Vegetables Consumption and its Benefits on Diabetes

Authors

  • João Carlos da Silva Dias University of Lisbon - Instituto Superior de Agronomia
  • Saeko Imai School of Comprehensive Rehabilitation, Osaka Prefecture University

DOI:

https://doi.org/10.6000/1929-5634.2017.06.01.1

Keywords:

Vegetables, dietary fiber, phytochemicals, resistant starch, Type 2 diabetes, glucose control, healthier life

Abstract

Vegetables are indispensable for equilibrated diets since they charge dietary fiber, phytochemicals, vitamins, and minerals. Each vegetable comprise a distinct amalgam and amount of these compounds, which differentiate them from other vegetables. Vegetable intakes has been highly correlated with improved gastrointestinal health, reduced risk of heart attack, some types of cancer and chronic ailments such as diabetes.

Type 2 diabetes is a lifestyle ailment. Our vegetables selection and amount of dietary fiber, phytochemicals, vitamins and minerals consumed can either prevent or promote diabetes. This article highlights the nutritional and health benefits of different vegetables and their dietary fiber, vitamin C, vitamin E, carotenoids, flavonoids, thiosulfides, magnesium, selenium, chromium, and zinc contents, to prevent and reverse diabetes. The proper order of eating vegetables before carbohydrate and its effect on postprandial blood glucose levels, and glycemic control is also discussed. Data shows that eating vegetables before carbohydrates is effective to reduce postprandial hyperglycemia in Type 2 diabetes patients, as well as in healthy people. So vegetables should be eaten before carbohydrates at every meal.

