Modeling Dietary Fiber Intakes in US Adults: Implications for Public Policy

Abstract

Objective: The goal of this study was to simulate the application of the dietary recommendations to increase dietary fiber (DF)-containing foods. Methods: This study used 24-hour dietary recalls from NHANES 2003-2006 to model the impact of different approaches of increasing DF with current dietary patterns of US adults 19 + years: 1) increased all DF-containing foods by 10, 25, 50, or 100%; 2) increased DF content of low DF grain products to a good (2.5 g/serving) or an excellent source level (5.0 g/serving); and 3) increased intake of whole grain foods to meet the recommendation of one-half of total grain. Results: Increasing DF-containing foods by 10, 25, 50, or 100% increased DF intake to 16.9, 18.9, 22.1, and 29.5 g/d, respectively with a concomitant increase in energy of 104, 260, 521, 1042 kcal/d, respectively. Adding 2.5 or 5.0 g/serving DF to low DF grain foods to result in DF intakes of 24.7 and 39.1 g/day, respectively without increased energy. Increasing consumption of whole grain foods increased DF intake to 25.3 g/day but with an additional 1266 kcal/d. Conclusions: Adding additional DF to existing grain-based foods may be a reasonable approach to getting more DF, without increased energy, in the American diet.

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T. Nicklas, C. O’Neil, D. Liska, N. Almeida and V. Fulgoni III, "Modeling Dietary Fiber Intakes in US Adults: Implications for Public Policy," Food and Nutrition Sciences, Vol. 2 No. 9, 2011, pp. 925-931. doi: 10.4236/fns.2011.29126.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] J. W. Anderson, et al., “Health Benefits of Dietary Fiber,” Nutrition Reviews, Vol. 67, No. 4, 2009, pp. 188-205. doi:10.1111/j.1753-4887.2009.00189.x
[2] J. A. Marlett, et al., “Position of the American Dietetic Association: Health Implications of Dietary Fiber,” Journal of the American Dietetic Association, Vol. 102, No. 7, 2002, pp. 993-1000. doi:10.1016/S0002-8223(02)90228-2
[3] D. Timm and J. Slavin, “Dietary Fiber and the Relationship to Chronic Diseases,” American Journal of Lifestyle Medicine, Vol. 2, No. 3, 2008, pp. 233-240. doi:10.1177/1559827608314149
[4] E. B. Rimm, et al., “Vegetable, Fruit, and Cereal Fiber Intake and Risk of Coronary Heart Disease among Men,” Journal of the American Medical Association, Vol. 275, No. 6, 1996, pp. 447-451. doi:10.1001/jama.275.6.447
[5] A. Wolk, et al., “Long-term Intake of Dietary Fiber and Decreased Risk of Coronary Heart Disease among Women,” Journal of the American Medical Association, Vol. 281, No. 21, 1999, pp. 1998-2004. doi:10.1001/jama.281.21.1998
[6] P. Pietinen, et al., “Intake of Dietary Fiber and Risk of Coronary Heart Disease in a Cohort of Finnish Men. The Alpha-Tocopherol, Beta-Carotene Cancer Prevention Study,” Circulation, Vol. 94, No. 11, 1996, pp. 2720-2727.
[7] L. A. Bazzano, “Effects of Soluble Dietary Fiber on Low- Density Lipoprotein Cholesterol and Coronary Heart Disease Risk,” Current Atherosclerosis Reports, Vol. 10, No. 6, 2008, pp. 473-477. doi:10.1007/s11883-008-0074-3
[8] J. R. Lupton and N. D. Turner, “Dietary Fiber and Coronary Disease: Does the Evidence Support an Association?” Current Atheroscler Report, Vol. 5, No. 6, 2003, pp. 500-505. doi:10.1007/s11883-003-0041-y
[9] M. A. Pereira, et al., “Dietary Fiber and Risk of Coronary Heart Disease: A Pooled Analysis of Cohort Studies,” Archives of Internal Medicine, Vol. 164, No. 4, 2004, pp. 370-376. doi:10.1001/archinte.164.4.370
[10] L. A. Bazzano, et al., “Dietary Fiber Intake and Reduced Risk of Coronary Heart Disease in US Men and Women: The National Health and Nutrition Examination Survey I Epidemiologic Follow-up Study,” Archives of Internal Medicine, Vol. 163, No. 16, 2003, pp. 1897-1904. doi:10.1001/archinte.163.16.1897
[11] K. Kaline, et al., “The Importance and Effect of Dietary Fiber in Diabetes Prevention with Particular Consideration of Whole Grain Products,” Hormone and Metabolic Research, Vol. 39, No. 9, 2007, pp. 687-693. doi:10.1055/s-2007-985811
[12] V. Vuksan, et al., “Fiber Facts: Benefits and Recommendations for Individuals with Type 2 Diabetes,” Current Diabetes Reports, Vol. 9, No. 5, 2009, pp. 405-411. doi:10.1007/s11892-009-0062-1
[13] M. Galisteo, et al., “Effects of Dietary Fibers on Disturbances Clustered in the Metabolic Syndrome,” Journal of Nutritional Biochemistry, Vol. 19, No. 2, 2008, pp. 71-84. doi:10.1016/j.jnutbio.2007.02.009
[14] M. A. Pereira and D. S. Ludwig, “Dietary Fiber and Body-Weight Regulation. Observations and Mechanisms,” Pediatric Clinics of North America, Vol. 48, No. 4, 2001, pp. 969-980. doi:10.1016/S0031-3955(05)70351-5
