BIDANG ILMU: GIZI DAN KESEHATAN
LAPORAN HASIL PENELITIAN HIBAH KOMPETENSI TAHUN ANGGARAN 2011
PENGEMBANGAN PRODUK PANGAN MENGANDUNG POLISAKARIDA GADUNG DAN GEMBILI UNTUK PENDERITA DIABETES
Prof. Dr. Ir. Harijono, MAppSc. Dr. Teti Estiasih, STP, MP Wenny Bekti Sunarharum, STP, MFoodSt.
Dibiayai Oleh Direktorat Jendral Pendidikan Tinggi, Kementrian Pendidikan Nasional Sesuai dengan Surat Perjanjian Pelaksanaan Penugasan Penelitian Hibah Kompetensi Tahun Anggaran 2011 Nomor : 361/SP2H/PL/Dit-Litabmas/IV/2011 tanggal 14 April 2011
UNIVERSITAS BRAWIJAYA NOVEMBER 2011
RINGKASAN DAN SUMMARY
RINGKASAN
Bagi penderita diabetes, konsumsi makanan yang tepat sangat diperlukan untuk mengendalikan kadar gula darah. Produk makanan yang tepat diperlukan sehingga asupan nutrisi tetap terjaga dengan tetap dapat menjaga kadar gula darah. Pengembangan produk pangan yang biasa dikonsumsi bagi penderita diabetes perlu dilakukan dengan menggunakan pendekatan pola konsumsi masyarakat Indonesia. Penelitian kami sebelumnya menunjukkan bahwa pemberian polisakarida larut air (PLA) dari gadung dan gembili secara oral pada tikus diabetes dapat menurunkan kadar gula darah dari hiperglikemia menjadi normoglikemia. Ekstraksi PLA gadung dan gembili dilakukan secara fermentatif dengan menggunakan ragi tempe. Penelitian Tahun ke-1 berhasil membuat produk pangan berupa bubur dan mie instan mengandung PLA gadung dan gembili dengan dan atau tanpa kombinasi dengan alginat, yang menghambat peningkatan kadar gula darah setelah konsumsi. Penghambatan tertinggi diperoleh dari penambahan PLA 15%. Penambahan PLA gadung dan gembili dikombinasikan dengan alginat juga menghasilkan karakteristik produk mie dan bubur instan yang lebih baik. Pada Tahun ke-2 penelitian ini dilakukan formulasi PLA dari gadung dan gembili pada produk roti tawar dan biskuit. Hasil formulasi ini akan diperoleh formula mix roti tawar dan biskuit yang berpotensi HKI. Penelitian ini akan menguji produk roti tawar dan biskuit mengandung polisakarida gembili/gadung dengan atau tanpa kombinasi dengan alginat terhadap penurunan kadar gula darah pada kondisi hiperglikemia sehingga juga berperan sebagai pangan untuk obat (medicinal foods). Kombinasi PLA gadung atau gembili
dengan
alginat
perlakuan:
penambahan
alginat,
PLA
gadung,
PLA
gadung+alginat, PLA gembili, PLA gembli+alginate, dan taraf penambahan 10%. Juga dilakukan control berupa tikus normal yang diberi pakan standar (kontrol normal), control tikus hiperglikemia diberi pakan standar (kontrol positif), dan roti tawar atau biskuit tanpa penambahan PLA. Pada akhir masa percobaan, jenis-jenis dan kadar asam lemak rantai pendek (SCFA, short chain fatty acids) pada caecum tikus akan
dianalisis dan dilakukan meal tolerance test (MTT) untuk mengetahui efek penghambatan polisakarida terhadap absorpsi glukosa sesaat setelah konsumsi. Pengujian organoleptik dilakukan dengan uji hedonic skala 1-7. Produk pangan berupa roti tawar dan biskuit untuk penderita diabetes secara organoleptik dapat diterima oleh konsumen. Penambahan PLA gadung dan gembili dikombinasikan atau tanpa kombinasi dengan alginat pada roti tawar dan biskuit dapat menghambat peningkatan kadar gula darah. Penghambatan yang tajam terjadi pada roti tawar dan biskuit yang ditambah alginat, diikuti PLA gadung+alginat, PLA gembili+alginat, PLA gadung, PLA