British Journal of Nutrition

Full Papers

Another approach to estimating the reliability of glycaemic index

Sheila M. Williamsa1 c1, Bernard J. Venna2, Tracy Perrya2, Rachel Browna2, Alison Wallacea3, Jim I. Manna2 and Tim J. Greena2

a1 Department of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, PO Box 913, Dunedin, New Zealand

a2 Department of Human Nutrition, University of Otago, Dunedin, New Zealand

a3 The New Zealand Institute for Crop and Food Research Limited, Lincoln, New Zealand

Abstract

The usefulness of the glycaemic index (GI) of a food for practical advice for individuals with diabetes or the general population depends on its reliability, as estimated by intra-class coefficient (ICC), a measure having values between 0 and 1, with values closer to 1 indicating better reliability. We aimed to estimate the ICC of the postprandial blood glucose response to glucose and white bread, instant mashed potato and chickpeas using the incremental area under the curve (iAUC) and the GI of these foods. The iAUC values were determined in twenty healthy individuals on three and four occasions for white bread and glucose, respectively, and for potato and chickpeas on a single occasion. The ICC of the iAUC for white bread and glucose were 0·50 (95 % CI 0·27, 0·73) and 0·49 (95 % CI 0·22, 0·75), respectively. The mean GI of white bread was 81 (95 % CI 74, 90) with a reliability of 0·27 indicating substantial within-person variability. The GI of mashed potato and chickpeas were 87 (95 % CI 76, 101) and 28 (95 % CI 22, 37) respectively with ICC of 0·02 and 0·40.The ICC of the iAUC were moderate and those of the GI fair or poor, indicating the heterogeneous nature of individuals' responses. The unpredictability of individual responses even if they are the result of day-to-day variation places limitations on the clinical usefulness of GI. If the very different GI of potato and chickpeas are estimates of an individual's every-day response to different foods, then the GI of foods may provide an indication of the GI of a long-term diet.

(Received March 23 2007)

(Revised November 05 2007)

(Accepted November 11 2007)

(Online publication January 11 2008)

Correspondence:

c1 Corresponding author: Dr Sheila Williams, fax +64 3 479 7298, email sheila.williams@stonebow.otago.ac.nz

Footnotes

Abbreviations: AUC, area under the curve; GI, glycaemic index; GL, glycaemic load; iAUC, incremental area under the curve; ICC, intra-class coefficient; OGTT, oral glucose tolerance test.

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