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1.
Differential effects of dietary fibres on colonic barrier function in elderly individuals with gastrointestinal symptoms.
Ganda Mall, JP, Löfvendahl, L, Lindqvist, CM, Brummer, RJ, Keita, ÅV, Schoultz, I
Scientific reports. 2018;(1):13404
Abstract
Gastrointestinal problems are common in elderly and often associated with psychological distress and increased levels of corticotrophin-releasing hormone, a hormone known to cause mast cell (MC) degranulation and perturbed intestinal barrier function. We investigated if dietary fibres (non-digestible polysaccharides [NPS]) could attenuate MC-induced colonic hyperpermeability in elderly with gastrointestinal (GI) symptoms. Colonic biopsies from elderly with diarrhoea and/or constipation (n = 18) and healthy controls (n = 19) were mounted in Ussing chambers and pre-stimulated with a yeast-derived beta (β)-glucan (0.5 mg/ml) or wheat-derived arabinoxylan (0.1 mg/ml) before the addition of the MC-degranulator Compound (C) 48/80 (10 ng/ml). Permeability markers were compared pre and post exposure to C48/80 in both groups and revealed higher baseline permeability in elderly with GI symptoms. β-glucan significantly attenuated C48/80-induced hyperpermeability in elderly with GI symptoms but not in healthy controls. Arabinoxylan reduced MC-induced paracellular and transcellular hyperpermeability across the colonic mucosa of healthy controls, but did only attenuate transcellular permeability in elderly with GI symptoms. Our novel findings indicate that NPS affect the intestinal barrier differently depending on the presence of GI symptoms and could be important in the treatment of moderate constipation and/or diarrhoea in elderly.
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2.
Guelph Family Health Study's Home-Based Obesity Prevention Intervention Increases Fibre and Fruit Intake in Preschool-Aged Children.
Mirotta, JA, Darlington, GA, Buchholz, AC, Haines, J, Ma, DWL, Duncan, AM, ,
Canadian journal of dietetic practice and research : a publication of Dietitians of Canada = Revue canadienne de la pratique et de la recherche en dietetique : une publication des Dietetistes du Canada. 2018;(2):86-90
Abstract
PURPOSE The Guelph Family Health Study (GFHS) pilot was designed to examine the feasibility and effectiveness of a home-based obesity prevention intervention on health behaviours and obesity risk. The objective of this analysis was to determine the effect of the 6-month intervention on preschool-aged children's dietary intakes. METHODS Families with children aged 1.5-5 years old were randomized to receive one of the following: 4 home visits with a health educator as well as tailored emails and mailed incentives (4HV; n = 19 children); 2 home visits with a health educator as well as tailored emails and mailed incentives (2HV; n = 14 children); or general health advice through emails (control; n = 12 children). Three-day food records were completed by parents for their children before and after the 6-month intervention and analyzed for 3-day average intakes of energy, nutrients, and MyPlate food groups. RESULTS After the 6-month intervention, the 4HV group had significantly higher fibre intake and the 4HV and 2HV groups had significantly higher fruit intake, both compared with the control group. CONCLUSIONS This study provides support for a home-based intervention approach to improve the diet quality of preschool-aged children.
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Non-pharmacological therapies for inflammatory bowel disease: Recommendations for self-care and physician guidance.
Duff, W, Haskey, N, Potter, G, Alcorn, J, Hunter, P, Fowler, S
World journal of gastroenterology. 2018;(28):3055-3070
Abstract
We performed a scoping review on sought-after complementary therapies for patients with inflammatory bowel disease (IBD), specifically diet, physical activity and exercise (PA/E), and psychotherapy. We aim to update patients with IBD on therapies for self-care and provide physicians with guidance on how to direct their patients for the management of IBD. A search of MEDLINE, EMBASE, and PUBMED was completed in Sept 2016. Studies on diet, PA/E, or psychotherapy in patients with IBD were included. Medical Subject Heading terms and Boolean operators were used. The search was limited to full-text English articles describing an adult population. This review included 67 studies: Diet (n = 19); PA/E (n = 19); and psychotherapy (n = 29). We have made the following recommendations: (1) Diet: Consumption of diets rich in vegetables, fruit and soluble fiber may be beneficial in IBD. A trial of a low FODMAP diet can be considered in those patients with functional gastrointestinal symptoms. Restrictive diets are lacking in evidence and should be avoided; (2) PA/E: Regular low-moderate intensity activity, including cardiovascular and resistance exercise, has been shown to improve quality of life (QOL) and may improve inflammation; and (3) psychotherapy: Therapies such as cognitive-behavioural interventions, mindfulness, hypnosis, and stress management have been shown to improve QOL, but evidence is limited on their impact on anxiety, depression, and disease activity. Overall, these complementary therapies are promising and should be used to treat patients with IBD from a more holistic perspective.
