Sorghum-Soybean Flour Enteral Formula Reduces Blood Glucose, Cholesterol, Triglycerides, LDL, and Increases HDL and Albumin in Hyperglycemic Rats

Enny Probosari, Suci Noviya Dewi, Tsania Izza Alfadila, Endah Nur Handayani, Maura Sania Rizkita, Aryu Candra, Martha Ardiaria, Niken Puruhita, Etisa Adi Murbawani

Abstract


Background: Diabetes mellitus prevalence is rising. Liquid feeding in the form of enteral formulas is needed to meet the nutritional needs of patients who cannot consume orally. The development of enteral formulas based on sorghum-soybean flour for diabetes mellitus patients, which has been nutritionally analyzed and adjusted to the requirements of enteral manufacturing, was selected for further in vivo research. This study evaluated the effect of the sorghum-soybean flour formula on fasting blood glucose (FBG), lipid profile levels, and albumin in hyperglycemic rats.

Materials and methods: This was a true experimental study with pre–post-test randomized control design. Wistar rats were divided into four groups: negative control group was normal rats and given standard feed only; positive control group was hyperglycemic rats and given standard feed only; treatment (T)1 and T2 groups were hyperglycemic rats given standard feed along with enteral formula at a dose of 4,41 g/day and 5,51 g/day for 28 days. Blood samples were collected to analyze FBG, albumin, low-density lipoprotein (LDL), high-density lipoprotein (HDL), triglycerides, and total cholesterol.

Results: There were differences in the levels of FBG, albumin, LDL, HDL, triglycerides, and total cholesterol before and after the intervention in groups T1 and T2. Group T1 showed an 8.12% decrease in FBG, while T2 showed a 29.89% decrease. Triglycerides decreased by 29.22% in T1 and 31.85% in T2; cholesterol decreased by 11.41% in T1 and 13.94% in T2. LDL levels decreased by 29.97% in T1 and 38.44% in T2. Albumin levels increased by 47.90% in T1 and 56.67% in T2. HDL levels increased by 23.94% in T1 and in 35.04% in T2.

Conclusion: Administration of an enteral formula based on sorghum-soybean flour can reduce FBG, triglycerides, total cholesterol, and LDL levels, and increase albumin and HDL levels in hyperglycemic rats.

Keywords: hyperglycemia, enteral formula, albumin levels, fasting blood glucose, HDL, LDL, total cholesterol, triglycerides


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References


Oktora SI, Butar DB. Determinants of diabetes mellitus prevalence in Indonesia. J Kesehat Masy. 2022; 18(2): 266-73, CrossRef.

Lalla NSN, Rumatiga J. Ketikdakstabilan kadar glukosa darah pada pasien diabetes melitus tipe II. J Ilm Kesehat Sandi Husada. 2022; 11(2): 473-9, CrossRef.

Sciacqua A, Andreozzi F, Succurro E, Pastori D, Cammisotto V, Armentaro G, et al. Impaired clinical efficacy of aspirin in hypoalbuminemic patients with diabetes mellitus. Front Pharmacol. 2021; 12: 695961, CrossRef.

Saptaningtyas R, Wahyuhendra R, Isworo JT. Correlation between fasting blood sugar and LDL cholesterol of type 2 DM patients on William Booth Hospital Semarang. JJHSR. 2022; 4(3): 604-8, CrossRef.

Ozougwu JC, Obimba KC, Belonwu CD, Unakalamba CB. The pathogenesis and pathophysiology of type 1 and type 2 diabetes mellitus. J Physiol Pathophysiol. 2013; 4(4): 46-57, CrossRef.

Morris SF, Wylie-Rosett J. Medical nutrition therapy: A key to diabetes management and prevention. Clin diabetes. 2010; 28(1): 12-8, CrossRef.

Nilesh MR, Vilas PA, Ambadas JS, Sharadchandra MN. Formulation development of enteral nutrition products. Int Res J Pharm. 2011; 2(3): 19-2, article.

Anggraeni GD, Nissa C, Candra A, Kurniawati DM. Analisis kandungan gizi dan viskositas formula enteral berbasis tepung sorgum dan tepung kedelai untuk diabetes mellitus. J Nutr College. 2023; 12(4): 287-95, CrossRef.

Moraes ÉA, da Silva Marineli R, Lenquiste SA, Queiroz VAV, Camargo RL, Borck PC, et al. Whole sorghum flour improves glucose tolerance, insulin resistance and preserved pancreatic islets function in obesity diet-induced rats. J Funct Foods. 2018; 45: 530-40, CrossRef.

Barańska A, Błaszczuk A, Polz-Dacewicz M, Kanadys W, Malm M, Janiszewska M, et al. Effects of soy isoflavones on glycemic control and lipid profile in patients with type 2 diabetes: A systematic review and meta-analysis of randomized controlled trials. Nutrients. 2021; 13(6): 1886, CrossRef.

