rémésy C. Effects of feeding fermentable carbohydrates on the cecal concentrations of minerals and their fluxes between the cecum and blood plasma in the rat. J. Nutr. 1989;119:1625-1630

9. Gee J. M., Lee-Finglas W., Wortley G. W., Johnson I. T. Fermentable carbohydrates elevate plasma enteroglucagon but high viscosity is also necessary to stimulate small bowel mucosal cell proliferation in rats. J. Nutr. 1996;126:373-379

10. Greger J. L. Mineral bioavailability/new concepts. Nutr. Today 1987;22:4-9

11. Ink S. L. Fiber-mineral and fiber-vitamin interactions. Bodwell C. E. Erdman J. W., Jr eds. Nutritent Interactions 1988:253-264 Marcel Dekker New York.

12. Kim M., Atallah M. T., Amarsiriwardena C., Barnes R. Pectin with low molecular weight and high degree of esterification increases absorption of 58Fe in growing rats. J. Nutr. 1996;126:1883-1890

13. Levrat M. A., Rémésy C., Demigné C. High proprionic acid fermentations and mineral accumulation in the cecum of rats adapted to different levels of inulin. J. Nutr. 1991;121:1730-1737

14. Ohta A., Ohtsuki M., Hosono A., Adachi T., Hara H., Sakata T. Dietary fructooligosaccharides prevent osteopenia after gastrectomy in rats. J. Nutr. 1998;128:106-110[Abstract/Free Full Text]

15. Ohta A., Ohtsuki M., Takizawa T., Inaba H., Adachi T., Kimura S. Effects of fructooligosaccharides on the absorption of magnesium and calcium by cecectomized rats, Int. J. Vitam. Nutr. Res. 1994;64:316-323

16. Schulz A.G.M, von Amelsvoort J.M.M., Beynen A. C. Dietary native resistant starch but not retrograded resistant starch raises magnesium and calcium absorption in rats. J. Nutr. 1993;123:1724-1731

17. Seal C. J., Mathers J. C. Intestinal zinc transfer by everted gut sacs from rats given diets containing different amounts and types of dietary fibre. Br. J. Nutr. 1989;62:151-163[Medline]

18. Taguchi A., Ohta A., Abe M., Baba S., Ohtsuki M., Takizawa T., Yuda Y., Adachi T. The influence of fructo-oligosaccharides on the bone of model rats with ovarectomized osteoporosis. Sci. Rep. Meiji Seika Kaisha 1994;33:37-44

19. Tulung B., Rémésy C., Demigné C. Specific effects of guar gum or gum arabic on adaptation of cecal digestion to high fiber diets in the rat. J. Nutr. 1987;117:1556-1561

20. Van den Heuvel E., Muys T., Van Dokkum W., Schaafsma G. Oligofructose stimulates calcium absorption in adolescents. Am. J. Clin. Nutr. 1999;69:544-548[Abstract/Free Full Text]

21. Van den Heuvel E., Schaafsma G., Muys T., van Dokkum W. Nondigestible oligosaccharides do not interfere with calcium and nonheme-iron absorption in young, healthy men. Am. J. Clin. Nutr. 1998;67:445-451[Abstract]

22. Van der Aar P., Fahey G. C., Rick S. C., Allen S. E., Berger L. L. Effects of dietary fibers on mineral status in chicks. J. Nutr. 1983;113:653-661





This Article
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Right arrow Articles by Greger, J. L.


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