Hostname: page-component-78c5997874-v9fdk Total loading time: 0 Render date: 2024-11-04T20:09:43.442Z Has data issue: false hasContentIssue false

Gastrointestinal physiology and functions

Published online by Cambridge University Press:  09 March 2007

Barbara O. Schneeman*
Affiliation:
Department of Nutrition, University of California, Davis, CA 95616, USA
*
*Corresponding author: Dr B. O. Schneeman, fax +1 530 752 8699, email [email protected]
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

While the health benefit of a functional food may be a metabolic response that lowers risk for disease, the actual target for the food or food component may be on the functioning of the gastrointestinal tract (GIT). For example, slowing absorption from the intestine, as measured by examining the appearance of the nutrient or food component in the blood, the hormone response associated with absorption of the compound or excretion of the compound, may provide a health benefit. However, the food component may slow absorption by delaying gastric emptying, altering the mixing within the intestinal contents or decreasing the availability of digestive enzymes in the intestine. These measures of GIT function provide validation of the mechanisms by which the functional food or food components affect metabolism. Bioavailability of physiologically active compounds from foods will be determined by the digestibility of foods that contain these compounds, their subsequent absorption and utilization by tissues. The physical structure of foods contributes to the functional effects of foods as well as to the availability of compounds from foods. For example, recent studies have demonstrated that changing the viscosity of the gut contents alters absorption and GIT response. Additionally, food structures such as the plant cell wall change the availability of absorbable compounds along the gastrointestinal contents. The areas of probiotics and prebiotics have highlighted the potential importance of gut microflora in health. While evidence suggests biological activity relevant to disease risk reduction, the long-term implications of the microbial activity have yet to be established.

