Dietary fiber intake and its association with indicators of adiposity and serum biomarkers in European adolescents: the HELENA study
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To evaluate total, energy-adjusted dietary fiber (DF), water-soluble fiber (WSF), and water-insoluble fiber (WIF) intakes in European adolescents and to investigate their association with indicators of adiposity and serum biomarkers.
This study, conducted from 2006 to 2007, included 1804 adolescents aged 12.5–17.5 years (47 % males) from eight European cities completing two non-consecutive computerized 24-h dietary recalls. GLM multivariate analysis was used to investigate associations.
Mean DF intake (20 g/day) of the sample met the European Food Safety Authority recommendation, but was below those of the World Health Organization and of the Institute of Medicine. Total DF, WSF and WIF intakes were higher in males (P < 0.001), but following energy-adjustments significantly higher intakes were observed among females (P < 0.001). Bread and cereals contributed most to total DF, WSF and WIF intakes, followed by potatoes and grains, energy-dense but low-nutritious foods, fruits and vegetables. Moreover, energy-adjusted WSF and WIF were positively associated with body fat percentage (BF%), waist to height ratio and low-density lipoprotein cholesterol, while energy-adjusted WSF was inversely associated with serum fasting glucose (β = −0. 010, P = 0.020).
Total DF intakes are rather low in European adolescents. An inverse association with serum fasting glucose might indicate a possible beneficial role of DF in preventing insulin resistance and its concomitant diseases, even though DF intakes were positively associated with adolescents’ BF%. Therefore, further longitudinal studies should elaborate on these potential beneficial effects of DF intake in the prevention of obesity and related chronic diseases.
KeywordsDietary fiber Adolescence Adiposity Biomarkers HELENA study
The HELENA-study took place with the financial support of the European Community Sixth RTD Framework Programme. This work was also partially supported by the European Union, in the framework of the Public Health Programme, the Swedish Council for Working Life and Social Research, the Spanish Ministry of Education, Spanish Ministry of Science and Innovation (AGL2007-29784-E) and the Spanish Ministry of Health, Maternal, Child Health and Development Network. The content of this paper reflects only the authors’ views and the rest of HELENA-study members and the European Community is not liable for any use that may be made of the information contained therein. Yi Lin was responsible for the analyses and the drafting of the manuscript. Many thanks to Petra Pickert, Anke Carstensen, Rosa María Torres for their contribution to laboratory work. All authors contributed to the interpretation of the results and have evaluated and approved the manuscript as submitted.
Conflict of interest
The authors declare that there are no conflicts of interests.
- 8.Anderson JW, Smith BM, Gustafson NJ (1994) Health benefits and practical aspects of high-fiber diets. Am J Clin Nutr 59:1242S–1247SGoogle Scholar
- 9.Joint FAO/WHO expert consultation on diet NatPoCD (2003) Diet, nutrition, and the prevention of chronic diseases. WHO technical report series 91634-63Google Scholar
- 17.Serra-Majem L, Ribas-Barba L, Salvador G, Jover L, Raido B, Ngo J et al (2007) Trends in energy and nutrient intake and risk of inadequate intakes in Catalonia, Spain (1992–2003). Public Health Nutr 10:1354–1367Google Scholar
- 18.WHO (2009) Population nutrient intake goals for preventing diet-related chronic diseases. http://www.who.int/dietphysicalactivity/publications/trs916/en/gsfao_overall.pdf. (Accessed 18 Dec 2011)