gembili, dan tanpa PLA. Hasil penelitian ini menunjukkan bahwa adanya PLA gadung/gembili dengan atau tanpa alginat dapat menghambat penyerapan gula darah dari produk. Produk roti tawar dan biskuit dapat digunakan oleh penderita diabetes karena tidak menyebabkan peningkatan kadar gula darah yang tajam. Pemberian roti tawar dan biskuit mengandung PLA gadung/gembili dengan atau tanpa alginat dalam jangka panjang dapat menurunkan kadar gula darah pada kondisi 4 hiperglikemia. Urutan penurunan dari yang paling tajam adalah roti tawar dan biskuit yang ditambah alginat, PLA gadung+alginat, PLA gembili+alginat, PLA gadung, dan PLA gembili. Tikus kontrol yang diberi pakan standar menunjukan peningkatan kadar gula darah, demikian pula untuk tikus yang diberi roti tawar dan biskuit tanpa PLA. PLA gadung lebih efektif dalam menurunkan kadar gula darah dibandingkan PLA gembili. SCFA yang terbentuk pada digesta caecum untuk perlakuan PLA gadung/gembili dan alginat lebih rendah dibandingkan tikus kontrol yang diberi pakan standar AIN 93M. Mekanisme penurunan kadar gula darah pada tikus yang diberi roti tawar dan biskuit mengandung PLA lebih didominasi oleh penghambatan penyerapan nutrisi dan efek rasa kenyang. Hal ini perlu dibuktikan lebih lanjut. Kata kunci: polisakarida, gadung, gembili, diabetes, formula mix
SUMMARY
For patients with diabetes, a proper diet is necessary to control blood sugar levels. Proper food products are needed so that proper nutrition consumed can still be maintained while keeping blood sugar levels. Development of commonly-consumed food products for people with diabetes is needed to be carried out by using a pattern of consumption of Indonesian society. Our previous studies showed that administration of water-soluble polysaccharide (WSP) of Gadung and Gembili orally in Wistar rats with diabetes may reduce blood sugar levels from hyperglycaemia to normoglycaemia. Fermentative extraction of Gadung and Gembili WSP was conducted by using a yeast of tempeh. Year 1 study had successfully develop food products in the form of porridge and noodles containing WSP of Gadung and Gembili with or without combination with Alginate which inhibit the increase in blood sugar levels after consumption. The highest inhibition obtained from the addition of 15% WSP. The addition of Gembili and Gadung WSP combined with Alginate also produced a better characteristic of products. In Year 2, study was conducted in formulation of WSP from Gadung and Gembili on fresh bakery products (white bread) and biscuits. The results of this formulation will be a formula mix of white bread and biscuits which is potential for a patent application. This study will analyse the product of white bread and biscuits containing polysaccharides from Gembili/Gadung with or without combination with Alginate to decrease blood sugar levels under conditions of hyperglycemia so that it may also serves as food for drug (medicinal foods). The combination of Gadung or Gembili WSP with Alginate treatment: the addition of Alginate, Gadung WSP, Gadung+Alginate WSP, Gembili WSP, Gembili+Alginate WSP, and standard addition level of 10% were applied in this research. Treatments applied were addition of Alginate, Gadung WSP, Gadung+Alginate WSP, Gembili WSP, Gembili+Alginate WSP and the addition level of 10%. Control was applied as normal Wistar rats with standard feed (normal control), hyperglycemic Wistar rats with standard feed (possitive control), and Wistar rats fed with white bread or biscuits without the addition of WSP. At the end of the probationary period, the types
