Journal of ISSN: 2373-4310JNHFE

Nutritional Health & Food Engineering
Editorial
Volume 2 Issue 1 - 2015
Nutrient Bioavailability and Kinetics of Release is a Neglected Key Issue When Comparing Complex Food Versus Supplement Health Potential
Anthony Fardet*
Department of Human Nutrition, National Institute of Agronomic Research (INRA), France
Received: January 16, 2015 | Published: February 13, 2015
*Corresponding author: Anthony Fardet, Department of Human Nutrition, National Institute of Agronomic Research (INRA), BP 10448, F-63000 CLERMONT-FERRAND & Clermont University, University of Auvergne, UMR 1019, UNH, CRNH Auvergne, France, Tel: +33(0)473624704; Email: @
Citation: Fardet A (2015) Nutrient Bioavailability and Kinetics of Release is a Neglected Key Issue When Comparing Complex Food Versus Supplement Health Potential. J Nutr Health Food Eng 2(1): 00045. DOI: 10.15406/jnhfe.2015.02.00045

Editorial

Today, in human nutrition, we know that at equal chemical composition, but with different structure, two foods may give very differential health effects, e.g, slow versus rapid carbohydrates. Indeed, health food potential is twice: nutrient density and food structure [1]. And food structure may well be more important than nutrient density [2]. In this way, it is interesting to note that ultra-processed foods are generally characterized by having lost their initial food structure through fractionation-recombination processes and their nutritional density through excessive refining, leading to the marketing of more and more energy-dense and poorly satiating foods. And diet-related chronic diseases epidemics world wide are associated with a high and regular consumption of ultra-processed foods [3].

What conditions first food effects on bioavailability are its physico-chemical and physical characteristics at nano-, micro- and macroscopic levels, be nutrient chemical structure, the bound to free compound ratio, interaction with other compounds such as protein and fiber networks, food density and porosity, and/or particle size [1]. Therefore, all comes down to technological processes that transform foods for the ‘best’ or for the ‘worst’ [4]. Generally, the more the food is unstructured through processes, the highest the kinetics of release of its macro-, micro- and phyto-nutrients, the extreme application of this being nutritional supplements.

Besides technological processes and their impact on food structure, today, food scientists try - via reverse engineering - to control the digestive fate of foods, mostly modifying food structure [5]. So, one important issue to consider is: Are differential kinetics of nutrient releases associated or correlated with subsequent differential and positive health effects? Concerning starch, the answer is wellknown as illustrated by the definitions of slow, rapid and resistant fractions; and knowing, for each fraction, its health effects [1]. But, before developing reverse engineering, it seems of the utmost importance to better know how food structure modification impacts health via modifying nutrients kinetics of release, then bioavailability. For example, is the increased bioavailability of polyphenols from 5 to 10% in cereal products accompanied by real health benefits or is it harmful for human organism? What will mean, in return, that the natural bioavailability of polyphenols would be the good one for human health, even if this scientific view is some what deterministic.

The issue of bioavailability and kinetics of release is therefore very important because so many functional foods, nutraceuticals and nutritional supplements have been marketed without addressing this question. Indeed, in such products, added micro- or phyto-nutrients are generally largely more bioavailable than in natural foods. And this issue was largely ignored.

This is probably why it is not surprising that the added nutritional value of supplements has been so importantly questioned [6,7]. For example, main systematic reviews, meta-analyses and scientific reports about supplements have failed to show convincing protective effects on human health, and sometimes harmful effects [8-11]. In addition to the lost of synergy with other bioactive compounds naturally present in complex foods and the use of supra-nutritional doses, probably that the bioavailability effects of these products have not been sufficiently considered seriously!

Nevertheless, this is not to mean that modifying bioavailability of food compounds is useless. No, but it must be adequately realized, notably after having collected sufficient information about differential health impacts following different bioavailaibilty percentages and different kinetics of release within digestive tract; which has been well studied with starch and the well known concept of slow versus rapid carbohydrate, a useful concept for type 2 diabetic subjects [12].

References

  1. Fardet A (2014) A shift toward a new holistic paradigm will help to preserve and better process grain product food structure for improving their health effects. Food Funct DOI: 10.1039/C4FO00477A
  2. Fardet A (2014) Food health potential is primarily due to its matrix structure, then nutrient composition: a new paradigm for food classification according to technological processes applied. J Nutr Health Food Eng 1(5): 1-2.
  3. Monteiro CA, Levy RB, Claro RM, de Castro IRR, Cannon G (2011) Increasing consumption of ultra-processed foods and likely impact on human health: evidence from Brazil. Public Health Nutr 14(1): 5-13.
  4. Fardet A (2014) Are technological processes the best friends of food health potential? Adv Nutr Food Technol 1: 103.
  5. Fardet A, Souchon I, Dupont Deds (2013) Food structure and nutritional effects. Quae Publisher, France, pp. 472.
  6. Myung SK, Ju W, Cho B, Oh SW, Park SM, et al. (2013) Efficacy of vitamin and antioxidant supplements in prevention of cardiovascular disease: systematic review and meta-analysis of randomised controlled trials. BMJ 346: f10.
  7. Riso P, Soldati L (2012) Food ingredients and supplements: is this the future? J Transl Med 10: 227.
  8. Riccioni G, D'Orazio N, Salvatore C, Franceschelli S, Pesce M, Speranza L (2012) Carotenoids and vitamins C and E in the prevention of cardiovascular disease. Int J Vitam Nutr Res 82(1): 15-26.
  9. Huang HY, Caballero B, Chang S, Alberg AJ, Semba RD, et al. (2006) The efficacy and safety of multivitamin and mineral supplement use to prevent cancer and chronic disease in adults: a systematic review for a National Institutes of Health State-of-the-Science Conference. Ann Intern Med 145(5): 372-385.
  10. WHO/FAO (2003) Diet, nutrition, and the prevention of chronic diseases. WHO Technical Report Series 916. Geneva, Switzerland, pp. 149.
  11. Bjelakovic G, Nikolova D, Gluud LL, Simonetti RG, Gluud C (2012) Antioxidant supplements for prevention of mortality in healthy participants and patients with various diseases. Cochrane Database Syst Rev 3: CD007176, doi: 10.1002/14651858.CD007176.
  12. Fardet A (2014) Technological processes, food nutritional value and type 2 diabetes. Med Mal Metabol 8: 608-611.
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