Dietary fiber, lung function, and chronic obstructive pulmonary disease.pdf

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2017-04-13 发布于江苏
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Dietary fiber, lung function, and chronic obstructive pulmonary disease.pdf

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Dietary fiber, lung function, and chronic obstructive pulmonary disease

Dietary fiber, lung function, and chronic obstructive pulmonary disease in the Atherosclerosis Risk in Communities (ARIC) Study Haidong Kan1, June Stevens2, Gerardo Heiss3, Kathryn M. Rose3, and Stephanie J. London1 1Epidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Department of Health and Human Services, Research Triangle Park, North Carolina 2Departments of Nutrition and Epidemiology, School of Public Health, the University of North Carolina at Chapel Hill, North Carolina 3Department of Epidemiology, School of Public Health, the University of North Carolina at Chapel Hill, North Carolina Abstract Recent data suggest beneficial effects of fiber intake on chronic respiratory symptoms in adults that are independent of antioxidant vitamin intake, but little is known about fiber consumption in relation to lung function and chronic obstructive pulmonary disease (COPD). The authors investigated the association of fiber intake with lung function and COPD in 11,897 men and women from the Atherosclerosis Risk in Communities (ARIC) study. After controlling for potential confounders, positive associations between lung function and fiber intake from all sources as well as from cereal or fruit alone were found. Participants in the highest quintile of total fiber intake had 60.2 ml higher forced expiratory volume in 1 second (FEV1) (p for trend0.001), 55.2 ml higher forced vital capacity (FVC) (p=0.001), 0.4% higher FEV1/FVC ratio (p=0.040), 1.8% higher percent predicted FEV1 (p0.001), and 1.4% higher percent predicted FVC (p=0.001), compared with those in the lowest quintile. The adjusted odds ratios of COPD for the highest versus lowest quintiles of intake were 0.85 (p=0.044) for total fiber, 0.83 (p=0.021) for cereal fiber, and 0.72 (p=0.005) for fruit fiber. This study provides the first evidence that dietary fiber is independently associated with better lung function and reduced prevalence of COPD. Keywords COPD; FEV1;