References

[1] Dias JS, Ryder E. World vegetable industry: production, breeding, trends. Hort Rev 2011; 38: 299-356.
[2] Dias JS. Major classes of phytonutriceuticals in vegetables and health benefits: A Review J Nutr Therap 2012; 1: 31-62.
[3] Dias JS. 1. Vegetable breeding for nutritional quality and health benefits. In: Carbone K, editor. Cultivar: chemical properties, antioxidant activities and health benefits. Nova Science Publishers, Inc., Hauppauge, New York. 2012; p. 1-81.
[4] Craig W, Beck L. Phytochemicals: health protective effects. Can J Diet Pract Res 1999; 60: 78-84.
[5] Herrera E, Jimenez R, Aruoma OI, et al. Aspects of antioxidant foods and supplements in health and disease. Nutr Rev 2009; 67(1): S140-S144.
https://doi.org/10.1111/j.1753-4887.2009.00177.x
[6] Wargovich MJ. Anticancer properties of fruits and vegetables. HortScience 2000; 35: 573-575.
[7] Southon S. Increased fruit and vegetable consumption within the EU: Potential health benefits. Food Res Int 2000; 33: 211-217.
https://doi.org/10.1016/S0963-9969(00)00036-3
[8] Verkerk R, Knol JJ, Dekker M. The effect of steaming on the glucosinolate content in broccoli. Acta Hort 2010; 867: 37-45.
https://doi.org/10.17660/ActaHortic.2010.867.3
[9] Palermo M, Pellegrini N, Fogliano V. The effect of cooking on the phytochemical content of vegetables. J Sci Food Agric 2014; 94(6): 1057-1070.
https://doi.org/10.1002/jsfa.6478
[10] WHO (World Health Organization). Definition, diagnosis and classification of Diabetes mellitus and its complications. Part 1: Diagnosis and classification of Diabetes mellitus. World Health Organization, Report Number: WHO/NCD/NCS/99.2. WHO, Geneva; 1999.
[11] WHO (World Health Organization). Global report on diabetes. WHO, Geneva; 2016.
[12] Hoang TD. Prevalence of diabetes mellitus in the world and updates of diabetes care 2015. BIT's 4th Annual World Congress of Diabetes-2015, Kaohsiung, Taiwan 2015; p. 220.
[13] Baruah MP. Type 2 diabetes in Asia population: regional similarities, differences and challenges in patient care. BIT's 4th Annual World Congress of Diabetes-2015, Kaohsiung, Taiwan 2015; p. 222.
[14] Kays SJ, Dias JS. Common names of commercially cultivated vegetables of the world in 15 languages. Economic Botany 1995; 49(2): 115-152.
https://doi.org/10.1007/BF02862917
[15] Kays SJ. Cultivated Vegetables of the World: A Multi-lingual Onomasticon. Wageningen Academic Publishers, The Netherlands; 2011.
[16] Dias JS. Plant breeding for harmony between modern agriculture production and the environment. Agricultural Sciences 2015; 6: 87-116.
https://doi.org/10.4236/as.2015.61008
[17] Dias JS. Nutritional quality and health benefits of vegetables: a review. Food Nutr Sci 2012; 3: 1354-1374.
https://doi.org/10.4236/fns.2012.310179
[18] Prakash D, Nath P, Pal M. Composition, variation of nutritional contents in leaves, seed protein, fat and fatty acid profile of Chenopodium species. J Sci Food Agric 1993; 62(2): 203-205.
https://doi.org/10.1002/jsfa.2740620214
[19] Sienera R. Oxalate contents of species of the Polygonaceae, Amaranthaceae and Chenopodiaceae families. Food Chem 2006; 98(2): 220-224.
https://doi.org/10.1016/j.foodchem.2005.05.059
[20] Dhillon NPS, Monforte AJ, Pitrat M, et al. Melon landraces of India: contributions and importance. Plant Breed Rev 2012; 35: 85-150.
[21] Misra SK. Anti-nutritive bioactive compounds present in unconventional pulses and legumes. Res J Pharm Biol Chem Sci 2012; 3: 586-597.
[22] Barnard ND. Dr. Neal Barnard's Program for Reversing Diabetes. Rodale Inc., New York; 2007.
[23] WHO (World Health Organization). Diagnostic criteria and classification of hyperglycaemia first detected in pregnancy. World Health Organization, Report Number: WHO/NMH/MND/13.2. WHO, Geneva; 2013.
[24] Bourne RR, Stevens GA, White RA, et al. Causes of vision loss worldwide, 1990-2010: a systematic analysis. Lancet Global Health 2013; 1: e339-e349.
https://doi.org/10.1016/S2214-109X(13)70113-X
[25] Bethesda MD. 2014 USRDS annual data report: Epidemiology of kidney disease in the United States. United States Renal Data System. National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases 2014; p. 188-210.
[26] Sarwar N, Gao P, Seshasai SR, et al. Diabetes mellitus, fasting blood glucose concentration, and risk of vascular disease: a collaborative meta-analysis of 102 prospective studies. Emerging Risk Factors Collaboration. Lancet 2010; 26,375: 2215-2222.
[27] Humpel C. Chronic mild cerebrovascular dysfunction as a cause for Alzheimer's disease. Rev Exp Gerontol 2011; 46: 225-232.
https://doi.org/10.1016/j.exger.2010.11.032
[28] Humpel C. Editorial to the special issue ""Vascular dementia"". Rev Exp Gerontol 2012; 47: 1.
https://doi.org/10.1016/j.exger.2012.10.001
[29] Monte SM. Type 3 diabetes is sporadic Alzheimer's disease: mini-review. Eur Neuropsychoparmacol 2014; 24: 1954-1060.
https://doi.org/10.1016/j.euroneuro.2014.06.008
[30] Heneka MT, Fink A and Doblhammer G. Effect of pioglitazone medication on the incidence of dementia. Annals Neurol 2015; 78: 284-294.
https://doi.org/10.1002/ana.24439
[31] Klonoff DC. Continuous glucose monitoring: roadmap for 21st century diabetes therapy. Diabetes Care 2005; 28: 1231-1239.
https://doi.org/10.2337/diacare.28.5.1231
[32] Anderson JW, Deakins DA, Floore TL, et al. Dietary fiber and coronary heart disease. Crit Rev Food Sci Nutr 1990; 29: 95-147.
https://doi.org/10.1080/10408399009527518
[33] Fuhrman J. The End of Diabetes: The Eat to Live Plan to Prevent and Reverse Diabetes. Harper Collins Publishers, New York; 2013.
[34] Carter P, Gray LJ, Troughton J, et al. Fruit and vegetable intake and incidence of type 2 diabetes mellitus: systematic review and meta-analysis. BMJ 2010; 341: c4229.
