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July 28, 1989, Vol 262, No. 4 >
ARTICLE | July 28, 1989

Dietary Fiber and Health FREE

[+] Author Affiliations

This report was presented to the House of Delegates at the American Medical Association's Annual Meeting, June 1988, as an informational report of the Council on Scientific Affairs.

This report is not intended to be construed or to serve as a standard of medical care. Standards of medical care are determined on the basis of all of the facts and circumstances involved in an individual case and are subject to change as scientific knowledge and technology advance and patterns of practice evolve. This report reflects the views of scientific literature as of April 1988.

Reprint requests to Council on Scientific Affairs, American Medical Association, 535 N Dearborn St, Chicago, IL 60610 (William R. Hendee, PhD).


JAMA. 1989;262(4):542-546. doi:10.1001/jama.1989.03430040114037
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References

During the last 18 years, considerable research has been conducted on the role of dietary fiber in health and disease. Interest was stimulated by epidemiologic studies that associated a low intake of dietary fiber with the incidence of colon cancer, heart disease, diabetes, and other diseases and disorders. Dietary fiber is not a single substance. There are significant differences in the physiological effects of the various components of dietary fiber. A Recommended Dietary Allowance for dietary fiber has not been established. However, an adequate amount of dietary fiber can be obtained by choosing several servings daily from a variety of fiber-rich foods such as whole-grain breads and cereals, fruits, vegetables, legumes, and nuts.

(JAMA. 1989;262:542-546)

