Get Permission Sharma, Sharma, Tanya, Verma, and Ankur: Fibers as nutraceuticals: A review


Introduction

The best-known benefit of dietary fibre, which is mostly found in fruits, vegetables, whole grains, and legumes, is arguably its ability to prevent or cure constipation. However, fiber-rich meals can also help you maintain a healthy weight and reduce your risk of developing diabetes, heart disease, and some forms of cancer.

It's simple to choose enticing meals that are high in fibre. Learn how much dietary fibre you require, what foods are high in it, and how to include it into meals and snacks.

Roughage or bulk, another name for dietary fibre, refers to the components of plant foods that your body cannot digest or absorb. Fiber isn't processed by your body like other meal ingredients like lipids, proteins, or carbs that it breaks down and absorbs.1 Instead, it exits your body through your colon, small intestine, and stomach mostly undamaged. Fiber is often categorised as either soluble (dissolves in water) or insoluble (does not dissolve).

  1. Fluid fibre: This kind of fibre breaks down in water to create a gel-like substance. It can aid in lowering blood sugar and cholesterol levels. Oats, peas, beans, apples, citrus fruits, carrots, barley, and psyllium all contain soluble fibre.

  2. Insoluble fibre: Those who experience constipation or irregular stools may find this sort of fibre helpful since it encourages the passage of material through your digestive tract and improves stool volume. Insoluble fibre may be found in abundance in whole-wheat products including flour, wheat bran, nuts, beans, and vegetables like potatoes, cauliflower, and green beans.

Variable plant meals have different amounts of soluble and insoluble fibre. Consume a variety of high-fiber meals for the best health benefits.

Benefits of a High-Fiber Diet

Makes bowel motions normal

Dietary fibre softens and increases the weight and volume of your faeces. Your likelihood of developing constipation is reduced by a large stool's ease of passage. Fiber absorbs water and gives stools volume, so if you have loose, watery stools, it could help to solidify them.

Protects the health of the bowels

A high-fiber diet may reduce your chances of developing colon polyps and haemorrhoids (diverticular disease). A high-fiber diet is likely to reduce the incidence of colorectal cancer, according to studies. In the colon, some fibre is fermented. Researchers are investigating how this can help to avoid colon illnesses.

Lowers a person's cholesterol

Low-density lipoprotein, or "bad," cholesterol levels may be decreased by soluble fibre contained in beans, oats, flaxseed, and oat bran, which may help lower overall blood cholesterol levels. High-fiber meals may also help your heart by lowering blood pressure and inflammation, according to studies.

Aids in blood sugar regulation

Fiber, especially soluble fiber, can help control blood sugar levels in diabetics by slowing the absorption of sugar. Insoluble fibre may help lower the risk of type 2 diabetes by eating a healthy diet.

Helps one reach a healthy weight

You will probably eat less and feel fuller longer if you consume high-fiber meals instead of low-fiber ones since they are usually more satisfying. Additionally, high-fiber meals take longer to consume and are less "energy dense," which means they contain fewer calories per unit of food.

Prolongs your life

Increased dietary fibre consumption, particularly from cereal, may lower your chance of dying from all malignancies and cardiovascular disease, according to studies.

Fibers in a day

The Institute of Medicine, which offers scientific guidance on medical and health issues, recommends the following daily fibre amounts for adults:-

Table 0

Age 50 or younger

Age 51 or older

Men

38 gm

30gm

Women

25 gm

21 gm

Best Fiber

If you aren't receiving enough fibre each day, you should try to increase your consumption. Good options include:

  1. Whole-grain foods

  2. Fruits v

  3. Legumes such as beans and peas

  4. Seeds and nuts

Refined or processed foods are lower in fibre, such as canned fruits and vegetables, pulp-free juices, white breads and pastas, and non-whole-grain cereals. Grain refining removes the outer shell (bran) from the grain, lowering its fibre content. Some of the B vitamins are found in enriched foods.

