Dietary Fibre and 10-Year Mortality From Coronary Heart Disease, Cancer, and All Causes

Kromhout, Daan; Bosschieter, E; Coulander, Cor de Lezenne

doi:10.1016/s0140-6736(82)90600-6

Cited by 181 publications

(67 citation statements)

References 18 publications

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“…This study confirms in a Southern European population the inverse association found in studies from Northern Europe and the USA (Bolton-Smith et al, 1992; Burr & Sweetnam, 1982;Fehily et al, 1993;Humble et al, 1993;Khaw & BarrettConnor, 1987;Kromhout et al, 1982;Kushi et al, 1985;Morris et al, 1977;Pietinen et al, 1996;Rimm et al, 1996;Wolk et al, 1999). Only a few studies, however, adjusted for energy intake and presented data separately for different types and sources of fiber.…”

Section: Fiber and Myocardial Infarction E Negri Et Alsupporting

confidence: 82%

“…Several, mostly prospective, epidemiological studies, (Bolton-Smith et al, 1992;Burr & Sweetnam, 1982;Fehily et al, 1993;Humble et al, 1993;Khaw & Barrett-Connor, 1987;Kromhout et al, 1982;Kushi et al, 1985;Morris et al, 1977;Pietinen et al, 1996;Rimm et al, 1996;Wolk et al, 1999) have investigated the relation between fiber intake and risk of acute myocardial infarction (AMI) or cardiovascular disease in general. Most have found significant inverse associations, although only a few have presented estimates adjusted for energy intake and separately for different types and sources of fiber (Kushi et al, 1999).…”

Section: Introductionmentioning

confidence: 99%

“…Most have found significant inverse associations, although only a few have presented estimates adjusted for energy intake and separately for different types and sources of fiber (Kushi et al, 1999). These studies were conducted in the USA (Humble et al, 1993;Khaw & BarrettConnor, 1987;Kushi et al, 1985;Rimm et al, 1996;Wolk et al, 1999), the UK (Bolton-Smith et al, 1992;Burr & Sweetnam, 1982;Fehily et al, 1993;Kushi et al, 1985;Morris et al, 1977) or Northern Europe (Kromhout et al, 1982;Pietinen et al, 1996), and no data are available, to our knowledge, from Mediterranean countries, where the composition of the diet is qualitatively different, and smoking patterns and other relevant lifestyle habits and environmental exposures also differ.…”

Section: Introductionmentioning

confidence: 99%

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Fiber intake and risk of nonfatal acute myocardial infarction

et al. 2003

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Objective: To investigate the association between fiber intake and risk of acute myocardial infarction (AMI), also according to type and source of fiber, in a Mediterranean country. Design: Hospital-based case-control study. Setting: Northern Italy. Subjects: A total of 507 cases of first nonfatal AMI and 478 controls in hospital for acute conditions. Interventions: Subjects were interviewed with a questionnaire that included a validated food frequency section. Odds ratios (OR) were obtained using multiple logistic regression, and adjusted for several recognized risk factors for AMI. Fiber was measured as non-starch polysaccharides. Results: Compared with the lowest one, the OR in the highest tertile was 0.72 for total fiber, 0.64 for soluble fiber, 0.77 for total insoluble fiber, 0.71 for cellulose, 0.81 for insoluble non-cellulosic polysaccharides, 0.82 for vegetable fiber, 0.64 for fruit fiber and 1.11 for cereal fiber, and the estimates were statistically significant for soluble and fruit fiber. When further adjusted for bcarotene, vitamin C and vitamin E intake, the fruit fiber still showed the strongest inverse relation, although the association was no longer significant. The protective effect of fiber was more marked in, or restricted to, subjects with other AMI risk factors, such as smokers, diabetics and hypertensives. Conclusions: Though an inverse association between fiber intake and AMI risk appears established, the causality of this association is still open to debate. In this population, cereal fiber derives chiefly from refined grains, and this may explain the lack of protection by this type of fiber. Sponsorship: Partially supported by the Italian Ministry of Health.

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Section: Fiber and Myocardial Infarction E Negri Et Alsupporting

confidence: 82%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Fiber intake and risk of nonfatal acute myocardial infarction

et al. 2003

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“…The overall lower daily insulin concentrations, C-peptide excretion and fasting blood lipids seen during the HFDs (specially Nib regimens) compared with the LFD are all mechanisms that may be associated with the low incidence of myocardial infarction (MI) associated with an increased fibre intake (particularly cereal fibre) seen in a number of prospective, epidemiological studies (Kromhout et al, 1982;Kushi et al, 1985;Khaw & Barrett-Connor, 1987;Pietinen et al, 1996;Rimm et al, 1996;Jacobs et al, 1998;Liu et al, 1999;Wolk et al, 1999). The effect on blood lipids is modest and may be not the important factor related to a decreased risk of MI (Pietinen et al, 1996;Brown et al, 1999).…”

