Next Article in Journal
A Case-Control Study of the Association between Vitamin D Levels and Gastric Incomplete Intestinal Metaplasia
Previous Article in Journal
Evaluation of Energy Expenditure and Oxidation of Energy Substrates in Adult Males after Intake of Meals with Varying Fat and Carbohydrate Content
Previous Article in Special Issue
Dietary Fiber Intake and Metabolic Syndrome Risk Factors among Young South African Adults
Article Menu
Issue 5 (May) cover image

Export Article

Open AccessArticle
Nutrients 2018, 10(5), 628; https://doi.org/10.3390/nu10050628

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

1
Public Health Sciences, Stritch School of Medicine, Maywood, IL 60153, USA
2
Solutions for Developing Countries, University of West Indies, Mona, Kingston, Jamaica
3
Department of Physiology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
4
Unit for the Prevention and Control of Cardiovascular Disease, Ministry of Health, Victoria, Mahè Island, Republic of Seychelles
5
Institute of Social and Preventive Medicine, University of Lausanne, Lausanne 1010, Switzerland
6
Division for Exercise Science and Sports Medicine, Department of Human Biology, University of Cape Town, Cape Town 7700, South Africa
7
Division of Endocrinology, Diabetes and Metabolism, University of Illinois at Chicago, Chicago, IL 60612, USA
8
Section of Endocrinology, Department of Medicine, Jesse Brown VA Medical Center, Chicago, IL 60612, USA
*
Author to whom correspondence should be addressed.
Received: 17 April 2018 / Revised: 8 May 2018 / Accepted: 14 May 2018 / Published: 16 May 2018
View Full-Text   |   Download PDF [415 KB, uploaded 16 May 2018]   |  

Abstract

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. View Full-Text
Keywords: cardiometabolic risk; dietary fiber; metabolic syndrome; obesity; epidemiologic transition cardiometabolic risk; dietary fiber; metabolic syndrome; obesity; epidemiologic transition
Figures

Figure 1

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

Share & Cite This Article

MDPI and ACS Style

Lie, L.; Brown, L.; Forrester, T.E.; Plange-Rhule, J.; Bovet, P.; Lambert, E.V.; Layden, B.T.; Luke, A.; Dugas, L.R. The Association of Dietary Fiber Intake with Cardiometabolic Risk in Four Countries across the Epidemiologic Transition. Nutrients 2018, 10, 628.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Nutrients EISSN 2072-6643 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top