Enhancing anti-diabetic properties of purple sweet potato through pre-gelatinization and yogurt fermentation: A systematic review

Aloisia Lovy Widiati* -  Master of Nutrition Science, Department of Nutrition, Faculty of Health Scienses, Universitas Brawijaya, Malang, East Java, Indonesia
Irma Sari Rahmawati -  Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya, Malang, East Java, Indonesia
Kiki Fibrianto -  Department of Food Science and Biotechnology, Faculty of Agricultural Technology, Universitas Brawijaya, Malang, East Java, Indonesia
The prevalence of diabetes mellitus in Indonesia reached 11.7% in 2023. Purple sweet potatoes contain antidiabetic bioactive compounds whose levels and bioavailability are affected by processing methods such as pre-gelatinization and fermentation. This study aimed to evaluate whether the combination of these two processes can improve the antidiabetic properties of these tubers. This systematic review followed the guidelines of PRISMA and PICO, with a literature search for 2015–2025 on PubMed, ScienceDirect, Scopus, and Web of Science. The inclusion criteria were experimental studies that evaluated the effects of pre-gelatinization or fermentation of sweet potatoes on antidiabetic indicators, while review articles were excluded. Eighteen studies met the inclusion criteria. The quality assessment of the study used ToxRTool modification (in vitro) and SYRCLE (in vivo). The results showed that fermentation was beneficial for the antidiabetic potential of these tubers, whereas the effects of pre-gelatinization varied depending on the method. Methods that have proven to be beneficial include steaming and retrogradation. The combination of these two processes shows potential synergistic effects, but the evidence is still limited. Because these findings are based on in vitro and in vivo studies, the results must be interpreted carefully.

Keywords : Diabetes mellitus, diabetes management, yogurt, fermentation, ipomoea batatas, pre-gelatinized starch, bioavailability

  1. Akomolafe, S. F., Ajayi, O. O., Agboola, O. E., & Adewale, O. O. (2025). Comparative evaluation of the antidiabetic potential of three varieties of Ipomoea batatas L. Toxicology Reports, 14, 102015. https://doi.org/10.1016/j.toxrep.2025.102015
  2. Alkhatib, A., Tsang, C., Tiss, A., Bahorun, T., Arefanian, H., Barake, R., Khadir, A., & Tuomilehto, J. (2017). Functional foods and lifestyle approaches for diabetes prevention and management. Nutrients, 9(12), 1–18. https://doi.org/10.3390/nu9121310
  3. Antar, S. A., Ashour, N. A., Sharaky, M., Khattab, M., Ashour, N. A., Zaid, R. T., Roh, E. J., Elkamhawy, A., & Al-karmalawy, A. A. (2023). Diabetes mellitus: Classification, mediators, and complications; A gate to identify potential targets for the development of new effective treatments Samar. Biomedicine & Pharmacotherapy, 168, 115734. https://doi.org/10.1016/j.biopha.2023.115734
  4. Arisanti, C. I. S., Wirasuta, I. M. A. G., Musfiroh, I., Ikram, E. H. K., & Muchtaridi, M. (2023). Mechanism of Anti-Diabetic Activity from Sweet Potato (Ipomoea batatas): A Systematic Review. Foods, 12(14), 1–16. https://doi.org/10.3390/foods12142810