Type
Research Article
Copyright
Copyright © The Nutrition Society 2002

References

Bloom, SR (1983) Endocrinology of nutrient entry. In Delaying Absorption as a Therapeutic Principle in Metabolic Diseases, pp. 1927 [Creutzfeldt, W and Fölsch, UR, editors]. Stuttgart/New York: Georg Thieme Verlag.Google Scholar
Bourdon, I, Olson, B, Backus, R, Richter, D, Davis, PA & Schneeman, BO (2001) Beans, as a source of dietary fiber, increases cholecystokinin and apo B48 response to test meals in men. Journal of Nutrition 131, 14851490.CrossRefGoogle ScholarPubMed
Bourdon, I, Yokoyama, W, Davis, PA, Hudson, C, Backus, R, Richter, BD, Knuckles, B & Schneeman, BO (1999) Postprandial lipid, glucose, insulin, and cholecystokinin responses in men fed barley pasta enriched with β-glucan. American Journal of Clinical Nutrition 69, 5563.CrossRefGoogle ScholarPubMed
Buhman, K, Furumoto, EJ, Donkin, SS & Story, JA (2000) Dietary psyllium increases expression of ileal apical sodium-dependent bile acid transporter mRNA coordiantely with dose-responsive changes in bile acid metabolism in rats. Journal of Nutrition 130, 21372142.CrossRefGoogle ScholarPubMed
Burton-Freeman, B (2000) Dietary fiber and energy regulation. Journal of Nutrition 130, 272S275S.CrossRefGoogle ScholarPubMed
Burton-freeman, B, Davis, P & Schneeman, BO (2002) Plasma chole-cystokinin is associated with subjective measures of satiety in women. American Journal of Clinical Nutrition in press.CrossRefGoogle Scholar
Carr, T, Gallaher, D, Yang, CH & Hassel, CA (1996) Increased intestinal contents viscosity reduces cholesterol absorption efficiency in hamsters fed hydroxypropyl methylcellulose. Journal of Nutrition 126, 14631469.CrossRefGoogle ScholarPubMed
Chen, HL, Haack, VS, Janecky, CW, Vollendorf, NW & Marlett, JA (1998) Mechanisms by which wheat bran and oat bran increase stool weight in humans. American Journal of Clinical Nutrition 68, 711719.CrossRefGoogle ScholarPubMed
Cummings, JH, Bingham, SA, Heaton, KW & Eastwood, MA (1992) Fecal weight, colon cancer risk, and dietary intake of non-starch polysaccharides (dietary fiber). Gastroenterology 103, 17831789.CrossRefGoogle Scholar
Cummings, JH, Macfarlane, GT & Englyst, HN (2001) Prebiotic digestion and fermentation. American Journal of Clinical Nutrition 73, Suppl. 2, 415S420S.CrossRefGoogle ScholarPubMed
Gallaher, CM, Munion, J, Hesslink, R, Wise, J & Gallaher, DD (2000) Cholesterol reduction by glucomannan and chitosan is mediated by changes in cholesterol absorption and bile acid and fat excretion in rats. Journal of Nutrition 130, 27532759.CrossRefGoogle ScholarPubMed
Gallaher, DD & Hassel, CA (1995) The role of viscosity in the cholesterol-lowering effect of dietary fiber. In Dietary Fiber in Health and Disease, pp. 106114 [Kritchevsky, D and Bonfield, C, editors]. New York: Plenum Press.Google Scholar
Gill, HS, Rutherford, KJ, Prasad, J & Gopal, PK (2000) Enhancement of natural and acquired immunity by Lactobacillus rhamnosus (HN001), Lactobacillus acidophilus (HN017) and Bifidobacterium lactis (HN019). British Journal of Nutrition 83, 167176.CrossRefGoogle ScholarPubMed
Holt, S, Brand, J, Soveny, C & Hansky, J (1992) Relationship of satiety to postprandial glycaemic, insulin and cholecystokinin responses. Appetite 18, 129141.CrossRefGoogle ScholarPubMed
Johnson, LR (1997) Gastrointestinal Physiology. St Louis, MO: Mosby-Year Book, Inc.Google Scholar
Lee, BM & Wolever, TMS (1998) Effect of glucose, sucrose, fructose on plasma glucose and insulin responses in normal humans: comparison with white bread. European Journal of Clinical Nutrition 52, 924928.CrossRefGoogle ScholarPubMed
Liddle, RA (2000) Regulation of cholecystokinin secretion in humans. Journal of Gastroenterology 35, 181187.CrossRefGoogle ScholarPubMed
Liddle, RA, Rushakoff, RJ, Morita, ET, Beccaria, L, Carter, JC & Goldfine, ID (1988) Physiological role for cholecystokinin in reducing postprandial hyperglycemia in humans. Journal of Clinical Investigation 81, 16751681.CrossRefGoogle ScholarPubMed
Lu, ZX, Walker, KZ, Muir, JG, Mascara, T & O'dea, K (2000) Arabinoxylan fiber, a byproduct of wheat flour processing, reduces the postprandial glucose response in normoglycemic subjects. American Journal of Clinical Nutrition 71, 11231128.CrossRefGoogle ScholarPubMed
Pajari, AM, Oikarinen, S, Gråsten, S & Mutanen, M (2000) Diets enriched with cereal brans or inulin modulate protein kinase C activity and isozyme expression in rat colonic mucosa. British Journal of Nutrition 84, 635643.CrossRefGoogle ScholarPubMed
Rushakoff, RA, Goldfine, ID, Beccaria, LJ, Mathur, A, Brand, RJ & Liddle, RA (1993) Reduced postprandial cholecystokinin (CCK) secretion in patients with noninsulin-dependent diabetes mellitus: evidence for a role for CCK in regulating postprandial hyperglycemia. Journal of Clinical Endocrinology and Metabolism 76, 489493.Google ScholarPubMed
Salminen, S, Bouley, C, Boutron-ruault, MC, Cummings, JH, Franck, A, Gibson, GR, Isolauri, E, Moreau, MC, Roberfroid, M & Rowland, I (1998) Functional food science and gastrointestinal physiology and function. British Journal of Nutrition 80, Suppl. 1, S147–S171.CrossRefGoogle ScholarPubMed
Schwartz, JG, Guan, D, Green, GM & Phillips, WT (1994) Treatment with an oral proteinase inhibitor slows gastric emptying and acutely reduces glucose and insulin levels after a liquid meal in type II diabetic patients. Diabetes Care 17, 255262.CrossRefGoogle ScholarPubMed