- 20.Buyken AE, Cheng G, Gunther AL, Liese AD, Remer T, Karaolis-Danckert N (2008) Relation of dietary glycemic index, glycemic load, added sugar intake, or fiber intake to the development of body composition between ages 2 and 7 y. Am J Clin Nutr 88:755–762Google Scholar
- 25.Ma Y, Griffith JA, Chasan-Taber L, Olendzki BC, Jackson E, Stanek EJIII et al (2006) Association between dietary fiber and serum C-reactive protein. Am J Clin Nutr 83:760–766Google Scholar
- 28.Moreno LA, Gonzalez-Gross M, Kersting M, Molnar D, De Henauw S, Beghin L et al (2008) Assessing, understanding and modifying nutritional status, eating habits and physical activity in European adolescents: the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) study. Public Health Nutr 11:288–299CrossRefGoogle Scholar
- 34.Federal Research Centre for Nutrition and Food (2011) Bundeslebensmittelschlüssel (BLS)—German nutrient data base. Karlsruhe. http://bls.nvs2.de. (Accessed 2010)
- 35.Division of Nutrition, Physical Activity and Obesity National Center for Chronic Disease Prevention and Health Promotion (2008) Research to practice series, no. 5. Low-energy-dense foods and weight management: cutting calories while controlling hunger. Centers for Disease Control and Prevention, AtlantaGoogle Scholar
- 38.Slaughter MH, Lohman TG, Boileau RA, Horswill CA, Stillman RJ, Van Loan MD et al (1988) Skinfold equations for estimation of body fatness in children and youth. Hum Biol 60:709–723Google Scholar
- 41.Gonzalez-Gross M, Breidenassel C, Gomez-Martinez S, Ferrari M, Beghin L, Spinneker A et al (2008) Sampling and processing of fresh blood samples within a European multicenter nutritional study: evaluation of biomarker stability during transport and storage. Int J Obes (Lond) 32(Suppl. 5):S66–S75CrossRefGoogle Scholar
- 42.Department of Epidemiology of the German Institute of Human Nutrition Potsdam-Rehbrücke (2009) Multiple source method (MSM). https://nugo.dife.de/msm/. (Accessed Apr 2010)
- 43.IOM (2005) Dietary reference intakes. http://www.iom.edu/Global/News%20Announcements/~/media/C5CD2DD7840544979A549EC47E56A02B.ashx. (Accessed 1 May 2011)
- 44.European food safety authority (2010) Scientific Opinion on Dietary Reference Values for carbohydrates and dietary fibre. EFSA J 8:1462Google Scholar
- 45.Aeberli I, Kaspar M, Zimmermann MB (2007) Dietary intake and physical activity of normal weight and overweight 6 to 14 year old Swiss children. Swiss Med Wkly 137:424–430Google Scholar
- 46.Ortega RM, Requejo AM, Andres P, Lopez-Sobaler AM, Redondo R, Gonzalez-Fernandez M (1995) Relationship between diet composition and body mass index in a group of Spanish adolescents. Br J Nutr 74:765–773Google Scholar
- 51.Wanders AJ, van den Borne JJ, de Graaf C, Hulshof T, Jonathan MC, Kristensen M et al (2011) Effects of dietary fibre on subjective appetite, energy intake and body weight: a systematic review of randomized controlled trials. Obes Rev 12:724–739Google Scholar
- 57.Fung TT, Hu FB, Pereira MA, Liu S, Stampfer MJ, Colditz GA et al (2002) Whole-grain intake and the risk of type 2 diabetes: a prospective study in men. Am J Clin Nutr 76:535–540Google Scholar
- 58.Samra RA, Anderson GH (2007) Insoluble cereal fiber reduces appetite and short-term food intake and glycemic response to food consumed 75 min later by healthy men. Am J Clin Nutr 86:972–979Google Scholar
- 61.Kynde I, Johnsen NF, Wedderkopp N, Bygbjerg IB, Helge JW, Heitmann BL (2010) Intake of total dietary sugar and fibre is associated with insulin resistance among Danish 8-10- and 14-16-year-old girls but not boys. European Youth Heart Studies I and II. Public Health Nutr 13:1669–1674CrossRefGoogle Scholar
- 63.Anderson JW, Riddell-Mason S, Gustafson NJ, Smith SF, Mackey M (1992) Cholesterol-lowering effects of psyllium-enriched cereal as an adjunct to a prudent diet in the treatment of mild to moderate hypercholesterolemia. Am J Clin Nutr 56:93–98Google Scholar