  5. Barengolts, E., Smith, E. D., Reutrakul, S., Tonucci, L., & Anothaisintawee, T. (2019). The effect of probiotic yogurt on glycemic control in type 2 diabetes or obesity: A meta-analysis of nine randomized controlled trials. Nutrients, 11(3), 6–8. https://doi.org/10.3390/nu11030671
  6. Bedin, A. C., Bach, D., da Silva Junges, M. F., Lacerda, L. G., & Demiate, I. M. (2023). Influence of Cooking Method on the in Vitro Digestibility of Starch from Sweet Potato Roots. Brazilian Archives of Biology and Technology, 66, 1–11. https://doi.org/10.1590/1678-4324-2023230872
  7. Britos, S., González, A. F., Marcó, F. F., Katz, M., Schuldberg, J., Torresani, M. E., & Vinderola, G. (2024). Yogurt, in the context of a healthy diet, for the prevention and management of diabetes and obesity: a perspective from Argentina. Frontiers in Nutrition, 11, 1373551. https://doi.org/10.3389/fnut.2024.1373551
  8. Cakrawati, D., Srivichai, S., & Hongsprabhas, P. (2021). Effect of steam-cooking on (Poly)phenolic compounds in purple yam and purple sweet potato tubers. Food Research, 5(1), 330–336. https://doi.org/10.26656/fr.2017.5(1).407
  9. Cheong, J. J., Ahmad, F., & Tengku Rozaina, T. M. (2022). Effects of cooking methods on physicochemical properties, antioxidant properties and sensory acceptability of purple sweet potato (Ipomoea batatas). Food Research, 6(6), 257–266. https://doi.org/10.26656/fr.2017.6(6).1008
  10. Cho, N. H., Shaw, J. E., Karuranga, S., Huang, Y., da Rocha Fernandes, J. D., Ohlrogge, A. W., & Malanda, B. (2018). IDF Diabetes Atlas: Global estimates of diabetes prevalence for 2017 and projections for 2045. Diabetes Research and Clinical Practice, 138, 271–281. https://doi.org/10.1016/j.diabres.2018.02.023
  11. Dereje, B., Girma, A., Mamo, D., & Chalchisa, T. (2020). Functional properties of sweet potato flour and its role in product development: a review. International Journal of Food Properties, 23(1), 1639–1662. https://doi.org/10.1080/10942912.2020.1818776
  12. Dos Santos, T. P. R., Franco, C. M. L., Mischan, M. M., & Leonel, M. (2019). Improvement in spray-drying technology for preparation of pregelatinized cassava starch. Food Science and Technology (Brazil), 39(4), 939–946. https://doi.org/10.1590/fst.10418
  13. Fathurrizqiah, R., & Panunggal, B. (2015). Kandungan Pati Resisten, Amilosa, dan Amilopektin Snack Bar Sorgum sebagai Alternatif Makanan Selingan bagi Penderita Diabetes Mellitus Tipe 2. Journal of Nutrition College, 4(2), 562–569. https://doi.org/10.14710/jnc.v4i4.10163
  14. Fitria, M. N., & Wikandari, P. R. (2024). Study on Antioxidant Activity of Purple Sweet Potato (Ipomoea batatas) Juice Fermented with Lactobacillus plantarum B1765. 1744, 846–853. https://doi.org/10.29303/jpm.v19i5.7286
  15. Fliegerová, K. O., Mahayri, T. M., Sechovcová, H., Mekadim, C., Mrázek, J., Jarošíková, R., Dubský, M., & Fejfarová, V. (2024). Diabetes and gut microbiome. Frontiers in Microbiology, 15(January), 1–18. https://doi.org/10.3389/fmicb.2024.1451054
  16. García-Martínez, R. M., Rodiles-López, J. O., & Martínez-Flores, H. E. (2024). Nutritional Value and Antioxidant Capacity of Mexican Varieties of Sweet Potato (Ipomoea batatas L.) and Physicochemical and Sensory Properties of Extrudates. Polish Journal of Food and Nutrition Sciences, 74(4), 376–386. https://doi.org/10.31883/pjfns/195146