and levels of short chain fatty acids (SCFA, short chain fatty acids) in the rat caecum 5 were analyzed and meal tolerance test (MTT) was performed to determine the inhibitory effect of polysaccharides on the absorption of glucose shortly after consumption. Organoleptic test was carried out by hedonic test with a scale of 1-7. Based on organoleptic test result, food products made for diabetics, i.e. white bread and biscuits were acceptable. Importantly, the study showed that addition of Gadung and Gembili WSP combined or without combination with Alginate on white bread and biscuits may inhibit the increase in blood sugar levels. Sharp inhibition occurs in white bread and biscuits with Alginate, followed by Gadung+Alginate WSP, Gembili+Alginate WSP, Gadung WSP, Gembili WSP, and without a PLA. The results of this study indicated that the presence of PLA Gadung/Gembili with or without Alginate may inhibit the absorption of blood sugar of the product. White bread products and biscuits can be consumed by diabetics patients because it does not cause a sharp increase in blood sugar levels. The provision of white bread and biscuits containing Gadung/Gembili WSP with or without Alginate in the long term may reduce blood sugar levels under conditions of hyperglycemia. The sequence of the sharpest decline was white bread and biscuits with Alginate, Gadung+Alginate WSP, Alginate+Gembili WSP, Gadung WSP, and Gembili WSP. Control Wistar rats fed with standard feed showed an increase in blood sugar levels as similar to Wistar rats fed with white bread and biscuits without a WSP. Gadung WSP had been found to be more effective in lowering blood sugar levels as compared to Gembili WSP. SCFA formed in caecum digesta for the treatment of Gadung/Gembili WSP and Alginate were lower than the control rats fed with standard feed AIN 93M. The mechanism of lowering blood sugar levels in rats fed with white bread containing WSP was suggested to be more dominated by the inhibition of nutrients absorption and satiety. However, this suggestion needs to be further investigated. Key words: polysaccharides, gadung, gembili, diabetes, mix formula
DAFTAR PUSTAKA
Amici, E.; Tetradis-Meris, G.; Pulido de Torres, C.; & Jousse, F. 2008. Alginate gelation in microfluidic channels. Food Hydrocolloids 22: 97–104. de Leeuw, J.A., Jongbloed, A.W., and Verstegen, M.W.A. 2004. Dietary fiber stabilizes blood glucose and insulin levels and reduces physical activity in sows (Sus scrofa). J. Nutr. 134: 1481–1486. de Munter JS, Hu FB, Spiegelman D, Franz M, van Dam RM. 2007. Whole grain, bran, and germ intake and risk of type 2 diabetes: a prospective cohort study and systematic review. PLoS Med. 4:e261. Edwards, CA.; Blackburn, NA.; Craigen, L.; Davison, P.; Tomlin, J.; Sugden, K.; Johnson, IT.; & Read, NW. 1987. Viscosity of food gums determined in vitro related to their hypoglycemic actions. Am J Clin Nutr 46:72-77. Fu, Y-C., S. Chen, And Y-J. Lai. 2004. Centrifugation and foam fractionation effect on mucilage recovery from Dioscorea (yam) tuber. Journal of Food Science 