[15] N. C. Howarth, et al., “Dietary Fiber and Weight Regulation,” Nutrition Review, Vol. 59, No. 5, 2001, pp. 129-139. doi:10.1111/j.1753-4887.2001.tb07001.x
[16] J. L. Slavin, “Dietary Fiber and Body Weight,” Nutrition, Vol. 21, No. 3, 2005, pp. 411-418. doi:10.1016/j.nut.2004.08.018
[17] A. D. John, et al., “Fluid Flow Evaluation of Fuji Triage and Gray and White ProRoot Mineral Trioxide Aggregate Intraorifice Barriers,” Journal of Endodontics, Vol. 34, No. 7, 2008, pp. 830-832. doi:10.1016/j.joen.2008.03.014
[18] National Academy of Sciences, “Institute of Medicine of the National Academies, Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids. Panel on Macronutriaents,” National Academy Press, Washington DC, 2002.
[19] United States Department of Agriculture, “MyPlate,” 2011. http://www.choosemyplate.gov
[20] A. Moshfegh, J. Goldman and L. Cleveland, “What We Eat in America, NHANES 2001-2002: Usual Nutrient Intakes from Food Compared to Dietary Reference Intakes,” US Department of Agriculture, Agricultural Research Service, Washington DC, 2005
[21] The Secretary of Health and Human Services and the Secretary of Agriculture, “Report of the Dietary Guidelines Advisory Committee on the Dietary Guidelines for Americans, 2005,” US Department of Agriculture, Washington DC, 2005.
[22] L. Van Horn, “Development of the 2010 US Dietary Guidelines Advisory Committee Report: Perspectives from a Registered Dietitian,” Journal of American Die- tetic Association, Vol. 110, No. 11, pp. 1638-1645.
[23] IFIC, “2009 Food and Health Survey: Consumer Attitudes towards Food, Nutrition and Health,” 2009 Food & Health Results Web Cast Series, International Food Information Council, Washington DC, 2009.
[24] IFIC, “2008 Food and Health Survey: Consumer Attitudes towards Food, Nutrition and Health,” 2009 Food & Health Results Web Cast Series, International Food In- formation Council, Washington DC, 2009.
[25] National Center for Health Statistics, “National Health and Nutrition Examination Survey (NHANES) 1999-Current,” 2000.
[26] National Center for Health Statistics, “National Health and Nutrition Examination Survey (NHANES), 2006,” Analytic Reporting Guidelines, 2006
[27] National Center for Health Statistics, “NHANES MEC In-Person Dietary Interviewers Procedures Manual,” 2002
[28] J. M. Conway, et al., “Effectiveness of the US Department of Agriculture 5-Step Multiple-Pass Method in Assessing Food Intake in Obese and Nonobese Women,” American Journal of Clinical Nutrition, Vol. 77, No. 5, 2003, pp. 1171-1178.
[29] USFAD Administration, “Appendix B: Addition Require- ments for Nutrient Content Claims,” Guidance for Industry: A Food Labeling Guide, 2008.
[30] National Cancer Institute, “Usual Dietary Intakes: The NCI Method, in Risk Factor Monitoring and Methods,” 2011. http://riskfactor.cancer.gov/diet/usualintakes/method.html
[31] National Cancer Institute, “SAS Macros for Estimating Ratios of Usual Intakes of Dietary Components, in Risk Factor Monitoring & Methods,” 2011. http://riskfactor.cancer.gov/diet/usualintakes/macros.html
[32] L. Crawford, “Speech before Whole Grains & Health: A Global Summit,” Food and Drug Administration Mineapolis, 2005.
[33] F. F. De Moura, et al., “Applying the FDA Definition of Whole Grains to the Evidence for Cardiovascular Disease Health Claims,” Journal of Nutrition, Vol. 139, No. 11, 2009, pp. 2220S-2226S. doi:10.3945/jn.109.112383
[34] US Department of Agriculture, “National Nutrient Database for Standard Reference, Release 21,” US Department of Agriculture, Washington DC, 2011.
[35] T. A. Ledoux, et al., “Relationship of Fruit and Vegetable Intake with Adiposity: A Systematic Review,” Obesity Review, Vol. 12, No. 5, 2010, pp. e143-e150. doi:10.1111/j.1467-789X.2010.00786.x
[36] S. S. Casagrande, et al., “Have Americans Increased Their Fruit and Vegetable Intake? The Trends between 1988 and 2002,” American Journal of Preventive Medicine, Vol. 32, No. 4, 2007, pp. 257-263. doi:10.1016/j.amepre.2006.12.002
[37] A. Kant, et al., “Dietary Diversity in the US Population, NHANES II, 1976-1980,” Journal of the American Dietetic Association, Vol. 91, No. 12, 1991, pp. 1526-1531.
[38] National Cancer Institute, “Dietary Sources of Energy, Solid Fats, & Added Sugars among Children & Adolescents in the United States, in Risk Factor Monitoring and Methods,” 2010. http://riskfactor.cancer.gov/diet/usualintakes/sofaas.html
[39] I. A. Brownlee, et al., “Markers of Cardiovascular Risk Are Not Changed by Increased Whole-Grain Intake: The WHOLEheart Study, a Randomised, Controlled Dietary Intervention,” British Journal of Nutrition, Vol. 104, No. 1, pp. 125-134. doi:10.1017/S0007114510000644
[40] B. Horovitz, “Kellogg Adds Fiber, Hoping to Bowl Cereal Consumers Over,” USA Today, 2009.

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