Interní Med. 2008; 10(12): 558-561

Can the fibre-rich food prevent cancer and heart stroke?

doc. MUDr. Pavel Kohout CSc
II. interní klinika, Thomayerova nemocnice, Praha

In western countries low intake of fiber is connected with high incidence of coronary heart disease and colon cancer. Recommended daily allowance of fiber is about 25–30 grams, in American studies is daily intake of fiber about 15 g and recent Czech study showed only 12 grams daily. There is very difficult to distinguish the influence of lack of fiber, lack of vitamins and antioxidants, high energy intake and high intake of saturated fats. The results of intervention studies are inconsistent, but the increase of daily fiber intake leads to reduction of coronary heart attacks and coronary heart disease mortality, as well as of reduction of general mortality. The high intake of fiber, mostly in vegetables, reduces incidence of colon adenoma and cancer.

Keywords: Key words: fiber, colon cancer, adenoma, coronary heart disease, mortality.

Published: January 1, 2009  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Kohout P. Can the fibre-rich food prevent cancer and heart stroke? Interní Med. 2008;10(12):558-561.
Download citation

References

  1. Burkitt DP. Epidemiology of cancer of the colon and rectum, Cancer (Philadelphia), 1971; 28: 3-13. Go to original source...
  2. Flood A, Rastoqi T, Wirfält E, et al. Dietary patterns as identified by factor analysis and colorectal cancer among moderate-aged Americans. Am J Clin Nutr, 2008; 88 (1): 14-15. Go to original source... Go to PubMed...
  3. Heber D, Blackburn GL, Liang V, Go W. Nutritional Oncology, Academic Press, 1999, London.
  4. van Horn L. Fiber, lipids and coronary heart disease. Circulation 1997; 95: 2701-2704. Go to original source... Go to PubMed...
  5. Howe GR, Benito E, Castelleto R, et al. Dietary intake of fiber and decreased risk of cancers of the colon and rectum: evidence from the combined analysis of 13 case-control studies. J Natl Cancer Inst 1992; 84: 1887-1896. Go to original source... Go to PubMed...
  6. Keller U, Meier R, Bertoli S. Klinická výživa. VCH Verlagsgesellschaft mbH, Weinham, Scientia Medica, Praha, 1993.
  7. Kohout P, Chocenská E: nepublikovaná data.
  8. Kritchevsky D. Dietary Fiber. Annu Rev Nutr, 1988; 8: 301-328. Go to original source... Go to PubMed...
  9. Mac Lennan R, McCrae F, Bain C. The Australian Polyp Prevention Project. Randomized trial of fat, fiber and beta-caroten to prevent colorectal adenomas. J Natl Cancer Inst. 1985, 86: 1760-1767.
  10. Martínez ME, Marshall JR, Alberts DS. Dietary Fiber, Carbohydrates, and Cancer, in Heber D, Blackburn GL, Liang V, Go W: Nutritional Oncology Academic Press, 1999, London.
  11. Millen AE, Subar AF, Graubard BI, et al. PLCO Cancer Screening Trial Project Team Fruit and vegetable intake and prevalence of colon adenoma in a cancer screening trial. Am J Clin Nutr., 2007; 86 (6): 1754-1764. Go to original source... Go to PubMed...
  12. Park Y, Subar AF, Kipnis V, et al. Fruit and vegetable intake and risk of colorectal cancer in NIH-AARP diet and health study. Am J Epidemiol 2007; 166 (2): 170-180. Go to original source... Go to PubMed...
  13. Pereira MA, O´Reilly E, Augustsson K, et al. Dietary Fiber and risk of coronary heart disease. Arch Intern Med 2004; 164: 370-376. Go to original source... Go to PubMed...
  14. Reddy BS. Role of Dietary Fiber in Colon Cancer: An Overview, Am J Med, 1999; 106 (1A): 16-19S. Go to original source... Go to PubMed...
  15. Ryan-Harshman M., Aldoori W. Diet and colorectal cancer: Review of the evidence. Can Fam Physician, 2007; 53 (11): 1913-1920. Go to PubMed...
  16. Schatzkin A, Mouw T, Park Y, et al. Associations between food patterns defined by cluster analysis and colorectal cancer in NIH AARP diet and health study. Eur J Clin Nutr, 2008, Aug 6 Epub.
  17. Schatzkin A, Mouw T, Park Y, et al. Dietary fiber and whole-grain consumption in relation to colorectal cancer in NIH-AARP diet and health study. Am J Clin Nutr, 2007; 85 (5): 1353-1360. Go to original source... Go to PubMed...
  18. Schatzkin A, Park Y, Leitzmann MF, et al. Prospective study of dietary fiber, whole grain food and small intestinal cancer. Gastroenterology, 2008, Jul 17 Epub. Go to original source... Go to PubMed...
  19. Shilke M. Diet and Lifestyle in the Prevention of Colorectal Cancer: An Overview. Am J Med. 1999; 106 (1A): 11S-15S. Go to original source... Go to PubMed...
  20. Streppen MT, Ocké MC, Boshuizen HC, et al. Dietary fiber intake in relation to coronary heart disease and all-cause mortality over 40 y: the Zutphen Study Am J Clin Nutr, 2008; 88 (4): 1119-1125. Go to original source... Go to PubMed...
  21. Thomas B. Manual of Dietetic Practice, 2nd edition. Blackwell Science Ltd, Oxford, 1998.




Internal Medicine for Practice

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.