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INTRODUCTION METHODS LITESSE ® POLYDEXTROSE MODIFIES APPETITE AND REDUCES CALORIE INTAKE 1 DuPont Nutrition & Health Active Nutrition Sokeritehtaantie 20 02460 KANTVIK, FINLAND E-mail: [email protected] The information contained herein is based on data known to DuPont or its affiliates at the time of preparation of the information and believed by them to be reliable. This is business-to-business information intended for food, beverage and supplement producers, and is not intended for the final consumer of a finished food, beverage or supplement product. The information is provided “as is” and its use is at the recipient’s sole discretion and risk. It is the recipient’s sole responsibility to determine the suitability and legality of its proposed use of DuPont products for its specific purposes. Information and statements herein shall not be construed as licenses to practice, or recommendations to infringe, any patents or other intellectual property rights of DuPont or others. DUPONT HEREBY EXPRESSLY DISCLAIMS (I) ANY AND ALL LIABILITY IN CONNECTION WITH SUCH INFORMATION, INCLUDING, BUT NOT LIMITED TO, ANY LIABILITY RELATING TO THE ACCURACY, COMPLETENESS, OR USEFULNESS OF SUCH INFORMATION, AND (II) ANY AND ALL REPRESENTATIONS OR WARRANTIES, EXPRESS OR IMPLIED, WITH RESPECT TO SUCH INFORMATION, OR ANY PART THEREOF, INCLUDING ALL REPRESENTATIONS AND WARRANTIES OF TITLE, NONINFRINGEMENT OF COPYRIGHT OR PATENT RIGHTS OF OTHERS, MERCHANTABILITY, FITNESS OR SUITABILITY FOR ANY PURPOSE, AND WARRANTIES ARISING BY LAW, STATUTE, USAGE OF TRADE OR COURSE OF DEALING. Copyright © 2014 DuPont or its affiliates. All Rights Reserved. The DuPont Oval Logo, DuPont™, The miracles of science™ and all products denoted with ® or ™ are registered trademarks or trademarks of E.I. du Pont de Nemours and Company or its affiliated companies. Litesse ® polydextrose is a high-soluble and low-calorie dietary fibre, 1kcal/g. Several studies have reported that the consumption of Litesse ® can suppress subjective feelings of appetite and reduce subsequent voluntary calorie intake levels. In a systematic review and meta-analysis we examined the effects of the consumption of Litesse ® on these parameters [1,2]. The review followed the PRISMA methodology. A search for studies that investigated the effects of the consumption of polydextrose on subjective feelings of appetite and calorie intake at a subsequent meal was conducted. A new methodology was proposed to analyze subjective feelings of appetite during the Satiation and Satiety periods. The meta-analysis was expressed as Standardized Mean Difference (SMD, 95% CI). Linear regression was used to determine whether the model defined calorie intake as a function of the Litesse® dose. Ibarra A 1 , Stenman L 1 , Astbury NM 2 , Olli K 1 , Alhoniemi E 3 , Tiihonen K 1 RESULTS Figure 1. Litesse ® polydextrose reduces the Desire to Eat during Satiation. Doses: [L], 6.3 g/d; [M], 12.5 g/d; [H] >25g/d. CONCLUSIONS The studies included in this meta-analysis support the notion that the consumption of Litesse ® suppresses appetite and reduces voluntary calorie intake at a subsequent meal. Furthermore, the reduction in calorie intake occurs in a dose dependent manner. 2 University of Oxford Nuffield Department of Primary Care Health Sciences Oxford, United Kingdom Schwab et al. [18] (Week 12) (16.0 g) Schwab et al. [18] (Week 0) (16.0 g) Olli et al. [11] (15.0 g) Astbury et al. [15] (6.3 g) Astbury et al. [15] (12.5 g) Astbury et al. [15] (25.0 g) Ranawana et al. [16] (12.0 g) Hull et al. [17] (6.25 g) Hull et al. [17] (12.5 g) Astbury et al. [12] (25.0 g) Less Desire to Eat with Litesse ® Our new methodology for assessing subjective feelings of appetite allowed us to conduct a meta-analysis showing that Desire to Eat during the Satiation period favors Litesse ® for the reduction of this subjective feeling of appetite (SMD=0.24, I 2 <0.01, P=0.018), Figure 1. In addition, Litesse ® also tends to reduce Hunger and increase Satisfaction during the Satiety period. The meta-analysis on the studies reporting levels of calorie intake indicate that the consumption of Litesse ® was associated with a reduction in subsequent calorie intake (SMD=0.35, I 2 =0, P<0.01), Figure 2. Furthermore, the dose of Litesse ® correlated significantly with the reduction in subsequent calorie intake (P<0.01), Figure 3. Figure 3. The reduction in Calorie Intake is dose dependent. Subsequent Calorie Intake = -0.67 * Polydextrose dose (g/day) (P<0.01; R2=0.80). Figure 2. Litesse ® polydextrose reduces the Subsequent Calorie Intake. Doses: [L], 6.3 g/d; [M], 12.5 g/d; [H] >25g/d. Random effects −1.50 −1.00 −0.50 0.00 0.50 1.00 1.50 favors placebo favors polydextrose King et al. 2005 (day 10) [H] King et al. 2005 (day 1) [H] Astbury et al. 2008 [H] Hull et al. 2012 [M] Hull et al. 2012 [L] Ranawana et al. 2013 [M] Astbury et al. 2013 [H] Astbury et al. 2013 [M] Astbury et al. 2013 [L] Astbury et al. 2014 [H] 0.52 [ −0.21 , 1.25 ] 0.18 [ −0.54 , 0.89 ] 0.39 [ −0.35 , 1.14 ] 0.21 [ −0.27 , 0.68 ] 0.14 [ −0.34 , 0.61 ] 0.28 [ −0.26 , 0.83 ] 0.80 [ 0.17 , 1.43 ] 0.55 [ −0.07 , 1.16 ] 0.38 [ −0.23 , 0.99 ] 0.29 [ −0.59 , 1.17 ] 0.35 [ 0.16 , 0.54 ] Study SMD [95% CI] −25 −20 −15 −10 −5 low (6.25−6.3) medium (12−12.5) high (25) Polydextrose (g/day) Energy Intake at Lunch (%) Less Calorie Intake with Litesse ® 1. Ibarra et al. Effect of Polydextrose on Subjecve Feelings of Appete during the Saaon and Saety Periods: A Systemac Review and Meta-Analysis. Nutrients 2016;8(1):45. 2. Ibarra et al. Effects of Polydextrose on Different Levels of Energy Intake: A Systemac Review and Meta-Analysis. Appete. 2015;87C:30-37. 3 Avoltus Oy Turku, Finland