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Increasing fibre in South Asian Diets.
Gupta, L, Khandelwal, D, Kalra, S
JPMA. The Journal of the Pakistan Medical Association. 2018;(7):1135-1136
Abstract
South Asian population is facing rapid changes in dietary pattern with a shift from healthy traditional high fibre diet to calorie-dense low fibre. This has resulted in epidemic of lifestyle disorders including diabetes, obesity and cardiovascular disease in these populations. High fibre diet has shown to decrease risk of these lifestyle disorders as well as many gastrointestinal disorders including colorectal cancer. There is an urgent need to increase fibre component in the diet of these populations to prevent the lifestyle disorders. This review focusses on health benefits of high fibre diet and ways to increase fibre in South Asian diet.
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5.
Effects of Whole Grain Wheat Bread on Visceral Fat Obesity in Japanese Subjects: A Randomized Double-Blind Study.
Kikuchi, Y, Nozaki, S, Makita, M, Yokozuka, S, Fukudome, SI, Yanagisawa, T, Aoe, S
Plant foods for human nutrition (Dordrecht, Netherlands). 2018;(3):161-165
Abstract
Metabolic syndrome is a risk factor for cardiovascular diseases and has become increasingly common in Japan. Epidemiological studies show inverse associations between intake of whole wheat grains and metabolic syndrome, but few dietary intervention trials have investigated the effect of whole wheat grain consumption. It was investigated whether a diet in which refined wheat bread (RW diet) was substituted by whole grain wheat bread (WW diet) would reduce visceral fat obesity in Japanese subjects. A randomized double-blind placebo-controlled intervention study was conducted in 50 Japanese subjects with body mass index (BMI) ≥ 23 kg/m2. Subjects were randomly assigned WW (WW group) or RW diets (RW group) for 12 weeks. Blood samples and computed tomography scans were obtained every 6th week. The WW group showed decrease (-4 cm2) in visceral fat area (VFA) (p < 0.05), whereas the RW group showed no significant changes. These time-dependent changes were significantly different between the groups. WW diet led to significant and safe reductions in VFA in subjects with BMI ≥ 23 kg/m2. WW diet may contribute to preventing visceral fat obesity.
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Could Aspirin and Diets High in Fiber Act Synergistically to Reduce the Risk of Colon Cancer in Humans?
Pan, P, Huang, YW, Oshima, K, Yearsley, M, Zhang, J, Yu, J, Arnold, M, Wang, LS
International journal of molecular sciences. 2018;(1)
Abstract
Early inhibition of inflammation suppresses the carcinogenic process. Aspirin is the most commonly used non-steroid anti-inflammatory drugs (NSAIDs), and it irreversibly inhibits cyclooxygenase-1 and -2 (COX1, COX2). Multiple randomized clinical trials have demonstrated that aspirin offers substantial protection from colon cancer mortality. The lower aspirin doses causing only minimal gastrointestinal disturbance, ideal for long-term use, can achieve only partial and transitory inhibition of COX2. Aspirin's principal metabolite, salicylic acid, is also found in fruits and vegetables that inhibit COX2. Other phytochemicals such as curcumin, resveratrol, and anthocyanins also inhibit COX2. Such dietary components are good candidates for combination with aspirin because they have little or no toxicity. However, obstacles to using phytochemicals for chemoprevention, including bioavailability and translational potential, must be resolved. The bell/U-shaped dose-response curves seen with vitamin D and resveratrol might apply to other phytochemicals, shedding doubt on 'more is better'. Solutions include: (1) using special delivery systems (e.g., nanoparticles) to retain phytochemicals; (2) developing robust pharmacodynamic biomarkers to determine efficacy in humans; and (3) selecting pharmacokinetic doses relevant to humans when performing preclinical experiments. The combination of aspirin and phytochemicals is an attractive low-cost and low-toxicity approach to colon cancer prevention that warrants testing, particularly in high-risk individuals.
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7.
Dietary Fiber and Gastrointestinal Disease: an Evolving Story.
O'Grady, J, Shanahan, F
Current gastroenterology reports. 2018;(12):59
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8.
Dietary fiber intake and risk of metabolic syndrome: A meta-analysis of observational studies.
