膳食纤维摄入量与几种非传染性疾病呈负相关。然而,在亚洲人群中,这种效应的证据尚不清楚.
我们研究了膳食纤维摄入量与全因死亡率和特定原因死亡率之间的关系,以及膳食来源的纤维摄入量与全因死亡率之间的关系。
我们进行了大规模的基于人群的队列研究(基于日本公共卫生中心的前瞻性研究)。由92,924名45-74岁的参与者(42,754名男性和50,170名女性)完成了一份包含138种食物的经过验证的问卷。计算了膳食纤维的摄入量,并将其分为五分位数。报告了总死亡率和原因特异性死亡率的HR和95%CI。
在16.8年的平均随访期间,确认了19,400人死亡。在多变量调整模型中,total,可溶性,不溶性纤维摄入与全因死亡率呈负相关.总纤维摄入量最高的五分之一人群与最低的五分之一人群相比,男性的总死亡率为0.77(95%CI:0.72,0.82;Ptrend<0.0001),女性为0.82(95%CI:0.76,0.89;Ptrend<0.0001)。膳食纤维摄入量的增加与总心血管疾病(CVD)导致的死亡率降低显着相关。呼吸道疾病,男女受伤,而膳食纤维的摄入与男性癌症死亡率呈负相关,但与女性无关.来自水果的纤维,豆子,和蔬菜,但不是来自谷物,与总死亡率呈负相关。
在这项长期随访的大规模前瞻性研究中,膳食纤维与全因死亡率呈负相关.由于摄入了膳食纤维,主要来自水果,蔬菜,豆类与较低的全因死亡率有关,这些食物来源可能是人们的好选择,旨在消耗更多的纤维。
An inverse association has been shown between dietary fiber intake and several noncommunicable diseases. However, evidence of this effect remains unclear in the Asian population.
We examined the association between dietary fiber intake and all-cause and cause-specific mortality, as well as the association between fiber intake from dietary sources and all-cause mortality.
We conducted a large-scale population-based cohort
study (Japan Public Health Center-based prospective
study). A validated questionnaire with 138 food items was completed by 92,924 participants (42,754 men and 50,170 women) aged 45-74 y. Dietary fiber intake was calculated and divided into quintiles. HR and 95% CI of total and cause-specific mortality were reported.
During the mean follow-up of 16.8 y, 19,400 deaths were identified. In multivariable adjusted models, total, soluble, and insoluble fiber intakes were inversely associated with all-cause mortality. The HRs of total mortality in the highest quintile of total fiber intake compared with the lowest quintile were 0.77 (95% CI: 0.72, 0.82; Ptrend <0.0001) in men and 0.82 (95% CI: 0.76, 0.89; Ptrend <0.0001) in women. Increased quintiles of dietary fiber intake were significantly associated with decreased mortality due to total cardiovascular disease (CVD), respiratory disease, and injury in both men and women, whereas dietary fiber intake was inversely associated with cancer mortality in men but not women. Fiber from fruits,
beans, and vegetables, but not from cereals, was inversely associated with total mortality.
In this large-scale prospective
study with a long follow-up period, dietary fiber was inversely associated with all-cause mortality. Since intakes of dietary fiber, mainly from fruits, vegetables, and
beans were associated with lower all-cause mortality, these food sources may be good options for people aiming to consume more fiber.