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Patient-Wise Methodology to Assess Glycemic Health Status: Applications to Quantify the Efficacy and Physiological Targets of Polyphenols on Glycemic Control
Indexado
WoS WOS:000771880400001
Scopus SCOPUS_ID:85125732862
DOI 10.3389/FNUT.2022.831696
Año 2022
Tipo artículo de investigación

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



A growing body of evidence indicates that dietary polyphenols could be used as an early intervention to treat glucose-insulin (G-I) dysregulation. However, studies report heterogeneous information, and the targets of the intervention remain largely elusive. In this work, we provide a general methodology to quantify the effects of any given polyphenol-rich food or formulae over glycemic regulation in a patient-wise manner using an Oral Glucose Tolerance Test (OGTT). We use a mathematical model to represent individual OGTT curves as the coordinated action of subsystems, each one described by a parameter with physiological interpretation. Using the parameter values calculated for a cohort of 1198 individuals, we propose a statistical model to calculate the risk of dysglycemia and the coordination among subsystems for each subject, thus providing a continuous and individual health assessment. This method allows identifying individuals at high risk of dysglycemia-which would have been missed with traditional binary diagnostic methods-enabling early nutritional intervention with a polyphenol-supplemented diet where it is most effective and desirable. Besides, the proposed methodology assesses the effectiveness of interventions over time when applied to the OGTT curves of a treated individual. We illustrate the use of this method in a case study to assess the dose-dependent effects of Delphinol (R) on reducing dysglycemia risk and improving the coordination between subsystems. Finally, this strategy enables, on the one hand, the use of low-cost, non-invasive methods in population-scale nutritional studies. On the other hand, it will help practitioners assess the effectiveness of an intervention based on individual vulnerabilities and adapt the treatment to manage dysglycemia and avoid its progression into disease.

Revista



Revista ISSN
Frontiers In Nutrition 2296-861X

Métricas Externas



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Disciplinas de Investigación



WOS
Nutrition & Dietetics
Scopus
Food Science
Nutrition And Dietetics
Endocrinology, Diabetes And Metabolism
SciELO
Sin Disciplinas

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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

Colaboración Institucional



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Autores - Afiliación



Ord. Autor Género Institución - País
1 Olivera-Nappa, Alvaro Hombre Universidad de Chile - Chile
2 Contreras, Seba Hombre Max Planck Inst Dynam & Self Org - Alemania
Max Planck Institute for Dynamics and Self-Organization - Alemania
3 Tevy, Maria Florencia Mujer Universidad de Chile - Chile
4 Medina-Ortiz, David Hombre Universidad de Chile - Chile
5 Leschot, Andres Hombre Maqui New Life SA - Chile
Maqui New Life S.A - Chile
6 VIGIL-PORTALES, PILAR Mujer Reprod Hlth Res Inst - Chile
Reproductive Health Research Institute - Chile
7 CONCA-ROSENDE, CARLOS EUGENIO Hombre Universidad de Chile - Chile

Muestra la afiliación y género (detectado) para los co-autores de la publicación.

Financiamiento



Fuente
CONICYT, Chile
Comisión Nacional de Investigación Científica y Tecnológica
Fondecyt Project
Max-Planck-Gesellschaft
Centre for Biotechnology and Bioengineering
Max-Planck-Society
Centre for Biotechnology and Bioengineering-CeBiB (PIA project, Conicyt, Chile)
MNL-Group

Muestra la fuente de financiamiento declarada en la publicación.

Agradecimientos



Agradecimiento
Open Access publication has been enabled by the Max-Planck-Society. SC received support from the Max-Planck-Society. DM-O gratefully acknowledges Conicyt, Chile, for Ph.D. fellowship 21181435. MT gratefully acknowledges Fondecyt Project 1191727. The authors gratefully acknowledge funding from the Centre for Biotechnology and Bioengineering-CeBiB (PIA project FB0001, Conicyt, Chile) and MNL-Group. The authors declare that this study received funding from MNL-Group. This funder was not involved in the study design, collection, analysis, interpretation of data, the writing of this article or the decision to submit it for publication.
Open Access publication has been enabled by the Max-Planck-Society. SC received support from the Max-Planck-Society. DM-O gratefully acknowledges Conicyt, Chile, for Ph.D. fellowship 21181435. MT gratefully acknowledges Fondecyt Project 1191727. The authors gratefully acknowledge funding from the Centre for Biotechnology and Bioengineering—CeBiB (PIA project FB0001, Conicyt, Chile) and MNL-Group. The authors declare that this study received funding from MNL-Group. This funder was not involved in the study design, collection, analysis, interpretation of data, the writing of this article or the decision to submit it for publication.

Muestra la fuente de financiamiento declarada en la publicación.