Litesse® Polydextrose Modifies Appetite And Reduces Calorie Intake

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INTRODUCTION

METHODS

LITESSE® POLYDEXTROSE MODIFIES APPETITE AND REDUCES CALORIE INTAKE

1DuPont Nutrition & HealthActive NutritionSokeritehtaantie 2002460 KANTVIK, FINLANDE-mail: [email protected]

The information contained herein is based on data known to DuPont or its affiliates at the time of preparation of the information and believed by them to be reliable. This is business-to-business information intended for food, beverage and supplement producers, and is not intended for the final consumer of a finished food, beverage or supplement product. The information is provided “as is” and its use is at the recipient’s sole discretion and risk. It is the recipient’s sole responsibility to determine the suitability and legality of its proposed use of DuPont products for its specific purposes. Information and statements herein shall not be construed as licenses to practice, or recommendations to infringe, any patents or other intellectual property rights of DuPont or others. DUPONT HEREBY EXPRESSLY DISCLAIMS (I) ANY AND ALL LIABILITY IN CONNECTION WITH SUCH INFORMATION, INCLUDING, BUT NOT LIMITED TO, ANY LIABILITY RELATING TO THE ACCURACY, COMPLETENESS, OR USEFULNESS OF SUCH INFORMATION, AND (II) ANY AND ALL REPRESENTATIONS OR WARRANTIES, EXPRESS OR IMPLIED, WITH RESPECT TO SUCH INFORMATION, OR ANY PART THEREOF, INCLUDING ALL REPRESENTATIONS AND WARRANTIES OF TITLE, NONINFRINGEMENT OF COPYRIGHT OR PATENT RIGHTS OF OTHERS, MERCHANTABILITY, FITNESS OR SUITABILITY FOR ANY PURPOSE, AND WARRANTIES ARISING BY LAW, STATUTE, USAGE OF TRADE OR COURSE OF DEALING.

Copyright © 2014 DuPont or its affiliates. All Rights Reserved. The DuPont Oval Logo, DuPont™, The miracles of science™ and all products denoted with ® or ™ are registered trademarks or trademarks of E.I. du Pont de Nemours and Company or its affiliated companies.

