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ARTICLE |

Fiber Intake and Risk of Developing Non—insulin-dependent Diabetes Mellitus FREE

Kevin C. Maki, MS; Michael H. Davidson, MD; Arline McDonald, PhD; Kathleen C. Malik, MS
JAMA. 1997;277(22):1761-1761. doi:10.1001/jama.1997.03540460027022
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To the Editor.  —In their article, Dr Salmerón and colleagues1 present data that support the concept that consumption of a diet with a high glycemic load and/or low in fiber is associated with increased risk for the development of non—insulin-dependent diabetes mellitus (NIDDM) (type II) in women. In their analyses, the authors considered total dietary fiber, as well as fiber from fruits, vegetables, and cereals.In a previous report, written by some members of the same research group, men in the highest quintile of total dietary fiber intake had a relative risk (RR) of 0.69 (95% confidence interval [CI], 0.54-0.88) for coronary mortality.2 This relationship remained statistically significant after adjustment for several potential confounders. In addition, soluble dietary fiber intake was somewhat more strongly associated with coronary events (RR, 0.63; 95% CI, 0.50-0.80, for the highest vs lowest quintile) than total or insoluble fiber consumption. Thus, a 3-g/d

REFERENCES

Salmerón J, Manson JE, Stampfer MJ, Colditz GA, Wing AL, Willett WC.  Dietary fiber, glycemic load, and risk of non—insulin-dependent diabetes mellitus in women . JAMA . 1997;;277:472-477.
Pietinen P, Rimm EB, Korhonen P, et al.  Intake of dietary fiber and risk of coronary heart disease in a cohort of Finnish men: the Alpha-Tocopherol, Beta-Carotene Cancer Prevention Study . Circulation . 1996;;94:2720-2727.
Jenkins DJA, Wolever TMS, Leeds AR, et al.  Dietary fibres, fibre analogues, and glucose tolerance: importance of viscosity . BMJ . 1978;;1:1392-1394.
Wolever TMS, Vusksan V, Eshuis H, et al.  Effect of method of administration of psyllium on glycemic response and carbohydrate digestibility . J Am Coll Nutr . 1991;;10:364-371.

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Salmerón J, Manson JE, Stampfer MJ, Colditz GA, Wing AL, Willett WC.  Dietary fiber, glycemic load, and risk of non—insulin-dependent diabetes mellitus in women . JAMA . 1997;;277:472-477.
Pietinen P, Rimm EB, Korhonen P, et al.  Intake of dietary fiber and risk of coronary heart disease in a cohort of Finnish men: the Alpha-Tocopherol, Beta-Carotene Cancer Prevention Study . Circulation . 1996;;94:2720-2727.
Jenkins DJA, Wolever TMS, Leeds AR, et al.  Dietary fibres, fibre analogues, and glucose tolerance: importance of viscosity . BMJ . 1978;;1:1392-1394.
Wolever TMS, Vusksan V, Eshuis H, et al.  Effect of method of administration of psyllium on glycemic response and carbohydrate digestibility . J Am Coll Nutr . 1991;;10:364-371.
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To understand the clinical management of acute heart failure syndromes.
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