69(9): E512-E514. Harijono; Sunarharum, WB; & Estiasih, T. 2009. Ekstraksi Polisakarida Bioaktif dari Gadung dan Gembili dan Potensinya untuk Terapi Diabetes dan Penurun Kadar Kolesterol Darah. Laporan Penelitian. Universitas Brawijaya, Malang. Harijono, Estiasih, T., dan Sunarharum, W.B. 2010. Pengembangan Produk Pangan Mengandung Polisakarida Gadung dan Gembili untuk Penderita Diabetes. Laporan Penelitian Hibah Kompetensi Tahun 1, LPPM UB, Malang Heini AF, Lara-Castro C, Schneider H, Kirk KA, Considine RV, Weinsier RL. 1998. Effect of hydrolyzed guar fiber on fasting and postprandial satiety and satiety hormones: a double-blind, placebo-controlled trial during controlled weight loss. Int J Obes Relat Metab Disord. 22:906–9. Jenkins D.J., Kendall C.W., Axelsen M., Augustin L.S., Vuksan V.. 2000. Viscous and nonviscous fibres, nonabsorbable and low glycaemic index carbohydrates, blood lipids and coronary heart disease. Curr Opin Lipidol. 11:49–56. Jing, L. & Yin, L. 2010. Antihyperglycemic activity of polysaccharide from Lycium barbarum. Journal of Medicinal Plants Research 4(1): 023-026. Kiho T, Kochi M, Usui S, Hirano K, Aizawa K, Inakum T. 2001. Antidiabetic effect of an acidic polysaccharide (TAP) from Tremella aurantia and its degradation product (TAP-H). Biol. Pharm. Bull. 24(12): 1400—1403 Lu, ZX.; Walker, KZ.; Muir, JG.; & O’Dea, K. 2004. Arabinoxylan fibre improves metabolic control in people with Type II diabetes. European Journal of Clinical Nutrition 58: 621–628. Lunn J, Buttriss JL. 2007. Carbohydrates and dietary fibre. Nutrition Bulletin 32: 21–64 Madar, Z.; Nir, M.; Trostler, N.; & Norenberg, C. 1988. Effects of Cottonseed Dietary Fiber on metabolic Parameters in Diabetic Rats and Non-Insulin-Dependent Diabetic Humans. J. Nutr. 118: 1143 -1148. Maki, K.C.; Carson, M.L.; Miller, M.P.; Turowski, M.; Bell, M.; Wilder, D.M.; Rains, T.M.; & Reeves, M.S. 2008. Hydroxypropylmethylcellulose and Methylcellulose Consumption Reduce Postprandial Insulinemia in Overweight and Obese Men and Women. J. Nutr. 138: 292–296. Mao, X.; Wu, Y.; Wu, K.; Liu, M.; Zhang, J.; Zou, F.; Ou-Yang, J. 2007. Astragalus polysaccharide reduces hepatic endoplasmic reticulum stress and restores glucose
homeostasis in a diabetic KKAy mouse model. Acta Pharmacol Sin 28 (12): 1947– 1956. Marsman K, McBurney M. 1996. Dietary fiber and short-chain fatty acids affect cell proliferation and protein synthesis in isolated rat colonocytes. J. Nutr. 126: 14291437 Pi-Sunyer X. 2005. Do glycemic index, glycemic load, and fiber play a role in insulin sensitivity, disposition index, and type 2 diabetes? Diabetes Care 28:2978–9. Rai, PK.; Singh, SK.; Kesari, AN.; Watal, G. 2007. Glycaemic evaluation of Psidium guajava in rats. Indian Journal of Medical Research 126(3): 224-227. Robertson MD, Bickerton AS, Dennis AL, Vidal H, Frayn KN. 2005. Insulinsensitizing effects of dietary resistant starch and effects on skeletal muscle and adipose tissue metabolism. Am J Clin Nutr. 82:559–67. Ruzaidi, A.; Maleyki, A.; Amin, I.; Nawalyah, A.G.; Muhajir, H.; Pauliena, M.B.S. M.J. & Muskinah, M.S. 2008. Hypoglycaemic Properties of Malaysian Cocoa (Theobroma cacao) Polyphenols-Rich Extract. International Food Research Journal 15(3). Samra RA, Anderson GH. 2007. Insoluble cereal fiber reduces appetite and short-term food intake and glycemic