Professional Documents
Culture Documents
Report
A R T I C L E I N F O
A B S T R A C T
Article history:
Received 6 May 2008
Received in revised form 15 January 2009
Accepted 2 February 2009
Foods that contain unavailable carbohydrates may lower the risks for some non-transmissible chronic
diseases because of the potential benets provided by the products of colonic fermentation. On the other
hand, foods that are sources of available carbohydrates may have higher energy value and increase the
post-prandial glycemic response. The biomarker glycemic index and the resulting glycemic load may be
used to classify foods according to their potential to increase blood glucose. Information about glycemic
index and glycemic load may be useful in diet therapy. Currently, food composition tables in Brazil do not
provide data for individually analyzed carbohydrates even though some quality data are available in
scientic publications. The objectives of this work were to produce and compile information about the
concentration of individual carbohydrates in foods and their glycemic responses and to disseminate this
information through the Brazilian Food Composition Database (TBCA-USP). The glycemic index and
glycemic load of foods were evaluated in healthy individuals. Concentrations of available carbohydrates
(soluble sugars and available starch) and unavailable carbohydrates (dietary ber, resistant starch, betaglucans, fructans) were quantied by ofcial methods, and other national data were compiled. TBCA-USP
(http://www.fcf.usp.br/tabela), which is used by professionals and the population in general, now offers
both chemical and biological information for carbohydrates.
2009 Elsevier Inc. All rights reserved.
Keywords:
Available carbohydrates
Unavailable carbohydrates
Carbohydrate analysis
Dietary ber
Fructans
Soluble sugars
Glycemic response
TBCA-USP
Food composition databases
1. Introduction
Carbohydrates are important for human health because they
are a primary source of energy and have benecial effects
resulting mainly from dietary ber and other unavailable
carbohydrates that are resistant to digestion. Colonic microbiota
ferments, partially or totally, the carbohydrates that escape
digestion and absorption in the small intestine and produce,
mainly, short chain fatty acids. The products of fermentation
cause several benecial effects both locally and systemically (Elia
and Cummings, 2007; Gray, 2006). Some unavailable carbohydrates (dietary ber, resistant starch, beta-glucans and fructans)
may lower risks for some non-transmissible chronic diseases
(NTCD), such as diabetes, obesity, cardiovascular diseases and
cancer (Gray, 2006; WHO/FAO, 2003).
One important role of carbohydrates is the glycemic response,
which differs depending on the food source and on extrinsic and
intrinsic factors that affect carbohydrate digestion and absorption.
The biomarker glycemic index (GI) and the resulting glycemic load
(GL) may be used to classify foods according to their potential to
increase blood glucose. The GI distinguishes food carbohydrates
* Corresponding author. Tel.: +55 11 3091 36 24; fax: +55 11 3815 44 10.
E-mail address: wenzelde@usp.br (E.W. Menezes).
0889-1575/$ see front matter 2009 Elsevier Inc. All rights reserved.
doi:10.1016/j.jfca.2009.02.001
E.W. Menezes et al. / Journal of Food Composition and Analysis 22 (2009) 446452
447
448
E.W. Menezes et al. / Journal of Food Composition and Analysis 22 (2009) 446452
NaOH and the ow rate was kept constant at 1.0 mL/min. Injections
(25 mL) were made by using an AS 500 autosampler. The sugars
glucose, fructose, galactose, maltose and sucrose from Sigma were
used as standard reference material.
3.5.3. Total starch
Starch from samples was solubilized in 0.5 M NaOH. After
neutralization with 0.5 M acetic acid, an aliquot was precipitated
with 80% ethanol. The precipitated starch was hydrolyzed with
amyloglucosidase (28 U/mL) and the resultant glucose determined
by the glucose-oxidase-peroxidase-ABTS (2,20 -Azino-di-[3-ethylbenzthiazoline] sulfonate) system, as described by Cordenunsi and
Lajolo (1995).
