The DOI matches its Crossref record; 54 of the 54 references it cites were found in a registry or an index.
Psyllium-Enriched Cereals Lower Blood Total Cholesterol and LDL Cholesterol, but Not HDL Cholesterol, in Hypercholesterolemic Adults: Results of a Meta-Analysis
Open accessAbstract
We conducted a meta-analysis to determine the effect of consumption of psyllium-enriched cereal products on blood total cholesterol (TC), LDL cholesterol (LDL-C) and HDL cholesterol (HDL-C) levels and to estimate the magnitude of the effect among 404 adults with mild to moderate hypercholesterolemia (TC of 5.17-7.8 mmol/L) who consumed a low fat diet. Studies of psyllium cereals were identified by a computerized search of MEDLINE and Current Contents and by contacting United States-based food companies involved in psyllium research. Published and unpublished studies were reviewed by one author and considered eligible for inclusion in the meta-analysis if they were conducted in humans, were randomized, controlled experiments, and included a control group that ate cereal providing </=3 g soluble fiber/d. Eight published and four unpublished studies, conducted in four countries, met the criteria. Analysis of a linear model was performed, controlling for sex and age. Female subjects were divided into two groups to provide a rough estimate of the effect of menopausal status (premenopausal = <50 y, postmenopausal = >/=50 y) on blood lipids. The meta-analysis showed that subjects who consumed a psyllium cereal had lower TC and LDL-C concentrations [differences of 0.31 mmol/L (5%) and 0.35 mmol/L (9%), respectively] than subjects who ate a control cereal; HDL-C concentrations were unaffected in subjects eating psyllium cereal. There was no effect of sex, age or menopausal status on blood lipids. Results indicate that consuming a psyllium-enriched cereal as part of a low fat diet improves the blood lipid profile of hypercholesterolemic adults over that which can be achieved with a low fat diet alone.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Controlled feeding trials of the portfolio dietary pattern demonstrated that each of the components had a low-density lipoprotein cholesterol (LDL-C) lowering effect of 5-10% [14][15][16][17][18] and that the effect was additive when combined as part of this dietary pattern.[8][9][10][11][12][13]”
From Portfolio Dietary Pattern and Cardiovascular Disease: A Systematic Review and Meta-analysis of Controlled Trials (2018) · cites this paper as [14]
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
In the citing paper
“These data provide confirmation that the LDL-C lowering effect of 5-10% [14][15][16][17][18] of each of the 4 core food components can be considered additive, [8][9][10][11][12][13]”
From Portfolio Dietary Pattern and Cardiovascular Disease: A Systematic Review and Meta-analysis of Controlled Trials (2018) · cites this paper as [14]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Grundy, S. M., Bilheimer, D. W., Chait, A., Clark, L. T., Denke, M. A., Havel, R. J., Hazzard, W. R., Hulley, S. B., Hunninghake, D. B., Kreisberg, R. A., et al. (1993) · JAMA · doi:10.1001/jama.269.23.3015 · Cited by 27,944
Self-citationMeta-Analyses of Randomized Controlled Trials
Sacks, H. S., Berrier, J., Reitman, D., Ancona-Berk, V. A., & Chalmers, T. C. (1987) · New England Journal of Medicine · doi:10.1056/nejm198702193160806 · Cited by 1,257
Vegetable, Fruit, and Cereal Fiber Intake and Risk of Coronary Heart Disease Among Men
Rimm, E. B. (1996) · JAMA · doi:10.1001/jama.1996.03530300031036 · Cited by 889
Guidelines for Meta-analyses Evaluating Diagnostic Tests
Irwig, L., Tosteson, A. N. A., Gatsonis, C., Lau, J., Colditz, G. A., Chalmers, T. C., & Mosteller, F. (1994) · Annals of Internal Medicine · doi:10.7326/0003-4819-120-8-199404150-00008 · Cited by 754
4: The Surgeon General's report on Nutrition and Health
McGinnis, J. M. (1989) · Nutrition Bulletin · doi:10.1111/j.1467-3010.1989.tb00312.x · Cited by 640