  17. Gijsbers, L., Ding, E. L., Malik, V. S., De Goede, J., Geleijnse, J. M., & Soedamah-Muthu, S. S. (2016). Consumption of dairy foods and diabetes incidence: A dose-response meta-analysis of observational studies. American Journal of Clinical Nutrition, 103(4), 1111–1124. https://doi.org/10.3945/ajcn.115.123216
  18. Goff, H. D., Repin, N., Fabek, H., Khoury, D. El, & Gidley, M. J. (2018). Bioactive Carbohydrates and Dietary Fibre Dietary fi bre for glycaemia control : Towards a mechanistic understanding. Bioactive Carbohydrates and Dietary Fibre, 14, 39–53. https://doi.org/10.1016/j.bcdf.2017.07.005
  19. Gofur, A., Arifah, S. N., Atho’illah, M. F., Ardiansyah, E., Sa’adah, N. A. M., Pratiwi, C. K. A., Mawarti, K., Witjoro, A., Lestari, S. R., Mas’udah, S., & Lelitawati, M. (2024). Evaluation of antioxidant properties from purple tubers and their ability to improve glucose and lipid metabolism in streptozotocin-induced diabetic rats. Phytomedicine Plus, 4(2), 100542. https://doi.org/10.1016/j.phyplu.2024.100542
  20. He, J., Han, Y., Liu, M., Wang, Y., Yang, Y., & Yang, X. (2019). Effect of 2 types of resistant starches on the quality of yogurt. Journal of Dairy Science, 102, 3956–3964. https://doi.org/10.3168/jds.2018-15562
  21. He, R., Li, S., Zhao, G., Zhai, L., Qin, P., & Yang, L. (2023). Starch Modification with Molecular Transformation, Physicochemical Characteristics, and Industrial Usability: A State-of-the-Art Review. Polymers, 15, 2935. https://doi.org/https://doi.org/10.3390/polym15132935
  22. Júnior, P. C. da C., Silva, M. T. de C., Barbosa, M. I. M. J., & Ferreira, E. H. da R. (2024). Application of lyophilized purple-fleshed sweet potato powder as a multifunctional ingredient in Greek yogurt. Ciencia Rural, 54(3). https://doi.org/10.1590/0103-8478cr20220688
  23. Kandhare, A. D., Thakurdesai, P. A., Wangikar, P., & Bodhankar, S. L. (2019). A systematic literature review of fenugreek seed toxicity by using ToxRTool : evidence from preclinical and clinical studies. HLY, 5(4), e01536. https://doi.org/10.1016/j.heliyon.2019.e01536
  24. Kayode, A. A. A., Adebodun, G. O., Fabunmi, D. I., & Kayode, O. T. (2023). Role of functional foods in the management of diabetes mellitus: a concise review. Bioactive Molecules and Pharmaceuticals, 2(7), 29–42. https://doi.org/10.31989/bmp.v2i7.1132
  25. Kemenkes RI. (2019). Laporan Nasional Riskesdas 2018.
  26. Kemenkes RI. (2023). Survei Kesehatan Indonesia (SKI).
  27. Khairani, A. F., Atik, N., Rahman, P. H. A., Rohmawaty, E., Noviyanti, C., Santika, R., Arimathea, J., & Shalannandia, W. A. (2022). Purple Sweet Potato Yogurt Affects Lipid Metabolism and Reduces Systemic Inflammation and Oxidative Stress in High Fat Diet Mice. Indonesian Biomedical Journal, 14(3), 252–260. https://doi.org/10.18585/inabj.v14i3.1921
  28. Kilinç, M., Akarca, G., & Denizkara, A. J. (2025). Effect of Lyophilised Sweet Potato on the Quality and Nutritional Characteristics of Set Yogurt. Food Science & Nutrition, 13, e70111. https://doi.org/10.1002/fsn3.70111
  29. Kozłowska, A., & Nitsch-Osuch, A. (2024). Anthocyanins and Type 2 Diabetes: An Update of Human Study and Clinical Trial. Nutrients, 16(11), 1674. https://doi.org/10.3390/nu16111674