In the case of commercial bread, which contains our improver
(to expand fermentation), it was necessary to use a different
method (acid hydrolysis with anthrone) (McCready et al., 1950). In
this method, starch from samples (0.5 g) was solubilized in 0.5 M
NaOH. After neutralization with 0.5 M acetic acid, an aliquot was
washed with 80% ethanol (2x). Starch was precipitated and the
supernatant was discarded. The dried precipitate was incubated in
water bath at 100 8C with sulfuric acid 0.5 N for 1 h. Aliquots were
incubated with anthrone (0.1%) for 10 min in water bath at 100 8C
for reductor sugars determination.
Starch from Sigma Chemical Co. (St. Louis, MO) was used as
standard reference material and total starch was calculated as
glucose 0.9.
3.5.4. Resistant starch
The resistant starch analysis was done based on the method
described by McCleary and Monaghan (2002) and McCleary et al.
(2002). A sample of boiled beans was used as in-house reference
material. Glucose was quantied on the supernatants with GOD/
POD/ABTS mixture as described for total starch. The available
starch was calculated by the difference between the content of
total starch and resistant starch.
3.5.5. Fructans
The fructans quantication was based on the treatment of the
sample with amyloglucosidase and fructanase according to
Hoebregs (1997) and on the determination of soluble sugars by
high performance liquid chromatography with pulse amperometric detector (HPLCPAD), as described above. Inulin from
Sigma Chemical Co. (St. Louis, MO) was used as standard reference
material.
3.5.6. Dietary ber
The dietary ber (total, soluble and insoluble) was quantied by
the enzymatic-gravimetric method according to Lee et al. (1992).
For foods with a high content of resistant starch, the methodology
for dietary ber was done with modications proposed by
McCleary and Rossiter (2004) so as not to include resistant starch
in the dietary ber fraction; the resistant starch was analyzed
separately. For foods with a high content of fructans, the
methodology of dietary ber was done with modications
proposed by Prosky and Hoebregs (1999) so as not to include
fructans in the dietary ber fraction; the content of fructans was
analyzed separately.
4. Results and discussion
The present paper presents data on some foods to illustrate how
the information for carbohydrates and glycemic response is
structured in TBCA-USP. For each food, food identication and
data references (Table 1), GI and GL produced by the intake of
Brazilian foods (Table 2) and content of different carbohydrates in
those foods (Table 3) are described.
E.W. Menezes et al. / Journal of Food Composition and Analysis 22 (2009) 446452
449
Table 1
Examples of food identication and data source of the database.
Entry number
Source
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
6
1
1
1
1
1
2
2
2
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
6
6
6
5
5
5
4,
4,
4,
5
5
4,
4,
5
4,
4,
5
5
5
5
5
5
5
Source: 1 Cordenunsi et al. (in press); 2 Cordenunsi et al. (2004); 3 Rosin et al. (2002); 4 Carreira et al. (2004); 5 Menezes et al. (2004); 6 Clariant Project (2007).
Boiled, cooked in water without pressure. Cooked, heat without water.
Table 2
Examples of glycemic index (GI) and glycemic load (GL) of the database.
