Dietary fiber intake and risk of metabolic syndrome: A meta-analysis of observational studies

Wei, Baozhu; Liu, Yang; Lin, Xuan; Fang, Ying; Cui, Jing; Wan, Jing

doi:10.1016/j.clnu.2017.10.019

Cited by 75 publications

(52 citation statements)

References 42 publications

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“…While the recommended intake of dietary fiber is 30 g per day (in the UK) the average intake is closer to 18 g per day. The reduction in wholegrain consumption associated with a low-carbohydrate diet could accentuate that deficit and low intake of dietary fiber is associated with an increased risk of metabolic [109] and colonic [110] disease. However, we have found in practice that adopting a low-carbohydrate diet which limits ultra-processed foods and includes nuts, seeds, non-starchy vegetables and low-carbohydrate fruits tends to lead to a net gain rather than a reduction in patients' dietary fiber intake compared to baseline.…”

Section: Ensure Adequate Fiber Intakementioning

confidence: 99%

Low-Carbohydrate Diets in the Management of Obesity and Type 2 Diabetes: A Review from Clinicians Using the Approach in Practice

Kelly

Unwin²,

Finucane

2020

IJERPH

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Low-carbohydrate diets are increasingly used to help patients with obesity and type 2 diabetes. We sought to provide an overview of the evidence for this treatment approach, considering the epidemiology and pathophysiology of obesity and diabetes in terms of carbohydrate excess. We describe the mechanistic basis for the clinical benefits associated with nutritional ketosis and identify areas of practice where the evidence base could be improved. We summarize the key principles which inform our approach to treating patients with low-carbohydrate diets. The scientific controversy relating to these diets is real but is consistent with the known challenges of any dietary interventions and also the limitations of nutritional epidemiology. Secondly, notwithstanding any controversy, international guidelines now recognize the validity and endorse the use of these diets as a therapeutic nutritional approach, in appropriate patients. Thirdly, we have found that early de-prescription of diabetes medications is essential, in particular insulin, sulphonylureas, and sodium-glucose cotransporter (SGLT2) inhibitors. Fourthly, we encourage patients to eat ad libitum to satiety, rather than calorie counting per se. Furthermore, we monitor cardiovascular risk factors frequently, as with all patients with obesity or diabetes, but we do not necessarily consider an increase in low-density lipoprotein (LDL)-cholesterol as an absolute indication to stop these diets, as this is usually related to large LDL particles, which are not associated with increased cardiovascular risk. In the absence of large randomized controlled trials with cardiovascular and other hard endpoints, adopting a low-carbohydrate diet is a legitimate and potentially effective treatment option for patients with diabetes or obesity.

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Section: Ensure Adequate Fiber Intakementioning

confidence: 99%

Low-Carbohydrate Diets in the Management of Obesity and Type 2 Diabetes: A Review from Clinicians Using the Approach in Practice

Kelly

Unwin²,

Finucane

2020

IJERPH

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“…Previous studies have shown that fiber intake exhibits numerous health benefits and is related to the prevention of noncommunicable chronic diseases such as colon, rectal and breast cancers, metabolic syndrome, oxidative stress and inflammation, cardiovascular diseases and the control of serum cholesterol and glycemic levels (de Vries, Birkett, Hulshof, Verbeke, & Kernon, 2000;SACN, 2016;Sardinha, Canella, Martins, Claro, & Levy, 2014;Wei et al, 2017). The solubility and chemical structure of fiber may also influence the appetite regulation, energy intake and body weight (dos Santos et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Sensory Profile, Drivers of Liking, and Influence of Information on the Acceptance of Low‐Calorie Synbiotic and Probiotic Chocolate Ice Cream

Peres

Esmerino

Silva

et al. 2018

Journal of Food Science

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“…Most of the studies showed that fiber intake affected the occurrence of cardiovascular disease. Research from four meta-analyses of the effect of fiber diet and the risk of cardiovascular disease has been found by Rae (2017), Wei et al (2017), Kim and Je (2015) and Wu et al (2014).…”

Section: Fiber and Cardiovascular Diseasementioning

confidence: 99%

“…Rae (2017) found a significant reduction in cardiovascular disease mortality, as well as the incidence of cardiovascular disease, coronary heart disease, and strokes on a high-fiber diet. Wei et al (2017) showed there was a curvilinear relationship found between fiber consumption and the prevalence of Metabolic Syndrome (MetS). Compared with non-fiber intake, OR Metabolic Syndrome at all levels of fiber intake were 0.85 for the intake of 10 g/d and 0.73 for the intake of 40 g/d.…”

Section: Fiber and Cardiovascular Diseasementioning

confidence: 99%

Fiber consumption effect on non-communicable disease: how big is the impact?

Indarti

2020

Qanun Medika

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Non-communicable diseases have effects on the quality of human resources because, in addition to causes of death and morbidity, they also reduce productivity. Fiber intake was allegedly affecting the incidence of non-communicable diseases. The purpose of this literature review is to look at the link between fiber intake and the incidence of non-communicable diseases and the effect of fiber supplements to treat non-communicable diseases. Several literature indicate that fiber intake is associated with cardiovascular disease, diabetes mellitus, cancer, and obesity. Research also shows fiber supplementation can improve metabolic profiles, blood sugar, insulin resistance in cardiovascular and diabetes mellitus patients. Fiber supplementation also reduces the risk of breast cancer. Fiber intake is related to the incidence of non-communicable diseases and can overcome some non-communicable diseases Keywords : fiber, cardiovascular disease, diabetes mellitus, cancer, supplement

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Dietary fiber intake and risk of metabolic syndrome: A meta-analysis of observational studies

Cited by 75 publications

References 42 publications

Low-Carbohydrate Diets in the Management of Obesity and Type 2 Diabetes: A Review from Clinicians Using the Approach in Practice

Low-Carbohydrate Diets in the Management of Obesity and Type 2 Diabetes: A Review from Clinicians Using the Approach in Practice

Sensory Profile, Drivers of Liking, and Influence of Information on the Acceptance of Low‐Calorie Synbiotic and Probiotic Chocolate Ice Cream

Fiber consumption effect on non-communicable disease: how big is the impact?

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