  30. Lee, S. G., Chae, J., Kim, D. S., Lee, J. B., Kwon, G. S., Kwon, T. K., & Nam, J. O. (2021). Enhancement of the Antiobesity and Antioxidant Effect of Purple Sweet Potato Extracts and Enhancement of the Effects by Fermentation. Antioxidants, 10, 888. https://doi.org/10.3390/antiox10060888
  31. Liu, J., Lu, W., Liang, Y., Wang, L., Jin, N., Zhao, H., Fan, B., & Wang, F. (2022). Research Progress on Hypoglycemic Mechanisms of Resistant Starch: A Review. Molecules, 27, 7111. https://doi.org/10.3390/molecules27207111
  32. Mahardani, O. T., & Yuanitas, L. (2021). Senyawa Fenolik Dan Aktivitas Antioksidan. UNESA Journal of Chemistry, 10(1), 64–78. https://doi.org/10.26740/ujc.v10n1.p64-78
  33. Mahgoub, M. O., Ali, I. I., Adeghate, J. O., Tekes, K., Kalász, H., & Adeghate, E. A. (2023). An Update on the Molecular and Cellular Basis of Pharmacotherapy in Type 2 Diabetes Mellitus. International Journal of Molecular Sciences, 24(11). https://doi.org/10.3390/ijms24119328
  34. Mi, W., Hu, Z., Zhao, S., Wang, W., Lian, W., Lu, P., & Shi, T. (2024). Purple sweet potato anthocyanins normalize the blood glucose concentration and restore the gut microbiota in mice with type 2 diabetes mellitus. Heliyon, 10(11), e31784. https://doi.org/10.1016/j.heliyon.2024.e31784
  35. Nabot, M., Garcia, C., Seguin, M., Ricci, J., Brabet, C., & Remize, F. (2024). Bioactive Compound Diversity in a Wide Panel of Sweet Potato (Ipomoea batatas L.) Cultivars: A Resource for Nutritional Food Development. Metabolites, 14, 523. https://doi.org/10.3390/metabo14100523
  36. Namazi, N., Esmaeili, S., Ahmadikhatir, S., Razi, F., Nasli-Esfahani, E., & Larijani, B. (2021). Nutrition and Diet Therapy in Diabetes Mellitus: A Roadmap based on available evidence. Journal of Diabetes and Metabolic Disorders, 20, 1913–1918. https://doi.org/10.1007/s40200-021-00876-2
  37. Naomi, R., Bahari, H., Yazid, M. D., Othman, F., Zakaria, Z. A., & Hussain, M. K. (2021). Potential effects of sweet potato (Ipomoea batatas) in hyperglycemia and dyslipidemia — A systematic review in diabetic retinopathy context. International Journal of Molecular Sciences, 22(19), 1–21. https://doi.org/10.3390/ijms221910816
  38. Nistor, M., Schmidt, M., Graul, I., Rakers, F., & Schiffner, R. (2019). A Systematic Review of Neuroprotective Strategies in the Management of Hypoglycemia. Cvd. https://doi.org/10.3390/ijms20030550
  39. Noman, A. M., Sultan, M. T., Maaz, M., Mazhar, A., Tariq, N., Imran, M., Hussain, M., Mujtaba, A., Abdelgawad, M. A., Mostafa, E. M., Ghoneim, M. M., Selim, S., & Al Jbawi, E. (2025). Nutraceutical Potential of Anthocyanins: A Comprehensive Treatise. Food Science and Nutrition, 13(5), 1–22. https://doi.org/10.1002/fsn3.70164
  40. Noreen, S., Niazi, M. K., Shehzadi, S., Ikram, A., Arshad, M. T., & Gnedeka, K. T. (2024). Extend the emphasis to encompass sweet potatoes health advantages, industrial applications, and nutritional qualities. CYTA - Journal of Food, 22(1). https://doi.org/10.1080/19476337.2024.2390994
  41. Pan, L., Zhang, C. J., Bai, Z., Liu, Y. Y., Zhang, Y., Tian, W. Z., Zhou, Y., Zhou, Y. Y., Liao, A. M., Hou, Y. C., Yu, G. H., Hui, M., & Huang, J. H. (2023). Effects of different strains fermentation on nutritional functional components and flavor compounds of sweet potato slurry. Frontiers in Nutrition, 10, 1241580. https://doi.org/10.3389/fnut.2023.1241580