Moher, D., Fortin, P. R., Jadad, A. R., Jüni, P., Klassen, T. P., LeLorier, J., Liberati, A., Penna, A., & Linde, K. (1996) · The Lancet · doi:10.1016/s0140-6736(96)90538-3 · Cited by 539
Meta-analysis: State-of-the-Science
Dickersin, K., & Berlin, J. A. (1992) · Epidemiologic Reviews · doi:10.1093/oxfordjournals.epirev.a036084 · Cited by 495
Diet and 20-Year Mortality from Coronary Heart Disease
Kushi, L. H., Lew, R., Stare, F. J., Ellison, R. C., el Lozy, M., Bourke, G. J., Daly, L., Graham, I., Hickey, N. J., Mulcahy, R., et al. (1985) · New England Journal of Medicine · doi:10.1056/nejm198503283121302 · Cited by 481
Muthukannan, J. (1995) · Journal of the American Dietetic Association · doi:10.1016/s0002-8223(95)00516-1 · Cited by 414
Effect on Blood Lipids of Very High Intakes of Fiber in Diets Low in Saturated Fat and Cholesterol
Jenkins, D., Wolever, T. M. S., Rao, A. V., Hegele, R. A., Mitchell, S. J., Ransom, T. P. P., Boctor, D. L., Spadafora, P. J., Jenkins, A. L., Mehling, C. C., et al. (1993) · New England Journal of Medicine · doi:10.1056/nejm199307013290104 · Cited by 301
Self-citationSoluble fiber and serum lipids: A literature review
Glore, S. R., Treeck, D. V., KNEHANS, A. W., & Guild, M. (1994) · Journal of the American Dietetic Association · doi:10.1016/0002-8223(94)90099-x · Cited by 289
Khaw, K., & Barrett‐Connor, E. (1987) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a114748 · Cited by 194
Cholesterol-Lowering Effects of Psyllium Hydrophilic Mucilloid for Hypercholesterolemic Men
Anderson, J. W. (1988) · Archives of Internal Medicine · doi:10.1001/archinte.1988.00380020036007 · Cited by 172
Self-citationCutting into cholesterol. Cost-effective alternatives for treating hypercholesterolemia
Kinosian, B. P. (1988) · JAMA · doi:10.1001/jama.259.15.2249 · Cited by 157
Gt, E., Daggy, B., Mckinley, C. R., & Story, J. (1992) · Journal of Lipid Research · doi:10.1016/s0022-2275(20)40770-9 · Cited by 152
Trends in Breakfast Consumption if US Adults Between 1965 and 1991
Haines, P. S., Guilkey, D. K., & Popkin, B. M. (1996) · Journal of the American Dietetic Association · doi:10.1016/s0002-8223(96)00130-7 · Cited by 143
Oats and buckwheat intakes and cardiovascular disease risk factors in an ethnic minority of China
He, J., Klag, M., Whelton, P. K., Mo, J., Chen, J., Qian, M.-C., Mo, P., & He, G. (1995) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/61.2.366 · Cited by 142
The role of breakfast in diet adequacy of the U.S. adult population.
Morgan, K. J., Zabik, M. E., & Stampley, G. L. (1986) · Journal of the American College of Nutrition · doi:10.1080/07315724.1986.10720156 · Cited by 120
Kinosian, B. P. (1988) · JAMA · doi:10.1001/jama.1988.03720150025030 · Cited by 117
Cholesterol-Lowering Effects of Psyllium Hydrophilic Mucilloid
Bell, L. (1989) · JAMA · doi:10.1001/jama.1989.03420230073029 · Cited by 117
The 1995 Dietary Guidelines for Americans
Kennedy, E., Meyers, L., & LAYDEN, W. (1996) · Journal of the American Dietetic Association · doi:10.1016/s0002-8223(96)00072-7 · Cited by 104
Davidson, M., Dugan, L. D., Burns, J., Sugimoto, D. H., Story, K., & Drennan, K. (1996) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/63.1.96 · Cited by 100
Bell, L., Hectorn, K., Reynolds, H., & Hunninghake, D. B. (1990) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/52.6.1020 · Cited by 97
Self-citationReducing Low-Density Lipoprotein Cholesterol Levels in an Ambulatory Care System
Shaffer, J. (1995) · Archives of Internal Medicine · doi:10.1001/archinte.155.21.2330 · Cited by 91
The gel nature and structure of the carbohydrate of ispaghula husk ex Plantago ovata Forsk
Sandhu, J., Hudson, G. J., & Kennedy, J. F. (1981) · Carbohydrate Research · doi:10.1016/s0008-6215(00)80854-x · Cited by 89
Lowering blood cholesterol to prevent heart disease. NIH Consensus Development Conference statement.
Wilkins, L. W. (1985) · PubMed · Cited by 88
Serum cholesterol, fat intake, and breakfast consumption in the United States adult population.
