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Greater insulin response to acute fructose ingestion among Māori and Pacific people compared to European people living in Aotearoa New Zealand

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Authors:
Summary:

This study was designed to determine mediators of urate responses to a fructose load in a cohort of New Zealanders categorised by ethnicity: Māori (n=25), Pacific (n=26) and New Zealand European (n=25). Blood samples were obtained from each participant after consumption of a 64 g fructose/16 g glucose solution. The bloods were analysed for changes from baseline in lipids, glucose, insulin and C‐reactive protein. In analyses accounting for age and gender, glucose and insulin responses were significantly higher among people with higher BMI compared with those with lower BMI (p<0.01 for both comparisons). Whereas glucose levels were similar among people of Māori or Pacific ethnicity and those of New Zealand European ethnicity (p=0.077), Māori and Pasifika had significantly higher insulin responses (p=0.0005), which remained after additional BMI-adjusted analyses (p=0.001). Sugar‐sweetened beverage (SSB) intake was higher in the Māori and Pacific cohort than among New Zealand Europeans (median 1.0 vs 0.0 SSB/day; p=0.002).

Comment:
Many of you may have met Dr Chris King, a physician from the US who spent a good while in the Hawkes Bay testing this hypothesis. Chris would have been pleased to see these results, confirming his call to curb high-fructose drinks such as soft drinks, apple juice and beer. Sadly, he is not here to see it, as he was only days out from a return trip to Aotearoa to complete his research when shot and killed following a political argument with a President Trump supporter. Moe mai e hoa.
Reference: Intern Med J. 2019;49(2):196-202
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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