Entry
numbera
1
2
3
4
5
6
8
9
13
14
15
18
19
21
22
23
24
25
a
Short food
identication
GI (%)b
(Bread = 100)
Available
carbohydrate
(g per portion)
GL
(per portion)d
GL
classication
50
20
14
90
10
100
2
11
1
7
L
L
Healthy, 6
50
16
47
Healthy, 6
50
16
M
H
52
68
Healthy, 10
Healthy, 10
150
150
21
21
11
14
M
M
62 5
38 4
18 2
34 4
22 2
L
L
L
L
L
43
27
13
24
15
Healthy,
Healthy,
Healthy,
Healthy,
Healthy,
10
10
10
10
10
180
170
170
170
170
45
25
24
38
33
19
7
3
9
5
M
L
L
L
L
97 13
67 13
H
L
68
46
Healthy, 16
Healthy, 16
50
50
21
14
14
7
M
L
60 11
42
Healthy, 16
50
14
GI
classication
GI (%)
(Glucose = 100)c
Volunteers
(kind, n)
100
93 6
93 6
95 7
95 7
94
H
H
H
H
H
H
70
65
65
67
67
66
Healthy, 16
Healthy, 7
Healthy, 7
Hhealthy, 7
Healthy, 7
Healthy, 7
62 2
43
67 5
74 8
96 7
Recommended
portion (g)
E.W. Menezes et al. / Journal of Food Composition and Analysis 22 (2009) 446452
450
Table 3
Examples of content of individual carbohydrates in foods (g/100 g of food as eaten)a of the database.
Entry
numberb
1
3
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Short food
identication
Moisture
Total
starch
Resistant
starch
Available
starch
Glucose
Fructose
Sucrose
Total
soluble
sugars
Total
available
carbohydrate
Soluble
dietary
ber
Insoluble
dietary
ber
30
86
78
85
43.2
0.1
2.32
0.00
0.00
40.8
0.1
0.0
0.1
0.6
1.5
0.7
0.8
1.7
0.9
5.4
9.4
5.8
0.1
6.8
12.6
7.4
40.9
6.9
12.6
7.5
0.0
0.1
0.0
0.8
1.7
0.9
0.8
1.9
0.9
0.1
50
50
36.3
34.5
3.27
31.2
2.3
0.6
0.1
0.0
0.1
0.1
2.4
0.6
2.4
31.9
0.6
0.6
4.3
5.2
4.9
5.7
50
34.5
3.27
31.2
0.6
0.0
0.1
0.6
31.9
0.6
5.2
5.7
75
66
77
20.4
29.9
19.8
0.65
0.83
0.9
19.8
29.1
18.9
0.1
0.0
0.0
0.0
0.0
0.1
0.1
0.0
0.0
0.1
0.0
0.1
19.9
29.1
19.0
0.2
0, 0
0.0
1.2
0.8
2.7
1.5
0.7
2.8
80
80
14.5
15.0
0.82
0.98
13.7
14.1
0.0
0.0
0.09
0.2
0.2
13.8
14.2
0, 0
1.1
1.2
70
85
25.5
12.5
0.67
0.5
24.9
12.0
0.0
0.0
0.0
0.0
0.04
0.13
0.1
0.2
24.8
12.2
0.5
0.5
0.5
0.9
1.1
1.3
66
62
62
68
59
64
20.7
15.9
16.1
19.1
24.4
21.2
1.55
1.78
2.66
1.61
2.39
2.29
19.2
14.1
13.4
17.5
22.0
18.9
0.0
0.0
0.0
0.0
0.19
0.37
4.4
7.2
4.7
9.0
0.0
0.0
0.15
0.36
19.4
14.5
13.8
17.6
22.4
19.3
0.3
1.8
0.0
0.0
0.2
0.4
0.4
0.2
0.4
0.4
0.5
0.5
4.4
5.4
4.9
5.7
36
41
41.2
30.1
2.29
2.75
38.9
27.3
1.3
0.5
1.7
0.6
0.05
0.03
3.0
1.0
41.9
28.3
2.6
10.3
41
31.1
2.29
27.3
0.3
0.3
0.04
0.6
27.9
8.9
Total
dietary
ber
(GI = 94%). This high GI value resulted from the high concentration
of soluble sugars and low concentrations of soluble dietary ber in
pineapple (Table 3). However, when the pineapple GL was
calculated, this fruit was considered a low GL food (GL = 7). For
pineapple, the GL proved to be the better tool for this food for
dietary planning because it expresses not only quality but also
quantity of the carbohydrates in a usual portion. This is one of the
reasons why international databases of glycemic response (FosterPowell et al., 2002), as well as TBCA-USP, express their results not
only as GI but also as GL.