responses to food consumed 75 min later by healthy men. Am J Clin Nutr. 86:972–9. Schulze MB, Schulz M, Heidemann C, Schienkiewitz A, Hoffmann K, Boeing H. 2007. Fiber and magnesium intake and incidence of type 2 diabetes: a prospective study and meta-analysis. Arch Intern Med. 167:956–65. Shin KO, Jeon JR, Lee JS, Kim JY, Lee CH, Kim SD, Yu YS, Nam DH. 2006. Lactic acid fermentation of Chinese yam (Dioscorea batatas Decne) flour and its pharmacological effect on gastrointestinal function in rat model. Biotechnology and Bioprocess Engineering 11(3): 240-244 Shobana, S.; Kumari, S.R.U.; Malleshi, N.G. & Ali, S.Z. 2007. Glycemic response of rice, wheat and finger millet based diabetic food formulations in normoglycemic subjects. International Journal of Food Sciences and Nutrition 58(5): 363-372. Walewijk, A.; Cooper-White, J.J.; Dunstan & D.E. 2008. Adhesion measurements between alginate gel surfaces via texture analysis. Food Hydrocolloids 22: 91–96. Weickert, M.O. dan A.P.F.H. Pfeiffer. 2008. Metabolic effects of dietary fiber consumption and prevention of diabetes. J. Nutr. 138: 439–442. Xie, J.T.; Wu, J.A.; Mehendale, S.; Aung, H.H.; Yuan, C.S. 2004. Anti-hyperglycemic effect of the polysaccharides fraction from American ginseng extract in ob/ob mice. Phytomedicine: 182-187. Al-Habori, Raman A. 1998. Antidiabetic and hypocholesterolaemic effects of fenugreek. Phytotherapy Research 12: 233–242 American Diabetes Association/ADA. 1995-2010. Diabetes Superfoods, http://www.diabetes.org/food-and-fitness/food/what-can-i-eat/diabetessuperfoods.html, diakses 8 April 2010. Amici, E.; Tetradis-Meris, G.; Pulido de Torres, C.; & Jousse, F. 2008. Alginate gelation in microfluidic channels. Food Hydrocolloids 22: 97–104. Andari, R.Y. 2009. Pengaruh penggunaan tepung sera dan tepung beras merah terhadap kualitas biskuit (kajian proporsi tepung dan konsentrasi kuning telur). Skripsi Jurusan Teknologi Hasil Pertanian, Fakultas Teknologi Pertanian, Universitas Brawijaya. Malang. Astawan, M. 2003. Membuat Mie dan Bihun. Penebar Swadaya. Jakarta. Bogasari Baking Centre. 2002. Proses pembuatan roti tawar. Jurusan Teknologi Hasil Pertanian, Fakultas Teknologi Pertanian, Universitas Brawijaya. Malang.
Braun, L. 2008. Wild yam Dioscorea sp. Complementary Medicine March/April Chan YC, Hsu CK, Wang MF, Liao JW, Su TY. 2006. Beneficial effect of yam on the amyloid β-protein, monoamine oxidase B and cognitive deficit in mice with accelerated senescence. J Sci Food Agric 86:1517–1525 Chou ST, Chiang BH, Chung YC, Chen PC, Hsu CK. 2006. Effects of storage temperatures on the antioxidative activity and composition of yam. Food Chem. 98: 618–623 de Leeuw, J.A., Jongbloed, A.W., and Verstegen, M.W.A. 2004. Dietary fiber stabilizes blood glucose and insulin levels and reduces physical activity in sows (Sus scrofa). J. Nutr. 134: 1481–1486. de Munter JS, Hu FB, Spiegelman D, Franz M, van Dam RM. 2007. Whole grain, bran, and germ intake and risk of type 2 diabetes: a prospective cohort study and systematic review. PLoS Med. 4:e261. Edwards, CA.; Blackburn, NA.; Craigen, L.; Davison, P.; Tomlin, J.; Sugden, K.; Johnson, IT.; & Read, NW. 1987. Viscosity of food gums determined in vitro related to their hypoglycemic actions. Am J Clin Nutr 46:72-77. Fu, Y-C., S. Chen, And Y-J. Lai. 2004. Centrifugation and foam fractionation effect on mucilage recovery from Dioscorea (yam) tuber. Journal of Food Science 69(9): E512E514. Harijono. 