Metabolic and Nutritional Aspects of Xylitol

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This chapter discusses that xylitol is a five-carbon polyalcohol, pentitol, which is widely distributed in nature. Plants and fruits contain relatively large amounts of it but trace amounts of xylitol are also found in animals. Unlike glucose and galactose, xylitol is not actively transported through the intestinal mucosa. Although xylitol can enter almost all cells of an organism the liver cells are especially permeable. At the present time, it is believed that cost and gastrointestinal side effects prevent the use of xylitol as a major source of calories in oral nutrition. Xylitol has been recommended for parenteral nutrition for two reasons. First, amino acids do not react with sugar alcohols as they do with glucose. Second, it has been claimed that the tissues can use xylitol under postoperative and post-traumatic conditions in which considerable insulin resistance prevents the effective utilization of glucose. The use of rapidly absorbed carbohydrates, such as, sucrose is contraindicated for diabetics. A hemolytic anemia because of a deficiency of the glucose-6-phosphate dehydrogenase in red blood cells is a fairly common hereditary disease in some parts of the world. Xylitol has been tested sporadically in the treatment of several diseases. The chapter discusses that the amount of xylitol which can be taken per os is limited by its slow absorption and the resulting osmotic diarrhea. In the human body, xylitol is both an endogenous metabolite of the uronic acid cycle and an exogenous source of energy.

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