The Association of Dietary Fiber Intake with Cardiometabolic Risk in Four Countries across the Epidemiologic Transition.

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Serval ID
serval:BIB_3575F2AD3770
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
The Association of Dietary Fiber Intake with Cardiometabolic Risk in Four Countries across the Epidemiologic Transition.
Journal
Nutrients
Author(s)
Lie L., Brown L., Forrester T.E., Plange-Rhule J., Bovet P., Lambert E.V., Layden B.T., Luke A., Dugas L.R.
ISSN
2072-6643 (Electronic)
ISSN-L
2072-6643
Publication state
Published
Issued date
16/05/2018
Peer-reviewed
Oui
Volume
10
Number
5
Pages
NA
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
The greatest burden of cardiovascular disease is now carried by developing countries with cardiometabolic conditions such as metabolic syndrome, obesity and inflammation believed to be the driving force behind this epidemic. Dietary fiber is known to have protective effects against obesity, type 2 diabetes, cardiovascular disease and the metabolic syndrome. Considering the emerging prevalence of these cardiometabolic disease states across the epidemiologic transition, the objective of this study is to explore these associations of dietary fiber with cardiometabolic risk factors in four countries across the epidemiologic transition. We examined population-based samples of men and women, aged 25⁻45 of African origin from Ghana, Jamaica, the Seychelles and the USA. Ghanaians had the lowest prevalence of obesity (10%), while Jamaicans had the lowest prevalence of metabolic syndrome (5%) across all the sites. Participants from the US presented with the highest prevalence of obesity (52%), and metabolic syndrome (22%). Overall, the Ghanaians consumed the highest dietary fiber (24.9 ± 9.7 g), followed by Jamaica (16.0 ± 8.3 g), the Seychelles (13.6 ± 7.2 g) and the lowest in the USA (14.2 ± 7.1 g). Consequently, 43% of Ghanaians met the fiber dietary guidelines (14 g/1000 kcal/day), 9% of Jamaicans, 6% of Seychellois, and only 3% of US adults. Across all sites, cardiometabolic risk (metabolic syndrome, inflammation and obesity) was inversely associated with dietary fiber intake, such that the prevalence of metabolic syndrome was 13% for those in the lowest quartile of fiber intake, compared to 9% those in the highest quartile of fiber intake. Notably, twice as many of participants (38%) in the lowest quartile were obese compared to those in the highest quartile of fiber intake (18%). These findings further support the need to incorporate strategies and policies to promote increased dietary fiber intake as one component for the prevention of cardiometabolic risk in all countries spanning the epidemiologic transition.
Keywords
Adult, Cardiovascular Diseases/epidemiology, Diabetes Mellitus, Type 2/epidemiology, Dietary Fiber/administration & dosage, Exercise, Female, Ghana/epidemiology, Humans, Inflammation/epidemiology, Jamaica/epidemiology, Male, Metabolic Syndrome/epidemiology, Middle Aged, Obesity/epidemiology, Odds Ratio, Risk Factors, Seychelles/epidemiology, United States/epidemiology, cardiometabolic risk, dietary fiber, epidemiologic transition, metabolic syndrome, obesity
Pubmed
Web of science
Open Access
Yes
Create date
24/05/2018 18:37
Last modification date
20/08/2019 14:22
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