2006. Pengembangan proses detoksifikasi umbi-umbian secara mikrobiologis, Jurusan THP, FTP, Universitas Brawijaya Malang. Harijono. 2008b. Isolasi, purifikasi dan karakterisasi enzim β-glukosidase pada gadung (dioscorea hispida dennst), Jurusan THP, FTP, Universitas Brawijaya Malang. Harijono; Sari, T.A.; & Martati, E. 2008a. Detoksifikasi Umbi Gadung (Dioscorea hispida Dennst.) dengan Pemanasan Terbatas dalam Pengolahan Tepung Gadung. Jurnal Teknologi Pertanian 9(2): 75-82. Harijono; Sunarharum, WB; & Estiasih, T. 2009a. Ekstraksi Polisakarida Bioaktif dari Gadung dan Gembili dan Potensinya untuk Terapi Diabetes dan Penurun Kadar Kolesterol Darah. Laporan Penelitian. Universitas Brawijaya, Malang. Harijono; Sutrisno, A.; Estiasih, T.; Sunarharum, WB. 2009b. Pengembangan Teknologi Pengolahan Umbi Gadung dan Gembili untuk Pangan dan Bahan Obat dalam rangka Penguatan Petani dan Ketahanan Pangan. Laporan Penelitian Hibah Kompetensi Batch III dibiayai oleh DIKTI. Universitas Brawijaya, Malang. Harijono, Estiasih, T., dan Sunarharum, W.B. 2010a. Pengembangan Produk Pangan Mengandung Polisakarida Gadung dan Gembili untuk Penderita Diabetes. Laporan Penelitian Hibah Kompetensi Tahun 1, LPPM UB, Malang Harijono, Estiasih, T., dan Mahatmanto, T. 2010b. Efek hipokolesterolemik polisakarida larut air dari umbi gadung pada kondisi hiperkolesterolemia. Laporan Penelitian FTP UB, Malang. Heini AF, Lara-Castro C, Schneider H, Kirk KA, Considine RV, Weinsier RL. 1998. Effect of hydrolyzed guar fiber on fasting and postprandial satiety and satiety hormones: a double-blind, placebo-controlled trial during controlled weight loss. Int J Obes Relat Metab Disord. 22:906–9. Hou WC, Lee MH, Chen HJ, Liang WL, Han CH, Liu YW, Lin YH. 2001. Antioxidant activities of dioscorin, the storage protein of yam (Dioscorea batatas Decne) tuber. J. Agric. Food Chem. 49: 4956-4960 Hsu FH, Lin YH, Lee MH, Lin CL, Hou WC. 2002. Both dioscorin, the tuber storage protein angiotensin converting enzyme inhibitory activities. J. Agric. Food Chem. 50(21): 6109-6113
Jenkins D.J.A., Thorne M.J., Wolever T.M.S., Jenkins A.L., Rao A.V., & Thompson L.U. 1987. The effect of starchprotein interaction in wheat on the glycemic response and rate of in vitro digestion. Am J Clin Nutr 45:946-951. Jenkins D.J., Kendall C.W., Axelsen M., Augustin L.S., Vuksan V.. 2000. Viscous and nonviscous fibres, nonabsorbable and low glycaemic index carbohydrates, blood lipids and coronary heart disease. Curr Opin Lipidol. 11:49–56. Jing, L. & Yin, L. 2010. Antihyperglycemic activity of polysaccharide from Lycium barbarum. Journal of Medicinal Plants Research 4(1): 023-026. Kiho T, Kochi M, Usui S, Hirano K, Aizawa K, Inakum T. 2001. Antidiabetic effect of an acidic polysaccharide (TAP) from Tremella aurantia and its degradation product (TAP-H). Biol. Pharm. Bull. 24(12): 1400—1403 Lee CL, Hung HK, Wang JJ, Pan TM. 2007. Improving the ratio of monacolin K to citrinin production of Monascus purpureus NTU 568 under Dioscorea medium through the mediation of pH value and ethanol addition. J. Agric. Food Chem. (16): 6493-6502 Liu YW, Shang HF, Wang CK, Hsu FL, Hou WC. 2007. Immunomodulatory activity of dioscorin, the storage protein of yam (Dioscorea alata cv. Tainong no.1) tuber. Food and Chemical Toxicology 45: 2312-2318 Liu, J.; Yang, F.; Lu, C.; Yang, Y.; Wen, C.; Hua, K. & Wu, S. 2008. Polysaccharides from Dioscorea batatas Induce Tumor Necrosis Factor-r Secretion via Toll-like Receptor 4-Mediated Protein Kinase Signaling Pathways. J. Agric. Food Chem., 56, 9892– 9898. Liu YM,Lin, KW. 2009, Antioxidative ability, dioscorin stability, and the quality of yam chips from various yam species as affected by processing method, J.Food Sci. 74(2): C118-C125. Lu, ZX.; Walker, KZ.; Muir, JG.; & O’Dea, K. 2004. Arabinoxylan fibre improves metabolic control in people with Type II diabetes. European Journal of Clinical Nutrition 58: 621–628. Lunn J, Buttriss JL. 2007. Carbohydrates and dietary fibre. Nutrition Bulletin 32: 21–64 Madar, Z.; Nir, M.; Trostler, N.; & Norenberg, C. 1988. Effects of Cottonseed Dietary Fiber on metabolic Parameters in Diabetic Rats and Non-Insulin-Dependent Diabetic Humans. J. Nutr. 118: 1143 -1148. Maki, K.C.; Carson, M.L.; Miller, M.P.; Turowski, M.; Bell, M.; Wilder, D.M.; Rains, T.M.; & Reeves, M.S. 2008. Hydroxypropylmethylcellulose and Methylcellulose Consumption Reduce Postprandial Insulinemia in Overweight and Obese Men and Women. J. Nutr. 138: 292–296. Mann, J. 2007. Dietary carbohydrate: relationship to cardiovascular disease and disorders of carbohydrate metabolism. European Journal of Clinical Nutrition 61 (Suppl 1): S100–S111. Mao, X.; Wu, Y.; Wu, K.; Liu, M.; Zhang, J.; Zou, F.; Ou-Yang, J. 2007. Astragalus polysaccharide reduces hepatic endoplasmic reticulum stress and restores glucose homeostasis in a diabetic KKAy mouse model. Acta Pharmacol Sin 28 (12): 1947– 1956. Marsman K, McBurney M. 1996. Dietary fiber and short-chain fatty acids affect cell proliferation and protein synthesis in isolated rat colonocytes. J. Nutr. 126: 14291437
Milo, L. November 2009. Defeating Diabetes in The Power of Umami, Food Technology Magazine, vol 63, no 11., Institute of Food Technologist. USA. Mortensen A, Kulling SE, Schwartz H, Rowland I, Ruefer CE, Rimbach G, Cassidy A, Magee P, Millar J, Hall WL, Birkved FB, Sorensen IK, Sontag G. Analytical and compositional aspects of isoflavones in food and their biological effects. Mol. Nutr. Food Res. 53 Myoda, T., Matsuda, Y., Suzuki, T., Nakagawa, T., Nagai, T. & Nagashima, T. 2006, Identification of soluble proteins and interaction with mannan in mucilage of dioscorea opposita thunb. (chinese yam tuber), Food Sci. Technol. Res., vol. 12, no. 4, pp. 299-302. Niño J, Jiménez DA, Mosquera OM, Correa YM. 2007. Diosgenin quantification by HPLC in a Dioscorea polygonoides tuber collection from Colombian flora. J. Braz. Chem. Soc. 18(5) 1073-1076 Pi-Sunyer X. 2005. Do glycemic index, glycemic load, and fiber play a role in insulin sensitivity, disposition index, and type 2 diabetes? Diabetes Care 28:2978–9. Pusat Komunikasi Publik, Sekretariat Jenderal Departemen Kesehatan. 