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Dietary fibre intake and mortality from cardiovascular disease and all cancers: A meta-analysis of prospective cohort studies
Open accessAbstract
Background Accumulating evidence supports health benefits of dietary fibre, such as improving lipid profiles, lowering blood pressure and improving insulin sensitivity, but evidence from comprehensive investigation of dietary fibre intake and mortality from cardiovascular disease (CVD) and all cancers is limited.Aims To quantitatively assess the association between dietary fibre intake and mortality from CVD and all cancers.Methods We performed a meta-analysis of prospective cohort studies. Eligible studies were identified by searching PubMed and Embase databases for all articles published up to September 2014 and via hand searching. Study-specific estimates adjusting for potential confounders were combined to calculate pooled relative risks (RRs) with 95% confidence intervals (CIs), using a random-effects model.Results We found 15 studies that examined the association between dietary fibre and mortality from CVD, coronary heart disease (CHD) and all cancers. The pooled RRs of CVD, CHD and all-cancer mortality for the highest versus lowest category of dietary fibre were 0.77 (95% CI: 0.71-0.84), 0.76 (95% CI: 0.67-0.87) and 0.86 (95% CI: 0.79-0.93), respectively. In a dose-response meta-analysis, the pooled RRs for an increment of 10 g/day in dietary fibre intake were 0.91 (95% CI: 0.88-0.94) for CVD, 0.89 (95% CI: 0.85-0.93) for CHD and 0.94 (95% CI: 0.91-0.97) for all cancers.Conclusions Our findings suggest that high dietary fibre intake is associated with a reduced risk of mortality from CVD and all cancers. These results support the current recommendation that high dietary fibre intake should be part of a healthy diet.
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“Pooled risk ratio for CVD mortality (based on the highest versus the lowest categories of dietary fibre intake) was 0.77 (95% CI: 0.71–0.84) [77].”
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“A dose–response meta-analysis also revealed a pooled relative risk reduction by 9% for CVD mortality for an increment of 10g/day of dietary fibre intake [77].”
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“There were also associations between increased dietary fibre intake and lower risk of mortality from coronary heart disease and all cancers.”
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Metadata
- Authors
- Kim, Y., & Je, Y.
- Affiliations
- Kyung Hee University (KR)
- Corresponding author
- Je, Youjin
- Venue
- Archives of Cardiovascular Diseases
- Publisher
- Elsevier BV
- Published
- 2016-01
- Volume
- 109
- Issue
- 1
- Pages
- 39-54
- ISSN
- 1875-2128 (ISSN-L)
- 1875-2136
- OpenAlex
- W2218229923
- Cited by
- 212
- References
- 50
- Citations by year
- 2026: 7 · 2025: 15 · 2024: 17 · 2023: 34 · 2022: 31 · 2021: 16 · 2020: 28 · 2019: 18 · 2018: 15 · 2017: 22 · 2016: 8
- FWCI
- 2.16
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Archives of cardiovascular diseases (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Research Foundation
- National Research Foundation of Korea (NRF-2015R1A1A1A05001362)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Nursing › Nutrition and Dietetics › Food composition and properties
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Keywords
- dietary fiber intake, cardiovascular mortality, cancer mortality, coronary artery disease, dose-response relationship, healthy eating, dietary recommendations, lipid profile, blood pressure, insulin sensitivity
- MeSH terms
- Adult, Aged, Aged, 80 and over, Cardiovascular Diseases, Dietary Fiber, Feeding Behavior, Female, Humans, Life Style, Male, Middle Aged, Neoplasms, Prospective Studies, Risk Factors, Time Factors, Odds Ratio, Least-Squares Analysis, Risk Assessment, Risk Reduction Behavior, Protective Factors
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