Stanton, J. L., & Keast, D. R. (1989) · Journal of the American College of Nutrition · doi:10.1080/07315724.1989.10720328 · Cited by 72
Abraham, Z., & Mehta, T. D. (1988) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/47.1.67 · Cited by 72
Method of administration influences the serum cholesterol–lowering effect of psyllium
Wolever, T., Jenkins, D., Mueller, S., Boctor, D. L., Ransom, T. P. P., Patten, R., Chao, E., McMillan, K. R., & Fulgoni, V. L. I. (1994) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/59.5.1055 · Cited by 69
Self-citationAnderson, J., Riddell-Mason, S., Gustafson, N., Smith, S., & Mackey, M. A. (1992) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/56.1.93 · Cited by 69
Self-citationDennison, B. A., & Levine, D. M. (1993) · The Journal of Pediatrics · doi:10.1016/s0022-3476(05)81532-x · Cited by 64
Lowering of Human Serum Cholesterol by an Oral Hydrophilic Colloid.
Garvin, J. E., Dt, F., Eiseman, W., & Phillips, C. R. (1965) · Experimental Biology and Medicine · doi:10.3181/00379727-120-30643 · Cited by 58
Consumption of grain and whole-grain foods by an American population during the years 1990 to 1992
Albertson, A. M., & Tobelmann, R. C. (1995) · Journal of the American Dietetic Association · doi:10.1016/s0002-8223(95)00194-8 · Cited by 51
Soluble fiber enhances the hypocholesterolemic effect of the step I diet in childhood.
Williams, C. L., Bollella, M. C., Spark, A., & Puder, D. (1995) · Journal of the American College of Nutrition · doi:10.1080/07315724.1995.10718504 · Cited by 51
Cholesterol-lowering intervention program. Effect of the step I diet in community office practices
Caggiula, A. W. (1996) · Archives of Internal Medicine · doi:10.1001/archinte.156.11.1205 · Cited by 47
Dietary Fiber Intake of Children and Young Adults
Nicklas, T. A., Farris, R. P., Myers, L., & Berenson, G. S. (1995) · Journal of the American Dietetic Association · doi:10.1016/s0002-8223(95)00049-6 · Cited by 47
McGEHEE, M., Johnson, E. Q., Rasmussen, H., Sahyoun, N., Lynch, M., & Carey, M. (1995) · Journal of the American Dietetic Association · doi:10.1016/s0002-8223(95)00288-x · Cited by 45
Effect of psyllium in hypercholesterolemia at two monounsaturated fatty acid intakes
Jenkins, D., Wolever, T. M. S., Vidgen, E., Kendall, C. W. C., Ransom, T. P. P., Mehling, C. C., Mueller, S., Cunnane, S. C., O’Connell, N., Setchell, K. D. R., et al. (1997) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/65.5.1524 · Cited by 39
Self-citationThe cholesterol‐lowering effect of a breakfast cereal containing psyllium fibre
Roberts, D. C. K., Truswell, A. S., Bencke, A., Dewar, H. M., & Farmakalidis, E. (1994) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.1994.tb126912.x · Cited by 39
Self-citationLowering blood cholesterol to prevent heart disease. NIH Consensus Development Conference statement.
(1985) · Arteriosclerosis An Official Journal of the American Heart Association Inc · doi:10.1161/01.atv.5.4.404 · Cited by 37
Synergistic Effects of Psyllium in the Dietary Treatment of Hypercholesterolemia
Neal, G., & Balm, T. K. (1990) · Southern Medical Journal · doi:10.1097/00007611-199010000-00005 · Cited by 34
Cholesterol-Lowering Intervention Program
Caggiula, A. W. (1996) · Archives of Internal Medicine · doi:10.1001/archinte.1996.00440100103012 · Cited by 32
Meta-analysis: the quantitative approach to research review.