REFERENCES

1 +
Physiological Effects and Health Consequences of Dietary Fiber . Washington, DC: Life Sciences Research Office, Federation of American Societies for Experimental Biology; 1987;.
2 +
Trowell H.  Definitions of fiber . Lancet. 1974;;1:503.
3 +
Schneeman BD.  Dietary fiber and gastrointestinal function . Nutr Rev. 1987;;45:129-132.
4 +
Jenkins DJA.  Carbohydrates: dietary fiber . In: Shils ME, Young VR, eds. Modern Nutrition in Health and Disease . 7th ed. Philadelphia, Pa: Lea & Febiger; 1988;:52-71.
5 +
Cummings JH.  Constipation, dietary fiber and control of large bowel function . Postgrad Med J. 1984;;60:811-819.
6 +
Spiller GA, Shipley EA, Chernoff MC, Cooper WC.  Bulk laxative efficacy of a psyllium seed hydrocolloid and a mixture of cellulose and pectin . J Clin Pharmacol. 1979;;19:313-320.
7 +
 Chemistry.  In: Medical Aspects of Dietary Fiber: Summary of a Report From The Royal College of Physicians of London . Tunbridge Wells, England: Pitman Medical Ltd; 1980;:12-25.
8 +
Spiller GA, Amen RJ.  Dietary fiber in human nutrition . CRC Crit Rev Food Sci Nutr. 1975;;6:39-70.
9 +
Frank HA, Green LC.  Successful use of bulk laxative to control diarrhea of tube feeding . Scand J Plast Reconstr Surg. 1979;;13:193-194.
10 +
Trowell HC. Non-Infective Disease in Africa . London, England: Edward Arnold Publishers Ltd; 1960;:217-222.
11 +
Burkitt DP.  Some diseases characteristic of modern western civilization . Br Med J. 1973;;1:274-278.
12 +
Walker ARP.  Dietary fiber and the pattern of diseases . Ann Intern Med. 1974;;80:663.
13 +
Painter NS.  Pressures in the colon related to diverticular disease . Proc R Soc Med. 1970;;63:144-145.
14 +
Heaton KW.  Food fiber as an obstacle to energy intake . Lancet. 1973;;2:1418-1421.
15 +
Heaton KW.  The epidemiology of gallstones and suggested etiology . Clin Gastroenterol. 1973;;2:67-83.
16 +
Cleave TL, Campbell GD, Painter NS. Diabetes, Coronary Thrombosis and the Saccharine Disease . Bristol, England: John Wright & Sons Ltd; 1966;.
17 +
Burkitt DP, Walker ARP, Painter NS.  Dietary fiber and disease . JAMA. 1974;;229:1068-1074.
18 +
Dietary guidelines for healthy Americans: a statement for physicians and health professionals by the Nutrition Committee,  American Heart Association . Arteriosclerosis. 1988;;8:218A-221A.
19 +
Vahouny GV.  Dietary fiber, lipid metabolism, and atherosclerosis . Fed Proc. 1982;;41:2801-2806.
20 +
Anderson JW.  Dietary fiber, lipids and atherosclerosis . Am J Cardiol. 1987;;60:17G-22G.
21 +
The Surgeon General's Report on Nutrition and Health . Washington, DC: Public Health Service; 1988;. US Dept of Health and Human Services publication 88-50210.
22 +
Burkitt DP.  Colon cancer: emergence of a concept . In: Spiller GA, Kay RM, eds. Medical Aspects of Dietary Fiber . New York, NY: Plenum Publishing Corp; 1980;:75-81.
23 +
Nauss KM, Jacobs LR, Newberne DVM.  Dietary fat and fiber: relationship to caloric intake, body growth, and colon carcinogenesis . Am J Clin Nutr. 1987;;45:243-251.
24 +
Committee on Diet,  Nutrition, and Cancer, Assembly of Life Sciences, National Research Council . Diet, Nutrition, and Cancer . Washington, DC: National Academy Press; 1982;:1-6-1-7.
25 +
Heaton KW.  Dietary fiber in perspective . Hum Nutr Clin Nurtr. 1983;;37c:151-170.
26 +
Anderson JW.  Dietary fiber in the nutrition management of diabetes . In: Vahouny GV, Kritchevsky D, eds. Basic and Clinical Aspects of Dietary Fiber . New York, NY: Plenum Press; 1986;:343-360.
27 +
Anderson JW, Bryant CA.  Dietary fiber: diabetes and obesity . Am J Gastroenterol. 1986;; 81:898-906.
28 +
Facts and Fallacies About Digestive Diseases . Bethesda, Md: National Institutes of Health; 1983;. NIH publication 84-2673.
29 +
Brodribb AJM.  Dietary fiber in diverticular disease of the colon . In: Spiller GA, Kay RM, eds. Medical Aspects of Dietary Fiber . New York, NY: Plenum Publishing Corp; 1980;:60.
30 +
Taylor MP. Gallstone Disease: National Digestive Diseases Education and Information Clearinghouse Fact Sheet . Rosslyn, Va: DD Clearinghouse; 1982;.
31 +
Recommended Dietary Allowances . 9th ed. Washington, DC: Food and Nutrition Board, National Research Council, National Academy of Sciences; 1980;.
32 +
US Dept of Agriculture and US Dept of Health and Human Services. Nutrition and Your Health: Dietary Guidelines for Americans . 2nd ed. Washington, DC: US Dept of Agriculture; 1985;. Home and Garden bulletin 232.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