Litesse® polydextrose is a high-soluble and low-calorie dietary fibre, 1kcal/g. Several studies have reported that the consumption of Litesse® can suppress subjective feelings of appetite and reduce subsequent voluntary calorie intake levels. In a systematic review and meta-analysis we examined the effects of the consumption of Litesse® on these parameters[1,2].

The review followed the PRISMA methodology. A search for studies that investigated the effects of the consumption of polydextrose on subjective feelings of appetite and calorie intake at a subsequent meal was conducted. A new methodology was proposed to analyze subjective feelings of appetite during the Satiation and Satiety periods. The meta-analysis was expressed as Standardized Mean Difference (SMD, 95% CI). Linear regression was used to determine whether the model defined calorie intake as a function of the Litesse® dose.

Ibarra A1, Stenman L1, Astbury NM2, Olli K1, Alhoniemi E3, Tiihonen K1

RESULTS Figure 1. Litesse® polydextrose reduces the Desire to Eat during Satiation. Doses: [L], 6.3 g/d; [M], 12.5 g/d; [H] >25g/d.

CONCLUSIONSThe studies included in this meta-analysis support the notion that the consumption of Litesse® suppresses appetite and reduces voluntary calorie intake at a subsequent meal. Furthermore, the reduction in calorie intake occurs in a dose dependent manner.

2University of OxfordNuffield Department of Primary Care Health SciencesOxford, United Kingdom

Schwab et al. [18] (Week 12) (16.0 g)Schwab et al. [18] (Week 0) (16.0 g)

Olli et al. [11] (15.0 g)Astbury et al. [15] (6.3 g)Astbury et al. [15] (12.5 g)Astbury et al. [15] (25.0 g)Ranawana et al. [16] (12.0 g)Hull et al. [17] (6.25 g)Hull et al. [17] (12.5 g)Astbury et al. [12] (25.0 g)

Less Desire to Eat with Litesse®

Our new methodology for assessing subjective feelings of appetite allowed us to conduct a meta-analysis showing that Desire to Eat during the Satiation period favors Litesse® for the reduction of this subjective feeling of appetite (SMD=0.24, I2<0.01, P=0.018), Figure 1. In addition, Litesse® also tends to reduce Hunger and increase Satisfaction during the Satiety period.

The meta-analysis on the studies reporting levels of calorie intake indicate that the consumption of Litesse® was associated with a reduction in subsequent calorie intake (SMD=0.35, I2=0, P<0.01), Figure 2. Furthermore, the dose of Litesse® correlated significantly with the reduction in subsequent calorie intake (P<0.01), Figure 3.

Figure 3. The reduction in Calorie Intake is dose dependent. Subsequent Calorie Intake = -0.67 * Polydextrose dose (g/day) (P<0.01; R2=0.80).

Figure 2. Litesse® polydextrose reduces the Subsequent Calorie Intake. Doses: [L], 6.3 g/d; [M], 12.5 g/d; [H] >25g/d.

Random effects

−1.50 −1.00 −0.50 0.00 0.50 1.00 1.50 favors placebo favors polydextrose

King et al. 2005 (day 10) [H]King et al. 2005 (day 1) [H]Astbury et al. 2008 [H]Hull et al. 2012 [M]Hull et al. 2012 [L]Ranawana et al. 2013 [M]Astbury et al. 2013 [H]Astbury et al. 2013 [M]Astbury et al. 2013 [L]Astbury et al. 2014 [H]

0.52 [ −0.21 , 1.25 ]0.18 [ −0.54 , 0.89 ]0.39 [ −0.35 , 1.14 ]0.21 [ −0.27 , 0.68 ]0.14 [ −0.34 , 0.61 ]0.28 [ −0.26 , 0.83 ]0.80 [ 0.17 , 1.43 ]0.55 [ −0.07 , 1.16 ]0.38 [ −0.23 , 0.99 ]0.29 [ −0.59 , 1.17 ]

0.35 [ 0.16 , 0.54 ]

Study SMD [95% CI]

−25

−20

−15

−10

−5

low (6.25−6.3) medium (12−12.5) high (25) Polydextrose (g/day)

Ene

rgy

Inta

ke a

t Lun

ch (%

)

Less Calorie Intake with Litesse®

1. Ibarra et al. Effect of Polydextrose on Subjective Feelings of Appetite during the Satiation and Satiety Periods: A Systematic Review and Meta-Analysis. Nutrients 2016;8(1):45.2. Ibarra et al. Effects of Polydextrose on Different Levels of Energy Intake: A Systematic Review and Meta-Analysis. Appetite. 2015;87C:30-37.

3Avoltus OyTurku, Finland