Soelistijo SA, Suastika K, Lindarto D, Decrolis E, Permana H, Sucipto KW. Pedoman Pengelolaan dan Pencegahan Diabetes Mellitus Tipe 2 Dewasa di Indonesia. Jakarta: PB Perkeni; 2021, article.

Dewi AC, Widyastuti N, Probosari E. Pengaruh pemberian tepung sorgum (Sorghum bicolor L. Moench) terhadap kadar glukosa darah puasa tikus diabetes. J Nutr College. 2020; 9(1): 63-70, CrossRef.

Daeli E, Ardiaria M. Pengaruh pemberian nasi beras merah (Oryza nivara) dan nasi beras hitam (Oryza sativa L. indica) terhadap perubahan kadar gula darah dan trigliserida tikus Wistar (Rattus norvegicus) diabetes melitus tipe 2. J Nutr Health. 2018; 6(2): 42-56, CrossRef.

Munjiati NE, Sulistiyowati R, Kurniawan. Pengaruh pemberian streptozotocin dosis tunggal terhadap kadar glukosa tikus Wistar (Rattus norvegicus). Meditory. 2021; 9(1): 62-7, CrossRef.

Zhong F, Jiang Y. Endogenous pancreatic β cell regeneration: A potential strategy for the recovery of β cell deficiency in diabetes. Front. Endocrinol. 2019; 10:101, CrossRef.

Tsalamandris S, Antonopoulos AS, Oikonomou E, Papamikroulis GA, Vogiatzi G, Papaioannou S, et al. The role of inflammation in diabetes: Current concepts and future perspectives. Eur Cardiol. 2019; 14(1): 50-9, CrossRef.

Setyowati D, Muna AN, Septiyani A, Widyastuti N, Margawati A, Ardiaria M, et al. Sorghum flour's effect on improving plasma lipid profile and atherogenic index in diabetic rats. Aceh Nutri J. 2023; 8(2): 186-95, CrossRef.

Naufalina MD, Sofro MA, Anjani G. Canavalia ensiformis protein extract effect toward serum lipid profile of hypercholesterolemic Sprague dawley rat. J Kesehat Masy. 2018; 14(1): 49-55, CrossRef.

Van Der Gronde T, Hartog A, Van Hees C, Pellikaan H, Pieters T. Systematic review of the mechanisms and evidence behind the hypocholesterolaemic effects of HPMC, pectin and chitosan in animal trials. Food Chem. 2016; 199: 746-59, CrossRef.

Agustiarini V, Wijaya DP. Uji Aktivitas antioksidan ekstrak etanol-air (1:1) bunga rosella (Hibiscus sabdariffa L.) dengan metode DPPH (1,1-difenil-2-pikrilhidrazil). J Penelit Sains. 2022; 24(1): 29-32, CrossRef.

Rakhmiditya HA, Kartini A. Pengaruh pemberian snack bar berbahan dasar kombinasi ubi jalar ungu dan kedelai (hitam dan kuning) terhadap kadar trigliserida pada wanita dewasa hipertrigliseridemia. J Nutr Coll. 2014; 3(1): 106-16, CrossRef.

Gropper SS, Smith JL. Advanced Nutrition and Human Metabolism. Boston: Cengage Learning; 2013, article.

Utari DM, Kartiko-Sari I, Kohno M, Yamamoto S. Textured soybean protein improved level of glycated albumin, LDL-Cholesterol, and protein intake in prediabetes postmenopausal overweight women. AIMS Agric Food. 2022; 7(2): 326-40, CrossRef.

Salam A, Battung SM. Efek protein sempurna dan tidak sempurna terhadap berat badan dan albumin tikus. J Indones Community Nutr. 2019; 8(1): 1-54, CrossRef.

Mariah S, Febriyany D, Sari AS. Pie Product Innovation Through Mung Bean Flour Substitution To Increase Family Economic Passion. Prosiding Pendidikan Teknik Boga Busana. 2020;15(1), article.

Pratiwi A, Murbawani EA. Pengaruh Pemberian formula enteral berbahan dasar labu kuning (Curcubita moschata) terhadap albumin serum pada tikus diabetes mellitus. J Nutr Coll. 2015; 4(2): 450-6, CrossRef.

Castaneda C, Bermudez OI, Tucker KL. Protein nutrition status and function are associated with type 2 diabetes in hispanic elders. Am J Clin Nutr. 2000; 72(1): 89-95, CrossRef.

Chen Q, Lu M, Monks BR, Birnbaum MJ. Insulin is required to maintain albumin expression by inhibiting forkhead box O1 protein. J Biol Chem. 2016; 291(5): 2371-8, CrossRef.

Kartika R, Wibowo H. Impaired function of regulatory T cells in type 2 diabetes mellitus. Mol Cell Biomed Sci. 2020; 4(1): 1-9, CrossRef.

Margo E, Pangkahila W, Aman IGM. Soymilk formula increases estrogen and reduces testosterone level in male infant white Wistar rats. Mol Cell Biomed Sci. 2019; 3(1): 22-5, CrossRef.




DOI: https://doi.org/10.21705/mcbs.v9i1.507

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