Dietary fiber intake and risk factors for cardiovascular disease in French adults

Dietary fiber intake and risk factors for cardiovascular disease in French adults
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DOI:
10.1093/ajcn/82.6.1185
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发表时间:
2005-12-01
影响因子:
7.1
通讯作者:
Boutron-Ruault, MC
Boutron-Ruault, MC
中科院分区:
医学1区
文献类型:
--
作者:
Lairon, D;Arnault, N;Boutron-Ruault, MC

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背景资料:增加膳食纤维的摄入量被广泛推荐以维持或改善健康,但对膳食纤维来源与心血管疾病危险因素之间关系的认识是有限的。目的:我们在一组成年男性和女性中研究了膳食纤维摄入来源或类型与心血管疾病危险因素之间的关系。设计:在一项横断面研究中,从饮食记录中确定了2532名男性和3429名女性的五分之一纤维摄入量。年龄和多变量控制的logistic模型调查了纤维摄入量的五分位数2-5与最低五分位数相比,异常标记物的比值比。(P < 0.05)超重和腰臀比升高的风险较低,血压、血浆载脂蛋白(apo)B、apo B:载脂蛋白A-I、胆固醇、三酰甘油和同型半胱氨酸。可溶性膳食纤维效果较差。谷物纤维与较低的体重指数、血压和同型半胱氨酸浓度相关;蔬菜纤维与较低的血压和同型半胱氨酸浓度相关;水果纤维与较低的腰臀比和血压相关。来自干果或坚果和种子的纤维与较低的体重指数、腰臀比、空腹载脂蛋白B和葡萄糖浓度相关。纤维从脉冲没有具体的effect.Conclusion:膳食纤维的摄入量与几个心血管疾病的危险因素呈负相关,在两种性别,这支持其对心血管疾病的保护作用,并建议其增加消费。
Background: Increased consumption of dietary fiber is widely recommended to maintain or improve health, but knowledge of the relation between dietary fiber sources and cardiovascular disease risk factors is limited.Objective: We examined the relation between the source or type of dietary fiber intake and cardiovascular disease risk factors in a cohort of adult men and women.Design: In a cross-sectional study, quintiles of fiber intake were determined from dietary records, separately for 2532 men and 3429 women. Age- and multivariate-controlled logistic models investigated the odds ratios of abnormal markers for quintiles 2-5 of fiber intake compared with the lowest quintile.Results: The highest total dietary fiber and nonsoluble dietary fiber intakes were associated with a significantly (P < 0.05) lower risk of overweight and elevated waist-to-hip ratio, blood pressure, plasma apolipoprotein (apo) B, apo B:apo A-I, cholesterol, triacylglycerols, and homocysteine. Soluble dietary fiber was less effective. Fiber from cereals was associated with a lower body mass index, blood pressure, and homocysteine concentration; fiber from vegetables with a lower blood pressure and homocysteine concentration; and fiber from fruit with a lower waist-to-hip ratio and blood pressure. Fiber from dried fruit or nuts and seeds was associated with a lower body mass index, waist-to-hip ratio, and fasting apo B and glucose concentrations. Fiber from pulses had no specific effect.Conclusion: Dietary fiber intake is inversely correlated with several cardiovascular disease risk factors in both sexes, which supports its protective role against cardiovascular disease and recommendations for its increased consumption.