The seed of Brazilian pine (items 8 and 9 in Table 2), although it
is a seasonal and regional food, represents an important
carbohydrate source of low GI (62 and 67%), just like spaghetti.
At the same time, the GL was also low (7-8 per serving size of 50 g),
while spaghetti (item 15 in Table 1; serving size of 180 g) has a
medium GL (GL = 19). The high content of dietary ber in the pine
seeds (11.4% dry weight) may cause difculties in relation to the
complete swelling and gelatinization of starch and hence, interfere
in the carbohydrate availability (Cordenunsi et al., 2004).
The evaluation of glycemic response involves a large number of
volunteers as well as high costs. For BRASILFOODS to overcome
these critical factors, partnerships have been formed between the
University and private industries. The results of the different kinds
of bread (items 2325 in Table 2) were obtained through
partnerships. It is well known that white bread produces high
post-prandial glycemic response, and that is the reason it is used as
a standard food. Therefore, industries have been developing
different kinds of bread that replace available carbohydrates with
unavailable ones to lower post-prandial glycemic responses. Other
results of glycemic response for industrialized foods have been
E.W. Menezes et al. / Journal of Food Composition and Analysis 22 (2009) 446452
451
Acknowledgements
The authors acknowledge the nancial support from CNPq, USP
and the participation by BRASILFOODS. We also acknowledge the
XI.18 and 106PI0297 CYTED/CNPq projects of international
cooperation for allowing us to use of data in the database.
References
Association of Ofcial Analytical Chemists, AOAC, 1995. Ofcial Methods of
Analysis, 16th ed., vol. 2. AOAC, Arlington, VA, USA.
Augustin, L.S., Franceschi, S., Jenkins, D.J.A., Kendall, C.W.C., La Vecchia, C., 2002.
Glycemic index in chronic disease: a review. European Journal of Clinical
Nutrition 56, 10491071.
Brand-Miller, J.C., 2003. Glycemic load and chronic disease. Nutrition Reviews 61
(5), 4955.
Brasil. Agencia Nacional de Vigilancia Sanitaria, 2003. Regulamento tecnico para
rotulagem nutricional obrigatoria de alimentos e bebidas embaladas. RDC 360,
23 de dezembro de 2003. Retrivied 2008-01-16 from http://www.anvisa.gov.br/
legis/.
Brasil. Ministerio da Saude, 2005. A vigilancia, o controle e a prevencao das
nico de
doencas cronicas nao-transmissveis: DCNT no contexto do Sistema U
Saude Brasileiro/Brasil. Ministerio da Saude. Braslia: Organizacao Pan-Americana da Saude, 80 p. Retrieved 2008-01-16 from http://bvsms.saude.gov.br/
bvs/publicacoes/ DCNT.pdf.
Bravo, L., Siddhuraju, P., Saura-Calixto, F., 1998. Effect of various processing methods on the in vitro starch digestibility and resistant starch content of Indian
pulses. Journal of Agriculture and Food Chemistry 46, 46674674.
Brouns, F., Bjorck, I., Frayn, K.N., Gibbs, A.L., Lang, V., Slama, G., Wolever, T.M.S.,
2005. Glycaemic index methodology. Nutrition Research Reviews 18, 145171.
Burlingame, B., 2004. Fostering quality data in Food Composition Databases: visions
for the future. Journal of Food Composition and Analysis 17, 251258.
Carreira, M.C., Lajolo, F.M., Menezes, E.W., 2004. Glycemic index: effect of food
storage under low temperature. Brazilian Archives of Biology and Technology
47 (4), 569574.
Clariant Project Glycemic response of different kinds of bread, 2007. Coordinator:
Elizabete W. Menezes, Financial support: Clariant S.A., Sao Paulo. Products:
Bimbo do Brasil.