Section: Discussionmentioning

confidence: 99%

Effects of meal frequency and high-fibre rye-bread diet on glucose and lipid metabolism and ileal excretion of energy and sterols in ileostomy subjects

et al. 2004

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Objective: To investigate the effect of a rye, high-fibre diet (HFD) vs a wheat, low-fibre diet (LFD), meal frequency, nibbling (Nib, seven times a day) or ordinary (Ord, three times a day), and their combined effects on blood glucose, insulin, lipids, urinary C-peptide and ileal excretion of energy, cholesterol and bile acids in humans. Design: LFD period with Nib or Ord meal frequency followed by an HFD diet with Nib or Ord meal frequency in randomized, crossover design. Setting: Outpatients of ileostomy volunteers were called for an investigation in research word. Subjects: A total of 10 subjects (two female subjects, age 34 and 51 y; eight males, mean age 54.4 y, range 43-65 y) participated in the experiment. All subjects were proctocolectomized for ulcerative colitis (mean 16.0 y, range 8-29 y before the study). Intervention: In total, 10 ileostomy subjects started with LFD for 2 weeks, the first week on either Nib (five subjects) or Ord (five subjects) and the second week on the other meal frequencies, in a crossover design, followed by a wash-out week, and continued with HFD period for 2 weeks in the same meal frequency manner. All foods consumed in both Nib or Ord regimens were identical and a high-fibre rye bread was used in the HFD period and a low-fibre wheat bread in the LFD period. Main outcome measures: Day-profiles of blood glucose, insulin and lipids, blood lipids before and after dietary intervention, and excretion of steroids in the effluents and C-peptide in the urine. Results: During the Nib regimen, plasma glucose and insulin peaks were lower at the end of the day with HFD compared with LFD. Urinary C-peptide excretion was significantly higher in the day-time on LFD compared with HFD (LFD-Ord vs HFD-Ord, Po0.01; LFD-Nib vs HFD-Nib, Po0.01). Plasma free-cholesterol, total cholesterol, triglycerides and phospholipids were significantly higher (Po0.05) after LFD than after HFD with the Nib regimen. A higher excretion of energy (Po0.05) and chenodeoxycholic acid (Po0.05) were observed with HFD compared with LFD regardless of meal frequency. A higher daily excretion of cholic acid, total bile acids, cholesterol, net cholesterol and net sterols (Po0.05) was observed on HFD compared with LFD with the Nib regimen. Conclusions: An HFD decreased insulin secretion measured as a decreased excretion of C-peptide in urine and as decreased plasma insulin peaks at the end of the day during a Nib regimen. The smoother glycaemic responses at the end of the day during a Nib regimen may be a consequence of a second meal phenomenon, possibly related to the nature of dietary fibre complex. Contributors: EAL and JXZ were responsible for the study design, conducting the dietary intervention, completing the statistical analysis and writing the paper. PT was responsible for the study design and conducting the dietary intervention of the study. DL was involved in the advisory of writing the paper and the analysis of the blood lipids. PÅ was involved in the concept and planning, and the analysis of the nutrients in the...

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“…Burkitt [4] attributed part of the lower risk of colon cancer in Africans to their high unabsorbable-fiber diet. Since that time, high dietary fiber intake has been shown to help prevent or treat hyperlipidemia [5], cardiovascular disease [6], hypertension [7], obesity [8], certain cancers [9], gastrointestinal disorders [10], and diabetes [11].…”

Section: Introductionmentioning

confidence: 99%

Influence of two dietary fibers in the oral bioavailability and other pharmacokinetic parameters of ethinyloestradiol

et al. 2000

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Dietary fibers are widely used in hypoglycaemic, hypolipidemic, slimming diets. It is probable that their ingestion coincides with the oral administration of drugs and a modification of their pharmacokinetics can appear. In the present study, the influence of two soluble fibers (guar gum and psyllium) was evaluated on the pharmacokinetics of ethinyloestradiol (EE) when they were administered together to female rabbits via the oral route. Three groups of rabbits were used. All animals received 1 mg/kg of EE; this compound was administered alone in the control group and with 3.5 g of guar gum or psyllium in the other two groups. When guar gum was administered, there was a decrease in the extent of EE absorbed, but no change was observed in the rate of absorption. When psyllium was administered, the extent of EE absorbed increased slightly and the rate of absorption was slower.

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Dietary Fibre and 10-Year Mortality From Coronary Heart Disease, Cancer, and All Causes

Cited by 181 publications

References 18 publications

Fiber intake and risk of nonfatal acute myocardial infarction

Fiber intake and risk of nonfatal acute myocardial infarction

Effects of meal frequency and high-fibre rye-bread diet on glucose and lipid metabolism and ileal excretion of energy and sterols in ileostomy subjects

Influence of two dietary fibers in the oral bioavailability and other pharmacokinetic parameters of ethinyloestradiol

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