  42. Perkeni. (2021). Pedoman Pengelolaan dan Pencegahan Diabetes Melitus Tipe 2 Dewasa di Indonesia 2021.
  43. Pichaiyongvongdee, S., Rattanapun, B., Singkong, W., Chysirichote, T., Rasamipaiboon, N., & Phongsopa, J. (2025). The Effects of Preprocessing and Drying Methods on the Quality of a Nutritious Dried Soup Product Derived from Purple Sweet Potatoes and Chinese Kale Leaves. Current Research in Nutrition and Food Science, 13(1), 271–289. https://doi.org/10.12944/CRNFSJ.13.1.18
  44. Rosell, M. de los Á., Quizhpe, J., Ayuso, P., Peñalver, R., & Nieto, G. (2024). Proximate Composition, Health Benefits, and Food Applications in Bakery Products of Purple-Fleshed Sweet Potato (Ipomoea batatas L.) and Its By-Products: A Comprehensive Review. Antioxidants, 13, 954. https://doi.org/10.3390/antiox13080954
  45. Ruttarattanamongkol, K., Chittrakorn, S., Weerawatanakorn, M., & Dangpium, N. (2016). Effect of drying conditions on properties, pigments and antioxidant activity retentions of pretreated orange and purple-fleshed sweet potato flours. Journal of Food Science and Technology, 53(4), 1811–1822. https://doi.org/10.1007/s13197-015-2086-7
  46. Salas-Salvadó, J., Guasch-Ferré, M., Díaz-López, A., & Babio, N. (2017). Yogurt and diabetes: Overview of recent observational studies. The Journal of NutritionJournal of Nutrition, 147(7), 1452S-1461S. https://doi.org/10.3945/jn.117.248229
  47. Setiarto, R. H. B., & Widhyastuti, N. (2017). Pengaruh Fermentasi Bakteri Asam Laktat dan Siklus Pemanasan Bertekanan-Pendinginan Terhadap Kadar Pati Resisten Tepung Ubi Jalar Ungu (Ipomea Batatas Var Ayamurasaki) Termodifikasi. Warta Industri Hasil Pertanian, 34(1), 26. https://doi.org/10.32765/wartaihp.v34i1.4069
  48. Sivamaruthi, B. S., Kesika, P., Prasanth, M. I., & Chaiyasut, C. (2018). A mini review on antidiabetic properties of fermented foods. Nutrients, 10(12), 1–18. https://doi.org/10.3390/nu10121973
  49. Supadil, D., Melia, S., & Juliyarsi, I. (2024). Impact of Adding Different Sweet Potato Flour Types (Ipomoea Batatas L.) at Various Percentages on the Antioxidant Activity and Microbiological Quality of Probiotic Fermented Milk (Pediococcus acidilactici BK01). Advances in Animal and Veterinary Sciences, 12(10), 1903. https://dx.doi.org/10.17582/journal.aavs/2024/12.10.1903.1910
  50. Tong, Y., Wang, Z., Tong, Q., & Liu, Y. (2024). Effects of Lactic Acid Bacteria Fermentation and In Vitro Simulated Digestion on the Bioactivities of Purple Sweet Potato Juice. Foods, 13, 4094. https://doi.org/10.3390/foods13244094
  51. Ulfa, G. M., Putri, W. D. R., Fibrianto, K., & Widjanarko, S. B. (2021). Optimization studies on pre-gelatinized sweet potato starch influenced by temperature and time. Food Research, 5(2), 25–30. https://doi.org/10.26656/fr.2017.5(S2).017
  52. Wijaya, A., Muhandri, T., Hasanah, U., & Setiarto, R. H. B. (2024). Physical, Chemical, Fermentation and Enzymatic Modification Technology to Increase Resistant Starch and Improve Prebiotic Properties of High Carbohydrate Foods. Reviews in Agricultural Science, 12, 377–400. https://doi.org/https://doi.org/10.7831/ras.12.0_377
  53. Yang, S., Hu, W., Qiao, S., Song, W., & Tan, W. (2025). Advances in Processing Techniques and Determinants of Sweet Potato Starch Gelatinization. Foods, 14, 545. https://doi.org/10.3390/foods14040545
  54. Ye, S. J., & Baik, M. Y. (2023). Characteristics of physically modified starches. Food Science and Biotechnology, 32(7), 875–883. https://doi.org/10.1007/s10068-023-01284-3
  55. Zheng, Y., Wang, Q., Li, B., Lin, L., Tundis, R., Loizzo, M. R., Zheng, B., & Xiao, J. (2016). Characterization and prebiotic effect of the resistant starch from purple sweet potato. Molecules, 21(7). https://doi.org/10.3390/molecules21070932

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