Fortified food

In general, whole foods are preferable than fibre supplements. Fiber supplements, such as Metamucil, Citrucel, and FiberCon, do not include the same diversity of fibres, vitamins, minerals, and other nutrients that meals offer.2, 3, 4, 5, 6

Consuming fiber-fortified foods such as cereal, granola bars, yoghurt, and ice cream is another approach to increase your fibre intake. The fibre supplement is typically branded as "inulin" or "chicory root." Some people get flatulence after eating meals high in fibre.

However, if dietary adjustments are insufficient or if they have specific medical disorders such as constipation, diarerhoea, or irritable bowel syndrome, some people may still require a fibre supplement. Before using fibre supplements, see your doctor.

Lower risk of diseases

Fiber appears to reduce the chance of developing a variety of illnesses such as heart disease, diabetes, diverticular disease, and constipation. Because of fiber's positive involvement in the gut microbiota, it may have anti-inflammatory properties that help to reduce the chronic inflammation associated with certain illnesses.

Heart disease

Soluble fibre draws water in the stomach, generating a gel that can impede digestion. This may assist to minimise blood glucose spikes after eating and lessen appetite. Controlling blood glucose and weight is critical since these are risk factors for diabetes, which doubles the chance of developing heart disease.

Soluble fibre may help reduce blood cholesterol by interfering with bile acid synthesis. In the liver, cholesterol is converted into bile acids. Soluble fibre binds to bile acids in the intestine and excretes them from the body. Because there are less accessible bile acids, the liver will remove cholesterol from the blood to produce new bile acids, decreasing blood cholesterol. A meta-analysis of 67 controlled studies found that dietary soluble fibre had a little impact in decreasing total and LDL cholesterol.

According to epidemiological research, a high fibre intake is related with a decreased risk of heart disease and cardiovascular disease fatalities. Researchers discovered that larger intakes of cereal fibres were linked to a decreased incidence of heart disease and heart attacks in large cohorts of male and female health professionals. Keep in mind that cereal fibre does not always relate to the aisle of packaged morning cereals in your local supermarket. In these research, "cereals" were defined as the seeds of minimally processed whole grains, which included the germ, bran, and endosperm. Steel-cut oats, quinoa, brown rice, millet, barley, and buckwheat are among examples.

Diabetes

Diets deficient in fibre, particularly insoluble fibre, may raise the risk of type 2 diabetes (T2DM). Large cohort studies of women indicated that a diet low in fibre (particularly cereal fibres) yet high in glycemic index (producing blood glucose rises) increased the chance of developing T2DM. Other large cohorts of male and female health professionals have discovered that high-fiber whole grains (brown rice, rye, oats, wheat bran) are most significantly connected with decreased diabetes risk. Fibers from fruits and vegetables do not appear to have the same significant connection.

Constipation

Constipation is characterised as having three or less bowel movements per week, experiencing trouble or discomfort passing bowel motions, or having tiny, firm, "pebbly" stool. Constipation is typical on occasion, but persistent constipation that does not resolve can impair quality of life and cause bloating, cramps, and even nausea. Constipation over an extended period of time raises the risk of diverticular disease and haemorrhoids.

Constipation can be relieved by increasing fibre intake from fruits, vegetables, and whole grains, drinking more water, and engaging in regular exercise. Fiber relieves constipation for a variety of reasons. Soluble fibres that bind to water form a gel that softens and bulks faeces. Insoluble fibres moderately irritate the intestinal lining, stimulating the release of water and mucus to promote stool movement. Certain fibres function as prebiotics, or food for gut bacteria, which ferments fibres into short chain fatty acids and increases water in the intestines, resulting in softer, easier-to-pass faeces.

Because different fibre types have different effects on constipation, a variety of high-fiber foods such as whole grains, fruits, legumes, and vegetables are suggested. It is recommended to gradually increase fibre consumption since a sudden considerable increase in dietary fibre might induce bloating and cramps. Drinking extra water and eating more fibre can also help reduce the severity of these adverse effects.

