ID 775 -
	
		
			Fruktooligosacharydy z sacharozy
		
		
		
	 
PL: Fruktooligosacharydy z sacharozy
EN: Fructoligosaccharides from sucrose
Pdf: fructooligosaccharides
 
	Oświadczenie (2)
	
		
			-  i funkcje przewodu pokarmowego warunki
 
		
			-  lepsze warunki jelit (pH, produkcji SCFA) i pracę jelit
 
		
	
 
        
        
                
1. Charakterystyka żywności / składnika
                
                
                    The food constituent that is the subject of the health claim is fructooligosaccharides obtained from  sucrose.  
Fructooligosaccharides (FOS) obtained from sucrose are prepared by enzymatic elongation of sucrose,  and consist of a mixture of kestose (glucose-fructose-fructose, GF2), nystose (GF3) and  fructosylnystose (GF4), with an average degree of polymerisation (DPav) of 3.6, and are sometimes  referred to as short-chain fructooligosaccharides. They differ from natural fructans by degree of  polymerisation (DP) (only 10 % of native chicory inulins have a DP between 2 and 5) (Roberfroid,  2007), and from oligofructoses prepared by inulin hydrolysis (DP from 2 to 7, DPav 4) by the  systematic presence of a glucose moiety.  
The Panel considers that the food constituent, fructooligosaccharides (FOS) from sucrose, which is the  subject of the health claims, is sufficiently characterised.  
                 
                 
	        
        
        
        
        
                
2.2. Zmienia produkcję krótkołańcuchowych kwasów tłuszczowych (SCFA) i odczyn pH w przewodzie pokarmowym (ID 775)
                
                
                    The claimed effect is “improved intestinal conditions (pH, SCFA production) and intestinal  functions”. The Panel assumes that the target population is the general population.  
The Panel notes that the claimed effect refers to changes in short chain fatty acid (SCFA) production  and pH in the gastro-intestinal tract.  
The Panel considers that changes in SCFA production and pH in the gastro-intestinal tract are not per  se beneficial physiological effects, but need to be linked to a beneficial physiological or clinical  outcome. No evidence has been provided to indicate the context in which the claimed effect could be  considered as a beneficial physiological effect.   
The Panel concludes that a cause and effect relationship has not been established between the  consumption of fructooligosaccharides from sucrose and a beneficial physiological effect related to  changes in SCFA production and pH in the gastro-intestinal tract.   
                 
                 
	        
        
        
        
                
2.3. Zmiany w funkcjach jelita (ID 775, 778)
                
                
                    The claimed effects are “improved intestinal conditions (pH, SCFA production) and intestinal  functions”, and “gastrointestinal conditions and functions”. The Panel assumes that the target  population is the general population.  
In the context of the proposed wording, the Panel assumes that the claimed effects refer to changes in  bowel function.  
The Panel considers that changes in bowel function such as reduced transit time, more frequent bowel  movements, increased faecal bulk, or softer stools may be a beneficial physiological effect, provided  these changes do not result in diarrhoea.  
                 
                 
	        
        
        
        
                
2.4. Zmniejszenie dolegliwości ze strony przewodu pokarmowego (ID 775, 778)
                
                
                    The claimed effects are “improved intestinal conditions (pH, SCFA production) and intestinal  functions”, and “gastrointestinal conditions and functions”. The Panel assumes that the target  population is the general population.  
In the context of the proposed wording, the Panel assumes that the claimed effects refer to reducing  gastro-intestinal discomfort.  
The Panel considers that reduction of gastro-intestinal discomfort is a beneficial physiological effect.  
                 
                 
	        
        
        
        
        
