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High Fiber Intake: Title and subTitle BreakIndicator of a Healthy Lifestyle FREE

Ernst L. Wynder, MD; Steven D. Stellman, PhD, MPH; Edith A. Zang, PhD
[+] Author Affiliations

Reprint requests to the Division of Epidemiology, American Health Foundation, 320 E 43rd St, New York, NY 10017 (Dr Wynder).


JAMA. 1996;275(6):486-487. doi:10.1001/jama.1996.03530300070044
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In this issue of JAMA, Rimm and coworkers1 at the Harvard School of Public Health report that "fiber, independent of fat intake, is an important dietary component for the prevention of coronary disease." Their conclusion is based on observations within a cohort of more than 40 000 male health professionals followed up for 6 years to an end point of either myocardial infarction (MI) or coronary death. If correct, the finding is important because it could provide the basis for nutritional advice that will affect many groups in our society, including average Americans, practicing physicians, and the food industry, among others. Some might even interpret it as justification for advising Americans to eat more high-fiber food without necessarily making other dietary modifications.

See also pp 447.

Their conclusion all but implies a causal relationship and invites a low-fiber diet to take its place alongside cigarette smoking, high serum cholesterol,

REFERENCES

Rimm EB, Ascherio A, Giovannucci E, Spiegelman D, Stampfer MJ, Willett WC.  Vegetable, fruit, and cereal fiber intake and risk of coronary heart disease among men. JAMA . 1995;;275:447-451.
Centers for Disease Control and Prevention.  Cigarette smoking among adults— United States, 1993. MMWR Morbid Mortal Wkly Rep . 1994;;43:925-930.
Lanza E, Jones Y, Block G, Kessler L.  Dietary fiber intake in the US population. Am J Clin Nutr . 1987;;46:790-797.
Swain JF, Rouse IL, Curley CB, Sacks FM.  Comparison of the effects of oat bran and low-fiber wheat on serum lipoprotein levels and blood pressure. N Engl J Med . 1990;;322:147-152.
Jenkins DJA, Wolever TMS, Rao AV, et al.  Effect on blood lipids of very high intakes of fiber in diets low in saturated fat and cholesterol. N Engl J Med . 1993;;329:21-26.
Morgan KJ, Zabik ME, Stampley GL.  The role of breakfast in diet adequacy of the US adult population. J Am Coll Nutr . 1986;;5:551-563.
Resnicow K.  The relationship between breakfast habits and plasma cholesterol levels in schoolchildren. J Sch Health . 1991;;61:81-85.
Jenkins DJ, Khan A, Jenkins AL, et al.  Effect of nibbling vs gorging on cardiovascular risk factors: serum uric acid and blood lipids. Metab Clin Exp . 1995;;44:549-555.
Wynder EL, Weisburger JH, Ng SK.  Nutrition: the need to define `optimal' intake as a basis for public policy decision. Am J Public Health . 1992;;82:346-350.
Williams CL, Bollella M, Wynder EL.  A new recommendation for dietary fiber in childhood. Pediatrics . 1995;;96:985-988.

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Rimm EB, Ascherio A, Giovannucci E, Spiegelman D, Stampfer MJ, Willett WC.  Vegetable, fruit, and cereal fiber intake and risk of coronary heart disease among men. JAMA . 1995;;275:447-451.
Centers for Disease Control and Prevention.  Cigarette smoking among adults— United States, 1993. MMWR Morbid Mortal Wkly Rep . 1994;;43:925-930.
Lanza E, Jones Y, Block G, Kessler L.  Dietary fiber intake in the US population. Am J Clin Nutr . 1987;;46:790-797.
Swain JF, Rouse IL, Curley CB, Sacks FM.  Comparison of the effects of oat bran and low-fiber wheat on serum lipoprotein levels and blood pressure. N Engl J Med . 1990;;322:147-152.
Jenkins DJA, Wolever TMS, Rao AV, et al.  Effect on blood lipids of very high intakes of fiber in diets low in saturated fat and cholesterol. N Engl J Med . 1993;;329:21-26.
Morgan KJ, Zabik ME, Stampley GL.  The role of breakfast in diet adequacy of the US adult population. J Am Coll Nutr . 1986;;5:551-563.
Resnicow K.  The relationship between breakfast habits and plasma cholesterol levels in schoolchildren. J Sch Health . 1991;;61:81-85.
Jenkins DJ, Khan A, Jenkins AL, et al.  Effect of nibbling vs gorging on cardiovascular risk factors: serum uric acid and blood lipids. Metab Clin Exp . 1995;;44:549-555.
Wynder EL, Weisburger JH, Ng SK.  Nutrition: the need to define `optimal' intake as a basis for public policy decision. Am J Public Health . 1992;;82:346-350.
Williams CL, Bollella M, Wynder EL.  A new recommendation for dietary fiber in childhood. Pediatrics . 1995;;96:985-988.
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