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

Détails

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Etat: Public
Version: Final published version
ID Serval
serval:BIB_3575F2AD3770
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
The Association of Dietary Fiber Intake with Cardiometabolic Risk in Four Countries across the Epidemiologic Transition.
Périodique
Nutrients
Auteur(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
Statut éditorial
Publié
Date de publication
16/05/2018
Peer-reviewed
Oui
Volume
10
Numéro
5
Pages
NA
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Résumé
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.
Mots-clé
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
Oui
Création de la notice
24/05/2018 18:37
Dernière modification de la notice
20/08/2019 14:22
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