                
3.2. Zmiany w funkcjach jelita (ID 775, 778)
                
                
                    Among the references provided were reviews, textbooks and opinions from authoritative bodies which  either did not address the claimed effect or did not contain any original data which could be used for  the scientific substantiation of the claimed effect. A number of human studies addressed the effects of  substances other than FOS or of a mixture of FOS with other substances, or addressed outcomes not  related to the claimed effect (e.g. abdominal comfort). The provided animal and in vitro studies  assessed endpoints not related to the claimed effect (e.g. butyrate content in faeces, SCFA content,  number of selected microbiota, β-galactosidase, α-glucosidase, β-glucosidase and β-glucuronidase  activity, colon crypts depth, numbers of epithelial and mitotic cells in the crypt columns, caecal wall  weight, proliferation index and indices of artificially provoked colitis). The Panel considers that no  conclusions can be drawn from these references for the scientific substantiation of the claimed effect.  
Bouhnik et al. (1996) found, in a randomised, placebo-controlled study in a group of healthy  volunteers (n=20) with saccharose as placebo, that FOS consumption of 12.5 g/day did not  significantly affect stool weight (FOS group: 134±22 g/day, placebo group: 121±19 g/day, p>0.05).  
In a randomised, single-blind, parallel trial FOS (mean dose 0.74±0.39 g/day) was added to cereal  formula intended for feeding infants and given for 28 days to a group of healthy term infants (n=27)  aged 4–12 months (mean 8.3 months) (Moore et al., 2003). The effect of FOS addition to cereals was  compared to the same cereals with the addition of the equivalent amount of maltodextrin (n=29). Stool  frequency was recorded by parents. The Panel notes that the tool used for assessing bowel function  (parent's assessment) was not validated, that the main aim of the study was to assess tolerance of FOS  given to infants, and that the sample size was relatively small. The Panel considers that no conclusions  can be drawn from this reference for the scientific substantiation of the claimed effect.  
In a single-blind study, Tokunaga et al. (1993) studied the effect of FOS (daily dose 1.3 or 5 g) on  intestinal microbiota and bowel function in 27 healthy volunteers. The Panel notes that the study was  not placebo-controlled, that no information about randomisation was given, and that multiple  comparison testing was not included in the statistical analysis. The Panel considers that no conclusions  can be drawn from this study for the scientific substantiation of the claimed effect.  
In weighing the evidence, the Panel took into account that the only relevant human study showed no  effect of FOS consumption on bowel function.  
The Panel concludes that a cause and effect relationship has not been established between the  consumption of fructooligosaccharides from sucrose and changes in bowel function.  
                 
                 
	        
        
        
        
                
3.3. Zmniejszenie dolegliwości ze strony przewodu pokarmowego (ID 775, 778)
                
                
                    All references considered in section 3.2. were also provided for the substantiation of this claim.  
A number of human studies addressed the effects of substances other than FOS or of a mixture of FOS  with other substances, or addressed outcomes not related to the claimed effect (e.g. stool frequency  and intestinal microbiota). The Panel considers that no conclusions can be drawn from these  references for the scientific substantiation of the claimed effect. 
S) from sucrose related health claims  
11 EFSA Journal 2010;9(4):2023  
Only one human study addressed the effect of FOS from sucrose on abdominal comfort.  
Paineau et al. (2008) evaluated in a randomised, multicentre, double-blind, placebo-controlled study  the effect of FOS from sucrose (5 g/day) vs. placebo (sucrose and maltodextrins) on the digestive  comfort of subjects with minor functional bowel disorders (n=105, mean age 38 years, 85 % women).  The prevalence and general frequency of digestive symptoms based on Rome II criteria were recorded  in a questionnaire including questions about the presence and intensity of five abdominal symptoms  (discomfort or pain; fullness, bloating or swelling; feeling of incomplete bowel movement; urgency;  straining at stool). This questionnaire (called the initial questionnaire) was used for inclusion, and at  the end of the study to determine changes in intensity of symptoms. The participants were also asked  to complete a questionnaire (called the consultation questionnaire) designed to assess the frequency of  digestive symptoms and stool quality before the intervention period and at the end of the study.  Quality of life was assessed using the French language functional digestive disorders quality of life  questionnaire (FDDQL). Baseline intensity of symptoms at the beginning of the study was similar in  both studied groups. The participants took two packets daily containing 2.5 g FOS or placebo for six  weeks. Eight subjects dropped out during the study (four in each group) and compliance was estimated  as good for 50 subjects (24 in FOS and 26 in placebo group). Final results were presented only for  these 50 subjects. The Panel notes that except for the quality of life questionnaire no information was  provided on the validation of the other questionnaires, that the validated quality of life questionnaire  alone is insufficient as an outcome measure, that a power calculation was not presented, that only the  data obtained from 48 % of the participants included in the study were used for statistical analysis of  the results, that no intention-to-treat analysis of the data was reported, and that in the statistical  analysis correction for multiple testing was not performed. The Panel considers that no conclusions  can be drawn from this study for the scientific substantiation of the claimed effect.  
The Panel concludes that a cause and effect relationship has not been established between the  consumption of fructooligosaccharides from sucrose and reduction of gastro-intestinal discomfort.  
                 
                 
	        
        
Warunki i możliwe ograniczenia stosowania oświadczenia
5g/ day