Wei, B, Liu, Y, Lin, X, Fang, Y, Cui, J, Wan, J
Clinical nutrition (Edinburgh, Scotland). 2018;(6 Pt A):1935-1942
Abstract
BACKGROUND & AIMS Epidemiological studies show inconsistent findings on the association of dietary fiber intake with risk of metabolic syndrome (MetS). Herein, we aim to conduct a meta-analysis of published studies to determine the role of dietary fiber in prevention of MetS. METHODS A systematical search in PubMed and Embase databases through December 2016, together with reference scrutiny of relevant literature, was performed to identify studies for inclusion. We aggregated the odds ratios (ORs) with 95% confidence intervals (CIs) of MetS using a random effect model. Dose-response relationship between fiber intake and MetS was also evaluated. RESULTS This meta-analysis included 8 cross-sectional and 3 cohort studies, totaling 28,241 participants and 9140 MetS cases. The highest versus lowest fiber intake was associated with a reduced risk of MetS (OR: 0.85, 95% CI: 0.79-0.92; P = 0.005), with moderate heterogeneity (I2 = 64%, P = 0.001) across studies. The benefit of fiber intake was significant among cross-sectional studies (OR: 0.85, 95% CI: 0.78-0.92; P < 0.001) but not among cohort studies (OR: 0.86, 95% CI: 0.70-1.06; P = 0.16). In dose-response analysis, we found a curvilinear relationship between fiber consumption and prevalence of MetS. Compared with non-fiber intake, the ORs (95% CIs) of MetS across fiber intake levels were 0.85 (0.79-0.91), 0.76 (0.67-0.85), 0.73 (0.65-0.83), and 0.73 (0.65-0.82) for 10, 20, 30, and 40 g/d, respectively. CONCLUSIONS Dietary fiber intake is associated with less likelihood of having MetS. Additional large, prospective studies are warranted to enhance our findings.
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9.
[Antioxidant effect of the fibre content of foods].
Mézes, M, Erdélyi, M
Orvosi hetilap. 2018;(18):709-712
Abstract
Antioxidants have some health benefit, but up to now there was less attention paid to the antioxidant properties of dietary fibre. The antioxidant effect of dietary fibre is based on the polyphenol compounds bound to polysaccharide complexes, which are released in the gut and functioning as antioxidants. Another type of antioxidant, calcium fructoborate was also isolated from plant cell wall. It has a marked antioxidant capacity, however, its active component is not a polyphenol, but the boron. There are lots of food plants which have relatively high antioxidant dietary fibre content, thus they support the antioxidant defence of the gastrointestinal tract, and consequently the whole body. The important ones in human nutrition are for instance cereal grains, cabbage, grape pomace, coffee bean or guava. There are different polyphenol compounds in the antioxidant dietary fibres in the plants, therefore their antioxidant capacity varies, but it is approximately equivalent to 50-100 mg DL-α-tocopherol per gram. This antioxidant capacity is considerable, and would be suitable for the prevention of some, oxidative stress-related diseases, such as atherosclerosis or other cardiovascular diseases, and colorectal carcinoma. Orv Hetil. 2018; 159(18): 709-712.
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Associations between fiber intake and Body Mass Index (BMI) among African-American women participating in a randomized weight loss and maintenance trial.
Buscemi, J, Pugach, O, Springfield, S, Jang, J, Tussing-Humphreys, L, Schiffer, L, Stolley, MR, Fitzgibbon, ML
Eating behaviors. 2018;:48-53
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Abstract
INTRODUCTION African-American women are at increased risk for obesity, and therefore it is important to identify dietary factors that have the potential to prevent weight gain within this population. The purpose of the current study was to examine associations between daily fiber intake and Body Mass Index (BMI) over the course of an 18-month weight loss intervention for African-American women. METHODS Anthropometric measures and the Block Food Frequency Questionnaire were administered at baseline, 6-month, and 18-month follow-up between 2008 and 2010. A mixed-effects linear regression model with random intercept and time slope was used to model associations between fiber consumption and BMI controlling for time trend. RESULTS Associations between fiber consumption and BMI were significantly different over time (β̂Fiber∗Time=-0.07,p-value=0.003). There was no association between fiber intake and BMI at baseline; however, there was a significant inverse relation between fiber consumption and BMI at 6 months, and the association was even stronger at 18 months. CONCLUSIONS Results from this study suggest that dietary fiber consumption may be particularly important within weight loss interventions tailored for African-American women.