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Supplement

Resistant Starch

Resistant starch is a carbohydrate that escapes digestion and reaches the colon, where it feeds friendly gut bacteria that make butyrate. People mostly look at it for digestive wellness, and the evidence is strong: trials found fecal short-chain fatty acids rose. Support was moderate for lower blood glucose in type 2 diabetes, while very limited work on PCOS inflammation and kidney markers found no clear difference.

Sources: PMID 32959735

Best evidence
Grade A
Conditions studied
9
Outcomes
50
Graded outcomes
1305

Evidence by condition

  • Strong
  • Moderate
  • Limited
  • Very limited

9 conditions

General Gut Health: outcomes studied for Resistant Starch
GradeOutcomeEffectSizeStudiesPeopleStudies list
Fecal Short Chain Fatty Acids

Moderate Improvement

Improves (the measure goes up)Moderate effect136 people
Fecal WeightImproves (the measure goes down)1 study138 people
Type 2 Diabetes: outcomes studied for Resistant Starch
GradeOutcomeEffectSizeStudiesPeopleStudies list
Blood glucose

Small Improvement

Improves (the measure goes down)Small effect1 study503 people

Studies that measured blood glucose

TNF-AlphaImproves (the measure goes down)1 study467 people
C-Reactive Protein (CRP)Improves (the measure goes down)467 people
HbA1cImproves (the measure goes down)503 people
InsulinChanges; see studies503 people
Insulin ResistanceImproves (the measure goes down)503 people
Interleukin 6Improves (the measure goes down)467 people
Oxidative Stress BiomarkersImproves (the measure goes down)467 people
Superoxide Dismutase ActivityImproves (the measure goes up)467 people
Total Antioxidant Capacity (TAC)Improves (the measure goes up)467 people

Overweight

  • Blood glucose: improves
  • HbA1c: improves
  • Insulin: changes; see studies
Overweight: outcomes studied for Resistant Starch
GradeOutcomeEffectSizeStudiesPeopleStudies list
Blood glucose

Small Improvement

Improves (the measure goes down)Small effect1 study503 people

Studies that measured blood glucose

HbA1cImproves (the measure goes down)503 people
InsulinChanges; see studies503 people
Insulin ResistanceImproves (the measure goes down)503 people

Prediabetes

  • Blood glucose: improves
  • HbA1c: improves
  • Insulin: changes; see studies
Prediabetes: outcomes studied for Resistant Starch
GradeOutcomeEffectSizeStudiesPeopleStudies list
Blood glucose

Small Improvement

Improves (the measure goes down)Small effect1 study503 people

Studies that measured blood glucose

HbA1cImproves (the measure goes down)503 people
InsulinChanges; see studies503 people
Insulin ResistanceImproves (the measure goes down)503 people

Chronic Kidney Disease (CKD)

  • Blood Urea Nitrogen (BUN)
  • C-Reactive Protein (CRP)
  • Serum Phosphorus: changes; see studies
Chronic Kidney Disease (CKD): outcomes studied for Resistant Starch
GradeOutcomeEffectSizeStudiesPeopleStudies list
Blood Urea Nitrogen (BUN)

No effect

NoneNo effect203 people
C-Reactive Protein (CRP)

No effect

NoneNo effect167 people
Serum PhosphorusChanges; see studies2 studies205 people
TNF-AlphaImproves (the measure goes down)1 study116 people
High-density lipoprotein (HDL)Improves (the measure goes up)158 people
Interleukin 6Improves (the measure goes down)213 people
Kidney FunctionImproves (the measure goes up)197 people
Serum AlbuminImproves (the measure goes up)284 people
Total cholesterolImproves (the measure goes down)158 people
TriglyceridesImproves (the measure goes down)158 people
Uric AcidImproves (the measure goes down)168 people

Polycystic Ovary Syndrome (PCOS)

  • C-Reactive Protein (CRP)
  • TNF-Alpha: improves
  • Interleukin 6: improves
Polycystic Ovary Syndrome (PCOS): outcomes studied for Resistant Starch
GradeOutcomeEffectSizeStudiesPeopleStudies list
C-Reactive Protein (CRP)

No effect

NoneNo effect467 people
TNF-AlphaImproves (the measure goes down)1 study467 people
Interleukin 6Improves (the measure goes down)467 people
Oxidative Stress BiomarkersImproves (the measure goes down)467 people
Superoxide Dismutase ActivityImproves (the measure goes up)467 people
Total Antioxidant Capacity (TAC)Improves (the measure goes up)467 people

End-Stage Renal Disease

  • C-Reactive Protein (CRP)
  • TNF-Alpha: improves
  • Interleukin 6: improves
End-Stage Renal Disease: outcomes studied for Resistant Starch
GradeOutcomeEffectSizeStudiesPeopleStudies list
C-Reactive Protein (CRP)

No effect

NoneNo effect467 people
TNF-AlphaImproves (the measure goes down)1 study467 people
Interleukin 6Improves (the measure goes down)467 people
Oxidative Stress BiomarkersImproves (the measure goes down)467 people
Superoxide Dismutase ActivityImproves (the measure goes up)467 people
Total Antioxidant Capacity (TAC)Improves (the measure goes up)467 people

Metabolic Syndrome

  • C-Reactive Protein (CRP)
  • TNF-Alpha: improves
  • Interleukin 6: improves
Metabolic Syndrome: outcomes studied for Resistant Starch
GradeOutcomeEffectSizeStudiesPeopleStudies list
C-Reactive Protein (CRP)

No effect

NoneNo effect467 people
TNF-AlphaImproves (the measure goes down)1 study467 people
Interleukin 6Improves (the measure goes down)467 people
Oxidative Stress BiomarkersImproves (the measure goes down)467 people
Superoxide Dismutase ActivityImproves (the measure goes up)467 people
Total Antioxidant Capacity (TAC)Improves (the measure goes up)467 people

Appetite Regulation

  • Appetite: changes; see studies
Appetite Regulation: outcomes studied for Resistant Starch
GradeOutcomeEffectSizeStudiesPeopleStudies list
AppetiteChanges; see studies1 study264 people

Key findings

  • Fecal Short Chain Fatty AcidsGeneral Gut HealthImproves (the measure goes up)
  • Blood glucoseType 2 DiabetesImproves (the measure goes down)
  • Blood Urea Nitrogen (BUN)Chronic Kidney Disease (CKD)

Shop the evidence-backed picks

Third-party tested Resistant Starch products, in the forms the graded studies used where we can match them.

  • Grade A

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Studies cited

6 studies from PubMed

  1. Positive effects of resistant starch supplementation on bowel function in healthy adults: a systematic review and meta-analysis of randomized controlled trials.Int J Food Sci Nutr · PMID 27593182
  2. The effect of acute consumption of resistant starch on appetite in healthy adults; a systematic review and meta-analysis of the controlled clinical trialsClin Nutr ESPEN · PMID 33487300
  3. Effects of resistant starch on glycaemic control: a systematic review and meta-analysis.Br J Nutr · PMID 32959735
  4. The Effects of Resistant Starch on Biomarkers of Inflammation and Oxidative Stress: A Systematic Review and Meta-Analysis.Nutr Cancer · PMID 35188032
  5. Effects of resistant starch supplementation on renal function and inflammatory markers in patients with chronic kidney disease: a meta-analysis of randomized controlled trials.Ren Fail · PMID 39444299
  6. Effects of Resistant Starch on Patients with Chronic Kidney Disease: A Systematic Review and Meta-Analysis.J Diabetes Res · PMID 35899018