Cordenunsi, B.R., Lajolo, F.M., 1995. Starch breakdown during banana ripening
sucrose synthase and sucrose-phosphate synthase. Journal of Agriculture and
Food Chemistry 43, 347351.
Cordenunsi, B.R., Menezes, E.W., Genovese, M.I., Colli, C., Souza, A.G., Lajolo, F.M.,
2004. Chemical composition and glycemic index of Brazilian pine (Araucaria
angustifolia) seeds. Journal of Agriculture and Food Chemistry 52 (11), 3412
3416.
Cordenunsi, B.R., Saura-Calixto, F., Diaz-Rubio, M.E., Zuleta, A., Tine, M.A., Buckeridge, M.S., Silva, J.B., Carpio, C., Giuntini, E.B., Menezes, E.W., Lajolo, F.M.
Carbohydrate composition of ripe pineapple (cv. Perola) and the glycemic
response in humans. Ci. Tecnol. Aliment, in press.
Danone Vitapole/FAO, 2001. Glycemic index and health: the quality of the evidence.
In: John Libbey Eurotext, Nutrition and Health Collection, France, 48 p.
Elia, M., Cummings, J.H., 2007. Physiological aspects of energy metabolism and
gastrointestinal effects of carbohydrates. European Journal of Clinical Nutrition
61 (Suppl. 1), S40S74.
Food and Agriculture Organization (FAO), 1995. INFORME del taller CTPD sobre
production y manejo de dados de composicion quimica de alimentos en
nutricion de America Latina. FAO/Ocina Regional para la America Latina y
el Caribe (NUT-60), Santiago.
Food and Agriculture Organization/Red Latinoamericana de Datos de
Composicion de Alimentos (FAO/LATINFOODS), 2000. Tabla de Composicion
de Alimentos de America Latina. Retrieved 2008-01-16 from http://
www.rlc.fao.org/bases/alimento.
Food and Agriculture Organization/Red Latinoamericana de Datos de Composicion
de Alimentos (FAO/LATINFOODS), 2004. Segunda Conferencia Eletronica Avaliacao da qualidade dos dados para bases de dados e tabelas de composicao
qumica de alimentos. 11 a 29 de novembro de 2004. Retrieved 2008-01-16
from http://www.rlc.fao.org/foro/latinfoods/.
Food and Agriculture Organization/World Health Organization (FAO/WHO), 1998.
Carbohydrates in human nutrition: Report of a Joint FAO/WHO Expert Consulation, April 1418, 1997, Food and Nutrition Paper, 66, FAO, Rome, 140 p.
Foster-Powell, K., Holt, S.H.A., Brand-Miller, J.C., 2002. International table of glycemic index and glycemic load values. American Journal of Clinical Nutrition 76,
556.
Frost, G., Dornhorst, A., 2000. The relevance of the glycaemic index to our understanding of dietary carbohydrates. Diabetic Medicine 17, 336345.
Giuntini, E.B., Lajolo, F.M., Menezes, E.W., 2006. Tabela Brasileira de Composicao de
Alimentos TBCA-USP: Versoes 3 e 4. Archivos Latinoamericanos de Nutricion 56
(4), 183203.
Gray, J., 2006. Dietary FiberDenition, Analysis, Physiology & Health. ILSI Europe,
Belgium.
Greeneld, H., Southgate, D.A.T., 2003. Food Composition Data: Production, Management and Use, 2nd ed. Roma: Food and Agriculture Organization of United
Nations (FAO), Roma, 288 p.
452
E.W. Menezes et al. / Journal of Food Composition and Analysis 22 (2009) 446452
Hoebregs, H., 1997. Fructans in food and food products, ion-exchange chromatographic method: collaborative study. Journal of AOAC International 80, 1029
1037.