Ellenberg, S. S. (1988) · PubMed · Cited by 30
Cholesterol Reduction: Weighing the Benefits and Risks
Gaziano, J. M., Hebert, P., & Hennekens, C. (1996) · Annals of Internal Medicine · doi:10.7326/0003-4819-124-10-199605150-00009 · Cited by 28
Psyllium Reduces Blood Lipids in Men and Women With Hyperlipidemia
Wolever, T. M. S., Jenkins, D. J. A., Mueller, S., Patten, R., Relle, L. K., Boctor, D. L., Ransom, T. P. P., Chao, E. S. M., McMillan, K., & Fulgoni, V. L. I. (1994) · The American Journal of the Medical Sciences · doi:10.1097/00000441-199404000-00005 · Cited by 25
Self-citationThe effects of psyllium on blood lipids in hypercholesterolaemic subjects
Summerbell, C. D., Manley, P., Barnes, D., & Leeds, A. (1994) · Journal of Human Nutrition and Dietetics · doi:10.1111/j.1365-277x.1994.tb00423.x · Cited by 23
Self-citationCholesterol-lowering effects of ready-to-eat cereal containing psyllium
Stoy, D. B., LaRosa, J. C., Brewer, B., MACKEY, M. A., & Meusing, R. A. (1993) · Journal of the American Dietetic Association · doi:10.1016/0002-8223(93)91533-v · Cited by 21
Self-citationGibaldi, M. (1993) · Drugs · doi:10.2165/00003495-199346050-00002 · Cited by 17
Haselkom, J. K., Turner, J. A., Diehr, P. K., Ciol, M. A., & Deyo, R. A. (1994) · Spine · doi:10.1097/00007632-199409151-00010 · Cited by 14
Treatment of Chronic Constipation by a Bulk-Forming Laxative (Fibrolax®)
Borgia, M. L., Sepe, N., Brancato, V., Costa, G., SIMONE, P. D., Borgia, R., & Lugli, R. (1983) · Journal of International Medical Research · doi:10.1177/030006058301100212 · Cited by 13
Preventive Efficacy of Nutritional Counseling
Kannel, W. B. (1996) · Archives of Internal Medicine · doi:10.1001/archinte.156.11.1138 · Cited by 10
Grundy, S. M., Arky, R. A., & Bray, G. A. (1985) · Arteriosclerosis An Official Journal of the American Heart Association Inc · Cited by 9
Preventive Efficacy of Nutritional Counseling
Kannel, W. B. (1996) · Archives of Internal Medicine · doi:10.1001/archinte.1996.00440100022003
Research works printed but not linked: 1
- 1993, J. Am. Med. Assoc., 269, 3015, 10.1001/jama.1993.03500230097036 · DOI
Cited by
Sorted by citations
Dietary Fiber and Risk of Coronary Heart Disease: A Pooled Analysis of Cohort Studies
Pereira, M. A., O'Reilly, E., Augustsson, K., Fraser, G. E., Goldbourt, U., Heitmann, B. L., Hallmans, G., Knekt, P., Liu, S., Pietinen, P., et al. (2004) · Archives of Internal Medicine · doi:10.1001/archinte.164.4.370 · Cited by 630
Jenkins, D. J. A. (2003) · JAMA · doi:10.1001/jama.290.4.502 · Cited by 620
Self-citationMcRorie, J. W., & McKeown, N. M. (2016) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jand.2016.09.021 · Cited by 602
Tungland, B. C., & Meyer, D. (2002) · Comprehensive Reviews in Food Science and Food Safety · doi:10.1111/j.1541-4337.2002.tb00009.x · Cited by 525
The link between dietary fibre and human health
Kendall, C. W. C., Esfahani, A., & Jenkins, D. J. A. (2009) · Food Hydrocolloids · doi:10.1016/j.foodhyd.2009.08.002 · Cited by 361
Self-citation
Metadata
- Authors
- Olson, B. H., Anderson, S. M., Becker, M. P., Anderson, J. W., Hunninghake, D. B., Jenkins, D. J. A., LaRosa, J. C., Rippe, J. M., Roberts, D. C. K., Stoy, D. B., Summerbell, C. D., Truswell, A. S., Wolever, T. M. S., Morris, D. H., & Fulgoni, V. L.
- Affiliations
- Kellogg's (United States) (US)
- University of Michigan (US)
- United States Department of Veterans Affairs (US)
- University of Minnesota (US)
- St. Michael's Hospital (CA)
- George Washington University (US)
- University of Massachusetts Chan Medical School (US)
- University of Newcastle Australia (AU)
- St Bartholomew's Hospital (GB)
- The University of Sydney (AU)
- Corresponding author
- Olson, Beth H.
- ORCID
- Venue
- The Journal of Nutrition
- Publisher
- Elsevier BV
- Published
- 1997-10
- Volume
- 127
- Issue
- 10
- Pages
- 1973-1980
- ISSN
- 0022-3166 (ISSN-L)
- OpenAlex
- W2171480330
- Cited by
- 167
- References
- 53
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 6 · 2023: 6 · 2022: 1 · 2021: 1 · 2020: 4 · 2019: 5 · 2018: 2 · 2017: 5 · 2016: 3 · 2015: 8 · 2014: 7 · 2013: 4 · 2012: 5
- FWCI
- 1.64
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Food composition and properties
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipoproteins and Cardiovascular Health
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Natural Products and Biological Research
- Keywords
- psyllium, hypercholesterolemia, total cholesterol, LDL cholesterol, HDL cholesterol, lipid profile, soluble dietary fiber, low-fat diet, menopausal status, sex differences
- MeSH terms
- Adult, Edible Grain, Female, Humans, Hypercholesterolemia, Cholesterol, HDL, Cholesterol, LDL, Menopause, Psyllium
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review