2009. Tahun 2030 prevalensi diabetes di Indonesia mencapai 21,3 juta orang. http://www.depkes.go.id/index.php/berita/press-release/414-tahun-2030-preva-lensidiabetes-melitus-di-indonesia-mencapai-213-juta-orang.html. diakses 5 April 2010. Rai, PK.; Singh, SK.; Kesari, AN.; Watal, G. 2007. Glycaemic evaluation of Psidium guajava in rats. Indian Journal of Medical Research 126(3): 224-227. Robertson MD, Bickerton AS, Dennis AL, Vidal H, Frayn KN. 2005. Insulinsensitizing effects of dietary resistant starch and effects on skeletal muscle and adipose tissue metabolism. Am J Clin Nutr. 82:559–67. Ruzaidi, A.; Maleyki, A.; Amin, I.; Nawalyah, A.G.; Muhajir, H.; Pauliena, M.B.S. M.J. & Muskinah, M.S. 2008. Hypoglycaemic Properties of Malaysian Cocoa (Theobroma cacao) Polyphenols-Rich Extract. International Food Research Journal 15(3). Samra RA, Anderson GH. 2007. Insoluble cereal fiber reduces appetite and short-term food intake and glycemic responses to food consumed 75 min later by healthy men. Am J Clin Nutr. 86:972–9. Schulze MB, Schulz M, Heidemann C, Schienkiewitz A, Hoffmann K, Boeing H. 2007. Fiber and magnesium intake and incidence of type 2 diabetes: a prospective study and meta-analysis. Arch Intern Med. 167:956–65. Shajeela, P.S., V. R. Mohan, L. Louis Jesudas and P. Tresina Soris. 2011. Nutritional and antinutritional evaluation of wild yam (Dioscorea spp.). Tropical and Subtropical. Agroecosystems 14: 723-730 Shin KO, Jeon JR, Lee JS, Kim JY, Lee CH, Kim SD, Yu YS, Nam DH. 2006. Lactic acid fermentation of Chinese yam (Dioscorea batatas Decne) flour and its pharmacological effect on gastrointestinal function in rat model. Biotechnology and Bioprocess Engineering 11(3): 240-244 Shobana, S.; Kumari, S.R.U.; Malleshi, N.G. & Ali, S.Z. 2007. Glycemic response of rice, wheat and finger millet based diabetic food formulations in normoglycemic subjects. International Journal of Food Sciences and Nutrition 58(5): 363-372. Sulistyono, E. dan J. Marpaung. 2004. Studi karakter umbi dan kandungan nutrisi umbi Dioscorea spp. Catatan Penelitian. Bul. Agron. 32(2): 39-42. Syafi’i, I.; Harijono; & Martati, E. 2009. Detoksifikasi Umbi Gadung (Dioscorea hispida Dennst) dengan Pemanasan dan Pengasaman pada Pembuatan Tepung. Jurnal Teknologi Pertanian 10(1): 62-82.
Torsdottir, I.; Alpsten, M.; Holm, G.; Sandberg, F.A.; & Ta-Lli, J. 1991. A Small Dose of Soluble Alginate-Fiber Affects Postprandial Glycemia and Gastric Emptying In Humans With Diabetes. J. Nutr. 121: 795-799. Walewijk, A.; Cooper-White, J.J.; Dunstan & D.E. 2008. Adhesion measurements between alginate gel surfaces via texture analysis. Food Hydrocolloids 22: 91–96. Weickert, M.O. dan A.P.F.H. Pfeiffer. 2008. Metabolic effects of dietary fiber consumption and prevention of diabetes. J. Nutr. 138: 439–442. Wolever, T.M.S.; Gibbs, A.L.; Mehling, C.; Chiasson, J.; Connelly, P.W.; Josse, R.G.; Leiter, L.A.; Maheux, P.; Rabasa-Lhoret, R.; Rodger, N.W.; & Ryan, E.A. 2008. The Canadian Trial of Carbohydrates in Diabetes (CCD), a 1-y controlled trial of lowglycemic-index dietary carbohydrate in type 2 diabetes: no effect on glycated hemoglobin but reduction in C-reactive protein. Am J Clin Nutr 87:114 –25. Xie, J.T.; Wu, J.A.; Mehendale, S.; Aung, H.H.; Yuan, C.S. 2004. Anti-hyperglycemic effect of the polysaccharides fraction from American ginseng extract in ob/ob mice. Phytomedicine: 182-187. Yang DJ, Lin JT. 2008. Effects of different storage conditions on steroidal saponins in yam (Dioscorea pseudojaponica Yamamoto) tubers. Food Chem. 110: 670–677. Zhao, G.; Kan, J.; Li, Z. & Chen, Z. 2005. Structural features and immunological activity of a polysaccharide from Dioscorea opposita Thunb roots. Carbohydrate Polymers 61:125–131.