Instituto Brasileiro de Geograa e Estatstica (IBGE), 2004. Pesquisa de Orcamentos
Familiares 20022003. Analise da disponibilidade domiciliar de alimentos e do
estado nutricional no Brasil. Ministerio do Planejamento, Orcamento e Gestao.
Rio de Janeiro.
Jenkins, D.J., Kendall, C.W., Augustin, L.S., Franceschi, S., Hamidi, M., Marchie, A.,
Jenkins, A.L., Axelsen, M., 2002. Glycemic index: overview of implications
in health and disease. American Journal of Clinical Nutrition 76, 266S
273S.
Jenkins, D.J.A., Wolever, T.M.S., Taylor, R.H., Barker, H., Fielder, H., Baldwin, J.M.,
Bowling, A.C., Newman, H.C., Jenkins, A.L., Goff, D.V., 1981. Glycemic index of
foods: a physiological basis for carbohydrates exchange. American Journal of
Clinical Nutrition 34, 362366.
King, H., Aubert, R.E., Herman, W.H., 1998. Global burden of diabetes. Diabetes Care
21, 14141431.
Klensin, J.C., 1992. INFOODS: Food Composition Data Interchange. United Nations:
University Press, Tokyo, Japan. Retrivied 2008-01-16 from http://www.unu.edu/
unupress/unupbooks/80734e/80734E00.htm.
Lee, S.C., Prosky, L., Devries, J.W., 1992. Determination of total, soluble and insoluble
dietary ber in foods. Enzymatic-gravimetric method, Mes-TRIS Buffer: collaborative study. Journal of AOAC International 75, 395416.
Li, B.W., Andrews, K.W., Pehrsson, P.R., 2002. Individual sugars, soluble, and
insoluble dietary ber contents of 70 high consumption foods. Journal of Food
Composition and Analysis 15, 715723.
Liu, S., Willet, W.C., Stampfer, M.J., Hu, F.B., Franz, M., Sampson, L., Hennekens, C.H.,
Manson, J.E., 2000. A prospective study of dietary glycemic load, carbohydraste
intake, and risk of coronary heart disease in US woman. American Journal of
Clinical Nutrition 71, 14551461.
Ludwig, D.S., 2003. Glycemic load comes of age. Journal of Nutrition 133, 2695
2696.
McCleary, B.V., McNally, M., Rossiter, P., 2002. Measurement of resistant starch by
enzymatic digestion in starch selected plant materials: collaborative study.
Journal of AOAC International 85 (5), 11031111.
McCleary, B.V., Monaghan, D.A., 2002. Measurement of resistant starch. Journal of
AOAC International 85 (3), 665675.
McCleary, B.V., Rossiter, P., 2004. Measurement of novel dietary bres. Journal of
AOAC International 87, 707711.
McCready, R.M., Guggolz, J., Silveira, V., Owens, H.S., 1950. Determination of starch
and amylase in vegetables. Application to peas. Analytical Chemistry 22, 1.156
1.158.
Menezes, E.W., Goncalves, F.A.R., Giuntini, E.B., Lajolo, F.M., 2002. Brazilian Food
Composition Database: Internet dissemination and others recent developments. Journal of Food Composition and Analysis 15 (4), 453464.
Menezes, E.W., Lajolo, F.M., 2006. Marcadores in vivo e in vitro de carboidratos. In:
Lajolo, F.M., Menezes, E.W. (Eds.) Carbohidratos en alimentos regionales iberoamericanos. Proyecto CYTED/CNPq XI.18. Composicion, Estructura, Propiedades Biologicas de Carbohidratos y su Utilizacion en Alimentos, EDUSP, Sao
Paulo, pp.309334.
Menezes, E.W., Melo, A.T., Lima, G., Lajolo, F.M., 2004. Carbohydrate measurement
and energy value of foods. Journal of Food Composition and Analysis 17 (34),
331338.
Menezes, E.W., Ratto, A.T., Giuntini, E.B., Lajolo, F.M., 2005. Composicao de alimentos: compilacao e uniformizacao de estruturas para intercambio de dados.