Diverticulosis disease

Diverticulosis is a disorder in which tiny "pouches" called diverticula form in the lower intestine. It is one of the most frequent colon ailments in the Western world, with the greatest prevalence rates in the United States and Europe. Diverticulosis is normally quiet, giving no symptoms till the pouches rip or become inflamed, resulting in diverticulitis. Diverticulitis can cause chronic stomach discomfort (typically in the lower left side), nausea, vomiting, and fever. Treatment often consists of a brief time of no food, only liquids, and antibiotic drugs. Surgery may be required in extreme situations when an abscess or perforation has formed.

Cohort studies demonstrate that fibre, particularly fibre from fruits, cereal grains, and vegetables, has a preventive impact against diverticular disease. A study of almost 43,000 men from the Health Professionals Follow-up Study discovered that dietary fibre, particularly cellulose, a kind of insoluble fibre, protects against diverticulitis. Cellulose can be found in the skins of fruits, leafy vegetables, root vegetables, legumes, and wheat bran. A Nurses' Health Study of over 50,000 women discovered that those with the greatest fibre intakes (25 or more grammes daily) had a 13% lower incidence of diverticulitis than those who ate the least (less than 18 grammes daily). 7, 8, 9, 10, 11 Fibers from cereal grains and entire fruits provided the most protection, but not fruit juices.

Colorectal cancer

Previous epidemiological research have yielded conflicting results about the link between fibre and colorectal cancer (CRC).

One reason might be that fibre has different effects on different subtypes of CRC. When this was taken into consideration, fibre was discovered to be protective with specific subtypes. In a meta-analysis of prospective cohort studies, fibres from fruits, vegetables, and legumes were shown to give modest protection against CRC, whereas cereal fibres were found to have a greater connection with CRC prevention. Other subsequent meta-analyses discovered substantial links between a high-fiber diet and a decreased risk of CRC.

Breast cancer

A prospective cohort study of almost 90,000 premenopausal women discovered that increasing fibre intake and ingesting fibre throughout youth lowered breast cancer risk. When comparing the greatest to lowest fibre intakes, there was a 25% lower risk of breast cancer. A further meta-analysis of 17 prospective cohort studies comparing greatest to lowest fibre intakes revealed the same protective effect of dietary fibre on breast cancer risk. It was discovered to be anti-cancer in both premenopausal and postmenopausal women.

A high-fiber diet was also linked to a decreased likelihood of benign breast disease, which is a risk factor for the development of breast cancer in teenagers.

Source of Funding

None.

Conflict of Interest

None.

References

3 

Y Kim Dietary fibre intake and mortality from cardiovascular disease and all cancers: A meta-analysis of prospective cohort studiesArch Cardiovasc Dis201610913954

4 

R L Duyff Academy Of Nutrition and Dietetics Complete Food and Nutrition Guide5th2017816

5 

Nutrition facts label: Dietary fiber. U.S. Food and Drug Administration2018https://www.accessdata.fda.gov/scripts/InteractiveNutritionFactsLabel/#intro.Accessed

6 

N Veronese Dietary fiber and health outcomes: An umbrella review of systematic reviews and meta-analysesAm J Clin Nutr2018107343644

7 

M Song Fiber intake and survival after colorectal cancer diagnosisJ Am Med Assoc Oncol2018411719

8 

GA Colditz Healthy diet in adults2018https://www.uptodate.com/contents/search.Accessed

9 

Dietary reference intakes (DRIs): Recommended dietary allowances and adequate intakes, total water and macronutrients2018http://www.nap.edu/

10 

Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino AcidsThe National Academies PressWashington, DC2005135810.17226/10490

11 

W Ma LH Nguyen M Song M Jovani PH Liu Y Cao Intake of dietary fiber, fruits, and vegetables, and risk of diverticulitis. The American journal of gastroenterologyAm J Gastroenterol2019114915318



jats-html.xsl


This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

  • Article highlights
  • Article tables
  • Article images

Article History

Received : 13-12-2022

Accepted : 28-12-2022


View Article

PDF File   Full Text Article


Copyright permission

Get article permission for commercial use

Downlaod

PDF File   XML File   ePub File


Digital Object Identifier (DOI)

Article DOI

https://doi.org/10.18231/j.jpbs.2022.011


Article Metrics






Article Access statistics

Viewed: 419

PDF Downloaded: 126



Medical Abbreviation List