Physiological Effects and Health Consequences of Dietary Fiber . Washington, DC: Life Sciences Research Office, Federation of American Societies for Experimental Biology; 1987;.
2 +
Trowell H.  Definitions of fiber . Lancet. 1974;;1:503.
3 +
Schneeman BD.  Dietary fiber and gastrointestinal function . Nutr Rev. 1987;;45:129-132.
4 +
Jenkins DJA.  Carbohydrates: dietary fiber . In: Shils ME, Young VR, eds. Modern Nutrition in Health and Disease . 7th ed. Philadelphia, Pa: Lea & Febiger; 1988;:52-71.
5 +
Cummings JH.  Constipation, dietary fiber and control of large bowel function . Postgrad Med J. 1984;;60:811-819.
6 +
Spiller GA, Shipley EA, Chernoff MC, Cooper WC.  Bulk laxative efficacy of a psyllium seed hydrocolloid and a mixture of cellulose and pectin . J Clin Pharmacol. 1979;;19:313-320.
7 +
 Chemistry.  In: Medical Aspects of Dietary Fiber: Summary of a Report From The Royal College of Physicians of London . Tunbridge Wells, England: Pitman Medical Ltd; 1980;:12-25.
8 +
Spiller GA, Amen RJ.  Dietary fiber in human nutrition . CRC Crit Rev Food Sci Nutr. 1975;;6:39-70.
9 +
Frank HA, Green LC.  Successful use of bulk laxative to control diarrhea of tube feeding . Scand J Plast Reconstr Surg. 1979;;13:193-194.
10 +
Trowell HC. Non-Infective Disease in Africa . London, England: Edward Arnold Publishers Ltd; 1960;:217-222.
11 +
Burkitt DP.  Some diseases characteristic of modern western civilization . Br Med J. 1973;;1:274-278.
12 +
Walker ARP.  Dietary fiber and the pattern of diseases . Ann Intern Med. 1974;;80:663.
13 +
Painter NS.  Pressures in the colon related to diverticular disease . Proc R Soc Med. 1970;;63:144-145.
14 +
Heaton KW.  Food fiber as an obstacle to energy intake . Lancet. 1973;;2:1418-1421.
15 +
Heaton KW.  The epidemiology of gallstones and suggested etiology . Clin Gastroenterol. 1973;;2:67-83.
16 +
Cleave TL, Campbell GD, Painter NS. Diabetes, Coronary Thrombosis and the Saccharine Disease . Bristol, England: John Wright & Sons Ltd; 1966;.
17 +
Burkitt DP, Walker ARP, Painter NS.  Dietary fiber and disease . JAMA. 1974;;229:1068-1074.
18 +
Dietary guidelines for healthy Americans: a statement for physicians and health professionals by the Nutrition Committee,  American Heart Association . Arteriosclerosis. 1988;;8:218A-221A.
19 +
Vahouny GV.  Dietary fiber, lipid metabolism, and atherosclerosis . Fed Proc. 1982;;41:2801-2806.
20 +
Anderson JW.  Dietary fiber, lipids and atherosclerosis . Am J Cardiol. 1987;;60:17G-22G.
21 +
The Surgeon General's Report on Nutrition and Health . Washington, DC: Public Health Service; 1988;. US Dept of Health and Human Services publication 88-50210.
22 +
Burkitt DP.  Colon cancer: emergence of a concept . In: Spiller GA, Kay RM, eds. Medical Aspects of Dietary Fiber . New York, NY: Plenum Publishing Corp; 1980;:75-81.
23 +
Nauss KM, Jacobs LR, Newberne DVM.  Dietary fat and fiber: relationship to caloric intake, body growth, and colon carcinogenesis . Am J Clin Nutr. 1987;;45:243-251.
24 +
Committee on Diet,  Nutrition, and Cancer, Assembly of Life Sciences, National Research Council . Diet, Nutrition, and Cancer . Washington, DC: National Academy Press; 1982;:1-6-1-7.
25 +
Heaton KW.  Dietary fiber in perspective . Hum Nutr Clin Nurtr. 1983;;37c:151-170.
26 +
Anderson JW.  Dietary fiber in the nutrition management of diabetes . In: Vahouny GV, Kritchevsky D, eds. Basic and Clinical Aspects of Dietary Fiber . New York, NY: Plenum Press; 1986;:343-360.
27 +
Anderson JW, Bryant CA.  Dietary fiber: diabetes and obesity . Am J Gastroenterol. 1986;; 81:898-906.
28 +
Facts and Fallacies About Digestive Diseases . Bethesda, Md: National Institutes of Health; 1983;. NIH publication 84-2673.
29 +
Brodribb AJM.  Dietary fiber in diverticular disease of the colon . In: Spiller GA, Kay RM, eds. Medical Aspects of Dietary Fiber . New York, NY: Plenum Publishing Corp; 1980;:60.
30 +
Taylor MP. Gallstone Disease: National Digestive Diseases Education and Information Clearinghouse Fact Sheet . Rosslyn, Va: DD Clearinghouse; 1982;.
31 +
Recommended Dietary Allowances . 9th ed. Washington, DC: Food and Nutrition Board, National Research Council, National Academy of Sciences; 1980;.
32 +
US Dept of Agriculture and US Dept of Health and Human Services. Nutrition and Your Health: Dietary Guidelines for Americans . 2nd ed. Washington, DC: US Dept of Agriculture; 1985;. Home and Garden bulletin 232.

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