Brazilian Journal of Food Technology 8 (1), 2533.
Miller, J.B., Pang, F., Broomhead, L., 1995. The glycemic index of foods containing
sugarscomparison of foods with naturally occurring vs added sugars. British
Journal of Nutrition 73, 613623.
Monro, J., Burlingame, B., 1996. Carbohydrates and related food compounds:
INFOODS tagnames, meanings, and uses. Journal of Food Composition and
Analysis 9, 100118.
Narayan, K.M.U., Gregg, E.W., Fagot-Campagna, A., Engelgan, M.M., Vinicor, F., 2000.
Diabetesa common, growing, serious, costly and potentially preventable
public health problem. Diabetes Research Clinical Practice 50, S7784.
Prosky, L., Hoebregs, H., 1999. Methods to determine food inulin and oligofructose.
Journal Nutrition 129, S1418SS1423S.
Rosin, P.M., Lajolo, F.M., Menezes, E.W., 2002. Measurement and characterization of
dietary starches. Journal of Food Composition and Analysis 15 (4), 367377.
Salmeron, J., Manson, J.E., Stampfer, M.F., Colditz, G.A., Wing, A.L., Willett, W.C.,
1997. Dieatry ber, glycemic load, and risk of non-insulin-dependent diabetes
mellitus in women. Journal of the American Medical Association 277, 472477.
Sydney University Glycemic Index Research Service (SUGIRS), 2007. Glycemic
index. Retrieved 2008-01-16 from http://www.glycemicindex.com/.
Toledo, A., Burlingame, B., 2006. Biodiversity and nutrition: a common path toward
food security and sustainable development. Journal of Food Composition and
Analysis 19, 477483.
Tovar, J., Melito, C., Herrera, E., Rascon, A., Perez, E., 2002. Resistant starch formation
does not parallel syneresis tendency in different starch gels. Food Chemistry 76,
455459.
Truswell, A.S., Bateson, D.J., Madaglio, K.C., Pennington, J.A.T., Rand, W.M., Klensin,
J.C., 1991. INFOODS Guidelines for describing foods: a systematic approach to
describing foods to facilitate international exchange of food composition data.
Journal of Food Composition and Analysis 4, 1838.
Universidade de Sao Paulo (USP), 1998. Faculdade de Ciencias Farmaceuticas.
Departamento de Alimentos e Nutricao Experimental. Tabela Brasileira de
Composicao de Alimentos-USP. Version 4.1. Retrieved 2008-1-16 from
http://www.fcf.usp.br/tabela.
Venn, B.J., Green, T.J., 2007. Glycemic index and glycemic load: measurement issues
and their effect on diet-disease relationships. European Journal of Clinical
Nutrition 61 (Suppl. 1), S122S131.
Wang, Y., Monteiro, C.A., Popkin, B.M., 2002. Trends of obesity and underweight in
older children and adolescents in the United States, Brazil, China, and Russia.
American Journal of Clinical Nutrition 75 (6), 971977.
Wolever, T.M., Jenkins, D.J.A., Jenkins, A.L., Josse, R.G., 1991. The glycemic index:
methodology and clinical implications. American Journal of Clinical Nutrition
54, 846854.
World Health Organization (WHO), 1997. Lepidemie dobesite expose des millions
de personnes a dautres maladies. Communique OMS/46.
World Health Organization (WHO), 2004. Global strategy on diet, physical activity
and health. Fifty-Seventh World Health Assembly. WHA57.17. Retrieved 200603-25 from http: www.who.int/gb/ebwha/pdf_les/WHA57/A57_R17-en.pdf.
20 p.
World Health Organization/Food and Agriculture Organization (WHO/FAO), 2003.
Diet, nutrition and prevention of chronic diseases. WHO Technical Report
Series, 916. Geneve, 149 p.