[Dietary fibre: more than a matter of dietetics. II. Preventative and therapeutic uses]

Wien Klin Wochenschr. 2004 Aug 31;116(15-16):511-22. doi: 10.1007/BF03217703.
[Article in German]

Abstract

A nutrition rich in fibre has a preventive effect against constipation, colon diverticulosis, carcinoma of the large bowel and stomach, type 2-diabetes, metabolic syndrome and cardiovascular disease. In case of constipation, diverticulosis and diabetes this effect solely depends on dietary fibre. Regarding carcinomas and cardiovascular diseases, so far unknown factors integrated in or associated with fibre-rich food may also contribute to the preventive effect. Therapy with dietary fibre is indicated for constipation, colon diverticulosis, diarrhea, diabetes, and hypercholesterinemia. The individual dietary fibres differ substance-specifically. Food-integrated dietary fibre such as whole-grain bread, vegetables and fruit have their place in prevention. Dietary fibre preparations such as wheat bran, flax seed or sugar-beet fibre are useful in the treatment of constipation, colon diverticulosis and adiposity. Oat bran is preferentially used in hypercholesterinemia. Purified dietary fibres such as cellulose, guar, psyllium, and beta-glucan have an anti-diabetic, all viscous fibres an anti-lipaemic effect. The therapeutic dosages of dietary fibre preparations are 20-40 g/day and of purified fibres substances 10-20 g/day respectively.

Publication types

  • Review

MeSH terms

  • Cardiovascular Diseases / diet therapy
  • Cardiovascular Diseases / prevention & control*
  • Clinical Trials as Topic
  • Constipation / diet therapy
  • Constipation / prevention & control*
  • Diabetes Mellitus, Type 2 / diet therapy
  • Diabetes Mellitus, Type 2 / prevention & control*
  • Dietary Fiber / therapeutic use*
  • Dietetics / methods
  • Diverticulum, Colon / diet therapy
  • Diverticulum, Colon / prevention & control*
  • Gastrointestinal Neoplasms / diet therapy
  • Gastrointestinal Neoplasms / prevention & control*
  • Humans
  • Metabolic Syndrome / diet therapy
  • Metabolic Syndrome / prevention & control*
  • Treatment Outcome