[35] Bazzano LA, Li TY, Joshipura KJ, et al. Intake of fruit, vegetables and fruit juices and risk of diabetes in women. Diabetes Care 2008; 31: 1311-1317.
https://doi.org/10.2337/dc08-0080
[36] Khan BA, Abraham A, Leelamma S. Hypoglycemic action of Murraya Koeingii (curry leaf) and Brassica juncea (mustard): mechanism of action. Ind J Biochem Biophys 1995; 32: 106-108.
[37] Pyoa YH, Lee TC, Logendrac L, et al. Antioxidant activity and phenolic compounds of Swiss chard (Beta vulgaris subspecies cycla) extracts. Food Chem 2004; 85: 19-26.
https://doi.org/10.1016/S0308-8146(03)00294-2
[38] Bolkent S, Yanarda R, Tabakolu-Ouz A, et al. Effects of chard (Beta vulgaris L. var. cicla) extract on pancreatic B cells in streptozotocin-diabetic rats: a morphological and biochemical study. J Ethnopharmacol 2000; 73: 251-259.
https://doi.org/10.1016/S0378-8741(00)00328-7
[39] Mateljan G. The World's healthiest foods. George Mateljan Foundation, Glendale, California; 2016.
[40] Tundis R, Loizzo MR, Menichini F. Natural products as alpha-amylase and alpha-glucosidase inhibitors and their hypoglycaemic potential in the treatment of diabetes: an update. Mini Rev Med Chem 2010; 10: 315-331.
https://doi.org/10.2174/138955710791331007
[41] Kugler F, Stintzing FC, Carle R. Identification of betalains from petioles of differently colored Swiss chard (Beta vulgaris L. ssp. cicla [L.] Alef. Cv. Bright Lights) by high-performance liquid chromatography-electrospray ion. J Agric Food Chem 2004; 52: 2975-2981.
https://doi.org/10.1021/jf035491w
[42] Yoshikawa M, Murakami T, Kadoya M, et al. Medicinal foodstuff III. Sugar beet. Hypoglicemic oleanolic acid oligoglycosides, betavulgarosides I, II, III, and IV from the root of Beta vulgaris L. (Chenopodiaceae). Chem Pharmaceut Bull 1996; 44: 1212-1217.
https://doi.org/10.1248/cpb.44.1212
[43] ADA (American Diabetes Association). Standards of Care. Diabetes Care 2016; 39 (Suppl. 1): S1–S119.
[44] Dias JS. Nutritional and health benefits of carrots and their seed extracts. Food Nutr Sci 2014; 5: 2147-2156.
https://doi.org/10.4236/fns.2014.522227
[45] Coyne T, Ibiebele TI, Baade PD, et al. Diabetes Mellitus and serum carotenoids: findings of a population-based study in Queensland, Australia. Amer J Clinical Nutr 2005; 82: 685-693.
[46] Poudyal H, Panchal S, Brown L. Comparison of purple carrot juice and ?-carotene in a high-carbohydrate, high-fat diet-fed rat model of the metabolic syndrome. British J Nutr 2010; 104: 1322-1332.
https://doi.org/10.1017/S0007114510002308
[47] Swamy KRM, Nath P, Ahuja KG. 9. Vegetables for human nutrition and health. In: Nath P, editor. The Basics of Human Civilization-Food, Agriculture and Humanity, Volume-II-Food. Prem Nath Agricultural Science Foundation (PNASF), Bangalore & New India Publishing Agency (NIPA), New Delhi, India 2013. p. 145-198.
[48] Wang H, Kruszewki A, Brautigan DL. Cellular chromium activation of insulin receptor kinase. Biochemistry 2005; 44: 8167-8175.
https://doi.org/10.1021/bi0473152
[49] Chen Q, Chan LLY, Li ETS. Bitter melon (Momordica charantia) reduces adiposity, lowers serum insulin and normalizes glucose tolerance in rats fed a high fat diet. J Nutr 2003; 133: 1088-1093.
[50] Patil B, Jayaprakasha GK and Vikram A. Indigenous crops of Asia and Southeast Asia: exploring health-promoting properties. HortScience 2012; 47: 821-827.
[51] Chao PM. One more support for recruiting bitter melon in therapeutic diet for diabetes and its comorbidity management - bitter melon ameliorates hepatic steatosis related with hyperglycemia. BIT's 4th Annual World Congress of Diabetes - 2015, Kaohsiung, Taiwan. 2015; p. 236. [52] Ahmad N, Hassan M, Halder H, Bennoor K. Effect of Momordica charantia (Karolla) extracts on fasting and postprandial serum glucose levels in NIDDM patients. Bangladesh Med Res Counc Bull 1999; 25:11.
[53] Yeh G, Eisenberg D, Kaptchuk T, Phillips R. Systematic review of herbs and dietary supplements for glycemic control in diabetes. Diabetes Care 2003; 26: 1277.
https://doi.org/10.2337/diacare.26.4.1277
[54] Chen J, Tian R, Qiu M, et al. Trinorcucurbitane and cucurbitane triterpenoids from the roots of Momordica charantia. Phytochemistry 2008; 69: 1043-1048.
https://doi.org/10.1016/j.phytochem.2007.10.020
[55] Saxena A, Vikram N. Role of selected Indian plants in management of type 2 diabetes: A review. J Alternative Comp Med 2004; 10: 369-378.
https://doi.org/10.1089/107555304323062365
[56] Singh LW. Traditional medicinal plants of Manipur as anti-diabetics. J Med Plants Res 2011; 5: 677-687.
[57] Villegas R, Gao YT, Yang G, et al. Legume and soy food intake and the incidence of type 2 diabetes in the Shanghai women's health study. Am J Clin Nutr 2008; 87: 162-167.
[58] Imai S, Fukui M, Kajiyama S. Effect of eating vegetables before carbohydrates on glucose excursions in patients with type 2 diabetes. J Clin Biochem Nutr 2014; 54: 7-11.
https://doi.org/10.3164/jcbn.13-67
[59] Imai S, Fukui M, Ozasa N, et al. Eating vegetables before carbohydrates improves postprandial glucose excursions. Diabet Med 2013; 30: 370-372.
https://doi.org/10.1111/dme.12073
[60] Imai S, Fukui M, Kajiyama S. Food order as a significant impact on postprandial glucose and insulin levels. Diabetes Care 2015; 38: e98-e99.
https://doi.org/10.2337/dc15-0429
[61] Wong JM, Jenkins DJ. Carbohydrates digestibility and metabolic effects. J Nutr 2007; 137: S2539-S2546.
[62] Ma J, Stevens JE, Cukier K, et al. Effects of a protein preload on gastric emptying, glycemia, and gut hormones after a carbohydrate meal in diet-controlled type 2 diabetes. Diabetes Care 2009; 32: 1600-1602.
https://doi.org/10.2337/dc09-0723

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2017-04-25

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